A c t i v e E a r l y
A Wisconsin guide for improving childhood physical activity
Endorsements from the Early Care & Education Field
The following organizations, associations and departments are
invested in promoting physical activity and nutrition in early
childhood as a means to prevent obesity. Each has reviewed
and endorsed Active Early and Healthy Bites as an effective,
evidence-based method of improving physical activity and nutrition.
Wisconsin Department of Health Services
Wisconsin Department of Children and Families
Supporting Families Together Association
Wisconsin Early Childhood Association
Wisconsin Council on Children and Families
Wisconsin Department of Public Instruction
University of Wisconsin-Extension
Wisconsin Child Care Resource & Referral Agencies
Department of Family Medicine, University of Wisconsin-Madison
This publication may be viewed and downloaded from the
Internet at http://dpi.wi.gov/fns/cacfpwellness.html and
www.dhs.wisconsin.gov/health/physicalactivity/Sites/
Community/Childcare/index.htm.
Active Early: A Wisconsin Guide for Improving Childhood Physical Activity was
supported by Cooperative Agreement Number 3U58DP001997-01S4 from the
Centers for Disease Control and Prevention. Its contents are solely the
responsibility of the authors and do not necessarily represent the official views
of the Centers for Disease Control and Prevention.
This publication was also provided, at least in part, with Federal funds
from the U.S. Department of Agriculture. The contents of this publication
do not necessarily reflect the view or policies of the U.S. Department of
Agriculture, nor does mention of trade names, commercial products, or
organizations imply endorsement by the U.S. Government.
Copyrighted Materials: Every effort has been made to ascertain proper
ownership on copyrighted materials and to obtain permission for this use.
Any omission is unintentional.
A c t i v e E a r l y
A Wisconsin guide for improving childhood physical activity
Wisconsin Department of Public Instruction
Tony Evers, PhD, State Superintendent
Wisconsin Department of Health Services
Dennis G. Smith, Secretary
Wisconsin Department of Children and Families
Eloise Anderson, Secretary
• i •
• ii •
The Wisconsin Department of Public
Instruction does not discriminate on the
basis of sex, race, color, religion, creed,
age, national origin, ancestry, pregnancy,
marital status or parental status, sexual
orientation, or disability
In accordance with Federal Law and
U.S. Department of Agriculture policy,
this institution is prohibited from discrimi-
nating on the basis of race, color, national
origin, sex, age, or disability.
To file a complaint of discrimination,
write USDA, Director, Office of
Adjudication, 1400 Independence Avenue,
SW, Washington, D.C. 20250-9410 or call
toll free 866.632.9992 (Voice). Individuals
who are hearing impaired or have speech
disabilities may contact USDA through the
Federal Relay Service at 800.877.8339; or
800.845.6136 (Spanish). USDA is an equal
opportunity provider and employer.
This publication is available from:
COMMUNITY NUTRITION TEAM
Wisconsin Department of Public Instruction
125 S. Webster St.
Madison, WI 53707
608.267.9129
http://dpi.wi.gov/fns/cacfp1.html
BUREAU OF QUALITY IMPROVEMENT
Division of Early Care and Education
Wisconsin Department of Children and Families
201 E Washington Ave
Madison, WI 53707
608.266.8880
www.dcf.wisconsin.gov
OBESITY PREVENTION UNIT
Division of Public Health
Wisconsin Department of Health Services
P.O. Box 2659
Madison, WI 53701-2659
608.267.3694
http://dhs.wisconsin.gov/health/
physicalactivity/index.htm
f o r e w o r d
In Wisconsin, 31% of children ages 2-4 years are reported as being overweight or obese. A poor diet and lack of physical
activity are the most important factors contributing to an epidemic of overweight and obese children.
We want young children to develop healthy habits and we know that these habits begin at home and in the early childhood
setting. Wisconsin has the capacity to serve more than 170,000 children in regulated child care facilities. These children are
relying on early care and education (ECE) professionals to provide a signicant portion of their daily physical activity,
nutrition intake and nutrition education. Child care providers need resources to help them provide nutritious meals and
incorporate age appropriate physical activity that will help children develop lifelong healthy habits.
Recognizing the importance of child care settings in helping our youngest children get a healthy start, our Wisconsin partners
have created the following guides Active Early: A Wisconsin Guide for Improving Childhood Physical Activity and Healthy Bites:
A Wisconsin Guide for Improving Childhood Nutrition. These guides are designed to help ECE professionals address
childhood obesity by improving physical activity and nutrition.
We believe that ECE professionals can improve child health and wellness
by establishing child care program policies within their business practices.
By developing and implementing program policies that will improve the nutritional quality of food, encourage physical activity and
educate child care providers, parents and caregivers, children can develop a sound foundation for optimal growth and development.
The guides are based on current scientific evidence and provide a self-assessment to allow child care programs to freely assess
their own environment, program policies and practices as they relate to nutrition and physical activity. The guides also will suggest
key areas for improvement and information on how to implement strategies for developing program policies in child care settings.
By working together with providers, caregivers and parents, the children of Wisconsin will have the opportunity to adopt
healthy habits that will last a lifetime.
• iii •
Tony Evers, PhD
State Superintendent
Wisconsin Department of Public Instruction
Henry A. Anderson, MD
State Health Officer
Wisconsin Division of Public Health
Eloise Anderson
Secretary
Wisconsin Department
of Children & Families
Physical Activity
Recommendations . . . . . . . . . . . . . . . . . 12
Development . . . . . . . . . . . . . . . . . . . . . 14
overview . . . . . . . . . . . . . . . . . . . . . . . . 14
gross motor milestones . . . . . . . . . . . 16
infants . . . . . . . . . . . . . . . . . . . . . . . . . . 18
toddlers . . . . . . . . . . . . . . . . . . . . . . . . 19
preschoolers . . . . . . . . . . . . . . . . . . . . 20
multi-age groups . . . . . . . . . . . . . . . . . 21
inclusion . . . . . . . . . . . . . . . . . . . . . . . . 22
cultural competency . . . . . . . . . . . . . . 23
tools included . . . . . . . . . . . . . . . . . . . 23
engaging families . . . . . . . . . . . . . . . . 23
engaging communities . . . . . . . . . . . . 23
Child Assessment . . . . . . . . . . . . . . . . . . 24
overview . . . . . . . . . . . . . . . . . . . . . . . . 24
assessing the children in your program . . 24
how to fit assessment into your day . . 25
what comes after assessment . . . . . . . 25
considerations for all ages . . . . . . . . . 25
infants . . . . . . . . . . . . . . . . . . . . . . . . . . 26
toddlers . . . . . . . . . . . . . . . . . . . . . . . . 27
preschoolers & older children . . . . . . 27
multi-age groups . . . . . . . . . . . . . . . . . 28
inclusion . . . . . . . . . . . . . . . . . . . . . . . . 29
cultural competency . . . . . . . . . . . . . . 29
engaging families . . . . . . . . . . . . . . . . 29
engaging communities . . . . . . . . . . . . 29
Daily Routines . . . . . . . . . . . . . . . . . . . . . 30
overview . . . . . . . . . . . . . . . . . . . . . . . . 30
considerations for all ages . . . . . . . . . 30
infants . . . . . . . . . . . . . . . . . . . . . . . . . . 32
toddlers . . . . . . . . . . . . . . . . . . . . . . . . 33
preschoolers . . . . . . . . . . . . . . . . . . . . 34
multi-age groups . . . . . . . . . . . . . . . . . 35
inclusion . . . . . . . . . . . . . . . . . . . . . . . . 36
cultural competency . . . . . . . . . . . . . . 37
tools included . . . . . . . . . . . . . . . . . . . 37
engaging families . . . . . . . . . . . . . . . . 37
engaging communities . . . . . . . . . . . . 37
Environment . . . . . . . . . . . . . . . . . . . . . . 38
overview . . . . . . . . . . . . . . . . . . . . . . . . 38
considerations for all ages . . . . . . . . . 39
infants . . . . . . . . . . . . . . . . . . . . . . . . . . 40
toddlers . . . . . . . . . . . . . . . . . . . . . . . . 41
preschoolers . . . . . . . . . . . . . . . . . . . . 42
multi-age groups . . . . . . . . . . . . . . . . . 43
inclusion . . . . . . . . . . . . . . . . . . . . . . . . 43
cultural competency . . . . . . . . . . . . . . 43
engaging families . . . . . . . . . . . . . . . . 43
