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Copyright 2016, National Resource Center for Health and Safety in Child Care and Early Education.
Suggested citation: National Resource Center for Health and Safety in Child Care and Early Education. 2016. Achieving a state of healthy weight 2015 Supplement: State Profiles. Aurora, CO: University of Colorado Denver.
Support for this project was provided by McKing Consulting Corporation under McKing’s prime contract number 200-2012-F-53729 (McKing’s Project # 4568).
The National Resource Center for Health and Safety in Child Care and Early Education (NRC) is a program of the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado.
National Resource Center for Health and Safety in Child Care and Early Education
ACKNOWLEDGMENTS
NRC Director Marilyn J. Krajicek, EdD, RN, FAAN
Research Associate and NRC Evaluator Geraldine Steinke, PhD
2015 Healthy Weight Project Manager, Rater 1 Betty Geer, DNP, RN, CPNP
Rater 2 Linda Satkowiak, ND, RN
Copy Editors Susan Purcell, MA
Lorina Washington, BA Advisors
CAPT Meredith Reynolds, PhD Centers for Disease Control and Prevention
Division of Nutrition, Physical Activity and Obesity Early Care and Education Team Lead
& LCDR Ashleigh Murriel, PhD
Centers for Disease Control and Prevention Division of Nutrition Physical Activity and Obesity
Early Care and Education Team
Note: The ASHW 2015 report (April 2016) contains introduction, methods, and results of the 2015 assessment.
April 2016
` The ASHW 2015 Supplement includes sections as designated above. Click on the page number to go directly to any section. To access the ASHW 2015 report, click here.
6 ASHW
INTRODUCTION ..................................... 1
INDIVIDUAL STATE PROFILES .............. 2
TABLE 1. ASSESSMENT YEARS BY STATE ....................................... 106
TABLE 2. STATE DOCUMENTS ASSESSED FOR ASHW: 2010 TO DATE ............................................... 107
Achieving a State of Healthy Weight
Table of Contents
INTRODUCTION
Achieving a State of Healthy Weight 2015
Supplement: State Profiles is a compilation of supporting information and state-specific results of the ASHW 2015 assessment,1 the fifth update of Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010, or ASHW 2010. In ASHW 2010 and subsequent annual updates (2011- 2015),2 the National Resource Center for Health and Safety in Child Care and Early Education assessed the states’ child care licensing regulations for content regulating 47 healthy weight practices in licensed child care centers, large or group family child care homes, and small family child care homes. All licensing child care regulations in effect in the 50 states and the District of Columbia were rated on the 47 indicators in 2010. In following annual updates, new and revised regulations were rated and added to the ASHW ratings database.
The healthy weight practices were drawn from standards included in Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Ed. (CFOC3). More specifically, the standards were those included in the CFOC-based topical collection, Preventing Childhood Obesity in Early Care and Early Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition (PCO), now available in a 2012 revision PCO2.3,4
The ASHW indicators were grouped into three domains--Nutrition, Infant Feeding, and Physical Activity/Screen Time—and were rated on the following four-point scale:
1 = Regulation contradicts the standard
2 = Regulation does not address the standard
3 = Regulation partially meets the standard
4 = Regulation fully meets the standard
Use of the ASHW 2015 Supplement: Child care licensing professionals and others may use state profiles in this supplement to examine state-level findings on the strength of regulatory language for the implementation of healthy weight practices by licensed programs. This is consistent with the recent call by the Society of Behavioral Medicine for states to strengthen obesity prevention through their childcare licensing regulations by comparing their rules to related CFOC3 standards in “profile worksheets” (p.124). For each state and the District of Columbia, the following ASHW state profile pages accomplish this comparison on 47 CFOC-based healthy weight practices through 2015. Each state may see where there is strength in their regulatory language, and for which licensed child care types. They also may target specific practices for regulatory improvement. Furthermore, perusal of other states’ profiles will reveal those states that have achieved regulatory text fully consistent with selected CFOC3 standards that support prevent of childhood obesity. A guide to understanding the structure of the profile (individual state pages) appears in the first 2 pages of the State Profiles section.
Also included to facilitate understanding of the state profiles are two tables: Table 1. Assessment Years for Each State
Table 2. State Documents Assessed for ASHW: 2010 to Date
NOTES: 1 National Resource Center for Health and Safety in Child Care and Early Education. (2016). Achieving a state of healthy weight: 2015 update. Aurora,
CO: University of Colorado Denver. http://nrckids.org/default/assets/File/Products/ASHW/ASHW%20Report%202015%20Final%204-28-16.pdf 2 The baseline assessment, Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations
2010, which detail the study methodology, and subsequent annual ASHW updates (2011-2015) may be accessed @ http://nrckids.org/default/index .cfm/products/achieving-a-state-of-healthy-weight1/
3 NRC co-published both CFOC3 and PCO2 with American Academy of Pediatrics, American Public Health Association: American Academy of Pediatrics, American Public Health Association, and 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. Retrieved from: http://cfoc .nrckids.org/ American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. (2012). Preventing childhood obesity in early care and education programs, 2nd edition: Selected standards from Caring for our children: National health and safety performance standards; Guidelines for early care and education programs, 3rd edition. Retrieved from: http://cfoc.nrckids.org/StandardView/SpcCol/Preventing_Childhood_Obesity
4 The 2010 baseline study report describes the procedures for selecting and scaling the 47 healthy weight practices selected as ASHW indicators (http://nrckids.org/default/index.cfm/products/achieving-a-state-of-healthy-weight1/).
5 Buscemi, J., Kanwischer, K., Becker, A. B., Ward, D. S., & Fitzgibbon, M. L. (2015). Society of Behavioral Medicine position statement: early care and education (ECE) policies can impact obesity prevention among preschool-aged children. Translational Behavioral Medicine, 5(1), 122–125. doi: 10.1007/s13142-014-0297-5
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 1
STATE PROFILES
Guide to State Profiles In the following state profiles, ASHW results for each state through 2015 are displayed on two pages. The first page of each state's profile displays ratings for each indicator (healthy weight practice, or HWP) by child care type. Where a state regulates a care type in two or more documents, the highest rating for the HWP for that care type (final rating) is used (see ASHW 2010). The second page of each state profile displays state-specific graphs to further demonstrate the state’s strengths and areas for improvement. The following annotated illustrations explain the layout and features of the state profiles. First Page of State Profile
Under each care type column, see most recent year ratings on left /
baseline ratings on right
HWP descriptions are highlighted
green when regulations for all
child care types fully meet the standard
HWP descriptions are highlighted red
when a rating in any child care type contradicts the
standard
The HWPs are divided into 3
domains as labeled on left edge of table.
Labels and descriptions of
HWPs are in the 2 left columns.
A plus (+) or minus (-) to the left of each care type’s ratings, indicates the direction of
change from the baseline.
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 2
STATE PROFILES
Guide to State Profiles (cont.) Second Page of State Profile
The two stacked bar charts show the
number (frequency) of the state’s ratings for each domain/sub-domain (e.g., screen time) in the baseline year (right) and most recently rated year
(left).
These two stacked bar charts show the
number (frequency) of the state’s total
ratings compared to the national average in the baseline year
(right) and most recently rated year
(left).
A link to a list of all documents rated since 2010 is provided here.
The two pie charts depict the relative frequencies of the state’s ratings (1-4) in the baseline year
(right) and most recently rated year (left). See Color and Rating Codes
at bottom of page. Sum of % may ≠ 100 due to rounding.
The state’s rating history (years rated and child care types rated) is shown here.
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 3
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 4 / 4 4 / 4 4 / 4IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 2 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 4 / 4 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 3 / 3 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 4 / 4 4 / 4 4 / 4PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruits
Serve skim or 1% pasteurized milk to children two years of age and older
Use only 100% juice with no added sweeteners
Infa
nt F
eedi
ng
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foods
ALABAMAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesity
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 4
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Alabama Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
ALABAMA
6%
39%
39%
16%
2010 Alabama Percentage of Ratings for All Healthy Weight Topic Areas
6%
36%
38%
20%
2012 Alabama Percentage of Ratings for All Healthy Weight Topic Areas
6 3 3
23 18 11
15
30
9
1
9
7
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Alabama Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3
18 18 11
15
29
9
1
9
13
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Alabama Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
55 75
55 45
22 16
0
20
40
60
80
100
120
140
Alabama Total National Avg.
2010 Alabama and National Ratings for All Healthy Weight Topic Areas
9 5
50 69
54 45
28 22
0
20
40
60
80
100
120
140
Alabama Total National Avg.
2012 Alabama and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 5
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 2 + 4 / 2 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 2 / 2 2 / 2 2 / 2
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 4 / 4 4 / 4 4 / 4PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 4 / 4 4 / 4 4 / 4
PE1 2 / 2 2 / 2 2 / 2PE2 4 / 4 4 / 4 4 / 4
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
ALASKAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 6
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Alaska Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.
ALASKA
6%
34%
43%
17%
2010 Alaska Percentage of Ratings for All Healthy Weight Topic Areas
6%
30%
43%
21%
2012 Alaska Percentage of Ratings for All Healthy Weight Topic Areas
6 3 3
27
12 6
18
27
9 6
6
6
12
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Alaska Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3
21 12 6
18
27
9 6
6
12
12
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Alaska Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
48 75
60 45
24 16
0
20
40
60
80
100
120
140
Alaska Total National Avg.
2010 Alaska and National Ratings for All Healthy Weight Topic Areas
9 5
42 69
60 45
30 22
0
20
40
60
80
100
120
140
Alaska Total National Avg.
2012 Alaska and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 7
Δ Δ Δ
IA1 4 / 4 4 / 4 0 / 0IA2 3 / 3 + 4 / 3 0 / 0IB1 2 / 2 + 4 / 2 0 / 0IB2 2 / 2 + 4 / 2 0 / 0IB3 3 / 3 4 / 4 0 / 0IC1 4 / 4 4 / 4 0 / 0IC2 2 / 2 2 / 2 0 / 0IC3 2 / 2 2 / 2 0 / 0ID1 3 / 3 3 / 3 0 / 0ID2 2 / 2 2 / 2 0 / 0ID3 2 / 2 2 / 2 0 / 0
NA1 2 / 2 3 / 3 0 / 0NA2 3 / 3 3 / 3 0 / 0NA3 3 / 3 3 / 3 0 / 0
NA4 2 / 2 + 3 / 2 0 / 0
NA5 4 / 4 4 / 4 0 / 0NB1 3 / 3 3 / 3 0 / 0NB2 3 / 3 + 4 / 3 0 / 0NB3 4 / 4 4 / 4 0 / 0NC1 4 / 4 4 / 4 0 / 0NC2 2 / 2 2 / 2 0 / 0NC3 4 / 4 - 3 / 4 0 / 0NC4 4 / 4 4 / 4 0 / 0ND1 4 / 4 4 / 4 0 / 0NE1 2 / 2 2 / 2 0 / 0NE2 3 / 3 3 / 3 0 / 0NF1 4 / 4 4 / 4 0 / 0
NF2 1 / 1 1 / 1 0 / 0
NG1 2 / 2 2 / 2 0 / 0NG2 3 / 3 3 / 3 0 / 0NH1 3 / 3 3 / 3 0 / 0NH2 3 / 3 3 / 3 0 / 0
PA1 4 / 4 4 / 4 0 / 0
PA2 2 / 2 2 / 2 0 / 0
PA3 2 / 2 + 3 / 2 0 / 0PA4 2 / 2 2 / 2 0 / 0PA5 3 / 3 - 3 / 4 0 / 0PB1 2 / 2 2 / 2 0 / 0PB2 2 / 2 2 / 2 0 / 0PB3 2 / 2 2 / 2 0 / 0PB4 2 / 2 2 / 2 0 / 0PC1 3 / 3 3 / 3 0 / 0PC2 3 / 3 3 / 3 0 / 0PC3 3 / 3 3 / 3 0 / 0
PD1 3 / 3 3 / 3 0 / 0
PE1 4 / 4 4 / 4 0 / 0PE2 3 / 3 3 / 3 0 / 0
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
ARIZONAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2011/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 8
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Arizona Regulation Rating History: 2010 (CTR, LRG, SML); 2015 (LRG)NOTE: In 2015, all ratings for small family child care were removed, as AZ does not regulate this care type.
ARIZONA
2%
37%
35%
26%
2010 Arizona Percentage of Ratings for All Healthy Weight Topic Areas
2%
33%
37%
28%
2011 Arizona Percentage of Ratings for All Healthy Weight Topic Areas
2 12 9 6 8
5 17
11 5
14
5
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Arizona Frequency of Each Rating by Healthy Weight Practices Topic Area
2 10 8
5 8 4
18 13
8
14
4
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2011 Arizona Frequency of Each Ratings by Healthy Weight Practices Topic Area
2 5 35
75 33
45
24
16
0
20
40
60
80
100
120
140
Arizona Total National Avg.
2010 Arizona and National Ratings for All Healthy Weight Topic Areas
2 5 31
71 35
45
26
18
0
20
40
60
80
100
120
140
Arizona Total National Avg.
2011 Arizona and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 9
Δ Δ Δ
IA1 + 3 / 2 + 3 / 2 + 3 / 2IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 + 4 / 3 + 4 / 3 + 4 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 3 / 3 + 4 / 3 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 + 3 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 + 4 / 2 + 4 / 3 + 4 / 3NH2 3 / 3 3 / 3 3 / 3
xPA1 4 / 4 4 / 4 2 / 2
PA2 2 / 2 2 / 2 2 / 2
PA3 + 3 / 2 + 3 / 2 + 3 / 2PA4 + 4 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 + 3 / 2 2 / 2 2 / 2PB2 + 3 / 2 + 3 / 2 + 3 / 2PB3 + 4 / 2 + 4 / 2 + 4 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
ARKANSASHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2015/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 10
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Arkansas Regulation Rating History: 2010 (CTR, LRG, SML); 2011 (CTR, LRG, SML); 2015 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
ARKANSAS
6%
42% 39%
13%
2010 State Name Percentage of Ratings for All Healthy Weight Topic Areas
6%
30%
43%
21%
2012 State Name Percentage of Ratings for All Healthy Weight Topic Areas
6 3 6
22 19 12
15
31
9
0
6
7
5
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 State Name Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3
20 15
5
15
29
12
4
9
11
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 State Name Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
59 75
55 45
18 16
0
20
40
60
80
100
120
140
Arkansas Total National Avg.
2010 State Name and National Ratings for All Healthy Weight Topic Areas
9 5
43 65
60 47
29 24
0
20
40
60
80
100
120
140
Arkansas Total National Avg.
2012 State Name and National Ratings for All Healthy Weight Topic Areas
6%
42% 39%
13%
2010 Arkansas Percentage of Ratings for All Healthy Weight Topic Areas
6%
30%
45%
19%
2015 Arkansas Percentage of Ratings for All Healthy Weight Topic Areas
6 3 6
22 19 12
15
30
9 6
7
5
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Arkansas Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 4
18 15
5
14
33
12
4
9
9
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2015 Arkansas Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
59 75
54 45
18 16
0
20
40
60
80
100
120
140
Arkansas Total National Avg.
2010 Arkansas and National Ratings for All Healthy Weight Topic Areas
9 5
42 65
63 47
27 24
0
20
40
60
80
100
120
140
Arkansas Total National Avg.
