Rarely or never. 2 times per week or less. Less than 1 time per week. All of the time. 3 or more times per week. 3 or more times per week

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Nutrition and Physical Activity Self-Assessment for Child Care Your Name: Elizabeth Price - Director Date: Feb 2, 2007 Child Care Facility Name: All Around the World Child Care Please read each statement or question carefully and check the response that best fits your child care facility. Refer to the instruction sheet for clarification of question, examples, and definitions. SECTION I: NUTRITION (N1) Fruits and Vegetables A. Fruit (not juice) is 3 s per or less 4 s per 1 per day s per day B. Fruit is offered canned in own juice (no syrups), fresh, or frozen: All of the C. Vegetables (not including French fries, tater tots, hash browns, or dried beans) are 2 s per or less 3-4 s per 1 per day s per day D. Vegetables, other than potatoes, corn, and green beans, are per 1-2 s per 3-4 s per s per day E. Cooked vegetables are prepared with added meat fat, margarine or butter: All of the (N2) Meats, Fats, and Grains A. Fried or pre-fried potatoes (French fries, tater tots, hash browns) are 3 or more s per 2 s per 1 per once a or B. Fried or pre-fried (frozen and breaded) meats (chicken nuggets) or fish (fish sticks) are 3 or more s per 2 s per 1 per once a or C. High fat meats (sausage, bacon, hot dogs, bologna, ground beef) are 3 or more s per 2 s per 1 per once a or - 1 -

D. Beans or lean meats (baked or broiled chicken, turkey, or fish) are per 1-2 s per 3-4 s per s per day E. High fiber, whole grain foods (whole wheat bread, oatmeal, brown rice, Cheerios, etc) are 1 per or less 2-4 s per 1 s per day s per day F. Sweets or salty foods (cookies, cakes, muffins, chips, etc) are s per day 3-4 s per 1-2 s per once a or (N3) Beverages A. Drinking water outside is: Not visible Visible, but only available during designated water breaks B. Drinking water inside is: Not visible Visible, but only available during designated water breaks Easily visible and available on request Easily visible and available on request Easily visible and available for self-serve Easily visible and available for self-serve C. 100% fruit juice is s per day 1 per day 3-4 s per 2 s per or less D. Sugary drinks (Kool-Aid TM, sports drinks, sweet tea, punches, soda) other than 100% juice are s per per per E. Milk served to children ages 2 s and older is usually: Whole or regular 2% reduced fat 1% low-fat Skim or non-fat F. Soda and other vending machines are located: In entrance or front of building In public areas, but not entrance Out of sight of parents and children No vending machines on site (N4) Menus and Variety A. Menus used are: 1- cycle 2- cycle 3- cycle or more without seasonal change B. Weekly menus include a combination of both new and familiar foods: 3- cycle or more with seasonal change All of the - 2 -

C. Weekly menus include foods from a variety of cultures: All of the (N5) Feeding Practices A. When children eat less than half of a meal or snack, the staff help determine if they are full before removing the plate: All of the B. When children request seconds, staff help determine if they are still hungry before serving additional food: All of the C. Children are encouraged by staff to try a new or less favorite food: D. Food is used to encourage positive behavior: All of the (N6) Foods Offered Outside of Regular Meals and Snacks All of the A. Guidelines provided to parents for food brought in for holidays or celebrations are: Not available Loose guidelines with healthier options encouraged Written guidelines for healthier options that are not always enforced Written guidelines for healthier options that are usually enforced B. Holidays are celebrated with mostly healthy foods or with nonfood treats like stickers: All of the C. Fundraising consists of selling only non-food items (like wrapping paper, coupon books or magazines): All of the (N7) Supporting Healthy Eating A. Staff join children at the table for meals: Most of the All of the B. Meals are served family style (children serve themselves with limited help): All of the C. Staff consume the same food and drinks as the children: All of the - 3 -