engaging communities . . . . . . . . . . . . 43
table of
contents
TAKE ACTION
foreword . . . . . . . . . . . . . . . . . . . . . . . . . iii
introduction . . . . . . . . . . . . . . . . . . . . . . . 2
program assessment . . . . . . . . . . . . . . . . 7
quality improvement plan . . . . . . . . . . . . 8
Resources . . . . . . . . . . . . . . . . . . . . . . . . . 44
overview . . . . . . . . . . . . . . . . . . . . . . . . 44
inclusion . . . . . . . . . . . . . . . . . . . . . . . . 46
cultural competency . . . . . . . . . . . . . . 46
tools included . . . . . . . . . . . . . . . . . . . 46
engaging families . . . . . . . . . . . . . . . . 46
engaging communities . . . . . . . . . . . . 46
curriculum & books . . . . . . . . . . . . . . . 47
articles & websites . . . . . . . . . . . . . . . . 48
assessment tools & materials . . . . . . . 49
Business Practices . . . . . . . . . . . . . . . . . 50
overview . . . . . . . . . . . . . . . . . . . . . . . . 50
what is a policy? . . . . . . . . . . . . . . . . . . 50
policy development . . . . . . . . . . . . . . 50
types of policies . . . . . . . . . . . . . . . . . 51
infants . . . . . . . . . . . . . . . . . . . . . . . . . . 52
toddlers . . . . . . . . . . . . . . . . . . . . . . . . 52
preschoolers . . . . . . . . . . . . . . . . . . . . 53
multi-age groups . . . . . . . . . . . . . . . . . 53
staff & worksite wellness . . . . . . . . . . . 54
inclusion . . . . . . . . . . . . . . . . . . . . . . . . 55
cultural competency . . . . . . . . . . . . . . 55
tools included . . . . . . . . . . . . . . . . . . . 55
engaging families . . . . . . . . . . . . . . . . 55
engaging communities . . . . . . . . . . . . 55
APPENDICES
Appendix A: Let’s Move Child Care Checklists:
Physical Activity and Screentime . . . . . . . . . . . . . . . . . . . . . . 57
Appendix B: Child Care Physical Activity Policies . . . . . . . . . . . . 63
Appendix C: Active Early Quality Improvement Plan . . . . . . . . . 64
Appendix D: Language Development Chart . . . . . . . . . . . . . . . . 65
Appendix E: Full Day Sample Schedules:
Group Child Care and Family Child Care . . . . . . . . . . . . . . . 68
Appendix F: Full Day Sample Schedule: Infants and Toddlers . . 69
Appendix G: Books to Move to: Physical Activity and Literacy. . 70
Appendix H: Homemade Physical Activity Materials . . . . . . . . . . 71
Appendix I: Physical Activity Materials & Equipment Ideas . . . . 72
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
introduction
>
what are Active Early & Healthy Bites?
Active Early and Healthy Bites are companion guides designed to help early care
and education (ECE) professionals address childhood obesity by improving physical
activity and nutrition in the program. Active Early focuses on physical activity while
Healthy Bites focuses on healthy eating, nutrition environments and on strengthening
the Child and Adult Care Food Program (CACFP) meal pattern. The guides are based
on current science, public health research and national recommendations.
who should use Active Early & Healthy Bites?
The guides can be used by ECE professionals in a variety of settings, including:
Group and family child care centers, after-school programs, Head Start centers and
other CACFP facilities
Sponsoring agencies, community coalitions, local early childhood organizations,
government agencies and other groups interested in improving local nutrition and
physical activity practices in ECE settings
Child care programs will find resources to help them learn what program policies to
create, what strategies to try, how to help staff improve physical activity and nutrition,
and how Active Early and Healthy Bites fit with other Wisconsin early childhood
initiatives and licensing.
Child care teachers will find specific recommendations for improving physical activity
and nutrition in their classrooms.
ECE training and technical assistance providers and community organizations
interested in improving local nutrition and physical activity in ECE settings also will
find useful information for working with child care providers.
• 2 •
Children learn healthy habits
from the adults and caregivers
in their lives. We have the
opportunity to supply a
generation with nutritious
foods and healthy habits in
an environment that is fun
and safe and they trust us.
Jan Pelot
Wood County Head Start
Wisconsin Rapids
• 3 •
Early care and education (ECE)
programs refers to all group and
family child care centers, after-school
programs, preschool programs,
3K and 4K programs, Head Start
centers and emergency shelters
serving young children.
Parent(s), family(ies) and
caregiver(s) are used in the
broadest sense to mean those
adults with primary responsibility
for children.
Physical Activity describes bodily
movement of any type, including
recreation, fitness and participation
in sports, as well as movement in
routine activities. Physical activity
varies in level of intensity:
Sedentary, marked by little to
no activity, such as napping or
sitting quietly
Light activity, such as coloring,
pushing toys on the floor, crawling,
walking at a slow pace
Moderate activity, such as walking
at a fast pace, lifting or building
with blocks
Vigorous activity, such as running
or jumping.
Structured Physical Activity is
teacher-led and should occur both
indoors and outdoors.
Unstructured Physical Activity is
initiated by a child, like free play,
and should occur both indoors
and outdoors.
Ages are generally broken down
into the following groups
Infants: under 1 year
Toddlers: 12-23 months
Preschoolers: ages 2-5
School-age: 6 years and older
common definitions
I think that each of these programs
is complementary in that they support
thewhole child and ensure that
children are getting a well-rounded early
childhood experience.
Brenda Flannery,
Lil Blessings Child Care, Crandon
Physical activity and nutrition have a place in nearly every aspect in the
current context of the ECE field in Wisconsin.
Licensing & Certification
Physical activity and nutrition clearly fit within licensing and certification
rules. For example, children must have outdoor play daily, weather
permitting, and all regulated group child care centers must follow the
current CACFP meal pattern guidelines.
YoungStar
Sixty minutes of daily physical activity can earn your child care program an
additional point in YoungStar. This could be the one point needed to push
your program into the next star-level. YoungStar also includes a point for
nutritious meals served daily. Providers can verify nutritious meals:
By participating in the CACFP, including training associated with the
meal program
By providing three months of menus to demonstrate well-balanced
meals and snacks
For more details about YoungStar, go to: http://dcf.wi.gov/youngstar
Wisconsin Model Early Learning Standards
Physical activity clearly fits within the Health and Physical Development
Domain through skill and motor development, but also supports the other
four developmental domains. Nutrition also is covered in the Health and
Physical Development Domain and covers standards related to role model-
ing healthy eating habits, self feeding and table manners during mealtimes.
The Pyramid Model of Social Emotional Development
Establishing high-quality supportive environments and engaging in new
experiences, such as learning about and trying new foods or physical
activities contribute to social and emotional development. For example,
children establish self-awareness as they learn about their bodies and how
to move them, whereas experiences like family style dining can develop
a child’s awareness for appropriate social behavior.
how do Active Early & Healthy Bites fit into
Wisconsins existing early childhood initiatives?
• 4 •
Across the nation, early childhood obesity and
overweight rates are on the rise. In Wisconsin, 31
percent of low-income 2-4 year-olds, 25.1 percent
of high school students, and 64.9 percent of adults
are considered overweight or obese.
1-3
Poor nutrition
and lack of physical activity are central causes of
obesity. Action is needed now to decrease rates of
obesity and improve the health of Wisconsin residents.
Researchers have warned that if childhood obesity
rates continue to rise, children today are likely to
live shorter lives than their parents.
4
Early childhood
obesity dramatically increases a child’s chances of
becoming an obese adult and increases risk for
many chronic diseases, including cardiovascular
disease and diabetes.
5
Physical activity and eating habits develop early,
making early care and education settings important
in preventing obesity. Wisconsin has the capacity to
serve more than 170,000 children in regulated child
care facilities. On average, children under age 5 spend
more than 30 hours per week in early childhood settings.