2015 Arkansas and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 11
Δ Δ Δ
IA1 4 / 4 0 / 0 0 / 0IA2 4 / 4 0 / 0 0 / 0IB1 4 / 4 0 / 0 0 / 0IB2 3 / 3 0 / 0 0 / 0IB3 3 / 3 0 / 0 0 / 0IC1 3 / 3 0 / 0 0 / 0IC2 3 / 3 0 / 0 0 / 0IC3 3 / 3 0 / 0 0 / 0ID1 2 / 2 0 / 0 0 / 0ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 0 / 0 0 / 0
NA1 2 / 2 0 / 0 0 / 0NA2 3 / 3 0 / 0 0 / 0NA3 3 / 3 0 / 0 0 / 0
NA4 2 / 2 0 / 0 0 / 0
NA5 + 4 / 2 + 4 / 0 + 4 / 0NB1 3 / 3 0 / 0 0 / 0NB2 3 / 3 0 / 0 0 / 0NB3 4 / 4 0 / 0 0 / 0NC1 4 / 4 0 / 0 0 / 0NC2 2 / 2 0 / 0 0 / 0NC3 3 / 3 + 3 / 0 + 3 / 0NC4 3 / 3 + 3 / 0 + 3 / 0ND1 4 / 4 + 3 / 0 + 3 / 0NE1 2 / 2 0 / 0 0 / 0NE2 2 / 2 0 / 0 0 / 0NF1 4 / 4 0 / 0 0 / 0
NF2 3 / 3 0 / 0 0 / 0
NG1 2 / 2 0 / 0 0 / 0NG2 1 / 1 0 / 0 0 / 0NH1 2 / 2 0 / 0 0 / 0NH2 3 / 3 0 / 0 0 / 0
PA1 4 / 4 0 / 0 0 / 0
PA2 2 / 2 0 / 0 0 / 0
PA3 2 / 2 0 / 0 0 / 0PA4 2 / 2 0 / 0 0 / 0PA5 2 / 2 0 / 0 0 / 0PB1 2 / 2 0 / 0 0 / 0PB2 2 / 2 0 / 0 0 / 0PB3 2 / 2 0 / 0 0 / 0PB4 2 / 2 0 / 0 0 / 0PC1 3 / 3 0 / 0 0 / 0PC2 3 / 3 0 / 0 0 / 0PC3 3 / 3 0 / 0 0 / 0
PD1 3 / 3 0 / 0 0 / 0
PE1 2 / 2 0 / 0 0 / 0PE2 2 / 2 0 / 0 0 / 0
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
CALIFORNIAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 12
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
California Regulation Rating History: 2010 (CTR,); 2012 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
CALIFORNIA
10%
39% 35%
16%
2010 California Percentage of Ratings for All Healthy Weight Topic Areas
9%
32%
40%
19%
2012 California Percentage of Ratings for All Healthy Weight Topic Areas
4 1 1 8 6 4 5
8 4
3 4
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 California Frequency of Each Rating by Healthy Weight Practices Topic Area
4 1 1 7 6 4 5
14 4
3
7
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 California Frequency of Each Ratings by Healthy Weight Practices Topic Area
5 5 19
75 17
45
8
16
0
20
40
60
80
100
120
140
California Total National Avg.
2010 California and National Ratings for All Healthy Weight Topic Areas
5 5 18
69 23
45
11
22
0
20
40
60
80
100
120
140
California Total National Avg.
2012 California and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 13
Δ Δ Δ
IA1 2 / 2 4 / 4 4 / 4IA2 2 / 2 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 2 / 2 + 4 / 3 + 4 / 3IC2 2 / 2 3 / 3 3 / 3IC3 2 / 2 3 / 3 3 / 3ID1 + 3 / 2 + 3 / 2 2 / 2ID2 2 / 2 1 / 1 1 / 1ID3 2 / 2 1 / 1 1 / 1
NA1 2 / 2 3 / 3 3 / 3NA2 2 / 2 3 / 3 3 / 3NA3 2 / 2 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 + 4 / 2 + 4 / 2NB1 2 / 2 3 / 3 3 / 3NB2 2 / 2 3 / 3 3 / 3NB3 2 / 2 3 / 3 3 / 3NC1 2 / 2 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 4 / 4 4 / 4NC4 2 / 2 4 / 4 4 / 4ND1 2 / 2 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 2 / 2 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 3 / 3 3 / 3NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 3 / 3 3 / 3 3 / 3PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 + 4 / 2 + 4 / 2 + 4 / 2PE2 + 4 / 3 + 4 / 3 + 4 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
COLORADOHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2015/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 14
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
COLORADO
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
COLORADO Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML); 2015 (CTR, LRG, SML)
3%
46% 36%
15%
2010 Colorado Percentage of Ratings for All Healthy Weight Topic Areas
3%
41%
34%
22%
2015 Colorado Percentage of Ratings for All Healthy Weight Topic Areas
4 0
11 30
15 9
11
22
15
3
7
11
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Colorado Frequency of Each Rating by Healthy Weight Practices Topic Area
4 0 9
28 12 9
11
22
12 3
9
13
9
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2015 Colorado Frequency of Each Ratings by Healthy Weight Practices Topic Area
4 5
65 75
51 45
21 16
0
20
40
60
80
100
120
140
COLORADO Total National Avg.
2010 Colorado and National Ratings for All Healthy Weight Topic Areas
4 5
58 65
48 47
31 24
0
20
40
60
80
100
120
140
COLORADO Total National Avg.
2015 Colorado and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 15
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 4 / 4 4 / 4 2 / 2IB1 4 / 4 4 / 4 2 / 2IB2 3 / 3 3 / 3 2 / 2IB3 4 / 4 4 / 4 2 / 2IC1 3 / 3 3 / 3 2 / 2IC2 3 / 3 3 / 3 2 / 2IC3 3 / 3 3 / 3 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 2 / 2ID3 1 / 1 1 / 1 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 2 / 2NA3 3 / 3 3 / 3 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 2 / 2NB1 3 / 3 3 / 3 2 / 2NB2 3 / 3 3 / 3 2 / 2NB3 3 / 3 3 / 3 2 / 2NC1 4 / 4 4 / 4 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 2 / 2NC4 3 / 3 3 / 3 2 / 2ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 2 / 2
NF2 3 / 3 3 / 3 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 2 / 2NH1 2 / 2 2 / 2 2 / 2NH2 2 / 2 2 / 2 2 / 2
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 2 / 2PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 3 / 3 3 / 3 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
CONNECTICUTHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 16
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Connecticut Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
CONNECTICUT
4%
60%
24%
11%
2010 Connecticut Percentage of Ratings for All Healthy Weight Topic Areas
4%
59%
24%
13%
2012 Connecticut Percentage of Ratings for All Healthy Weight Topic Areas
4 2
15
38
20 12
8
16
10 6
7
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Connecticut Frequency of Each Rating by Healthy Weight Practices Topic Area
4 2
15 36
20 12
8
16
10 6
9
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Connecticut Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
85 75
34 45
16 16
0
20
40
60
80
100
120
140
Connecticut Total National Avg.
2010 Connecticut and National Ratings for All Healthy Weight Topic Areas
6 5
83 75
34 45
18 16
0
20
40
60
80
100
120
140
Connecticut Total National Avg.
2012 Connecticut and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 17
Δ Δ Δ
IA1 4 / 4 4 / 4 4 / 4IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 + 4 / 3 3 / 3 3 / 3IB3 4 / 4 4 / 4 4 / 4IC1 3 / 3 3 / 3 3 / 3IC2 4 / 4 4 / 4 4 / 4IC3 3 / 3 3 / 3 3 / 3ID1 4 / 4 4 / 4 4 / 4ID2 1 / 1 1 / 1 1 / 1ID3 3 / 3 3 / 3 3 / 3
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 3 / 3 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 4 / 4 4 / 4 3 / 3NB3 4 / 4 4 / 4 4 / 4NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 + 4 / 2 + 4 / 2NE1 3 / 3 3 / 3 3 / 3NE2 + 4 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 + 3 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 3 / 3
PA2 + 3 / 2 2 / 2 2 / 2
PA3 + 3 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 4 / 4 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 4 / 4 4 / 4 4 / 4PB4 2 / 2 2 / 2 2 / 2PC1 4 / 4 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 4 / 4 3 / 3 3 / 3
PE1 + 4 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
DELAWAREHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2015/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 18
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
DELAWARE
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Delaware Regulation Rating History: 2010 (CTR, LRG, SML); 2015(CTR)
4%
24%
43%
29%
2010 Delaware Percentage of Ratings for All Healthy Weight Topic Areas
4%
18%
44%
35%
2015 Delaware Percentage of Ratings for All Healthy Weight Topic Areas
3 3 0 19
12 3
12
29
14
5
18
12
7
4
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Delaware Frequency of Each Rating by Healthy Weight Practices Topic Area
3 2 13
9 3 11
30
16
5
19
18
8
4
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2015 Delaware Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
34
75
60
45
41 16
0
20
40
60
80
100
120
140
Delaware Total National Avg.
2010 Delaware and National Ratings for All Healthy Weight Topic Areas
5 5 25
65
62
47
49 24
0
20
40
60
80
100
120
140
Delaware Total National Avg.
2015 Delaware and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 19
Δ Δ Δ
IA1 2 / 2 0 / 0 2 / 2IA2 2 / 2 0 / 0 2 / 2IB1 2 / 2 0 / 0 2 / 2IB2 2 / 2 0 / 0 2 / 2IB3 2 / 2 0 / 0 2 / 2IC1 2 / 2 0 / 0 2 / 2IC2 2 / 2 0 / 0 2 / 2IC3 2 / 2 0 / 0 2 / 2ID1 2 / 2 0 / 0 2 / 2ID2 2 / 2 0 / 0 2 / 2ID3 2 / 2 0 / 0 2 / 2
NA1 2 / 2 0 / 0 2 / 2NA2 2 / 2 0 / 0 2 / 2NA3 2 / 2 0 / 0 2 / 2
NA4 2 / 2 0 / 0 2 / 2
NA5 2 / 2 0 / 0 2 / 2NB1 2 / 2 0 / 0 2 / 2NB2 2 / 2 0 / 0 2 / 2NB3 2 / 2 0 / 0 2 / 2NC1 2 / 2 0 / 0 2 / 2NC2 2 / 2 0 / 0 2 / 2NC3 2 / 2 0 / 0 2 / 2NC4 2 / 2 0 / 0 2 / 2ND1 2 / 2 0 / 0 2 / 2NE1 2 / 2 0 / 0 2 / 2NE2 2 / 2 0 / 0 2 / 2NF1 2 / 2 0 / 0 2 / 2
NF2 2 / 2 0 / 0 2 / 2
NG1 2 / 2 0 / 0 2 / 2NG2 2 / 2 0 / 0 2 / 2NH1 2 / 2 0 / 0 2 / 2NH2 2 / 2 0 / 0 2 / 2
PA1 4 / 4 0 / 0 4 / 4
PA2 2 / 2 0 / 0 2 / 2
PA3 2 / 2 0 / 0 2 / 2PA4 2 / 2 0 / 0 2 / 2PA5 2 / 2 0 / 0 2 / 2PB1 2 / 2 0 / 0 2 / 2PB2 2 / 2 0 / 0 2 / 2PB3 2 / 2 0 / 0 2 / 2PB4 2 / 2 0 / 0 2 / 2PC1 4 / 4 0 / 0 4 / 4PC2 3 / 3 0 / 0 3 / 3PC3 3 / 3 0 / 0 3 / 3
PD1 2 / 2 0 / 0 2 / 2
PE1 2 / 2 0 / 0 2 / 2PE2 2 / 2 0 / 0 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awake
IS
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
DISTRICT OF COLUMBIAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 20
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
District of Columbia Regulation Rating History: 2010 (CTR, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
DISTRICT OF COLUMBIA
91%
4% 4%
2010 District of Columbia Percentage of Ratings for All Healthy Weight Topic Areas
91%
4% 4%
2010 District of Columbia Percentage of Ratings for All Healthy Weight Topic Areas
22
42
14 8
4 4
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 District of Columbia Frequency of Each Rating by Healthy Weight Practices Topic Area
22
42
14 8
4 4
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 District of Columbia Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
86 75
4 45
4
16
0
20
40
60
80
100
120
140
District of Columbia Total National Avg.
2010 District of Columbia and National Ratings for All Healthy Weight Topic Areas
5
86 75
4 45 4
16
0
20
40
60
80
100
120
140
District of Columbia Total National Avg.
2010 District of Columbia and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 21
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 2 / 2 2 / 2 2 / 2IB2 2 / 2 2 / 2 2 / 2IB3 + 3 / 2 2 / 2 2 / 2IC1 2 / 2 2 / 2 2 / 2IC2 + 3 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 2 / 2 2 / 2 2 / 2NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 2 / 2 2 / 2
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 + 3 / 2 + 3 / 2 + 3 / 2
PA3 + 4 / 2 + 4 / 2 + 4 / 2PA4 2 / 2 2 / 2 2 / 2PA5 + 4 / 2 2 / 2 2 / 2PB1 + 4 / 2 2 / 2 2 / 2PB2 + 3 / 2 2 / 2 2 / 2PB3 + 4 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 + 3 / 2 2 / 2 2 / 2PE2 + 3 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
FLORIDAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
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nt F
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Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 22
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Florida Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML); 2013 (CTR)NOTE: In 2013, 2010 ratings adjusted due to retirement of MyPyramid, and 2010 ratings corrected in infant feeding.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
FLORIDA
85%
11% 4%
2010 Florida Percentage of Ratings for All Healthy Weight Topic Areas
75%
16%
9%
2013 Florida Percentage of Ratings for All Healthy Weight Topic Areas
33
54
21 12
6
9
3
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Florida Frequency of Each Rating by Healthy Weight Practices Topic Area
31
54
12 9
2
6
14 1
3
7
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Florida Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
120
75
15
45
6 16
0
20
40
60
80
100
120
140
Florida Total National Avg.
2010 Florida and National Ratings for All Healthy Weight Topic Areas
5
106 67
23
46
12 22
0
20
40
60
80
100
120
140
Florida Total National Avg.
2013 Florida and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 23
Δ Δ Δ
IA1 4 / 4 3 / 3 2 / 2IA2 4 / 4 4 / 4 2 / 2IB1 4 / 4 4 / 4 2 / 2IB2 3 / 3 3 / 3 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 2 / 2IC2 3 / 3 3 / 3 2 / 2IC3 3 / 3 3 / 3 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 2 / 2ID3 1 / 1 1 / 1 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 2 / 2NB1 3 / 3 3 / 3 2 / 2NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 2 / 2NC4 3 / 3 3 / 3 2 / 2ND1 + 4 / 3 + 4 / 3 2 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 3 / 3 3 / 3 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 4 / 4 4 / 4 4 / 4
PA1 4 / 4 4 / 4 3 / 3
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 3 / 3 3 / 3 + 3 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 + 4 / 2 + 4 / 2 4 / 4PE2 3 / 3 3 / 3 + 3 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
GEORGIAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2014/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 24
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Georgia Regulation Rating History: 2010 (CTR, LRG, SML); 2014 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
GEORGIA
3%
48% 38%
11%
2010 Georgia Percentage of Ratings for All Healthy Weight Topic Areas
3%
44%
38%
16%
2014 Georgia Percentage of Ratings for All Healthy Weight Topic Areas
4 12
28 18
10
12
27
12
2
5
8
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Georgia Frequency of Each Rating by Healthy Weight Practices Topic Area
4 12 26
15 9
12
25
13
3
5
12
5
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2014 Georgia Frequency of Each Ratings by Healthy Weight Practices Topic Area
4 5
68 75
53 45
16 16
0
20
40
60
80
100
120
140
Georgia Total National Avg.
2010 Georgia and National Ratings for All Healthy Weight Topic Areas
4 5
62 67
53 46
22 23
0
20
40
60
80
100
120
140
Georgia Total National Avg.
2014 Georgia and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 25
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 4 / 4 2 / 2 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 4 / 4 4 / 4 4 / 4
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
HAWAIIHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 26
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Hawaii Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
HAWAII
6%
41% 39%
13%
2010 Hawaii Percentage of Ratings for All Healthy Weight Topic Areas
6%
39%
37%
18%
2012 Hawaii Percentage of Ratings for All Healthy Weight Topic Areas
6 3 4
21 21 12
16
30
9 7
9
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Hawaii Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 4
18 21 12
16
27
9 7
15
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Hawaii Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
58 75
55 45
19 16
0
20
40
60
80
100
120
140
Hawaii Total National Avg.