D. Staff eat or drink less healthy foods (especially sweets, soda and fast food) in front of the children: All of the E. Staff talk informally with children about trying and enjoying healthy foods: All of the F. Support for good nutrition is visibly displayed in 2 to 5 old classrooms and common areas by: No posters, healthy food displayed A few posters, pictures, or healthy food displayed in a few rooms (N8) Nutrition Education for Staff, Children, and Parents Posters, books about healthy food displayed in most rooms Posters, healthy food displayed in every room A. Training opportunities on nutrition (other than food safety and food program guidelines) are provided for staff: Less than 1 per 1 per 2 s per B. Nutrition education is provided for children through a standardized curriculum: 1 per 2-3 s per 1 per or more C. Nutrition education opportunities are offered to parents (workshops, activities and take home materials): per 1 per 2 s per (N9) Nutrition Policy A. A written policy on nutrition and food service that covers most of the above topics: Does not exist Exists informally, but is not written or Is written, but not always Is written, available and SECTION II: PHYSICAL ACTIVITY (PA1) Active Play and Inactive Time A. Active play is provided to all children: 45 minutes or less each day 46-90 minutes each day 91-120 minutes each day More than 120 minutes each day B. Teacher-led physical activity is provided to all children: 1 per or less 2-4 s per 1 per day s per day - 4 -

C. Outdoor active play is provided for all children: 1 per or less 2-4 s per 1 per day s per day D. Active play is withheld for children who misbehave: Often Somes Never Never and we provide more active play for good behavior E. Children are seated (excluding naps and meals) more than 30 minutes at a : s per day 3-4 s per 1-2 s per once a or F. Television and video use consists of the: TV turned on for 5 or more hours per TV turned on for 3-4 hours per TV turned on 2 hours per or less TV used rarely or (PA2) Play Environment A. Fixed play equipment (tunnels, balancing equipment, climbing equipment, overhead ladders) is: Unavailable at our site Only one type of equipment is available Different equipment available that suits most children Wide variety of equipment available and accommodates needs of all children B. Portable play equipment (wheel toys, balls, hoops, ribbons) consists of: Little variety and children must take turns Some variety but children must take turns Good variety but children must take turns Lots of variety for children to use at the same C. Outdoor portable play equipment is: Available during special s only Located out of child sight and reach, staff must access Available on request Freely available by children at all s D. Outdoor play space includes: No open running spaces or track/path for Very limited open running space, no track/path for Plenty of open running space, no track/path for Plenty of open running spaces and a track/path for E. Indoor play space is available: For quiet play only For very limited movement (jumping and rolling) For some active play (jumping, rolling and skipping) For all activities, including running - 5 -

(PA3) Supporting Physical Activity A. During active play staff: Supervise play only (mostly sit or stand) Somes encourage children to be active Somes encourage children to be active and join children in active play Often encourage children to be active and join children in active play B. Support for physical activity is visibly displayed in 2 to 5 old classrooms and common areas by: No posters, physical activity displayed A few posters, pictures, or physical activity displayed in a few rooms Posters, books about physical activity are displayed in most rooms (PA4) Physical Activity Education for Staff, Children, and Parents Posters, physical activity are displayed in every room A. Training opportunities are provided for staff in physical activity (not including playground safety): per 1 per 1 per 2-3 s per 2 s per 1 per or more B. Physical activity education (motorskill development) is provided for children through a standardized curriculum: C. Physical activity education is offered to parents (workshops, activities and take home materials): per 1 per 2 s per (PA5) Physical Activity Policy A. A written policy on physical activity that covers most of the above topics: Does not exist Exists informally, but is not written or Is written, but not always Is written, available and For more information about this self-assessment instrument and the NAP SACC project, please visit www.napsacc.org. Please use the following citation when referencing this instrument: Ammerman, AS, Benjamin, SE, Sommers, JK, Ward, DS. 2004. The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) environmental self-assessment instrument. Division of Public Health, NC DHHS, Raleigh, NC, and the Center for Health State of North Carolina Michael F. Easley, Governor Department of Health and Human Services Carmen Hooker Odom, Secretary Division of Public Health NC Healthy Weight Initiative Department of Nutrition UNC Schools of Public Health and Medicine UNC Center for Health Promotion and Disease Prevention - 6 -