title: Sanitation in classroom and food preparation areas in child-care facilities in North Carolina and South Carolina.
abstract: Approximately 60% of U.S. children aged five and younger spend time in child-care settings. Such environments increase the risk of diarrheal disease, including diseases caused by enteric pathogens. To describe adherence to sanitation standards in classrooms and food preparation areas in child-care facilities, the authors conducted site visits in 40 North Carolina and South Carolina child-care facilities. Audits in up to two classrooms (rooms providing care for infants and toddlers) and the kitchen were performed using a form similar to a regulatory inspection form. Audit data were used to calculate indices to describe adherence to sanitation standards and were based on state environmental health regulations for child-care centers, the Food and Drug Administration's Food Code 2009, and guidance from food safety experts. Most facilities participating in the authors' study adhered to sanitation standards within the classroom; however, deficiencies with regard to sanitation in food preparation areas and refrigerator operating temperatures were noted. These results provide insight into possible risk factors for enteric disease transmission in child-care facilities.
authors.affiliation: RTI International.
authors.forename: Kelly C
authors.initials: KC
authors.lastname: Wohlgenent
authors.forename: Sheryl C
authors.initials: SC
authors.lastname: Cates
authors.forename: Angela
authors.initials: A
authors.lastname: Fraser
authors.forename: Benjamin
authors.initials: B
authors.lastname: Chapman
authors.forename: Lee-Ann
authors.initials: LA
authors.lastname: Jaykus
authors.forename: Xi
authors.initials: X
authors.lastname: Chen
mesh_terms: D002656:Child Day Care Centers / Q000592:standards*; D002675:Child, Preschool; D005511:Food Handling / Q000592:standards; D006801:Humans; D006920:Hygiene / Q000592:standards*; D009657:North Carolina; D012499:Sanitation / Q000592:standards*; D013022:South Carolina