6
Studies show that early care and education settings
have the ability to combat childhood obesity by
promoting the following habits:
Be more physically active
Watch less television and spend less time using
computers and electronic games
Breastfeed infants longer
Eat more fruits and vegetables
Eat fewer high-energy dense foods, such as candy,
chips and cookies
Drink fewer sugar-sweetened beverages such as
regular soda, fruit juice cocktails and energy drinks
Note: The contents of the guides are subject to
change, based on new science, public health research
and national health recommendations. The online
version of the guides will be updated as needed.
The most current version is available on the following
websites: http://dpi.wi.gov/fns/cacfpwellness.html and
www.dhs.wisconsin.gov/health/physicalactivity/Sites/
Community/Childcare/index.htm.
Citations
1. Centers for Disease Control and Prevention. Pediatric and Pregnancy
Nutrition Surveillance System. 2010.
2. Centers for Disease Control and Prevention. Youth Risk Behavior Surveil-
lance – United States, 2009. Surveillance Summaries. MMWR. 2010;59.
why Active Early & Healthy Bites?
• 3 •
>
Behavioral Factors, such as diet and
physical activity levels
>
Environmental factors, such as social
setting and physical environment
>
Biological Factors, such as genetics
>
Other contributors:
Eating patterns
Low-birth weight
Excessive weight gain during pregnancy
Formula feeding
Overweight/obese parents
Parenting styles and habits
What causes obesity?
Obesity is a condition in which
there is a very large amount of extra
body fat stored in the body.
Overweight is a condition in
which there is more body fat stored
in the body than what is normal for
a person’s age, height and build,
but not to the extent of obesity.
Prevention is the act
of stopping something before
it happens.
• 5 •
3. Centers for Disease Control and Prevention
(CDC). Behavioral Risk Factor Surveillance
System Survey Data. In: U.S. Department
of Health and Human Services, Centers
for Disease Control and Prevention,
ed. Atlanta, GA2007-2009.
4. Olshansky SJ, Passaro DJ, Hershow RC, et al.
A Potential Decline in Life Expectancy in
the United States in the 21st Century. New
England Journal of Medicine. 2005;352(11):
1138-1145.
5. Serdula MK, Ivery D, Coates RJ, Freedman DS,
Williamson DF, Byers T. Do Obese Children
Become Obese Adults - A Rreview of the
Literature. Preventive Medicine.
Mar 1993;22(2):167-177.
6. Overturf Johnson J. Who’s Minding the Kids?
Child Care Arrangements: Winter 2002.
Washington, DC: U.S. Census Bureau;2005.
how do I use Active Early & Healthy Bites?
First, assess your program using the Let’s Move! Child Care Checklist (Step 1) found in Appendix A.
Use these results to prioritize any areas where you want to make changes and identify physical activity
goals. Keep in mind not all areas need to be addressed immediately.
Second, use the Quality Improvement Plan (QIP) (Step 2) found on page 8 and in Appendix C
to outline how you will make your improvements. Use the Take Action section, which includes
recommendations for best practice, and environment and program policy changes, to develop
the QIP. These will become your desired outcomes. It is especially important to include written
program policies to support and sustain the improvements you want to make.
Next, implement changes (Step 3) using ideas and tools from the Take Action section. How you
implement changes will be determined by the tasks outlined in your QIP, potential barriers,
responsible parties, and available resources.
Lastly, repeat the assessment (Step 4) process on a regular basis. Ongoing assessments can direct
your program toward additional opportunities for improvement. You can continue to measure your
progress toward your goals and gauge your success using the QIP. Please note that you should also
evaluate your program for nutrition improvements by completing the self-assessment in Healthy Bites.
The diagram below was adapted from the Wisconsin Model Early Learning Standards Teaching Cycle.
Steps 1 & 4:
Program Assessment
Use the Let’s Move! Child Care Checklist to get a picture of
your current program and to prioritize areas that need improve-
ment. Repeat assessment to understand whether your policy
and program changes were effective.
Implement changes using ideas and tools from
the Take Action section to help make positive
changes to your child care center.
Based on your assessment results, use the Take Action
section to create a Quality Improvement Plan and
write program policies.
Steps 3:
Implement Changes
Step 2:
Quality Improvement Plan & Policy Development
• 6 •
Active Early
Take Action includes:
Development
Child Assessment
Daily Routines
Environment
Resources
Business Practices
In each section you will nd:
An overview of the topic
Quick tips
Activity Ideas
Inclusion
Cultural Competency
Tools included in the appendix
Engaging Families
Engaging Communities
• 7 •
Assessment is often an overlooked step. However, taking the time to assess
your program increases the chances that you will make the right changes
with the most impact for children, staff and parents. The strategies outlined
below can be used for Active Early and Healthy Bites and will help determine
what currently is being done and what more can be done in the future to
improve nutrition and physical activity in your program.
Start with the Let’s Move! Child Care Checklist:
Physical Activity and Screen Time Checklists
This self-assessment tool allows you to freely assess your environment,
policies and practices and will suggest key areas for improvement. See
Appendix A for a copy of the Let’s Move checklist. Healthy Bites includes
a nutrition self-assessment.
This tool can supplement the self-assessment required for YoungStar and will
help you look specifically at your program’s physical activity environment.
Ongoing Assessment for Evaluation and Quality Improvement
Document changes you are making to show if progress has been made in
the quality improvement areas. Repeat the self-assessment process on a
regular basis to ensure your QIP is still aligned with the type of improvements
you want to make. This will help you see the results of the changes made
and celebrate your successes.
Other Ideas for Assessment
It is important to engage families and center staff in the assessment
process as well. Use a simple questionnaire or interview.
Parent Survey: Use a questionnaire to ask parents for their opinions on
nutrition and physical activity in the program. The questionnaire could be
distributed at pick-up time or sent home with a child. Questions could be
used to find out what, if any, concerns parents might have. Here are some
sample questions:
Do you feel our program supports your child’s nutrition and physical
activity habits?
Do you think our program regularly communicates information on nutrition
and/or physical activity?
Staff Interviews or Survey: Use a questionnaire to ask staff for their opinions
on what could be done to support nutrition and physical activity. This can
be used to learn more about staff interactions with children and parents and
to better understand the program’s environment. Asking staff their opinions
also may help build buy-in for making changes later. Some sample questions:
What are you currently doing to support nutrition and physical activity?
How can nutrition and physical activity be improved?
The self-assessment helped us to
understand the changes we had to
make to be better. The QIP helped us
understand what obstacles were keeping
us from being successful and what we
needed in order to improve physically.
Toni Nader, Library Square School, Kenosha
PROGRAM ASSESSMENT
understanding where you are & where to start
Quality
Improve-
ment
Area
Aim /
Desired
Outcome
Potential
Barriers
Tasks Responsible
Party(ies)
Resources
On-hand/
Resources
Needed
Measurement Timeline/
Benchmarks
Test of Plan
Physical
Activity
Provide
children
with regular
opportunities
for physical
activity
Physical
activity is
withheld
from children
who
misbehave
Brainstorm
other ways to
guide children
who misbe-
have
Create a
center policy
stating physical
activity won’t
be withheld
from children
who
misbehave
Administra-
tor or owner
Staff, if
applicable
Creative
owner/staff
Active Early
guide
Alternatives
strategies
for guiding
children who
misbehave
created and
used.
Policy created
Brainstorm
this week
Create and
implement
policy by end
of month.
Worth doing? Y or N
Measurable? Y or N
Improve Outcomes? Y or N
Inclusive? Y or N
Culturally Competent?
Y or N
Sample program policy: Our center will not withhold physical activity from children who misbehave.
• 8 •
directions
Using the results of the self-assessment, prioritize the quality improvement
area(s) to be completed within the plan. Not all physical activity areas need to
be addressed immediately. Start with three to five aims/outcomes to work on
at a time. More aims/outcomes can be overwhelming and too few will limit the
success you experience in your program. Be sure to write your goals in a way
that demonstrates how they are inclusive and culturally competent.
example
SAMP LE QUALITY IMP ROVEMENT P LAN
Original QIP Date: January 1, 20XX
Date of QIP Review: March 15, 20XX
• 9 •
Aim/Desired Outcome:
What you hope to achieve with your plan or your aim.