2010 Hawaii and National Ratings for All Healthy Weight Topic Areas
9 5
55 69
52 45
25 22
0
20
40
60
80
100
120
140
Hawaii Total National Avg.
2012 Hawaii and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 27
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 2 / 2 2 / 2 2 / 2IB2 2 / 2 2 / 2 2 / 2IB3 2 / 2 2 / 2 2 / 2IC1 2 / 2 2 / 2 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 2 / 2 2 / 2 2 / 2NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 2 / 2 2 / 2 2 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 2 / 2 2 / 2
NF2 2 / 2 2 / 2 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 2 / 2 2 / 2 2 / 2NH2 2 / 2 2 / 2 2 / 2
PA1 2 / 2 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 3 / 3 3 / 3PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 2 / 2 2 / 2 2 / 2PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
IDAHOHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 28
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Idaho Regulation Rating History: 2010 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
IDAHO
97%
1% 1%
2010 Idaho Percentage of Ratings for All Healthy Weight Topic Areas
97%
1% 1%
2010 Idaho Percentage of Ratings for All Healthy Weight Topic Areas
33
63
29 12
2 2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Idaho Frequency of Each Rating by Healthy Weight Practices Topic Area
33
63
29 12
2 2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Idaho Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
137
75
2
45
2 16
0
20
40
60
80
100
120
140
Idaho Total National Avg.
2010 Idaho and National Ratings for All Healthy Weight Topic Areas
5
137
75
2
45
2 16
0
20
40
60
80
100
120
140
Idaho Total National Avg.
2010 Idaho and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 29
Δ Δ Δ
IA1 + 3 / 2 2 / 2 2 / 2IA2 1 / 1 1 / 1 1 / 1IB1 + 3 / 2 4 / 4 4 / 4IB2 + 3 / 2 2 / 2 2 / 2IB3 + 4 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 4 / 4 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 + 4 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 + 3 / 1 1 / 1 1 / 1
NA1 + 4 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 + 4 / 3 2 / 2 2 / 2
NA5 + 4 / 3 2 / 2 2 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 4 / 4 3 / 3NB3 4 / 4 4 / 4 4 / 4NC1 4 / 4 4 / 4 4 / 4NC2 + 4 / 2 2 / 2 2 / 2NC3 + 4 / 3 4 / 4 4 / 4NC4 4 / 4 4 / 4 4 / 4ND1 + 4 / 3 3 / 3 3 / 3NE1 3 / 3 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 2 / 2 2 / 2
NG1 + 4 / 2 2 / 2 2 / 2NG2 + 4 / 3 2 / 2 2 / 2NH1 4 / 4 3 / 3 3 / 3NH2 4 / 4 3 / 3 3 / 3
4PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 + 4 / 3 3 / 3 3 / 3PB1 + 4 / 3 2 / 2 2 / 2PB2 3 / 3 2 / 2 2 / 2PB3 + 4 / 2 2 / 2 2 / 2PB4 + 4 / 2 2 / 2 2 / 2PC1 + 4 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 3 / 3 3 / 3 3 / 3
PE1 4 / 4 4 / 4 4 / 4PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
ILLINOISHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2014/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 30
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Illinois Regulation Rating History: 2010 (CTR, LRG, SML); 2014 (CTR)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
ILLINOIS
6%
38%
37%
18%
2010 Illinois Percentage of Ratings for All Healthy Weight Topic Areas
6%
32%
33%
29%
2014 Illinois Percentage of Ratings for All Healthy Weight Topic Areas
9
10 22 12 10
11
24
15 2
3
17
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Illinois Frequency of Each Rating by Healthy Weight Practices Topic Area
8 6 19
12 8
14 19
13
1
5
25
8
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2014 Illinois Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
54 75
52 45
26 16
0
20
40
60
80
100
120
140
Illinois Total National Avg.
2010 Illinois and National Ratings for All Healthy Weight Topic Areas
8 5
45 67
47
46
41 23
0
20
40
60
80
100
120
140
Illinois Total National Avg.
2014 Illinois and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 31
Δ Δ Δ
IA1 3 / 3 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 3 / 3 2 / 2 2 / 2IB2 2 / 2 2 / 2 2 / 2IB3 4 / 4 3 / 3 3 / 3IC1 2 / 2 2 / 2 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 3 / 3 2 / 2 2 / 2
NA5 1 / 1 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 2 / 2 2 / 2 2 / 2NC1 4 / 4 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 3 / 3 2 / 2 4 / 4NE1 3 / 3 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 2 / 2 4 / 4
NF2 1 / 1 2 / 2 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 3 / 3 2 / 2 2 / 2NH1 2 / 2 2 / 2 2 / 2NH2 4 / 4 2 / 2 3 / 3
PA1 4 / 4 2 / 2 3 / 3
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 2 / 2 2 / 2PB1 4 / 4 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 4 / 4 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 2 / 2 3 / 3PC2 3 / 3 2 / 2 3 / 3PC3 3 / 3 2 / 2 3 / 3
PD1 3 / 3 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
INDIANAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 32
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Indiana Regulation Rating History: 2010 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
INDIANA
1%
79%
13%
6%
2010 Indiana Percentage of Ratings for All Healthy Weight Topic Areas
1%
79%
13%
6%
2010 Indiana Percentage of Ratings for All Healthy Weight Topic Areas
2
28
52
22 10
4
5
10 1
4
1
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Indiana Frequency of Each Rating by Healthy Weight Practices Topic Area
2
28
52
22 10
4
5
10 1
4
1
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Indiana Frequency of Each Ratings by Healthy Weight Practices Topic Area
2 5
112 75
19
45
8 16
0
20
40
60
80
100
120
140
Indiana Total National Avg.
2010 Indiana and National Ratings for All Healthy Weight Topic Areas
2 5
112 75
19
45
8 16
0
20
40
60
80
100
120
140
Indiana Total National Avg.
2010 Indiana and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 33
Δ Δ Δ
IA1 + 3 / 2 + 3 / 2 2 / 2IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 + 4 / 3 + 4 / 3 3 / 3IB3 3 / 3 2 / 2 2 / 2IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 3 / 3 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 2 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 2 / 2 2 / 2PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 3 / 3 3 / 3 3 / 3
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
IOWAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 34
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Iowa Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
IOWA
6%
46% 37%
11%
2010 Iowa Percentage of Ratings for All Healthy Weight Topic Areas
6%
41% 36%
16%
2012 Iowa Percentage of Ratings for All Healthy Weight Topic Areas
6 3 8
25 20
12
13
29
10 6
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Iowa Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 6
20 20 12
13
28
10 8
12
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Iowa Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
65 75
52 45
15 16
0
20
40
60
80
100
120
140
Iowa Total National Avg.
2010 Iowa and National Ratings for All Healthy Weight Topic Areas
9 5
58 69
51 45
23 22
0
20
40
60
80
100
120
140
Iowa Total National Avg.
2012 Iowa and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 35
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 2 / 2 2 / 2 2 / 2IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 + 4 / 2 + 4 / 2NB1 2 / 2 2 / 2 2 / 2NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 4 / 4 + 3 / 2 + 3 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 2 / 2 2 / 2
NF2 1 / 1 1 / 1 1 / 1
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 3 / 3 + 3 / 2 + 3 / 2NH2 3 / 3 + 3 / 2 + 3 / 2
PA1 4 / 4 3 / 3 3 / 3
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 3 / 3 3 / 3 3 / 3PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 + 4 / 3 + 4 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 3 / 3 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
KANSASHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 36
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Kansas Regulation Rating History: 2010 (CTR, LRG, SML); 2013 (LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
KANSAS
2%
69%
26% 4%
2010 Kansas Percentage of Ratings for All Healthy Weight Topic Areas
2%
63%
28%
6%
2013 Kansas Percentage of Ratings for All Healthy Weight Topic Areas
3
27
42
19 9
6
14
13
3
4
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Kansas Frequency of Each Rating by Healthy Weight Practices Topic Area
3
27 34
19 9
6
20
11
3
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Kansas Frequency of Each Ratings by Healthy Weight Practices Topic Area
3 5
97 75
36 45
5 16
0
20
40
60
80
100
120
140
Kansas Total National Avg.
2010 Kansas and National Ratings for All Healthy Weight Topic Areas
3 5
89 67
40 46
9 22
0
20
40
60
80
100
120
140
Kansas Total National Avg.
2013 Kansas and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 37
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 + 4 / 2 + 4 / 2 2 / 2IB1 2 / 2 2 / 2 2 / 2IB2 3 / 3 3 / 3 3 / 3IB3 4 / 4 4 / 4 4 / 4IC1 2 / 2 2 / 2 3 / 3IC2 2 / 2 2 / 2 3 / 3IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 + 3 / 2 + 3 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 2 / 2NB1 + 3 / 2 + 3 / 2 2 / 2NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 + 4 / 3 + 4 / 3 2 / 2NE1 + 3 / 2 + 3 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 1 / 1 1 / 1 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 2 / 2 2 / 2 2 / 2NH2 + 4 / 3 + 4 / 3 2 / 2
PA1 4 / 4 4 / 4 3 / 3
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 3 / 3PB2 2 / 2 2 / 2 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 + 4 / 2 + 4 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
KENTUCKYHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 38
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Kentucky Regulation Rating History: 2010 (CTR, LRG, SML); 2013 (CTR, LRG)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
KENTUCKY
1%
72%
19%
8%
2010 Kentucky Percentage of Ratings for All Healthy Weight Topic Areas
1%
63%
21%
15%
2013 Kentucky Percentage of Ratings for All Healthy Weight Topic Areas
2
25
45
21 10
5
10
10
2
3
6
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Kentucky Frequency of Each Rating by Healthy Weight Practices Topic Area
2
23
37
21 8
5
12
10
2
5
12
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Kentucky Name Frequency of Each Ratings by Healthy Weight Practices Topic Area
2 5
101 75
27 45
11 16
0
20
40
60
80
100
120
140
Kentucky Total National Avg.
2010 Kentucky and National Ratings for All Healthy Weight Topic Areas
2 5
89 67
29 46
21 22
0
20
40
60
80
100
120
140
Kentucky Total National Avg.
2013 Kentucky and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 39
Δ Δ Δ
IA1 3 / 3 + 3 / 0 0 / 0IA2 + 4 / 1 + 4 / 0 0 / 0IB1 4 / 4 + 4 / 0 0 / 0IB2 + 4 / 3 + 4 / 0 0 / 0IB3 - 3 / 4 + 3 / 0 0 / 0IC1 3 / 3 + 3 / 0 0 / 0IC2 3 / 3 + 3 / 0 0 / 0IC3 3 / 3 + 3 / 0 0 / 0ID1 2 / 2 + 2 / 0 0 / 0ID2 1 / 1 + 1 / 0 0 / 0ID3 1 / 1 + 1 / 0 0 / 0
NA1 2 / 2 + 2 / 0 0 / 0NA2 3 / 3 + 3 / 0 0 / 0NA3 3 / 3 + 3 / 0 0 / 0
NA4 2 / 2 + 2 / 0 0 / 0
NA5 + 4 / 2 + 4 / 0 0 / 0NB1 3 / 3 + 3 / 0 0 / 0NB2 3 / 3 + 3 / 0 0 / 0NB3 - 3 / 4 + 3 / 0 0 / 0NC1 4 / 4 + 4 / 0 0 / 0NC2 2 / 2 + 2 / 0 0 / 0NC3 3 / 3 + 3 / 0 0 / 0NC4 3 / 3 + 3 / 0 0 / 0ND1 4 / 4 + 4 / 0 0 / 0NE1 2 / 2 + 2 / 0 0 / 0NE2 2 / 2 + 2 / 0 0 / 0NF1 4 / 4 + 4 / 0 0 / 0
NF2 + 3 / 1 + 3 / 0 0 / 0
NG1 2 / 2 + 2 / 0 0 / 0NG2 1 / 1 + 1 / 0 0 / 0NH1 + 3 / 2 + 3 / 0 0 / 0NH2 3 / 3 + 3 / 0 0 / 0
PA1 4 / 4 + 4 / 0 0 / 0
PA2 2 / 2 + 2 / 0 0 / 0
PA3 + 3 / 2 + 3 / 0 0 / 0PA4 2 / 2 + 2 / 0 0 / 0PA5 + 4 / 3 + 4 / 0 0 / 0PB1 + 4 / 2 + 4 / 0 0 / 0PB2 + 3 / 2 + 3 / 0 0 / 0PB3 - 1 / 2 + 1 / 0 0 / 0PB4 2 / 2 + 2 / 0 0 / 0PC1 - 2 / 3 + 2 / 0 0 / 0PC2 3 / 3 + 3 / 0 0 / 0PC3 3 / 3 + 3 / 0 0 / 0
PD1 + 3 / 2 + 3 / 0 0 / 0
PE1 2 / 2 + 2 / 0 0 / 0PE2 3 / 3 + 3 / 0 0 / 0
Color Code:Regulation fully meets the standardRegulation contradicts the standard
LOUISIANAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2015/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 40
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
LOUISIANA
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Louisiana Regulation Rating History: 2010 (CTR); 2015 (CTR, LRG)
11%
38% 36%
15%
2010 Louisiana Percentage of Ratings for All Healthy Weight Topic Areas
9%
26%
45%
21%
2015 Louisiana Percentage of Ratings for All Healthy Weight Topic Areas
3 2 1 8 5 4 5
7 5
2 4
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Louisiana Frequency of Each Rating by Healthy Weight Practices Topic Area
4 2 0 2 2 12
8 2 10
20
10 2
6
8
4
2 0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2015 Louisiana Frequency of Each Ratings by Healthy Weight Practices Topic Area
5 5 18
75 17
45
7
16
0
20
40
60
80
100
120
140
Louisiana Total National Avg.
2010 Louisiana and National Ratings for All Healthy Weight Topic Areas
8 5
24
65 42
47 20
24
0
20
40
60
80
100
120
140
Louisiana Total National Avg.
2015 Louisiana and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 41
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 2 / 2 2 / 2IB3 4 / 4 4 / 4 3 / 3IC1 2 / 2 2 / 2 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 2 / 2NA3 3 / 3 3 / 3 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 2 / 2 2 / 2 2 / 2NB2 3 / 3 3 / 3 2 / 2NB3 3 / 3 3 / 3 2 / 2NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 + 4 / 3 + 4 / 3 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 3 / 3 3 / 3 2 / 2
NF2 2 / 2 2 / 2 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 2 / 2PB3 4 / 4 4 / 4 4 / 4PB4 2 / 2 2 / 2 2 / 2PC1 4 / 4 4 / 4 4 / 4PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
MAINEHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 42
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Maine Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
MAINE
69%
21%
10%
2010 Maine Percentage of Ratings for All Healthy Weight Topic Areas
66%
20%
14%
2012 Maine Percentage of Ratings for All Healthy Weight Topic Areas
27
45
21
4
1
18
6
5
5
0
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Maine Frequency of Each Rating by Healthy Weight Practices Topic Area
27 41
21
4
1
16
6
5
5
6
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Maine Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
97 75
30 45
14 16
0
20
40
60
80
100
120
140
Maine Total National Avg.
2010 Maine and National Ratings for All Healthy Weight Topic Areas
5
93 75
28 45
20 16
0
20
40
60
80
100
120
140
Maine Total National Avg.