Barriers:
Problems, attitudes, and challenges you should think about and address
to achieve success.
Task(s):
Steps/strategies to reach an aim/desired outcome.
Responsible Party(ies):
The person(s) assigned to the task.
Resources On-hand/Resources Needed:
Resources on-hand: People, time, materials, and know-how that already
exist within your program and could be used to accomplish your tasks.
Resources needed: People, time, materials, and know-how outside of
your program needed to accomplish your tasks.
Measurement – How will the team know if the aim is achieved?
A simple way to track progress toward an aim/desired outcome. Successful
programs check in on average of every two weeks. For example, if you have
a goal of increasing physical activity you need to:
1) Understand how many minutes of physical activity is currently
happening on average throughout the program.
2) Introduce your task/strategy for achieving your goal.
3) Re-measure the amount of time of physical activity occurring in the
program after your strategy has been rolled out
4) If your goal has not been reached, try a new strategy
Timeline / Benchmarks:
The time frame that programs assign to a task or aim. Benchmarks are
the steps along the way that will let a program know they are on track
toward achieving their aim/outcome.
Test of Plan:
Is this plan worth doing? Yes means you believe achieving your aim will
have positive results for children, families, staff, or your business.
Is this plan concrete, specific, and measurable? Yes means that when
you look back at the aim, you will be able to show clear results through
your measurement.
Will the result of this plan improve outcomes for children, families, staff, or your
business? Yes means there is a high likelihood that changes will be positive.
Are the outcomes inclusive of all children, culturally competent, and
developmentally appropriate? Yes means these positive changes are good
for ALL children and families, including those with disabilities and other
special needs. Individualizing learning experiences and environments
accommodate optimal development for all children in care; for families with
a variety of points of view, life experiences, and cultural and language differ-
ences; and make sense for each age and stage of child development.
Dates:
Record the original date the QIP was
completed and the date(s) it was
reviewed for on-going assessment.
quality improvement plan definitions
SUCCESS STORY
Positive developments from regular active play
The Child and Family Center at Madison College has made great strides in keeping their kids
active and moving throughout the day. Lisa Jones, a teacher at the center, and the staff keep
a collection of physical activity ideas with them at all times to ensure they always know how to
encourage the children to keep moving. Lisa draws inspiration from Color Me Healthy, SPARK,
and Mailbox Magazine because she finds the physical activity ideas outlined in these resources
simple, effective, and often educational. For example, a popular game at the center called
“Rabbit Race” starts with paper carrots scattered around the room. Children then hop like
rabbits to collect as many carrots as possible.
“I recently introduced the colored scooters into my classroom and the children quickly adapted
to moving around the room on their stomachs or bottoms,” Lisa described, “The benefits to the
children went beyond the physical aspect though. Socially they were able to figure out how to
maneuver the connected scooters together. At one point in time, we were all on them, 9 children
and one teacher, pretending it was a train. I thought it was amazing to see 2 and 3 year olds
working together in this way.
Since the Child and Family Center increased the amount of daily teacher-led physical activity,
teachers have noted that they need to discipline children less often, a positive development
that they attribute to the “controlled chaos” of regular active play.
When asked about the importance of teacher-led physical activity, Lisa said, “Teachers need to
participate in the activities, too. You have got to get up and move with them. When kids see you
doing the activities, they are more likely to get up and move with you, not to mention the impact
it has on our own health.”
“I dislike exercise, but I love to play,” Lisa added.
• 10 •
T A K E A C T I O N !
>
• 11 •
• 12 •
Physical Activity Recommendations
PHYSICAL ACTIVITY RECOMMENDATIONS
Infants Toddlers Preschoolers School Age
Physical Activity
Physical activity and active
exploration daily.
At least than 60-90 minutes
per eight-hour child care
day
At least 90 to 120 minutes
per 8-hour child care day.
At least 60 minutes
of daily physical
activity.
Structured or
Teacher-Led
Daily caregiver-infant
interactions that encourage
physical activity and active
exploration.
At least 30 minutes per
eight-hour child care day
At least 60 minutes per
8-hour child care day
Unstructured
or Free Play
Active exploration and
physical activity daily.
At least 30 minutes per
eight-hour child care day
At least 60 minutes per
8-hour child care day
Outdoor Play
Play outdoors daily,
weather permitting.
Make time for independent
gross motor play outdoors.
Balance the use of riding
strollers with plenty of
independent outdoor
time.
Dress infants appropriately
for weather.
At least 23 times
(60 90 minutes) daily
of outdoor play, weather
permitting.
Dress toddlers appropri-
ately for weather, including
appropriate footwear.
At least 23 times
(60 90 minutes) daily
of outdoor play, weather
permitting.
Dress children appropriately
for weather, including
appropriate footwear.
School aged
children should
have daily outdoor
time.
Sedentary Time
Infants should not be in
settings that restrict
movement for prolonged
periods of time.
No more than 60 minutes
of sedentary time per day.
No more than 15 minutes
at a time, unless sleeping.
No more than 60 minutes
of sedentary time per day.
No more than 15 minutes
at a time, unless sleeping.
School aged
children should
have no more than
120 minutes of
sedentary activity
at a time.
• 13 •
Physical Activity Recommendations, cont’d.
Infants Toddlers Preschoolers School Age
Physical Activity
Environment &
Practices
Place infants in safe
settings that:
facilitate physical
activity
promote the
development of
movement skills
allow small and large
muscle activities
Make sure there is
plenty of:
indoor and outdoor
space
equipment for active
play
opportunities to develop
gross and fine motor
skills
Physical activity should nev-
er be withheld for misbe-
havior. Instead, let children
calm themselves before
returning to active play.
Make sure there is
plenty of:
indoor and outdoor
space
equipment for active
play
opportunities to
develop gross and
fine motor skills
Physical activity should nev-
er be withheld for misbe-
havior. Instead, let children
calm themselves before
returning to active play.
Physical activity should
include aerobic as well as
age-appropriate muscle-
and bone-strengthening
activities. (This can be done
in small doses of 10 – 15
minutes throughout the day.)
It is important to encourage
participation in physical
activities that are appropriate
for their age, that are fun,
and that offer variety.
It is not recommended to
play elimination games.
Screen Time
Zero hours of screen
time for infants
Zero hours for 2 year
olds and younger
Limit to educational
or active movement
programs
Less than 30 minutes per
week for 2 year olds
Limit to educational or
active movement
programs.
Limit screen time to less
than one hour a day.
In after school settings,
parent permission should
be requested for children
participating in any screen
time. This includes: TV/
DVD, computer, and video
games.
Sources: NAP SACC - Nutrition and Physical Activity Self-Assessment for Child Care. Ammerman A, Ward DS, Benjamin SE, Ball SC, Sommers J, Malloy M, Dodds J. An Intervention to Promote Healthy Weight: Nutrition and Physical Activity Self-
Assessment for Child Care (NAP SACC) Theory and Design. Prev Chron Dis (serial online) 2007 July. Available from: www.cdc.gov/pcd/issues/2007/jul/toc.htm. AAP – American Academy of Pediatrics. Caring for Our Children: National Health and
Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition. RWJ – expert panel funded by the Robert Wood Johnson Foundation). Model Physical Activity Standards for Child-Care Providers (For Infants
Through Preschool-Age Children) Developed by the National Policy & Legal Analysis Network to Prevent Childhood Obesity (NPLAN). NASPE - National Association for Sport and Physical Education. ECERS - R – Early Childhood Environ-
ment Rating Scale. SHAPES – Study of Healthy Activity & Eating Practices and Environments in Head Start. NYC – New YorK City standards. COC - Caring for Our Children, 3rd Edition Comprehensive Set of Standards (will be published in 2011)
Physical development refers to a child’s rate of
growth and control over muscles, coordination,
and ability to sit, stand, walk and run. Motor
development is part of physical development,
and refers to the growth in the ability of children
to use their bodies and physical skills.
Motor development can be divided into gross
motor skills and fine motor skills.
Gross motor skills refer to a child’s ability
to control larger parts of the body, including
balance, coordination, purposeful control,
locomotion and stability
Fine motor skills refer to the level of
coordination of and ability to manipulate
smaller body parts (such as using thumb
and forefinger to pick up a raisin)
o v e r v i e w
It is important to
be active for children
to build small and
large muscles and
to use the calories
they consume.
Darlene Tanck,
Dollys Daycare,
Merrill
• 14 •
DEVELOPMENT
A child’s ability to be physically active depends
on physical growth and development. There
are many aspects of physical and gross motor
development, including:
Locomotor skills: rolling, crawling, walking
and running
Balance and coordination skills: standing,
squatting, tiptoeing and jumping
Manipulative skills: carrying, throwing
and catching
Although all children will not grow and develop
at the same rate, it is important to keep in mind
the overall patterns of growth in young children.
This growth pattern explains a lot about a child’s
movement and activity. Keep these key points
in mind as you are working with the children in
your care:
At birth, the head is the fastest growing
part of the body.
o As a result, infants and toddlers have a
higher center of gravity
o This makes it difficult to balance and is the
reason young children are likely to fall
The torso lengthens throughout
early childhood.
o This lowers the center of gravity
o With this growth, children are able to
balance and are less likely to fall
o Children do not develop a center of
gravity similar to adults until about age 6
Children grow from their torso out.
o Children’s arms grow before their hands,
which grow before their fingers. Their
legs grow before their feet
o For this reason, children develop gross
motor skills before they develop fine
motor skills
o Infants demonstrate this process as they
learn to grasp objects. Newborns will use
their entire arms to swipe at things. As they
grow, they begin to use their entire hands
to grab objects. Eventually they will use
their fingers to grab objects
Brain Development refers to the growth of
the brain and the creation of new connections
in the brain. Movement and activity positively
impact brain development. Physical activity
helps the body make a chemical that acts like
Miracle-Gro for the brain.
1
A number of factors
influence early brain development:
Physical activity
Genetics
Oxygen
Responsiveness of caregivers
Daily experiences
Love
Language Development refers to the process
of learning to speak and communicate.
Language development is linked to physical
development. Knowing the words that describe
the body, types of movement, intensity,
direction and spatial relationships help children
learn, practice and master skills. Movement and
rhythm stimulate the brain (frontal lobes) and
enrich language and motor development.
q u i c k t i p
When participating in physical activity with the children in
your care, talk about movements using vocabulary that will
help children understand their activities.
I have been trying for months to teach a child to skip.
She is 4 1/2 and has a hard time crossing the midline with
her body, and I have been struggling tond a way to teach
her. When given some of the tools, it was the Choosy CD that
helped teach these skills. The day she was able to skip, we
all got very excited and did a little dance. It was great to
see her feel so good about accomplishing the skill.
Teresa Storm, Tender Times Child Care, Amery
1 John Ratey, MD. Harvard Psychiatrist.
M o v e m en t & t h e B r a i n
Because the motor center affects
other parts of the brain, movement
assists in and benfits:
Brain development
• Integration of senses
Vision
• Hearing
• Coordination
The ability to plan out a
movement before physically
taking action
D E V E L O P M E N T
• 15 •
Gross Motor Developmental Milestones: Quick Reference Chart
AGE Traveling Skills Balancing Skills Manipulative Skills
Birth to
1 year
Holds head up steadily
Lifts head/shoulders by propping up on arms
Rolls over from back to stomach
Crawls
Pulls to Stand
Sits alone momentarily
Stands momentarily without support
Can prop sit
Rocks back and forth on hands and
knees
Opens hand to release toy
Reaches with one hand
Bats at rattle that is held near
Reaches for toy with entire hand
1 to 2
Years
Cruises while holding on to furniture
Walks across room, starting and stopping
Walks up and down stairs, with support
Walks independently
Moves body in new ways, such as tumbling
Walks sideways and backwards
Walks to a ball and kicks it
Runs alone
Runs with increasing speed
Jumps in place
Jumps over objects or off a step
Squats to pick up toys
Stands on tiptoes to reach something
Gets in and out of adult chair
Kneels while playing
Straddles across beam or sandbox
edge
Tries to stand on a flat board
Carries a large ball while moving
Flings a beanbag
Throws a ball or other object by
pushing it with both hands
Catches a large, bounced ball against
body with straight arms
Kicks a stationary ball
Holds object in one hand and bangs an
object with the other
Dumps pail with one hand and retrieves
shovel that falls out with other
Throws ball intentionally
Throws ball overhand, using both arms,
while standing
2 to 3
years
Walks across room
Uses a hurried walk
Walks backwards
Pushes a riding toy with feet while steering
Uses a walker to get to the table
Marches around room
Walks up and down stairs alternating feet,
holding handrail or with help
Jumps in place, two feet together
Squats to pick up toys
Stands on tiptoes to reach something
Gets in and out of adult chair
Kneels while playing
Straddles a taped line on the floor
Sidesteps a taped line on the oor
Sidesteps across beam or sandbox edge
Carries a large ball while moving
Flings a beanbag
Throws a ball or other object by pushing
it with both hands
Catches a large, bounced ball against the
body with arms straight
Kicks a stationary ball
• 16 •
D E V E L O P M E N T
Gross Motor Developmental Milestones: Quick Reference Chart, cont’d.
• 17 •
AGE Traveling Skills Balancing Skills Manipulative Skills
3 to 4
years
Runs
Avoids obstacles and people while moving
Walks up and down stairs alternating feet
Climbs at least two rungs of a jungle gym
Climbs up and down on playground
equipment
Rides tricycle using feet to push forward
Rides tricycle using pedals
Gallops, but not smoothly
Jumps over objects or off a step
Walks forward along sandbox edge,
watching feet
Jumps off low step, landing on two
feet
Jumps over small objects
Throws a ball or other object
Traps thrown ball against body
(bending arms when catching)
Strikes a balloon with a large paddle
Kicks ball forward by stepping or
running up to it
4 to 5
years
Runs smoothly, quickly changes directions and
stops/starts quickly
Jumps and spins
Marches
Moves through obstacle course
Gallops and skips with ease
Plays “Follow the Leader” using a variety of
traveling movements
Plays games that require jumping or kicking
a ball
Hops across the playground; hops on
one foot then the other
Walks across beam or sandbox edge,
forward and backward
Attempts to jump rope
Hops, skips or twirls around and stops
without falling
Steps forward to throw ball and follows
through
Catches a thrown ball with both hands
Throws a hand-sized ball
Dribbles a ball
Strikes a stationary ball
Bounces and catches a ball
Kicks moving ball while running
Pounds with, shakes, twists or swings an
arm or leg
From Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5, 2nd Ed. (2009), www.AAHPERD.org, National Association of Sport and Physical Education
Give babies safe objects to pick up,
put in their mouths, handle and throw
down. These activities help them
develop hand-eye coordination.
From Dr. Crafts Active Play! page 98
Infants are absorbing all of the information
around them as they learn to control their
movements. They not only communicate
through cries, but also their body language.
Child care providers can actively support
the physical, cognitive and language
development of the infants in their care.
Physical Development
Tummy time encourages physical
development in infants by giving them time
to practice raising their heads and upper
bodies, which will eventually develop into
crawling. This also gives infants the
opportunity to learn to roll over. Even
young infants should experience tummy
time. Additionally, you can begin to gently
move the arms and legs of younger infants
back and forth and side to side. As infants
grow, you can use favorite objects to
encourage infants to wiggle and move.
i n f a n t s
Pillow Obstacle Course
Place pillows and couch cushions on the floor
for baby to creep, crawl, roll and climb over
and around.
Dr. Craft’s Active Play! page 99
a c t i v i t y i d e a
• 18 •
For the infant, I watch him closely
and change the environment so
he has safe opportunities to climb,
pull himself up, and also to support
his body so he can bounce and
dance with the other children.
Brenda Flannery,
Lil Blessings Child Care, Crandon
Keep it Simple! It is impor-
tant for toddlers to master
what they can do before
moving on to the next stage
of development.
q u i c k t i p
Language Development
Long before young children begin to
form speech, infants soak in the sights and
sounds around them that are essential to
language development. As you touch and
move infants and encourage physical activity,
talk to them continuously. Say the names of
different parts of the body as you move them
and describe the motions they are making.