2012 Maine and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 43
Δ Δ Δ
IA1 + 4 / 3 + 4 / 3 + 4 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 2 / 2IC1 3 / 3 + 4 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 3 / 2 + 3 / 2 + 3 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 3 / 3
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 + 3 / 1 + 3 / 1 + 3 / 1NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 + 4 / 2 + 4 / 2 + 4 / 2PB2 + 3 / 2 + 3 / 2 + 3 / 2PB3 + 3 / 2 + 3 / 2 + 3 / 2PB4 + 4 / 2 + 4 / 2 + 4 / 2PC1 4 / 4 4 / 4 4 / 4PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 3 / 3 3 / 3 3 / 3
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
MARYLANDHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2015/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 44
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
MARYLAND
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Maryland Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (LRG); 2015 (CTR, LRG, SML)
6%
40% 42%
12%
2010 Maryland Percentage of Ratings for All Healthy Weight Topic Areas
4%
28%
46%
21%
2015 Maryland Percentage of Ratings for All Healthy Weight Topic Areas
6 3 4
22 18 12
17
33
9 6
5
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Maryland Frequency of Each Rating by Healthy Weight Practices Topic Area
6 4 18 18
0
13
37
9
6
10
8
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2015 Maryland Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
56 75
59 45
17 16
0
20
40
60
80
100
120
140
Maryland Total National Avg.
2010 Maryland and National Ratings for All Healthy Weight Topic Areas
6 5
40 65
65 47
30 24
0
20
40
60
80
100
120
140
Maryland Total National Avg.
2015 Maryland and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 45
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 4 / 4 4 / 4 4 / 4IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 3 / 3 3 / 3 3 / 3ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
MASSACHUSETTSHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 46
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
MASSACHUSETTS
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Massachusetts Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.
4%
36%
47%
13%
2010 Massachusetts Percentage of Ratings for All Healthy Weight Topic Areas
4%
34%
45%
17%
2012 Massachusetts Percentage of Ratings for All Healthy Weight Topic Areas
3 3 3
21 15 12
18
33
15 9
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Massachusetts Frequency of Each Rating by Healthy Weight Practices Topic Area
3 3 3
18 15 12
18
30
15 9
12
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Massachusetts Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
51 75
66 45
18 16
0
20
40
60
80
100
120
140
Massachusetts Total National Avg.
2010 Massachusetts and National Ratings for All Healthy Weight Topic Areas
6 5
48 69
63 45
24 22
0
20
40
60
80
100
120
140
Massachusetts Total National Avg.
2012 Massachusetts and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 47
Δ Δ Δ
IA1 4 / 4 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 2 / 2 2 / 2IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 4 / 4 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 + 4 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 2 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 + 3 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 + 4 / 2 2 / 2 2 / 2PB1 + 4 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 3 / 3 3 / 3 3 / 3PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 + 3 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
MICHIGANHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2014/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 48
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
MICHIGAN
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Michigan Regulation Rating History: 2010 (CTR, LRG, SML); 2014 (CTR)
6%
38%
43%
13%
2010 Michigan Percentage of Ratings for All Healthy Weight Topic Areas
6%
32%
43%
18%
2014 Michigan Percentage of Ratings for All Healthy Weight Topic Areas
6 3 4
25 21
3
15
27
9
9
8
8
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Michigan Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 4
19 19 3
15
28
10
8
8
13
4
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2014 Michigan Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
53 75
60 45
19 16
0
20
40
60
80
100
120
140
Michigan Total National Avg.
2010 Michigan and National Ratings for All Healthy Weight Topic Areas
9 5
45 67
61 46
26 23
0
20
40
60
80
100
120
140
Michigan Total National Avg.
2014 Michigan and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 49
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 3 / 3 4 / 4 4 / 4IB1 3 / 3 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 2 / 2 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 3 / 3 3 / 3 3 / 3
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
MINNESOTAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 50
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
MINNESOTA
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Minnesota Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.
6%
40% 44%
9%
2010 Minnesota Percentage of Ratings for All Healthy Weight Topic Areas
6%
38%
42%
13%
2012 Minnesota Percentage of Ratings for All Healthy Weight Topic Areas
6 3 7
24 14 12
16
30
16
4
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Minnesota Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 7
21 14 12
16
27
16
4
12
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Minnesota Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
57 75
62 45
13 16
0
20
40
60
80
100
120
140
Minnesota Total National Avg.
2010 Minnesota and National Ratings for All Healthy Weight Topic Areas
9 5
54 69
59 45
19 22
0
20
40
60
80
100
120
140
Minnesota Total National Avg.
2012 Minnesota and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 51
Δ Δ Δ
IA1 4 / 4 4 / 4 4 / 4IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 2 / 2 2 / 2IB3 4 / 4 4 / 4 4 / 4IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 3 / 3 3 / 3 3 / 3
NA1 3 / 3 3 / 3 3 / 3NA2 4 / 4 4 / 4 4 / 4NA3 3 / 3 3 / 3 3 / 3
NA4 3 / 3 3 / 3 3 / 3
NA5 4 / 4 4 / 4 4 / 4NB1 4 / 4 4 / 4 4 / 4NB2 4 / 4 4 / 4 4 / 4NB3 4 / 4 4 / 4 4 / 4NC1 1 / 1 1 / 1 1 / 1NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 + 4 / 2 + 4 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 4 / 4 4 / 4 4 / 4NG2 3 / 3 3 / 3 3 / 3NH1 3 / 3 3 / 3 3 / 3NH2 4 / 4 4 / 4 4 / 4
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 4 / 4 4 / 4 4 / 4PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
MISSISSIPPIHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 52
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Mississippi Regulation Rating History: 2010 (CTR, LRG, SML); 2013 (CTR,LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
MISSISSIPPI
4%
25%
41%
30%
2010 Mississippi Percentage of Ratings for All Healthy Weight Topic Areas
4%
23%
39%
33%
2013 Mississippi Percentage of Ratings for All Healthy Weight Topic Areas
3 3 5 9 18
3
13
27 12
6
12
24
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Mississippi Frequency of Each Rating by Healthy Weight Practices Topic Area
3 3 5 7 18
3
13 24 12
6
12
29
3
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Mississippi Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
35
75
58
45
42 16
0
20
40
60
80
100
120
140
Mississippi Total National Avg.
2010 Mississippi and National Ratings for All Healthy Weight Topic Areas
6 5
33 67
55
46
47 22
0
20
40
60
80
100
120
140
Mississippi Total National Avg.
2013 Mississippi and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 53
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 - 2 / 3 - 2 / 3 2 / 2IB1 + 3 / 2 + 3 / 2 2 / 2IB2 - 2 / 3 - 2 / 3 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 + 3 / 2 + 3 / 2 3 / 3IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 - 2 / 2 - 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 4 / 4 4 / 4 4 / 4NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 3 / 3 3 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 2 / 2 2 / 2 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
MISSOURIHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 54
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Missouri Regulation Rating History: 2010 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
MISSOURI
60% 29%
11%
2010 Missouri Percentage of Ratings for All Healthy Weight Topic Areas
60% 29%
11%
2010 Missouri Percentage of Ratings for All Healthy Weight Topic Areas
23 33
15 12
8
21
12
9
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Missouri Frequency of Each Rating by Healthy Weight Practices Topic Area
25 33
15 12
8
21
12
9
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Missouri Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
83 75
41 45
15 16
0
20
40
60
80
100
120
140
Total National Avg.
2010 Missouri and National Ratings for All Healthy Weight Topic Areas
5
85 75
41 45
15 16
0
20
40
60
80
100
120
140
Total National Avg.
2010 Missouri and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 55
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 4 / 4 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 2 / 2 2 / 2 2 / 2
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 3 / 3 3 / 3PB2 2 / 2 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 2 / 2 3 / 3 3 / 3PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
MONTANAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 56
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Montana Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
MONTANA
6%
44% 38%
11%
2010 Montana Percentage of Ratings for All Healthy Weight Topic Areas
6%
42% 36%
16%
2012 Montana Percentage of Ratings for All Healthy Weight Topic Areas
6 3 3
26 25 8
18
27
5
4
6
7
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Montana Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3
23 25 8
18
24
5
4
6
13
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Montana Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
62 75
54 45
16 16
0
20
40
60
80
100
120
140
Montana Total National Avg.
2010 Montana and National Ratings for All Healthy Weight Topic Areas
9 5
59 69
51 45
22 22
0
20
40
60
80
100
120
140
Montana Total National Avg.
2012 Montana and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 57
Δ Δ Δ
IA1 2 / 2 + 3 / 2 + 3 / 2IA2 4 / 4 + 4 / 2 + 4 / 2IB1 4 / 4 + 4 / 2 + 4 / 2IB2 3 / 3 + 4 / 2 + 4 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 + 3 / 2 + 3 / 2IC3 3 / 3 + 3 / 2 + 3 / 2ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 - 1 / 2 - 1 / 2ID3 1 / 1 - 1 / 2 - 1 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 + 3 / 2 + 3 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 2 / 2 2 / 2NB1 3 / 3 + 3 / 2 + 3 / 2NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 + 4 / 2 + 4 / 2NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 + 3 / 2 + 3 / 2NC4 3 / 3 + 3 / 2 + 3 / 2ND1 + 4 / 3 3 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 3 / 3 + 4 / 2 + 4 / 2
NF2 3 / 3 + 3 / 2 + 3 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 - 1 / 2 - 1 / 2NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 + 3 / 2 + 3 / 2PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
NEBRASKAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 58
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Nebraska Regulation Rating History: 2010 (CTR, LRG, SML); 2013 (LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
NEBRASKA
2%
72%
22%
4%
2010 Nebraska Percentage of Ratings for All Healthy Weight Topic Areas
6%
47% 34%
13%
2013 Nebraska Percentage of Ratings for All Healthy Weight Topic Areas
2 1
20
40 29
12
9
21
1 2
1
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Nebraska Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 4
23 27 12
15
30
3 8
7
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Nebraska Frequency of Each Ratings by Healthy Weight Practices Topic Area
3 5
101 75
31
45
6 16
0
20
40
60
80
100
120
140
Nebraska Total National Avg.
2010 Nebraska and National Ratings for All Healthy Weight Topic Areas
9 5
66 67
48 46
18 22
0
20
40
60
80
100
120
140
Nebraska Total National Avg.
2013 Nebraska and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 59
Δ Δ Δ
IA1 + 3 / 2 + 3 / 2 + 3 / 2IA2 2 / 2 2 / 2 2 / 2IB1 - 1 / 2 - 1 / 2 - 1 / 2IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 2 / 2 2 / 2 2 / 2NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 + 3 / 2 + 3 / 2 + 3 / 2NF1 3 / 3 3 / 3 3 / 3
NF2 - 2 / 3 - 2 / 3 - 2 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 + 3 / 1 + 3 / 1 + 3 / 1NH1 3 / 3 3 / 3 3 / 3NH2 4 / 4 4 / 4 4 / 4
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 + 3 / 2 + 3 / 2 + 3 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
NEVADAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 60
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Nevada Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
NEVADA
2%
72%
19%
6%
2010 Nevada Percentage of Ratings for All Healthy Weight Topic Areas
2%
66%
26%
6%
2012 Nevada Percentage of Ratings for All Healthy Weight Topic Areas
3
27
45
18 12
6
9
12
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Nevada Frequency of Each Rating by Healthy Weight Practices Topic Area
3
21
45
15 12
9
12
15
6
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Nevada Frequency of Each Ratings by Healthy Weight Practices Topic Area
3 5
102 75
27 45
9 16
0
20
40
60
80
100
120
140
Nevada Total National Avg.
2010 Nevada and National Ratings for All Healthy Weight Topic Areas
3 5
93 69
36
45
9 22
0
20
40
60
80
100
120
140
Nevada Total National Avg.
2012 Nevada and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 61
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 2 / 2 2 / 2 2 / 2
NA4 3 / 3 3 / 3 3 / 3
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 4 / 4 4 / 4 4 / 4NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 3 / 3 3 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 2 / 2 2 / 2 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
NEW HAMPSHIREHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 62
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
New Hampshire Regulation Rating History: 2010 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
NEW HAMPSHIRE
4%
47% 36%
13%
2010 New Hampshire Percentage of Ratings for All Healthy Weight Topic Areas
4%
47% 36%
13%
2010 New Hampshire Percentage of Ratings for All Healthy Weight Topic Areas
6 6
27 21 12
15
27
9 6
9
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 New Hampshire Frequency of Each Rating by Healthy Weight Practices Topic Area
6 6
27 21 12
15
27
9 6
9
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 New Hampshire Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
66 75
51 45
18 16
0
20
40
60
80
100
120
140
New Hampshire Total National Avg.
2010 New Hampshire and National Ratings for All Healthy Weight Topic Areas
6 5
66 75
51 45
18 16
0
20
40
60
80
100
120
140
New Hampshire Total National Avg.
2010 New Hampshire and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 63
Δ Δ Δ
IA1 + 3 / 2 + 3 / 2 2 / 2IA2 + 4 / 2 + 4 / 2 2 / 2IB1 2 / 2 2 / 2 2 / 2IB2 + 4 / 2 + 4 / 2 2 / 2IB3 3 / 3 3 / 3 2 / 2IC1 + 4 / 3 + 4 / 3 2 / 2IC2 + 4 / 2 + 4 / 2 3 / 3IC3 + 3 / 2 + 3 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 - 1 / 2 - 1 / 2 2 / 2ID3 - 1 / 2 - 1 / 2 2 / 2
NA1 + 3 / 2 + 3 / 2 2 / 2NA2 3 / 3 3 / 3 2 / 2NA3 + 3 / 2 + 3 / 2 2 / 2
NA4 + 4 / 2 + 4 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 2 / 2NB1 + 4 / 3 + 4 / 3 2 / 2NB2 + 4 / 3 + 4 / 3 2 / 2NB3 + 4 / 3 + 4 / 3 2 / 2NC1 + 4 / 3 + 4 / 3 2 / 2NC2 + 3 / 2 + 3 / 2 2 / 2NC3 + 3 / 2 + 3 / 2 2 / 2NC4 + 3 / 2 + 3 / 2 2 / 2ND1 3 / 3 3 / 3 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 + 4 / 3 + 4 / 3 3 / 3
NF2 3 / 3 3 / 3 3 / 3
NG1 + 4 / 2 + 4 / 2 2 / 2NG2 + 3 / 2 + 3 / 2 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 2 / 2PB1 + 3 / 2 + 3 / 2 3 / 3PB2 + 3 / 2 + 3 / 2 3 / 3PB3 + 4 / 2 + 4 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 2 / 2PC2 + 4 / 3 + 4 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 + 3 / 2 + 3 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
NEW JERSEYHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awake
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 64
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
NEW JERSEY
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
New Jersey Regulation Rating History: 2010 (CTR, LRG, SML); 2013 (CTR, LRG)
67%
30%
3%
2010 New Jersey Percentage of Ratings for All Healthy Weight Topic Areas
3%
39%
35%
23%
2013 New Jersey Percentage of Ratings for All Healthy Weight Topic Areas
28 38
19 10
5
24
11
2
1
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 New Jersey Frequency of Each Rating by Healthy Weight Practices Topic Area
4
14 20 17 4
7
26
11
6
8
17
5
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 New Jersey Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
95 75
42 45
4 16
0
20
40
60
80
100
120
140
New Jersey Total National Avg.
2010 New Jersey and National Ratings for All Healthy Weight Topic Areas
4 5
55 69
50 45
32 22
0
20
40
60
80
100
120
140
New Jersey Total National Avg.
2013 New Jersey and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 65
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 3 / 3 3 / 3 3 / 3
NA5 + 4 / 3 + 4 / 3 + 4 / 3NB1 3 / 3 3 / 3 3 / 3NB2 + 4 / 3 + 4 / 3 + 4 / 3NB3 4 / 4 4 / 4 4 / 4NC1 3 / 3 3 / 3 3 / 3NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 3 / 3 3 / 3 3 / 3NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 4 / 4 4 / 4 4 / 4
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 + 4 / 3 + 4 / 3 + 4 / 3PB2 3 / 3 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
NEW MEXICOHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2014/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 66
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
New Mexico Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML); 2014 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
NEW MEXICO
6%
32%
49%
13%
2010 New Mexico Percentage of Ratings for All Healthy Weight Topic Areas
6%
32%
40%
21%
2014 New Mexico Percentage of Ratings for All Healthy Weight Topic Areas
6 3 3 15 21
6
18
36
9
6
6
9
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 New Mexico Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3 15 21
6
18
27 9
3
6
18
3
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2014 New Mexico Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
45 75
69 45
18 16
0
20
40
60
80
100
120
140
New Mexico Total National Avg.