Brain Development
Touch is an important stimulant for brain
development. Take time to find out
what the infants in your care enjoy. For
example, one infant might like the arms
and hands to be gently stroked, while
another may respond better to a firmer
touch. Some opportunities for stimulating
brain development include crossing
infants’ arms and legs over the midlines
of their bodies. This will lead to improved
physical coordination.
It is important for caregivers working with
toddlers to realize that every child has an
individual rate of growth and development.
This will help providers encourage the pro-
gressive skill development for this age group.
Physical Development
As toddlers’ bodies grow taller and their
arms and legs become stronger, balance
and coordination improve. As you promote
physical activity in your program, remember
that physical growth and development
happen in a sequence. For example, a
toddler learns to stand before walking,
and walks before running. Think about the
sequence of skill development as you design
activities for the toddlers in your care.
Brain Development
The brain itself and the connections in
the brain grow rapidly in toddlers. These
connections help toddlers build not only
the skills needed to be active but also
cognitive and social skills. Toddlers need
a variety of experiences to continue to
stimulate brain development. Movement
and physical activity stimulate the brain
and promote learning, so it is important
that toddlers have space and encourage-
ment to keep moving throughout the
day. Nutrition and sleep are also vital for
brain development.
Language Development
As toddlers learn new words, they need
context to accompany those words and
you maynd that you need context to
understand the words they are using. When
teaching toddlers new vocabulary relating to
physical activity, build from simple vocabu-
lary such as up, down, in, out, fast, slow,
jump and hop. Model what new words
mean so toddlers have the context
needed to add the words to their own
speech. Don’t worry if toddlers use
words incorrectly—continue to use
and repeat the words, modeling
them each time.
t o d d l e r s
a c t i v i t y i d e a
Clean Up the Floor
Indoor throwing practice has never been
more fun! Dump a basket full of rolled-up
pairs of socks and watch all of the children
have a wonderful time cleaning up the floor.
Learn more about this activity on page 40
of Dr. Craft’s Active Play!
• 19 •
D E V E L O P M E N T
I have found that with
increasing the amount of
physical activity in my
2-year-old classroom that
the children have a better
appetite, take a good nap
and even some behavior
issues have lessened
Debbie Wright,
COA Child Care Center,
Milwaukee
Many people believe young children are
naturally active enough. Preschoolers may
seem to be always on the move; however,
research shows that much of their physical
activity is light, including sitting, squatting,
laying down, standing and walking. On aver-
age, today’s preschoolers are not as active
as in previous generations, nor are they as
active as they need to be to stay healthy.
Physical Development
During the preschool years, children develop
more complex gross motor skills that usually
involve several stages. For example, skipping
requires coordinating steps and hops, and
riding a tricycle involves steering and pedal-
ing. Give your preschoolers time to practice
their gross motor skills every day.
While gross motor skills are developing
quickly so are fine motor skills. These skills
help children make smaller movements and
include holding and using small objects, such
as crayons and pencils, with fingers rather
than fists. Although we often think aboutne
motor skills in terms of writing or drawing, we
also use these skills in physical activity. We
need fine motor skills to be able to hold and
manipulate smaller objects, for example a
baseball. As gross and fine motor skills
continue to develop, preschoolers improve
their motor control and hand-eye coordina-
tion, both of which foster physical activity.
Brain Development
Throughout the preschool years, the brain
continues to grow and develop and experi-
ences spurts of developing connections.
These connections in the brain are critical for
healthy development, enabling children to
sharpen, control and coordinate both their
gross motor and fine motor skills. Experi-
ence stimulates all of this brain activity and
children need opportunities to learn, practice
and master physical activities.
Language Development
Preschoolers learn new words at an amazing
rate. They will use words they are familiar
with to expand, increase and explore their
vocabulary. Children can learn terms such as
swaying, exercise and heart rate when you
introduce them alongside words they already
know. The more they can see you model the
meaning of words, the more they are able
to use these words themselves. Additionally,
preschoolers learn grammar at the same
time as vocabulary, so they are better able
to understand and follow instructions that
include more than one step.
p r e s c h o o l e r s
a c t i v i t y i d e a
Animal Movements
Choose the favorite animals of the
children in your care, making cards to
act as cues for movement. Get your CD
player ready for children to move like their
favorite animals when the music is play-
ing. To begin this activity, choose a card
and then start the music. When the music
stops, the children freeze and wait to see
which animal card will be chosen for
them to imitate next. Be sure to take
this opportunity to teach movement
vocabulary, using phrases such as “walk
like a crab” and “hop like a bunny.”
• 20 •
To be able to jump
over the limbo bar
when it is at its
highest, they are so
proud they can do it.
April Orth,
Aprils Child Care,
Salem
Working with children of multiple ages means
working with children in completely different
stages of development. It is important to know
where each child is in terms of physical, brain
and language development so you can
adapt activities, routines and environments
to address the developmental stages of
all children.
Multi-age groups can occur in centers with
multiple staff members to help or in home
environments with only one provider. With a
variety of developmental levels, activities have
to be flexible. Here are some ideas to engage
multiple developmental levels in one activity:
1. Scaffolding. This is a great tool when
you have two children close in age and
ability, with one slightly ahead of the
other. Give the children a physical activity
that involves the older child helping the
younger child, such as dribbling a ball,
throwing a ball through a hoop or
swinging. This will help both children
develop their skills.
2. Support child-initiated activity. Large dice
with different gross motor skills on each
side or picture flashcards depicting gross
motor skills are great tools for promoting
self-directed play. Older children can take
turns rolling the dice or picking cards and
acting out their own physical activities.
3. Make the best of technology (but only
when you really need it!). When the day
is hectic and you need a quick distraction
for the children, it is helpful to have music
and movement CDs and active DVDs
on hand.
m u l t i - a g e g r o u p s
a c t i v i t y i d e a
Scarves of Many Colors
Have each child pick out a different colored scarf and act out things
found in nature, such as trees, water, the sky or animals.
Give scarves to infants as well so they can learn from sensory exploration.
Infants also will see the older children and process what they are doing.
• 21 •
D E V E L O P M E N T
• 22 •
Physical activity may be different for
children with a developmental disability.
If you are working with a child who has
an identified developmental disability,
think about how physical activity
opportunities can be adapted to meet
the child’s individual needs. Here are
a few examples:
A child with a speech or language
delay or hearing loss may need more
frequent visual and verbal cues, such
as counting to three by voice and on
your fingers, and jumping three times
A child with a cognitive delay may
need instructions broken into small,
simple steps. The child may benefit
from partnering with a friend who
can help demonstrate the steps
A child with autism may be more or
less sensitive to noise, touch or light.
You may need to adapt equipment,
materials and the environment.
Additionally, routines are very
important with activities occurring at
the same times throughout the day
A child with physical challenges
can thrive in environments that
provide ample space to navigate.
Include adaptive equipment and
store materials accessibly. You can
modify activities to use different
body parts or motions
Be careful not to generalize. Not every
child with a certain type of disability
or delay will respond to the same
adaptations. Get to know the children
in your care and customize adjustments
to each child.
If you are aware that a child is
developing at a different rate or in a
different way, be sensitive to the needs
of that child and the child’s parents.
Be sure you understand the child’s
Individualized Education Plan (IEP)
or Individualized Family Service Plan
(IFSP) and how it relates to physical
activity. Physical activity should be
flexible and adaptable to all children
in your care. Resources are available
to help you adapt activities and
materials so all children can participate
in physical activity.
i n c l u s i o n
c u l t u r a l
c o m p e t e n c y
One of the most important concepts
in cultural competency is to honor the
individual. The best way to ensure you
are honoring each child’s culture is to
get to know every family in your care
through constant communication about
each child’s progress and needs and to
understand the values of each family.
Ways to learn a family’s culture and how
physical activity is viewed include:
Ask questions about physical activity
in interviews and conferences
Have an “All About Me” section in your
curriculum. Include pieces that ask how
children and families are active. Include
photos of physical activity to promote
physical activity in your classroom and
at home
Do a physical activity Show-and-Tell.
Children can share a game or activity
they do with their families at home. You
may learn new games and activities too
t o o l s i n c l u d e d
Language Development Chart.
Use this chart to refresh your movement
vocabulary so you can teach your children
how to communicate about movement
and physical activity. (Appendix D)
At our parent events, we always incorporate
a movement activity. The best so far was
dads doing a rhythm stick dance.
Verna Drake,
Westby Day Care and Learning Center,
Westby
)
)
• 23 •
D E V E L O P M E N T
eng agi ng f amili es
Plan family nights that focus on physical
development and activity. This will also
give you an opportunity to learn how
active lifestyles fit into the cultures of
the families in your program.
engaging communities
Collaborate with your local children’s
museum to promote physical activity.
Consider exhibits designed to educate
families about physical development
and promote physical activity.
“We had a father who is a teacher
in the public school come in and
do a “Family Activity Night.”
We had several stations set
up for active participation,
including a stretching station,
obstacle course, family
tug-o-war, hula hoops and
fill in the bucket activities.
We had a great number of
families participate.
Wendy Eagon,
University Childrens Center,
Menasha
Child Assessment evaluates individual devel-
opmental patterns and milestones, including
the development of gross motor and fine
motor skills. Observing and documenting
each child’s development helps to:
Identify delays or any unusual develop-
ment for early intervention
Understand each child’s capabilities so
that lesson plans address the needs of
all children
Sequence skill development throughout
a curriculum
Know how to adapt physical activity
programs and environments
Observe a childs behavior and understand
more about the reasons or context for
those behaviors
o v e r v i e w
• 24 •
The Gross Motor Developmental Milestones Quick
Reference Chart (on pages 16 and 17) will help you
observe and assess the physical development of
individual children in your care. Features include:
A focus on physical development and skills
Skill categories within the physical development domain
Suggestions for sequencing physical skill development
Separate versions created for different age groups
as s essing the ch i ldren
in your p r ogram
I have used my observa-
tions to plan opportunities
that encourage physical
activity for an infant, three
2-year olds, one 4-year-old
and two 6-year-olds. Some
of the ways that I have
done this is to watch for the
types of activities that are
piquing their curiosity at
each age.
Brenda Flannery,
Lil Blessings Child Care,
Crandon
CHILD ASSESSMENT
C H I L D A S S E S S M E N T
• 25 •
how to fit assessment
in t o your day
Observing the physical and gross motor
development of the children in your care
does not have to feel like an extra responsi-
bility to fit into the day. You can purposefully
plan activities to help you assess skills and
strategically place your recording tools for
easy access during the day. You can make
useful observations while you interact with
children, lead activities, support child-initiated
play, and reflect back on the day’s events.
Documentation
To make documentation easy, think about
how your environment is set up and which
methods of documenting will work best for
you. In their book Focused Observations:
How to Observe Children for Assessment
and Curriculum Planning, Gaye Gronlund and
Marlyn James discuss a variety of tools and
ideas you can use to record a child’s develop-
ment. Included are an observations record, a
quick check recording sheet, a file folder and
sticky notes, and a folder with index cards.
You may want to carry a tab of paper or a ring
of index cards to jot down notes throughout
the day, or you may prefer to have a clip-
board for each child that you fill in during
quieter times of the day or after children
have gone home.
Dont be discouraged if you have to try a few
methods to find out what works best for you
and your program. This just means that you
have really figured out what works best!
a picture of the physical development of all
of your children, you can prepare adaptations
for children at different skill levels. Be sure to
communicate successes to parents and give
them ideas of how to continue their child’s
growth and development at home.
co n sidera t ions
for all ages
Children grow up fast and it is important to
record and document their development.
Use a variety of activities to help assess
skills children have mastered, skills they
continue to practice and improve, and skills
that may need extra attention
Make regular observations of how children
respond to and participate in physical activity,
how they initiate their own physical activity,
and how they continue to develop physically
Communicate observations with parents.
Consider adding a physical development
section to your daily report or creating a
development portfolio that is frequently
shared with parents
Involve parents in assessment by inviting
them to share their observations from home
or encouraging them to contribute to their
child’s portfolio
q u i c k t i p s
Have the tools used to record
observations and assessment easily
accessible in your home or classroom.
For example, keep an index card for
each child on a ring that clips to your
belt loop.
Observation and assessment are an
ongoing process. Once you have
completed your action steps, start
observation and assessment again to
evaluate progress and identify new
areas for improvement.
Keep a journal of successful physical
activity. You can look back and see
progress and remember why you
do what you do!
wh a t come s afte r
as s essmen t ?
Create action steps for child development.
Once you have assessed the children in your care,
use the information gained to create schedules
and lesson plans that provide time to practice
skills and foster physical development. Because
your assessment has provided
i n f a n t s
Assess infants physical development by
engaging them in a variety of activities
that will help you see their progress
toward various milestones, such as grabbing,
sitting and crawling. For example, use
the Tummy Time activity below to assess
infants development in terms of lifting
their heads, holding their heads up, rolling
over and crawling. Use your interactions
as a method of assessment as well. Lead
infants in little activities throughout
the day, such as grabbing for different
objects, dancing around the room
with an infant in your arms, and
moving infants arms, legs, fingers
and toes as you name these body
parts out loud. Observe how infants
react to different activities and how they
start to initiate their own movements as
well as their continued physical development.
a c t i v i t y i d e a
Tummy Time
Place an infant on his or her tummy. Roll brightly-
colored soft play balls nearby. Encourage the
infant to follow the balls (visually from side to
side), reach for and touch the balls.
Equipment: Soft blanket or mat, colored balls
Time frame: 5-10 minutes or until interest
is lost
Adaptations: Adjust the distance that balls
are rolled; change the texture or size of balls
q u i c k t i p
Touch a toy to the infants’ hands to
encourage grabbing every day. As they
develop, you will see infants progress
from using their entire arms to swipe at
objects to using their entire hands to
grab, then just using their fingers to grab.
With increased mobility in
toddlers, be sure to arrange
safe, low places for climbing
and provide toys that can be
pushed or pulled. This will
help them develop all of the
gross motor skills, including
traveling, and manipulative
and stabilizing skills.
q u i c k t i p
• 26 •
C H I L D A S S E S S M E N T
t o d d l e r s
By providing a variety of materials and toys that
emphasize gross motor development, such as
soft materials to throw and catch (e.g., scarves
and Mylar balloons) and portable toys that can
be pushed or pulled, you will have the opportu-
nity to observe the toddlers in your care as they
explore the materials available.
You also can structure activities for toddlers so
specific gross motor skills and physical activities
can be observed. For example, the Scavenger
Hunt described at right allows you to observe
traveling skills such as walking or running,
manipulative skills such as pushing and pull-
ing, and stabilizing skills such as standing and
balancing while reaching. If a truck push toy is
placed on the opposite side of the room, you
could observe the toddler walking, pushing and
balancing. If a ball is placed on a shelf that is a
little higher than the toddler, you could observe
the childs ability to reach and balance. The
options are endless and they are all up to you!
p r e s c h o o l e r s &
o l d e r c h i l d r e n
Structure a variety of activities to observe
preschoolers’ gross motor skills and physical
development. Think about specific skills
you are interested in assessing and how you
can engage children in practicing those skills.
For example, you might want to use yoga
cards to have children practice different
balancing skills, such as standing on one foot,
squatting, and standing on tiptoes. Addition-
ally, you could create dice to use in practicing
different traveling skills. Have a different trav-
eling skill, such as walking, running or sliding,
on each side of the die. Then have children
roll the die and practice the skill!
Space Invaders
Prepare a 10-foot by 10-foot square marked with clear
lines. As children move through this space, assess the
personal space and general space that children travel
in. Use cues such as “Look at our small play area.
When I say ‘go,’ walk around our play area without
bumping into anyone else.” You can use this time
to observe and record posture, speed and comfort.
Say,Now run in our play area without bumping into
anyone else.” Observe and record again.