2010 New Mexico and National Ratings for All Healthy Weight Topic Areas
9 5
45 67
57 46
30 23
0
20
40
60
80
100
120
140
New Mexico Total National Avg.
2014 New Mexico and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 67
Δ Δ Δ
IA1 3 / 3 + 3 / 2 3 / 3IA2 + 3 / 2 2 / 2 2 / 2IB1 + 4 / 2 2 / 2 2 / 2IB2 + 4 / 2 2 / 2 2 / 2IB3 - 3 / 4 3 / 3 3 / 3IC1 + 3 / 2 + 3 / 2 + 3 / 2IC2 + 3 / 2 2 / 2 2 / 2IC3 + 3 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 - 1 / 2 2 / 2 2 / 2ID3 - 1 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 + 3 / 2 2 / 2 2 / 2NA3 + 3 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 + 3 / 2 + 3 / 2 + 3 / 2NB1 + 3 / 2 2 / 2 2 / 2NB2 + 3 / 2 2 / 2 2 / 2NB3 + 3 / 2 2 / 2 2 / 2NC1 + 3 / 2 + 3 / 2 + 3 / 2NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 4 / 4 4 / 4 4 / 4
NG1 2 / 2 2 / 2 2 / 2NG2 - 1 / 2 2 / 2 2 / 2NH1 3 / 3 + 4 / 3 + 4 / 3NH2 3 / 3 + 4 / 3 + 4 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 + 3 / 2 + 3 / 2 + 3 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 + 3 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 + 4 / 2 + 4 / 2 + 4 / 2PB4 + 4 / 2 + 4 / 2 + 4 / 2PC1 3 / 3 3 / 3 3 / 3PC2 + 3 / 2 + 3 / 2 + 3 / 2PC3 + 3 / 2 + 3 / 2 + 3 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 + 4 / 2 + 3 / 2 + 3 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
NEW YORKHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2015/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of agex
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 68
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
NEW YORK
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
New York Regulation Rating History: 2010 (CTR, LRG, SML); 2014 (LRG, SML); 2015 (CTR, LRG)
73%
18%
9%
2010 New York Percentage of Ratings for All Healthy Weight Topic Areas
2%
43%
37%
18%
2015 New York Percentage of Ratings for All Healthy Weight Topic Areas
28 42
21 12
4
12
9
1
9
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 New York Frequency of Each Rating by Healthy Weight Practices Topic Area
2 1
17 30
9 5
12
19
20
1
2
13
4
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2015 New York Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
103 75
25 45
13 16
0
20
40
60
80
100
120
140
New York Total National Avg.
2010 New York and National Ratings for All Healthy Weight Topic Areas
3 5
61 65
52 47
25 24
0
20
40
60
80
100
120
140
New York Total National Avg.
2015 New York and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 69
Δ Δ Δ
IA1 4 / 4 4 / 4 4 / 4IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 + 4 / 3 + 4 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 + 3 / 1 + 3 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 + 3 / 2 + 3 / 2 + 3 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 + 4 / 3 + 4 / 3 + 4 / 3NC1 - 3 / 4 - 3 / 4 - 3 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 3NE1 + 3 / 2 + 3 / 2 + 3 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 + 4 / 3 + 4 / 3 + 4 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 - 1 / 3 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 4 / 4 4 / 4 4 / 4PB2 3 / 3 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 - 2 / 4 - 2 / 4 - 2 / 4PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
NORTH CAROLINAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 70
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
North Carolina Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML); 2013 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
NORTH CAROLINA
6%
36%
41%
17%
2010 North Carolina Percentage of Ratings for All Healthy Weight Topic Areas
5%
32%
40%
23%
2013 North Carolina Percentage of Ratings for All Healthy Weight Topic Areas
6 2 3
24 18
6
15
31
9
3
9
6
6
3
0
20
40
60
Infant Feeding Nutrition Physical Activity Screen Time
2010 North Carolina Frequency of Each Rating by Healthy Weight Practices Topic Area
4 3 3 15 21
6
15
30 9
3
11
15
3
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 North Carolina Frequency of Each Ratings by Healthy Weight Practices Topic Area
8 5
51 75
58 45
24 16
0
20
40
60
80
100
120
140
North Carolina Total National Avg.
2010 North Carolina and National Ratings for All Healthy Weight Topic Areas
7 5
45 67
57 46
32 22
0
20
40
60
80
100
120
140
North Carolina Total National Avg.
2013 North Carolina and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 71
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 3 / 3 - 3 / 4 + 3 / 1IB1 4 / 4 4 / 4 + 4 / 2IB2 + 4 / 3 + 4 / 3 + 4 / 2IB3 3 / 3 + 3 / 2 3 / 3IC1 3 / 3 3 / 3 + 3 / 2IC2 + 4 / 3 + 4 / 3 + 4 / 2IC3 3 / 3 3 / 3 + 3 / 2ID1 + 4 / 3 + 4 / 3 + 4 / 2ID2 1 / 1 1 / 1 - 1 / 2ID3 1 / 1 1 / 1 - 1 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 + 3 / 2NA3 3 / 3 3 / 3 + 3 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 + 3 / 2NB2 3 / 3 3 / 3 + 3 / 2NB3 3 / 3 3 / 3 + 3 / 2NC1 4 / 4 4 / 4 + 4 / 2NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 + 3 / 2NC4 3 / 3 3 / 3 + 3 / 2ND1 + 4 / 3 + 4 / 2 + 4 / 2NE1 3 / 3 3 / 3 + 3 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 + 4 / 2
NF2 3 / 3 3 / 3 + 3 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 - 1 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 + 3 / 2 + 3 / 2 + 3 / 2PA4 + 4 / 2 + 4 / 2 + 4 / 2PA5 + 4 / 3 + 4 / 3 + 4 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 + 4 / 2 + 4 / 3 + 4 / 3PC2 + 4 / 2 + 4 / 2 + 4 / 2PC3 + 3 / 2 + 3 / 2 + 3 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 + 3 / 2 + 3 / 2 + 3 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
NORTH DAKOTAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 72
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
North Dakota Regulation Rating History: 2010 (CTR, LRG, SML); 2011 (CTR, LRG, SML); 2013 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
NORTH DAKOTA
5%
57%
30%
7%
2010 North Dakota Percentage of Ratings for All Healthy Weight Topic Areas
6%
28%
38%
28%
2013 North Dakota Percentage of Ratings for All Healthy Weight Topic Areas
5 2
12 32
25 12
13
25
5 3
4
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 North Dakota Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3 15
9 12
12
33
9
12
12
15
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 North Dakota Frequency of Each Ratings by Healthy Weight Practices Topic Area
7 5
81 75
43 45
10 16
0
20
40
60
80
100
120
140
North Dakota Total National Avg.
2010 North Dakota and National Ratings for All Healthy Weight Topic Areas
9 5
39 67
54
46
39 22
0
20
40
60
80
100
120
140
North Dakota Total National Avg.
2013 North Dakota and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 73
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 4 / 4 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 3 / 3 3 / 3 3 / 3
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 4 / 4 4 / 4 4 / 4NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 4 / 4 4 / 4NE1 3 / 3 3 / 3 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 3 / 3
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 2 / 2 2 / 2 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 2 / 2 3 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
OHIOHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 74
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Ohio Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
OHIO
6%
42% 37%
15%
2010 Ohio Percentage of Ratings for All Healthy Weight Topic Areas
6%
40% 37%
17%
2012 Ohio Percentage of Ratings for All Healthy Weight Topic Areas
6 3 3
19 25 12
17
30
5 7
11
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Ohio Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3 16 25
12
17
30 5 7
14
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Ohio Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
59 75
52 45
21 16
0
20
40
60
80
100
120
140
Ohio Total National Avg.
2010 Ohio and National Ratings for All Healthy Weight Topic Areas
9 5
56 69
52 45
24 22
0
20
40
60
80
100
120
140
Ohio Total National Avg.
2012 Ohio and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 75
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 4 / 4 2 / 2 2 / 2IB1 4 / 4 2 / 2 2 / 2IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 2 / 2 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 3 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 3 / 3 3 / 3 3 / 3
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 2 / 2 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
OKLAHOMAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 76
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
OKLAHOMA
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Oklahoma Regulation Rating History: 2010 (CTR, LRG, SML)
58% 35%
6%
2010 Okhahoma Percentage of Ratings for All Healthy Weight Topic Areas
58% 35%
6%
2010 Okhahoma Percentage of Ratings for All Healthy Weight Topic Areas
27 28 21 6
4
34
6
6
2
1
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Okhahoma Frequency of Each Rating by Healthy Weight Practices Topic Area
27 28 21
6
4
34
6
6
2
1
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Okhahoma Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
82 75
50 45
9 16
0
20
40
60
80
100
120
140
Oklahoma Total National Avg.
2010 Okhahoma and National Ratings for All Healthy Weight Topic Areas
5
82 75
50 45
9 16
0
20
40
60
80
100
120
140
Oklahoma Total National Avg.
2010 Okhahoma and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 77
Δ Δ Δ
IA1 2 / 2 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 1 / 1 1 / 1 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 + 4 / 3 + 4 / 3 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 3 / 3 3 / 3 2 / 2NG2 3 / 3 3 / 3 1 / 1NH1 3 / 3 3 / 3 2 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 2 / 2
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 3 / 3 3 / 3PB2 2 / 2 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 2 / 2PC3 3 / 3 3 / 3 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
OREGONHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 78
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Oregon Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
OREGON
6%
40% 43%
10%
2010 Oregon Percentage of Ratings for All Healthy Weight Topic Areas
6%
38%
42%
14%
2012 Oregon Percentage of Ratings for All Healthy Weight Topic Areas
8 1
4 21 24 8
15
35
7
4
6
6
2
0
20
40
60
Infant Feeding Nutrition Physical Activity Screen Time
2010 Oregon Frequency of Each Rating by Healthy Weight Practices Topic Area
8 1
4 17 24 8
15
33 7
4
6
12
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Oregon Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
57 75
61 45
14 16
0
20
40
60
80
100
120
140
Oregon Total National Avg.
2010 Oregon and National Ratings for All Healthy Weight Topic Areas
9 5
53 69
59 45
20 22
0
20
40
60
80
100
120
140
Oregon Total National Avg.
2012 Oregon and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 79
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 3 / 3 3 / 3 3 / 3IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 3 / 3 3 / 3 3 / 3NB2 4 / 4 4 / 4 4 / 4NB3 4 / 4 4 / 4 4 / 4NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 2 / 2 2 / 2 2 / 2NH2 2 / 2 2 / 2 2 / 2
PA1 4 / 4 4 / 4 2 / 2
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
PENNSYLVANIAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 80
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Pennsylvania Regulation Rating History: 2010 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
PENNSYLVANIA
73%
17%
10%
2010 Pennsylvania Percentage of Ratings for All Healthy Weight Topic Areas
73%
17%
10%
2010 Pennsylvania Percentage of Ratings for All Healthy Weight Topic Areas
24 39
28 12
9
12
3
12
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Pennsylvania Frequency of Each Rating by Healthy Weight Practices Topic Area
24 39
28 12
9
12
3
12
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Pennsylvania Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
103 75
24 45
14 16
0
20
40
60
80
100
120
140
Pennsylvania Total National Avg.
2010 Pennsylvania and National Ratings for All Healthy Weight Topic Areas
5
103 75
24 45
14 16
0
20
40
60
80
100
120
140
Pennsylvania Total National Avg.
2010 Pennsylvania and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 81
Δ Δ Δ
IA1 + 3 / 2 3 / 3 3 / 3IA2 + 4 / 3 4 / 4 4 / 4IB1 + 4 / 3 4 / 4 4 / 4IB2 + 4 / 2 3 / 3 3 / 3IB3 3 / 3 2 / 2 2 / 2IC1 3 / 3 3 / 3 3 / 3IC2 + 3 / 2 3 / 3 3 / 3IC3 + 3 / 2 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 - 1 / 2 1 / 1 1 / 1ID3 + 4 / 2 1 / 1 1 / 1
NA1 + 3 / 2 2 / 2 2 / 2NA2 + 3 / 2 3 / 3 3 / 3NA3 + 3 / 2 3 / 3 3 / 3
NA4 + 3 / 2 3 / 3 3 / 3
NA5 + 4 / 2 + 4 / 3 + 4 / 3NB1 + 3 / 2 3 / 3 3 / 3NB2 + 3 / 2 3 / 3 3 / 3NB3 + 3 / 2 3 / 3 3 / 3NC1 + 4 / 2 4 / 4 4 / 4NC2 2 / 2 4 / 4 4 / 4NC3 + 4 / 2 4 / 4 4 / 4NC4 + 4 / 2 4 / 4 4 / 4ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 + 3 / 2 2 / 2 2 / 2NF1 + 4 / 2 4 / 4 4 / 4
NF2 + 3 / 2 3 / 3 3 / 3
NG1 + 4 / 2 2 / 2 2 / 2NG2 + 4 / 2 3 / 3 3 / 3NH1 + 3 / 2 2 / 2 2 / 2NH2 + 4 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 + 3 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 + 4 / 2 2 / 2 2 / 2PA5 + 4 / 2 4 / 4 4 / 4PB1 + 4 / 2 3 / 3 3 / 3PB2 + 3 / 2 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 + 3 / 2 2 / 2 2 / 2PC1 + 3 / 2 3 / 3 3 / 3PC2 + 4 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 + 4 / 2 2 / 2 2 / 2
PE1 + 4 / 2 2 / 2 2 / 2PE2 + 3 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
RHODE ISLANDHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 82
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Rhode Island Regulation Rating History: 2010 (CTR, LRG, SML); 2013 (CTR)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
RHODE ISLAND
3%
48% 33%
16%
2010 Rhode Island Percentage of Ratings for All Healthy Weight Topic Areas
4%
25%
42%
30%
2013 Rhode Island Percentage of Ratings for All Healthy Weight Topic Areas
4 11
29 20
8
14
21
8
4
4
13
5
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Rhode Island Frequency of Each Rating by Healthy Weight Practices Topic Area
5 5 12 13
5
15 28
10 6
8
23
10
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Rhode Island Frequency of Each Ratings by Healthy Weight Practices Topic Area
4 5
68 75
47 45
22 16
0
20
40
60
80
100
120
140
Rhode Island Total National Avg.
2010 Rhode Island and National Ratings for All Healthy Weight Topic Areas
5 5
35 67
59
46
42 22
0
20
40
60
80
100
120
140
Rhode Island Total National Avg.
2013 Rhode Island and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 83
Δ Δ Δ
IA1 3 / 3 3 / 3 0 / 0IA2 4 / 4 4 / 4 0 / 0IB1 4 / 4 4 / 4 0 / 0IB2 3 / 3 3 / 3 0 / 0IB3 3 / 3 3 / 3 0 / 0IC1 3 / 3 3 / 3 0 / 0IC2 3 / 3 3 / 3 0 / 0IC3 3 / 3 3 / 3 0 / 0ID1 2 / 2 2 / 2 0 / 0ID2 1 / 1 1 / 1 0 / 0ID3 1 / 1 1 / 1 0 / 0
NA1 2 / 2 2 / 2 0 / 0NA2 3 / 3 3 / 3 0 / 0NA3 3 / 3 3 / 3 0 / 0
NA4 2 / 2 2 / 2 0 / 0
NA5 + 4 / 2 + 4 / 2 0 / 0NB1 3 / 3 3 / 3 0 / 0NB2 3 / 3 3 / 3 0 / 0NB3 3 / 3 3 / 3 0 / 0NC1 4 / 4 4 / 4 0 / 0NC2 2 / 2 2 / 2 0 / 0NC3 3 / 3 3 / 3 0 / 0NC4 3 / 3 3 / 3 0 / 0ND1 4 / 4 4 / 4 0 / 0NE1 2 / 2 2 / 2 0 / 0NE2 2 / 2 2 / 2 0 / 0NF1 4 / 4 4 / 4 0 / 0
NF2 3 / 3 3 / 3 0 / 0
NG1 2 / 2 2 / 2 0 / 0NG2 1 / 1 1 / 1 0 / 0NH1 3 / 3 3 / 3 0 / 0NH2 3 / 3 3 / 3 0 / 0
PA1 4 / 4 3 / 3 0 / 0
PA2 2 / 2 2 / 2 0 / 0
PA3 2 / 2 2 / 2 0 / 0PA4 2 / 2 2 / 2 0 / 0PA5 2 / 2 2 / 2 0 / 0PB1 3 / 3 3 / 3 0 / 0PB2 3 / 3 3 / 3 0 / 0PB3 2 / 2 2 / 2 0 / 0PB4 2 / 2 2 / 2 0 / 0PC1 3 / 3 3 / 3 0 / 0PC2 2 / 2 2 / 2 0 / 0PC3 2 / 2 2 / 2 0 / 0
PD1 2 / 2 2 / 2 0 / 0
PE1 2 / 2 2 / 2 0 / 0PE2 3 / 3 3 / 3 0 / 0
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
SOUTH CAROLINAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 84
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
South Carolina Regulation Rating History: 2010 (CTR, LRG); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
SOUTH CAROLINA
6%
38% 44%
12%
2010 South Carolina Percentage of Ratings for All Healthy Weight Topic Areas
6%
36%
44%
14%
2012 South Carolina Percentage of Ratings for All Healthy Weight Topic Areas
4 2 2 14 16
4
12
20 5
4
4
6
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 South Carolina Frequency of Each Rating by Healthy Weight Practices Topic Area
4 2 2 12 16
4
12
20 5
4
4
8
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 South Carolina Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
36
75
41
45 11
16
0
20
40
60
80
100
120
140
South Carolina Total National Avg.
2010 South Carolina and National Ratings for All Healthy Weight Topic Areas
6 5
34 69
41
45 13
22
0
20
40
60
80
100
120
140
South Carolina Total National Avg.
2012 South Carolina and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 85
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 2 / 2 2 / 2IB3 4 / 4 4 / 4 4 / 4IC1 2 / 2 2 / 2 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 2 / 2 2 / 2 2 / 2NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 2 / 2 2 / 2 2 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 2 / 2 2 / 2
NF2 2 / 2 2 / 2 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 2 / 2
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 2 / 2 2 / 2PC2 3 / 3 2 / 2 2 / 2PC3 3 / 3 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
SOUTH DAKOTAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 86
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
South Dakota Regulation Rating History: 2010 (CTR, LRG, SML)NOTE: In 2013, 2010 ratings adjusted due to retirement of MyPyramid.A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
SOUTH DAKOTA
88%
6% 6%
2010 South Dakota Percentage of Ratings for All Healthy Weight Topic Areas
88%
6% 6%
2010 South Dakota Percentage of Ratings for All Healthy Weight Topic Areas
27
57
28 12
6
3 6 2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 South Dakota Frequency of Each Rating by Healthy Weight Practices Topic Area
27
57
28 12
6
3 6 2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 South Dakota Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
124
75
9
45
8 16
0
20
40
60
80
100
120
140
South Dakota Total National Avg.
2010 South Dakota and National Ratings for All Healthy Weight Topic Areas
5
124
75
9
45
8 16
0
20
40
60
80
100
120
140
South Dakota Total National Avg.
2010 South Dakota and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 87
Δ Δ Δ
IA1 3 / 3 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 2 / 2 3 / 3IC1 3 / 3 3 / 3 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 3 / 3 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 2 / 2 1 / 1 1 / 1
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 4 / 4 3 / 3NC1 2 / 2 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 3 / 3 3 / 3NC4 2 / 2 3 / 3 3 / 3ND1 3 / 3 3 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 4 / 4 4 / 4
NF2 2 / 2 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 4 / 4 3 / 3 3 / 3NH1 4 / 4 3 / 3 3 / 3NH2 4 / 4 3 / 3 3 / 3
PA1 4 / 4 4 / 4 3 / 3
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 2 / 2 2 / 2PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 3 / 3 3 / 3 3 / 3PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 2 / 2 2 / 2PC3 3 / 3 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
TENNESSEEHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 88
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Tennessee Regulation Rating History: 2010 (CTR, LRG, SML)
TENNESSEE
1%
55% 33%
10%
2010 Tennessee Percentage of Ratings for All Healthy Weight Topic Areas
1%
55% 33%
10%
2010 Tennessee Percentage of Ratings for All Healthy Weight Topic Areas
2
25 27 23
3
5
26
7
9
3
8
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Tennessee Frequency of Each Rating by Healthy Weight Practices Topic Area
2
25 27 23
3
5
26
7
9
3
8
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Tennessee Name Frequency of Each Ratings by Healthy Weight Practices Topic Area
2 5
78 75
47 45
14 16
0
20
40
60
80
100
120
140
Tennessee Total National Avg.
2010 Tennessee and National Ratings for All Healthy Weight Topic Areas
2 5
78 75
47 45
14 16
0
20
40
60
80
100
120
140
Tennessee Total National Avg.
2010 Tennessee and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 89
Δ Δ Δ
IA1 + 4 / 2 + 4 / 2 + 4 / 2IA2 2 / 2 2 / 2 2 / 2IB1 3 / 3 3 / 3 3 / 3IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 2 / 2 2 / 2 2 / 2IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 + 4 / 2 + 4 / 2 + 4 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 + 4 / 3 + 4 / 3 + 4 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 3 / 3 3 / 3 3 / 3NC3 + 4 / 3 + 4 / 3 + 4 / 3NC4 + 4 / 3 + 4 / 3 + 4 / 3ND1 4 / 4 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 + 3 / 2 + 3 / 2 + 3 / 2NH1 3 / 3 3 / 3 3 / 3NH2 4 / 4 4 / 4 4 / 4
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 + 4 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 + 4 / 3 + 4 / 3 + 4 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 4 / 4 4 / 4 4 / 4PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
TEXASHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2014/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 90
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Texas Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML); 2014 (CTR, LRG, SML)
TEXAS
49%
36%
15%
2010 Texas Percentage of Ratings for All Healthy Weight Topic Areas
43%
29%
28%
2014 Texas Percentage of Ratings for All Healthy Weight Topic Areas
27 24 12 6
6 27
12 6
12
9
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Texas Frequency of Each Rating by Healthy Weight Practices Topic Area
21 21 12 6
6 21
9
5
6
21
12
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2014 Texas Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
69 75
51 45
21 16
0
20
40
60
80
100
120
140
Texas Total National Avg.
2010 Texas and National Ratings for All Healthy Weight Topic Areas
5
60 67
41 46
40 23
0
20
40
60
80
100
120
140
Texas Total National Avg.
2014 Texas and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 91
Δ Δ Δ
IA1 3 / 3 3 / 3 2 / 2IA2 4 / 4 4 / 4 3 / 3IB1 4 / 4 4 / 4 2 / 2IB2 3 / 3 3 / 3 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 2 / 2IC2 3 / 3 3 / 3 2 / 2IC3 3 / 3 3 / 3 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 2 / 2ID3 1 / 1 1 / 1 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 2 / 2NA3 3 / 3 3 / 3 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 3 / 3 3 / 3 2 / 2NB3 3 / 3 3 / 3 2 / 2NC1 4 / 4 4 / 4 2 / 2NC2 3 / 3 3 / 3 2 / 2NC3 3 / 3 3 / 3 2 / 2NC4 3 / 3 3 / 3 2 / 2ND1 + 4 / 3 + 4 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 2 / 2
NF2 3 / 3 3 / 3 2 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 2 / 2NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 2 / 2 2 / 2
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 2 / 2 2 / 2PC2 2 / 2 2 / 2 3 / 3PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
UTAHHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 92
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Utah Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.
UTAH
4%
60%
30%
6%
2010 Utah Percentage of Ratings for All Healthy Weight Topic Areas
4%
58%
28%
9%
2012 Utah Percentage of Ratings for All Healthy Weight Topic Areas
4 2 11
32 29 12
14
25
3 4
4
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Utah Frequency of Each Rating by Healthy Weight Practices Topic Area
4 2 11
30 29 12
14
23
3 4
8
1
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Utah Frequency of Each Ratings by Healthy Weight Practices Topic Area
6 5
84 75
42 45
9 16
0
20
40
60
80
100
120
140
Utah Total National Avg.
2010 Utah and National Ratings for All Healthy Weight Topic Areas
6 5
82 69
40 45
13 22
0
20
40
60
80
100
120
140
Utah Total National Avg.
2012 Utah and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 93
Δ Δ Δ
IA1 4 / 4 4 / 4 4 / 4IA2 3 / 3 3 / 3 3 / 3IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 2 / 2 2 / 2IB3 3 / 3 3 / 3 3 / 3IC1 2 / 2 2 / 2 2 / 2IC2 3 / 3 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 3 / 3 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 3 / 3 3 / 3 3 / 3NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 3 / 3 3 / 3 3 / 3NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 2 / 2 2 / 2
NF2 2 / 2 2 / 2 2 / 2
NG1 2 / 2 2 / 2 4 / 4NG2 2 / 2 2 / 2 3 / 3NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 2 / 2 3 / 3
PA2 2 / 2 2 / 2 2 / 2
PA3 4 / 4 4 / 4 4 / 4PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 2 / 2 2 / 2PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 4 / 4 4 / 4 4 / 4PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 2 / 2 3 / 3PC2 3 / 3 2 / 2 2 / 2PC3 3 / 3 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
VERMONTHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2010/2010
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care provider
Nut
ritio
n
Serve other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-siteCTR LRG SML
Introduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
Serve no fruit juice to children younger than 12 months of age
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meats
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awake
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 94
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
VERMONT
Vermont Regulation Rating History: 2010 (CTR, LRG, SML)
67%
23%
10%
2010 Vermont Percentage of Ratings for All Healthy Weight Topic Areas
67%
23%
10%
2010 Vermont Percentage of Ratings for All Healthy Weight Topic Areas
19
49
23
3
8
13
6
6
6
1
4
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Vermont Frequency of Each Rating by Healthy Weight Practices Topic Area
19
49
23
3
8
13
6
6
6
1
4
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Vermont Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
94 75
33 45
14 16
0
20
40
60
80
100
120
140
Vermont Total National Avg.
2010 Vermont and National Ratings for All Healthy Weight Topic Areas
5
94 75
33 45
14 16
0
20
40
60
80
100
120
140
Vermont Total National Avg.
2010 Vermont and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 95
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 4 / 4 4 / 4IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 4 / 4 4 / 4IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 4 / 4 4 / 4
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 + 4 / 3 + 4 / 3NE1 3 / 3 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 4 / 4 4 / 4PB1 2 / 2 3 / 3 3 / 3PB2 2 / 2 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 4 / 4 4 / 4PC2 2 / 2 3 / 3 3 / 3PC3 2 / 2 3 / 3 3 / 3
PD1 2 / 2 4 / 4 4 / 4
PE1 4 / 4 3 / 3 3 / 3PE2 2 / 2 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
VIRGINIAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 96
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Virginia Regulation Rating History: 2010 (CTR);2011 (LRG, SML); 2012*NOTES: 1) 2011 baseline correction added family child care; 2) Asterisk after 2012 (2012*) means better ratings in 2 indicators due to 2011 CACFP changes.
VIRGINIA
6%
31%
42%
21%
2010 Virginia Percentage of Ratings for All Healthy Weight Topic Areas
6%
29%
40%
24%
2012 Virginia Percentage of Ratings for All Healthy Weight Topic Areas
6 3 4
18 14 8
13
33
9 4
10
9
10
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Virginia Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 4 15
14 8
13
31
9 4
10
14
10
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Virginia Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
44 75
59
45
29 16
0
20
40
60
80
100
120
140
Virginia Total National Avg.
2010 Virginia and National Ratings for All Healthy Weight Topic Areas
9 5
41 69
57
45
34 22
0
20
40
60
80
100
120
140
Virginia Total National Avg.
2012 Virginia and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 97
Δ Δ Δ
IA1 2 / 2 + 3 / 2 + 3 / 2IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 + 4 / 3 + 4 / 3IB3 4 / 4 4 / 4 4 / 4IC1 4 / 4 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 4 / 4 3 / 3 3 / 3ID1 2 / 2 + 3 / 2 + 3 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 3 / 3 3 / 3 3 / 3
NA5 - 1 / 2 + 4 / 2 + 4 / 2NB1 2 / 2 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 3 / 3 3 / 3NC4 2 / 2 3 / 3 3 / 3ND1 + 4 / 2 4 / 4 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 2 / 2 4 / 4 4 / 4
NF2 2 / 2 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 3 / 3 1 / 1 1 / 1NH1 2 / 2 + 3 / 2 + 3 / 2NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 2 / 2 + 4 / 2 + 4 / 2PB1 2 / 2 3 / 3 3 / 3PB2 2 / 2 3 / 3 3 / 3PB3 2 / 2 4 / 4 4 / 4PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 4 / 4 + 4 / 2 + 4 / 2PE2 3 / 3 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
WASHINGTONHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 98
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Washington Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (LRG, SML)
WASHINGTON
6%
42% 35%
17%
2010 State Name Percentage of Ratings for All Healthy Weight Topic Areas
6%
32%
38%
23%
2012 State Name Percentage of Ratings for All Healthy Weight Topic Areas
6 2 7
27 19
6
9
27
10
4
11
7
4
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 State Name Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3
21 15
6
11
29
10
4
13
10
8
2
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 State Name Frequency of Each Ratings by Healthy Weight Practices Topic Area
8 5
59 75
50 45
24 16
0
20
40
60
80
100
120
140
Washington Total National Avg.
2010 State Name and National Ratings for All Healthy Weight Topic Areas
9 5
45 68
54 46
33 22
0
20
40
60
80
100
120
140
Washington Total National Avg.
2012 State Name and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 99
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 3 / 3 3 / 3 4 / 4IB1 4 / 4 2 / 2 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 4 / 4 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 3 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 3 / 3NC1 4 / 4 4 / 4 4 / 4NC2 3 / 3 3 / 3 3 / 3NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 + 4 / 2 4 / 4NE1 2 / 2 2 / 2 2 / 2NE2 4 / 4 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 4 / 4 2 / 2NG2 1 / 1 4 / 4 1 / 1NH1 + 4 / 3 3 / 3 3 / 3NH2 + 4 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 3 / 3 3 / 3 2 / 2PB2 3 / 3 3 / 3 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 + 4 / 2 2 / 2 2 / 2PE2 + 4 / 2 1 / 1 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
WEST VIRGINIAHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2014/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 100
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
West Virginia Regulation Rating History: 2010 (CTR, LRG, SML); 2014 (CTR)
WEST VIRGINIA
6%
35%
44%
15%
2010 West Virginia Percentage of Ratings for All Healthy Weight Topic Areas
6%
30%
43%
20%
2014 West Virginia Percentage of Ratings for All Healthy Weight Topic Areas
6 2 7 17 17
8
16
33
9
4
4
11
6
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 West Virginia Frequency of Each Rating by Healthy Weight Practices Topic Area
6 2 7 13 15
8
16
32
9 4
4
16
8
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2014 West Virginia Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
49 75
62 45
21 16
0
20
40
60
80
100
120
140
West Virginia Total National Avg.
2010 West Virginia and National Ratings for All Healthy Weight Topic Areas
9 5
43 67
61 46
28 23
0
20
40
60
80
100
120
140
West Virginia Total National Avg.
2014 West Virginia and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 101
Δ Δ Δ
IA1 3 / 3 3 / 3 3 / 3IA2 4 / 4 4 / 4 4 / 4IB1 4 / 4 4 / 4 4 / 4IB2 3 / 3 3 / 3 3 / 3IB3 3 / 3 3 / 3 3 / 3IC1 3 / 3 3 / 3 3 / 3IC2 3 / 3 3 / 3 3 / 3IC3 3 / 3 3 / 3 3 / 3ID1 2 / 2 2 / 2 2 / 2ID2 1 / 1 1 / 1 1 / 1ID3 1 / 1 1 / 1 1 / 1
NA1 2 / 2 2 / 2 2 / 2NA2 3 / 3 3 / 3 3 / 3NA3 3 / 3 3 / 3 3 / 3
NA4 2 / 2 2 / 2 2 / 2
NA5 + 4 / 2 + 4 / 2 + 4 / 2NB1 3 / 3 3 / 3 3 / 3NB2 3 / 3 3 / 3 3 / 3NB3 3 / 3 3 / 3 4 / 4NC1 4 / 4 4 / 4 4 / 4NC2 2 / 2 2 / 2 2 / 2NC3 3 / 3 3 / 3 3 / 3NC4 3 / 3 3 / 3 3 / 3ND1 4 / 4 4 / 4 + 4 / 2NE1 2 / 2 2 / 2 2 / 2NE2 2 / 2 2 / 2 2 / 2NF1 4 / 4 4 / 4 4 / 4
NF2 3 / 3 3 / 3 3 / 3
NG1 2 / 2 2 / 2 2 / 2NG2 1 / 1 1 / 1 1 / 1NH1 3 / 3 3 / 3 3 / 3NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 2 / 2 2 / 2 2 / 2
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 4 / 4 4 / 4 4 / 4PB1 3 / 3 3 / 3 3 / 3PB2 3 / 3 3 / 3 3 / 3PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 3 / 3 3 / 3 3 / 3PC2 3 / 3 3 / 3 3 / 3PC3 3 / 3 3 / 3 3 / 3
PD1 2 / 2 2 / 2 2 / 2
PE1 4 / 4 4 / 4 4 / 4PE2 2 / 2 2 / 2 2 / 2
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakeUse infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Phys
ical
Act
ivity
and
Scr
een
Tim
e
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
WISCONSINHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2012/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 102
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdfA listing of all documents rated for ASHW, 2010 to date, is available at the following link:
Wisconsin Regulation Rating History: 2010 (CTR, LRG, SML); 2012*NOTE: An asterisk after 2012 (2012*) signifies improved ratings in 2 indicators related to 2011 CACFP changes.
WISCONSIN
6%
33%
44%
17%
2010 Wisconsin Percentage of Ratings for All Healthy Weight Topic Areas
6%
30%
44%
20%
2012 Wisconsin Percentage of Ratings for All Healthy Weight Topic Areas
6 3 3
22 15
6
18
29
9 6
6
9
9
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Wisconsin Frequency of Each Rating by Healthy Weight Practices Topic Area
6 3 3
18 15
6
18
29
9 6
6
13
9
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2012 Wisconsin Frequency of Each Ratings by Healthy Weight Practices Topic Area
9 5
46 75
62 45
24 16
0
20
40
60
80
100
120
140
Wisconsin Total National Avg.
2010 Wisconsin and National Ratings for All Healthy Weight Topic Areas
9 5
42 69
62 45
28 22
0
20
40
60
80
100
120
140
Wisconsin Total National Avg.
2012 Wisconsin and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 103
Δ Δ Δ
IA1 2 / 2 2 / 2 2 / 2IA2 2 / 2 2 / 2 2 / 2IB1 4 / 4 4 / 4 4 / 4IB2 2 / 2 2 / 2 2 / 2IB3 + 3 / 2 + 3 / 2 + 3 / 2IC1 3 / 3 3 / 3 3 / 3IC2 2 / 2 2 / 2 2 / 2IC3 2 / 2 2 / 2 2 / 2ID1 2 / 2 2 / 2 2 / 2ID2 2 / 2 2 / 2 2 / 2ID3 2 / 2 2 / 2 2 / 2
NA1 2 / 2 2 / 2 2 / 2NA2 2 / 2 2 / 2 2 / 2NA3 2 / 2 2 / 2 2 / 2
NA4 2 / 2 2 / 2 2 / 2
NA5 2 / 2 2 / 2 2 / 2NB1 2 / 2 2 / 2 2 / 2NB2 2 / 2 2 / 2 2 / 2NB3 2 / 2 2 / 2 2 / 2NC1 2 / 2 2 / 2 2 / 2NC2 2 / 2 2 / 2 2 / 2NC3 2 / 2 2 / 2 2 / 2NC4 2 / 2 2 / 2 2 / 2ND1 2 / 2 2 / 2 2 / 2NE1 + 3 / 2 + 3 / 2 + 3 / 2NE2 2 / 2 2 / 2 2 / 2NF1 + 4 / 2 + 4 / 2 + 4 / 2
NF2 + 3 / 2 + 3 / 2 + 3 / 2
NG1 2 / 2 2 / 2 2 / 2NG2 2 / 2 2 / 2 2 / 2NH1 - 3 / 4 - 3 / 4 - 3 / 4NH2 3 / 3 3 / 3 3 / 3
PA1 4 / 4 4 / 4 4 / 4
PA2 3 / 3 3 / 3 3 / 3
PA3 2 / 2 2 / 2 2 / 2PA4 2 / 2 2 / 2 2 / 2PA5 3 / 3 3 / 3 3 / 3PB1 2 / 2 2 / 2 2 / 2PB2 2 / 2 2 / 2 2 / 2PB3 2 / 2 2 / 2 2 / 2PB4 2 / 2 2 / 2 2 / 2PC1 + 3 / 2 + 3 / 2 + 3 / 2PC2 2 / 2 2 / 2 2 / 2PC3 2 / 2 2 / 2 2 / 2
PD1 2 / 2 2 / 2 2 / 2
PE1 2 / 2 2 / 2 2 / 2PE2 3 / 3 3 / 3 3 / 3
Color Code:Regulation fully meets the standardRegulation contradicts the standard
Use infant equipment such as swings, stationary activity centers, infant seats, molded seats, etc. only for short periods if at all
Abbreviation Key: Δ=Change from baseline, CTR=Centers, LRG=Large Family Child Care Home, SML=Small Family Child Care Home
Provide daily for all children, birth to 6 years, two to three occasions of active play outdoors, weather permittingAllow toddlers 60-90 minutes per 8-hour day for vigorous physical activityAllow preschoolers 90-120 minutes per 8-hour day for vigorous physical activityProvide daily for all children, birth to six years, two or more structured or caregiver/ teacher/ adult-led activities or games that promote movement over the course of the day—indoor or outdoorEnsure that infants have supervised tummy time every day when they are awakePh
ysic
al A
ctiv
ity a
nd S
cree
n Ti
me
Provide children with adequate space for both inside and outside playProvide orientation and annual training opportunities for caregivers/teachers to learn age-appropriate gross motor activities and games that promote physical activityDevelop written policies on the promotion of physical activity and the removal of potential barriers to physical activity participationRequire caregivers/teachers to promote children's active play, and participate in active games at times when they can safely do soDo not withhold active play from children who misbehaveDo not utilize media (television [TV], video, and DVD) viewing and computers with children younger than 2 yearsLimit total media time for children 2 years and older to not more than 30 min. weeklyUse screen media with children age two years and older only for educational purposes or physical activityDo not utilize TV, video, or DVD viewing during meal or snack time
Serve no more than 4 to 6 oz juice/day for children 1-6 years of age
Teach children appropriate portion sizes by using plates, bowls & cups that are developmentally suited to their nutritional needsRequire adults eating meals with children to eat items that meet nutrition standardsServe small-sized, age-appropriate portions
Do not use food as a reward or punishment
Serve no more than 8 to 12 oz juice/day for children 7-12 years of ageMake water available both inside and outside
Limit salt by avoiding salty foods such as chips and pretzelsAvoid sugar, including concentrated sweets such as candy, sodas, sweetened drinks, fruit nectars, and flavored milkDo not force or bribe children to eat
Permit children to have one or more additional servings of the nutritious foods that are low in fat, sugar, and sodium as needed to meet the caloric needs of the individual child; Teach children who require limited portions about portion size and monitor their
Serve no fruit juice to children younger than 12 months of age
Nut
ritio
n
Limit oils by choosing monounsaturated and polyunsaturated fats and avoiding trans fats, saturated fats and fried foodsServe meats and/or beans - chicken, fish, lean meat, and/or legumes (such as dried peas, beans), avoiding fried meatsServe other milk equivalent products (yogurt, cottage cheese) using low-fat variaties for 2 years of age and olderServe whole pasteurized milk to twelve to twenty-four month old children who are not on human milk or prescribed formula, or serve reduced fat (2%) pasteurized milk to those who are at risk for hypercholesterolemia or obesityServe skim or 1% pasteurized milk to children two years of age and older
Infa
nt F
eedi
ng
Serve whole grain breads, cereals, and pastasServe vegetables, specifically, dark green, orange, deep yellow vegetables; and root vegetables, such as potatoes and viandasServe fruits of several varieties, especially whole fruitsUse only 100% juice with no added sweeteners
Do not feed an infant formula mixed with cereal, fruit juice or other foods without primary care provider's written instruction
Offer juice (100%) only during meal times
CTR LRG SML
Serve whole fruits, mashed or pureed, for infants 7 months up to 1 year of age
Serve human milk or infant formula to at least age 12 months, not cow's milk, unless written exception is provided Feed infants on cueDo not feed infants beyond satiety; Allow infant to stop the feedingHold infants while bottle feeding; Position an infant for bottle feeding in the caregiver/teacher's arms or sitting up on the lapDevelop plan for introducing age-appropriate solid foods in consultation with child’s parent/guardian and primary care providerIntroduce age-appropriate solid foods no sooner than 4 months of age, and preferably around 6 months of ageIntroduce breastfed infants gradually to iron-fortified foods no sooner than four months of age, but preferably around six months
WYOMINGHealthy Weight Practices by Topic Area: Most Recent Ratings & 2010 Baseline 2013/2010
Encourage and support breastfeeding and feeding of breast milk by making arrangements for mothers to feed their children on-site
Δ (Change) Code: + = Improved Rating - = Lowered Rating
Rating Code: 1 = Regulation contradicts the standard 2 = Regulation does not address standard 3 = Regulation partially meets standard 4 = Regulation fully meets standard
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 104
Color and Rating Codes:4 = Regulation fully meets standard3 = Regulation partially meets standard2 = Regulation does not address standard1 = Regulation contradicts standard
http://nrckids.org/default/assets/File/Products/ASHW/State%20Documents%20Assessed%20for%20ASHW-4-28-16-16.pdf
Wyoming Regulation Rating History: 2010 (CTR, LRG, SML); 2012 (CTR, LRG, SML); 2013 (CTR, LRG, SML)
A listing of all documents rated for ASHW, 2010 to date, is available at the following link:
WYOMING
83%
11% 6%
2010 Wyoming Percentage of Ratings for All Healthy Weight Topic Areas
72%
21%
6%
2013 Wyoming Percentage of Ratings for All Healthy Weight Topic Areas
27
57
21 12
3
3
9 3
3
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2010 Wyoming Frequency of Each Rating by Healthy Weight Practices Topic Area
24
48
18 12
6
12
12 3
3
3
0
20
40
60
Infant Feeding Nutrition PhysicalActivity
Screen Time
2013 Wyoming Frequency of Each Ratings by Healthy Weight Practices Topic Area
5
117 75
15
45
9 16
0
20
40
60
80
100
120
140
Wyoming Total National Avg.
2010 Wyoming and National Ratings for All Healthy Weight Topic Areas
5
102 67
30
46
9 22
0
20
40
60
80
100
120
140
Wyoming Total National Avg.
2013 Wyoming and National Ratings for All Healthy Weight Topic Areas
STATE PROFILES
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 105
TABLE 1: Assessment Years for Each State
Assessment Years for Each State (all states at baseline, and updated ratings
when states made pertinent changes to their licensing regulations)
Year Rated Year Rated
State
2010
2 0 1 1
2 0 1 2
2 0 1 3
2 0 1 4
2015
State
2010
2 0 1 1
2 0 1 2
2 0 1 3
2 0 1 4
2015
Alabama X
X
Montana X
X
Alaska X X
Nebraska X X X
Arizona X X Nevada X X
Arkansas X X X New Hampshire X
California X X New Jersey X X
Colorado X X
X New Mexico X X X Connecticut X X
New York X X X Delaware X
X
X North Carolina X
X X
District of Columbia X
North Dakota X X X X
Florida X X X
Ohio X X
Georgia X X X Oklahoma X
Hawaii X X Oregon X X
Idaho X
Pennsylvania X
Illinois X
X Rhode Island X
X X
Indiana X
South Carolina X
X
Iowa X X South Dakota X
Kansas X X X
Tennessee X
Kentucky X X Texas X X X
Louisiana X X X Utah X X
Maine X
X
Vermont X
Maryland X
X
X Virginia X
X
Massachusetts X X
Washington X X
Michigan X X X West Virginia X X X Minnesota X X
Wisconsin X X
Mississippi X X X Wyoming X X X
Missouri X
Legend: X Baseline Rating in 2010 (all states, all regulated child care types, all variables)
X Assessed new or changed rules in year indicated
X Changed ratings due ONLY to automatic application of CACFP changes
X Assessed new or changed rules and revised 2010 baseline ratings due to retirement of MyPyramid
Revised 2010 baseline ratings only due only to retirement of MyPyramid
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 106
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML
AL Alabama
Minimum Standards for Family Day Care Homes, Family Nighttime Homes, Group Day Care Homes, and Group Nighttime Homes Regulations and Procedures
1/22/2001 2010 X X
Minimum Standards for Day Care Centers and Nighttime Centers 1/22/2001 2010 X AK Alaska
Title 7 AAC 57- Child Care Facilities Licensing 6/23/2006 2010 X X X AZ Arizona 9 A.A.C. 3, Arizona Dept. of Health Services, Child Care Group Homes 9/1/2004 2010 X 9 A.A.C. 5, Arizona Dept. of Health Services, Child Care Facilities 9/30/2010 2010 X X
6 A.A.C.5, Article 52: Arizona Dept. of Economic Security, Certification and Supervision of Family Child Care Home Providers (document and associated ratings removed from ASHW assessment in 2015, retroactive to 2010)
5/19/1999 2010
Arizona Bureau of Child Care Licensing for Child Care Group Homes 9/2011 2011 X AR Arkansas
Minimum Licensing Requirements for Child Care Centers 3/2010 2010 X Minimum Licensing Requirements for Child Care Family Homes 3/2010 2010 X
Minimum Licensing Requirements for Voluntary Registered Child Care Family Homes 3/2010 2010 X
Minimum Licensing Requirements for Child Care Centers 11/1/2011 2011 X Minimum Licensing Requirements for Child Care Family Homes 11/1/2011 2011 X Minimum Licensing Requirements for Registered Child Care Family Homes 11/1/2011 2011 X Minimum Licensing Requirements for Child Care Centers 1/1/2015 2015 X Minimum Licensing Requirements for Child Care Family Homes 1/1/2015 2015 X Minimum Licensing Requirements for Registered Child Care Family Homes 1/1/2015 2015 X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 107
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML CA California
Title 22, Division 12, Chapter 1, Articles 1, 2 - Child Care Centers General Licensing Requirements 6/15/2005 2010 X
Title 22, Division 12, Chapter 1, Article 6 - Child Care Centers Continuing Requirements (continued) 6/8/2005 2010 X
Title 22, Division 12, Chapter 1, Article 7 - Child Care Physical Environment 11/1/2008 2010 X
Title 22, Division 12, Chapter 1 Subchapters 2, 3 - Child Care Infant Centers and School Age Day Care 11/1/1998 2010 X
Community Care Licensing Division Child Care Update - Winter/Spring 2011 Winter/Spring 2011 2012 X X X
CO Colorado Volume of Child Care Facility Licensing 5/1/2010 2010 X X X
Rules and Regulations Governing the Health and Sanitation of Child Care Facilities 5/30/2005 2010 X
Rules Regulating Family Child Care Homes 6/1/2012 2012 X X Rules Regulating Child Care Centers (Less than 24 hrs) 7/1/2012 2012 X X General Rules for Child Care Facilities 10/1/2015 2015 X X X
CT Connecticut
Statutes and Regulations for Licensing Child Day Care Centers and Group Day Care Homes 7/2009 2010 X X
Statutes and Regulations for Licensing Family Day Care Homes 7/2009 2010 X DE Delaware Rules for Early Care and Education and School-Age Centers 1/1/2007 2010 X Rules for Large Family Child Care Homes 1/1/2009 2010 X Rules for Family Child Care Homes 1/1/2009 2010 X Regulations for Early Care and Education and School-Age Centers 7/1/2015 2015 X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 108
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML DC Washington DC
DCMR 29 Public Welfare Chapter 3 Child Development Facilities 4/27/2007 2010 X X FL Florida
Chapter 65C-20 Family Day Care Standards and Large Family Child Care Homes (ratings based on MyPyramid removed from ASHW assessment in 2013, due to retirement of MyPyramid, retroactive to 2010)
1/13/2010 2010 X X
Chapter 65C-22 Child Care Standards (ratings based on MyPyramid removed from ASHW assessment in 2013, due to retirement of MyPyramid, retroactive to 2010)
1/13/2010 2010 X
2012 Florida Child Care Statutes Section 402 2012 2012 X X X Chapter 65C-22 Florida Administrative Code Child Care Standards 8/2013 2013 X
GA Georgia Rules and Regulations for Child Care Learning Centers 1/1/2010 2010 X Rules and Regulations for Group Day Care Homes 1/1/2010 2010 X Rules and Regulations for Family Day Care Homes 1/1/2010 2010 X Chapter 591-1-1Rules for Child Care Learning Centers 3/2014 2014 X Chapter 290-2-1 Rules and Regulations Group Day Care Homes 3/2014 2014 X Chapter 290-2-3Rules and Regulations Family Day Care Homes 3/2014 2014 X
HI Hawaii Title 17: Chapter 891.1 Registration of Family Child Care Homes 12/19/2002 2010 X
Title 17: Chapter 892.1 Licensing of Group Child Care Centers and Group Child Care Homes 12/19/2002 2010 X X
Title 17: Chapter 895 Licensing of Infant and Toddler Child Care Centers 12/19/2002 2010 X
Title 17: Chapter 896 Licensing of Before and After School Child Care Facilities 12/19/2002 2010 X ID Idaho 16.06.02 Rules Governing Standards for Child Care Licensing 7/1/2010 2010 X X X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 109
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML IL Illinois Part 406: Licensing Standards for Day Care Homes 7/1/2008 2010 X Part 407: Licensing Standards for Day Care Centers 4/1/2010 2010 X Part 408: Licensing Standards for Group Day Care Homes 7/1/2008 2010 X Part 407 Licensing Standards for Day Care Centers 9/2014 2014 X
IN Indiana Rule 1.1 Child Care Homes (470 IAC 3-1.1) 7/3/1996 2010 X
Rule 1.2 Infant and Toddler Services in a Child Care Home (470 IAC 3-1.2-1 - 470 IAC 3-1.2-3) 7/3/1996 2010 X X
Rule 1.3 Class II Child Care Homes (470 IAC 3-1.3.1) 9/27/1996 2010 X Rule 4.7 Child Care Centers; Licensing (470 IAC 3-4.7) 11/7/2003 2010 X
IA Iowa Chapter 109: Child Care Centers 6/1/2010 2010 X Chapter 110: Child Development Homes 11/1/2009 2010 X X Chapter 109: Child Care Centers 5/1/2012 2012 X X
KS Kansas Regulations for Licensing Preschools and Child Care Centers 7/11/2008 2010 X Regulations for Licensing Day Care Homes and Group Day Care Homes 7/2008 2010 X X Regulations for Licensing Preschools and Child Care Centers 2/3/2012 2012 X Regulations for Licensing Day Care Homes and Group Day Care Homes 2/3/2012 2012 X X
Kansas Laws and Regulations for Licensing Day Care Homes and Group Day Care Homes for Children 2/2012 2013 X X
KY Kentucky 922 KAR 2:100 Certification of Family Child Care Homes 3/19/2008 2010 X 922 KAR 2:120 Child Care Facility Health and Safety Standards 3/19/2008 2010 X X 922 KAR 2:120. Child-care Center Health and Safety Standards 9/2013 2013 X X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 110
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML LA Louisiana Child Day Care Center Class A Minimum Standards 11/1/2003 2010 X Child Day Care Center Class B Minimum Standards 10/1/2000 2010 X Bulletin 137—Louisiana Early Learning Center Licensing Regulations 7/1/2015 2015 X X
ME Maine Rules for the Licensing of Child Care Facilities 8/27/2008 2010 X X Rules for Family Child Care Providers 09/1/2009 2010 X X
MD Maryland COMAR 13A. 15. 01 - Family Child Care 4/19/2010 2010 X COMAR 13A. 16. 01 - Child Care Centers 4/19/2010 2010 X X COMAR 13A. 18.- Large Family Child Care Homes 2/6/2012 2012 X Title 13A State Board of Education Subtitle 15 Family Child Care 7/20/2015 2015 X Title 13A State Board of Education Subtitle 16 Child Care Centers 7/20/2015 2015 X Title 13A State Board of Education Subtitle 18 Large Family Child Care Homes 7/20/2015 2015 X
MA Massachusetts Standards for the Licensure of Child Care Programs 10/2010 2010 X X X
MI Michigan Licensing Rules for Child Care Centers 6/4/2008 2010 X Licensing Rules for Family and Group Child Care Homes 6/3/2009 2010 X X Licensing Rules for Child Care Centers 1/2014 2014 X
MN Minnesota Chapter 9502 Licensing of Day Care Facilities 10/8/2007 2010 X X Chapter 9503 Licensing Requirements for Child Care Centers 10/8/2007 2010 X
MS Mississippi Regulations Governing Licensure of Child Care Facilities 7/1/2009 2010 X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 111
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML
Regulations Governing Licensure of Child Care Facilities for 12 or Fewer Children in the Operators Home 7/1/2009 2010 X X
Regulations Governing Licensure of Child Care Facilities for 12 or Fewer Children in the Operator’s Home 8/2013 2013 X X
Regulations Governing Licensure of Child Care Facilities 8/2013 2013 X MO Missouri
Licensing Rules for Group Child Care Homes and Child Care Centers 1/2002 2010 X X Licensing Rules for Family Child Care Homes 5/2002 2010 X X
MT Montana Licensing Requirements for Child Day Care Centers 9/1/2006 2010 X Requirements for Registration of Family and Group Day Care Homes 9/1/2006 2010 X X
NE Nebraska Family Child Care Home Standards Chapter 6 3/1998 2010 X X Child Care Center Standards Chapter 8 3/1998 2010 X Chapter 1 Family Child Care Home I 2/2013 2013 X Chapter 2 Family Child Care Home II 2/2013 2013 X
NV Nevada Chapter 432A Services and Facilities for Care of Children 10/31/2007 2010 X X X Regulation R112-06 1/2010 2010 X X X Chapter 432A Services and Facilities for Care of Children 8/1/2012 2012 X X X
NH New Hampshire Child Care Program Licensing Rules 2008-2016 2010 X X X
NJ New Jersey Chapter 122 - Manual of Requirements for Child Care Centers 8/25/2009 2010 X X Chapter 126 - Manual of Requirements for Family Child Care Registration 8/25/2009 2010 X Chapter 122 Manual of Requirements for Child Care Centers 9/2013 2013 X X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 112
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML NM New Mexico
Title 8 Social Services Chapter 16 Part 2 Child Care Centers, Before and After School Programs, Family Child Care Homes and Other Early Care and Education Programs
6/30/2010 2010 X X X
Title 8 Social Services Chapter 16 Part 2- Child Care Centers, Before and After School Programs Family Child Care Homes and Other Early Care and Education Programs
11/20/2012 2012 X X X
Title 8 Chapter 16 Child Care Licensing: Child Care Centers, Out of School Time Programs, Family Child Care Homes, and Other Early Care and Education Programs
7/2014 2014 X X X
NY New York Part 416: Group Family Day Care Homes 1/31/2005 2010 X Part 417: Family Day Care Homes 1/31/2005 2010 X Part 418_1: Day Care Centers 1/31/2005 2010 X Part 418_2: Small Day Care Centers 1/31/2005 2010 X Section 416 Group Family Day Care Homes 5/2014 2014 X Section 417 Family Day Care Homes 5/2014 2014 X Part 418-1: Day Care Centers 6/2015 2015 X Part 418-2: Small Day Care Centers 6/2015 2015 X
NC North Carolina Chapter 9 - Child Care Rules 8/1/2010 2010 X X X Chapter 110- Article 7 8/1/2012 2012 X X X Requirements for Family Child Care Homes 12/1/2012 2012 X X Family Child Care Home Requirements 5/2013 2013 X X Chapter 9- Child Care Rules 1/2013 2013 X X X
ND North Dakota Family Child Care Homes Early Childhood Services Chapter 75-03-08 1/1/1999 2010 X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 113
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML Group Child Care Homes Early Childhood Services Chapter 75-03-09 1/1/1999 2010 X Child Care Center Early Childhood Services Chapter 75-03-10 1/1/1999 2010 X Family Child Care Homes Early Childhood Services Chapter 75-03-08 4/2011 2011 X Group Child Care Homes Early Childhood Services Chapter 75-03-09 4/2011 2011 X Child Care Center Early Childhood Services Chapter 75-03-10 4/2011 2011 X Early Childhood Services Policies and Procedures Service Chapter 620-01 09/2013 2013 X X X
OH Ohio Child Care Center Manual 6/21/2010 2010 X Child Care Type A Home Manual 6/8/2010 2010 X Child Care Type B Home Manual 2/16/2010 2010 X
OK Oklahoma Licensing Requirements for Child Care Centers 10/1/2009 2010 X
Licensing Requirements for Family Child Care Homes and Large Child Care Homes 7/1/2010 2010 X X
OR Oregon Rules For Certified Child Care Centers 1/1/2010 2010 X Rules For Certified Family Child Care Homes 1/1/2010 2010 X Rules for Registered Family Child Care Homes 1/1/2010 2010 X
PA Pennsylvania Chapter 3270 - Child Day Care Centers 5/2009 2010 X Chapter 3280 - Group Child Day Care Homes 7/2009 2010 X Chapter 3290 - Family Child Day Care Homes 7/2009 2010 X
RI Rhode Island Child Day Care Center Regulations for Licensure 1993 2010 X Family Child Care Home Regulations for Licensure 10/1/2007 2010 X Group Family Child Care Home Regulations for Licensure 10/1/2007 2010 X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 114
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML Child Care Program Regulations for Licensure 11/2013 2013 X
SC South Carolina Regulations for the Licensing of Group Child Care Homes 5/19/2005 2010 X Regulations for the Licensing of Child Care Centers 5/16/2005 2010 X
SD South Dakota
Chapter 67:42:03 Family Day Care Homes (ratings based on MyPyramid removed from ASHW assessment in 2013, due to retirement of MyPyramid, retroactive to 2010)
9/29/2004 2010 X
Chapter 67:42:04 Group Family Day Care Homes (ratings based on MyPyramid removed from ASHW assessment in 2013, due to retirement of MyPyramid, retroactive to 2010)
9/29/2004 2010 X
Chapter 67:42:10 Day Care Centers (ratings based on MyPyramid removed from ASHW assessment in 2013, due to retirement of MyPyramid, retroactive to 2010)
9/29/2004 2010 X
TN Tennessee Chapter 1240-4-1 Standards for Group Child Care Homes 3/14/2009 2010 X Chapter 1240-4-3 Licensure Rules for Child Care Centers 3/14/2009 2010 X Chapter 1240-4-4 Standards for Family Child Care Homes 3/14/2009 2010 X Chapter 1240-4-12 Registration of Family Day Care Homes 12/13/1990 2010 X
TX Texas Chapter 746: Minimum Standard Rules For Licensed Child-Care Centers 3/1/2008 2010 X
Chapter 747: Minimum Standard Rules for Registered and Licensed Child-Care Homes 6/1/2008 2010 X X
Chapter 746: Minimum Standard Rules For Licensed Child-Care Centers (replacement pages) 3/1/2012 2012 X
Chapter 747: Minimum Standard Rules for Registered and Licensed Child-Care Homes (replacement pages) 3/1/2012 2012 X X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 115
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML Chapter 746: Minimum Standards for Child-Care Centers 6/2014 2014 X Chapter 747: Minimum Standards for Child-Care Homes 6/2014 2014 X X
UT Utah R430-50 Residential Certificate Child Care Standards 9/1/2008 2010 X R430-90 Licensed Family Child Care 9/1/2008 2010 X R430-100 Child Care Centers 7/1/2009 2010 X
VT Vermont Early Childhood Programs Licensing Regulations 2/12/2001 2010 X Family Child Care Licensing Regulations 2/12/2001 2010 X X Regulations for Family Day Care Homes 9/17/2009 2010 X
VA Virginia Standards for Licensed Child Day Centers 3/6/2008 2010 X Standards for Licensed Family Day Homes 3/2011 2011 X X
WA Washington Chapter 170-295 Minimum Licensing Requirements for Child Day Care Centers 5/31/2008 2010 X Chapter 170-296 Child Care Business Regulations for Family Home Child Care 5/31/2008 2010 X X Chapter 170-296A Licensed Family Home Child Care Standards 5/8/2012 2012 X X
WV West Virginia Title 78, Series 1, Child Care Centers Licensing 5/20/2009 2010 X Title 78, Series 18, Family Child Care Facility Licensing Requirements 7/1/2007 2010 X Title 78, Series 19, Family Child Care Home Registration Requirements 7/1/2007 2010 X Title 78 Child Care Centers Licensing 7/2014 2014 X
WI Wisconsin DCF 202 - Child Care Certification 11/2008 2010 X DCF 250 - Licensing Rules for Family Child Care Centers 1/1/2009 2010 X DCF 251 - Licensing Rules for Group Child Care Centers 1/1/2009 2010 X X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 116
Key to Abbreviations: CTR - Child Care Center, LRG = Large Family Child Care Home, SML = Small Family Child Care Home
Color Code: Update years highlighted to match report theme colors:
TABLE 2: State Documents Assessed for ASHW: 2010 to Date
2011 2012 2013 2014 2015 2010
State Regulation Document Title For links to states’ documents, click here
Document Date
ASHW Assessment
Year
Child Care Types Covered by Document
CTR LRG SML WY Wyoming
Administrative Rules For Certification of Child Care Facilities 9/1/2008 2010 X X X
Chapter 6 Administrative Rules for Certification of Child Care facilities Rules relating specifically to Family Child Care Homes 4/1/2012 2012 X X X
Chapter 7 Administrative Rules for Certification of Child Care facilities Rules relating specifically to Family Child Care Centers 4/1/2012 2012 X X X
Chapter 6 Administrative Rules for Certification of Child Care facilities Rules relating specifically to Family Child Care Homes 12/2013 2013 X
Chapter 7 Administrative Rules for Certification of Child Care facilities Rules relating specifically to Family Child Care Centers 12/2013 2013 X
Chapter 8- Administrative Rules for Certification of Child Care facilities Rules relating specifically to Child Care Centers 12/2013 2013 X
Achieving a State of Healthy Weight 2015 Supplement: State Profiles 117
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