Equipment: Four cones or place-markers and tape
Time Frame: 10 minutes
Adaptations: Make multiple play areas to
accommodate more than 4 or 5 children. Encourage
children to use other locomotor skills, such as walking
backward or hopping. Play music in the background
q u i c k t i p
Create activity cards that capture
animals, objects or people in
different balancing positions. For
example, show a stork standing
on one foot, a frog squatting or
a toy soldier standing at atten-
tion. Try making cards for other
skill sets, such traveling skills or
object-manipulation skills.
a c t i v i t y i d e a s
Scavenger Hunt
Place favorite toys all over the room so toddlers must get to
the toys by crawling, cruising or walking. Choose a variety of
toys that will give toddlers a chance to feel different textures,
see different colors, and carry objects of different shapes and
weights. Use this time to observe and record gross motor skills.
Equipment: Children’s favorite toys
Time Frame: 5-10 minutes or until interest is lost
Adaptations: Adjust the distance between items
• 27 •
m u l t i - a g e g r o u p s
Multi-age groups of children bring a special
quality to the assessment process. Younger
children watch older children to see how they
move. Regardless of age, providers should
always try to understand each childs
preferred method of learning. But with a
multi-age group you can really see how
interactions between children who have
mastered a skill and children who are
learning a skill can promote physical and
gross motor development. Your observations
can then inform your lesson-planning processes
so that more activities are structured in a
way that helps children of varying ages learn.
q u i c k t i p
Often the best way to learn something
is to teach it to someone else. Have an
older child teach a new physical activity
or gross motor skill to a younger child.
a c t i v i t y i d e a
Follow the Leader, Simon Says, or Copy-cat
Choose an activity in which children have to mimic one another, such as
Follow the Leader, Simon Says or Copy-cat. Instruct older children to lead
different activities so you have an opportunity to observe the skills of younger
children. If you have specific skills that you would like to assess, make cards
or dice that can be rolled to give the older children guidance in selecting
activities. Then switch and have the younger children lead the game.
Equipment: None necessary, but props such as dice, bean bags or
scarves could be used
Time Frame: Variable
Adaptations: Go indoors and outdoors for variation. Depending on the
size of your group, you may want to expand or limit the space available
• 28 •
C H I L D A S S E S S M E N T
i n c l u s i o n
Do not assume a child has a developmental
delay or disability if he or she has yet to reach
a developmental milestone. Think about
possible explanations, including health
problems, the family’s culture and the child’s
history. After exploring these options, if you
still feel a child may not be developing nor-
mally, then take action.
If you have concerns about how a child
is developing, discuss your observations
and concerns with the childs parents.
Sensitivity is important. Your goal in discussing
this with the parents is to support them in
providing the best care for their child. This
can be done through giving parents support
and understanding. It is best to objectively tell
them your observation and recommend they
discuss this with their child’s pediatrician.
c u l t u r a l c om p e t e n c y
Understanding a family’s values and culture
before starting assessment is helpful, but it
is never too late to learn more. As you are
assessing the individual development of each
child in your care, you will see differences,
and it is important to understand why these
differences exist.
Culture can be one reason for differences.
For example, in one family it may be the
norm for a child to wait patiently to be
invited to join an activity, while in another
family, the child may be encouraged to
actively explore their environment at any time.
When assessing development, asking “why?”
is critical. It is important to understand why a
child has or has not achieved a developmental
milestone. Understanding a familys values
and culture will help you make reasonable
conclusions about a child’s development. Be
sure to look at the broader picture of a child’s
life before drawing conclusions about devel-
opment. When culture and assessment
are brought together, you also have the
advantage of using the information to
create culturally appropriate lesson plans
and classroom environments so they are
truly supportive to the children in your care.
e n g a g i n g f a m i l i e s
Use portfolios to share children’s physical
and gross motor development progress
with families. This could include photos,
quotes from the children, and objective,
strengths-based observations!
engaging communities
Encourage your community to assess its own
commitment to physical activity. Counties,
cities and neighborhoods routinely conduct
community needs assessments. Challenge
your community to make physical activity
a part of its next needs assessment!
• 29 •
t i p s f o r c o m m u n i c a t i n g w i t h p a r e n t s
Be strengths-based
Be kind
Be warm
Be real
Be of service
Be child-focused
Be aware of parent reactions
Be an active listener
Present
Patient (avoid interrupting)
Accepting
Nonjudgmental
Curious
Be a cooperative partner
Share information with parents
Invite parents to share information
Create next steps with parents
DAILY ROUTINES
• 30 •
Schedules
Daily schedules can help you ensure that
physical activity is intentionally planned every
day. Here are a few things to consider when
creating your schedule:
Make time for at least 60 minutes of
child-led, free active play each day
Incorporate teacher-led activities throughout
the day for a total of 60 minutes each day
Make sure teacher-led and child-initiated
active play occur both indoors and outdoors
Plan for physical activity throughout the day,
but stay flexible. Make a backup plan for
physical activity for those days that don’t
go as planned
Make your schedule visible to the children so
they can tell when they will have their next
opportunity to be active and release energy
Provide adequate rest times for children
Encourage parent involvement on a regular
basis. Ask parents to join in opportunities for
physical activity, send home information about
physical activity in newsletters, and share each
child’s successes in daily reports for parents
o v e r v i e w
To promote health and prevent obesity, physical activity must become a daily habit for children
starting at an early age. Adding 120 minutes of physical activity into each day may seem extremely
difficult; however, this is not the case. Early care and education programs around the state of
Wisconsin have successfully integrated 120 minutes of physical activity into their schedules,
transitions and lesson plans without having to add time to their days!
I nd that the children
are able to focus and
learn better after
implementing 120
minutes of physical
activity in our daily
schedule.
Kimberley Yehle,
Library Square School,
Kenosha
)
)
c o n s i d e r a t i o n s f o r a l l a g e s
A balance of structure
and flexibility means that
the basic schedule is set,
and everyone can depend
on it. Yet the schedule can
be changed or modified,
depending on the day —
the weather, moods and
interests of the children...
All About the ECERS-R
page 359
D A I L Y R O U T I N E S
“For young children,
curriculum is
everything that
happens, including
the transitions, spills,
spats and naps.”
Curriculum That Matters
by Margie Carter
• 31 •
Transitions
Transitions provide an excellent opportunity to
promote physical activity throughout the day.
Whether you are moving from free play to group
time or from outdoors to indoors you can also give
children the opportunity to develop skills and
release energy. Keep these tips in mind for
successful and smooth transitions:
View transition times as opportunities to utilize
and practice gross motor development skills
Active transitions can help meet the recom-
mendations for teacher-led physical activity for
toddlers and preschoolers. For example, as
children wait to wash their hands, play Simon
Says or simply have children jump rather than
walk from one space to another
As you lead children in activities, model physi-
cal activity for them. This makes expectations
for each activity clear
The most important lesson Ive
learned regarding physical
activity is that you can fit it
into your day during times
that you were previously
inactive. The children in my
care love to do jumping jacks
while waiting for everyone
to be ready for lunch.
Being active can be simple,
spontaneous and fun!
Gail Pitzen, Country Care
Children’s Center, Cuba City
)
)
Plan ahead. Active transitions that are thought
out and well-designed maximize success
Strive to meet both group and individual needs
for physical activity. Provide modifications for
children with more advanced skills
Always give children clear expectations and simple
directions for transitions so they occur smoothly
Lesson Planning
Lesson plans ensure that physical activity is
integrated into every part of the day across all
content areas. Physical activity can be integrated
into each part of your day. Ideas include:
Integrate physical activity into ALL curriculum
content areas, including literacy and mathematics.
For example, children can act out stories and
use mathematics as a guide for active indoor
or outdoor exploration
Use movement as one method of learning. Children
will be more successful when they have the opportu-
nity to learn from seeing, hearing and doing
When creating lesson plans, think about ways
to introduce new materials that will be
available during free choice times
Model how to use any new movement materials that
you provide for children. When children of all ages
know how and when to use materials, there will be
fewer mishaps during the week
Plan out physical activities for group times through-
out the week, including a couple of backup ideas,
just in case
As you create the lesson plans, outline clear expecta-
tions, simple directions and goals for activities. This
will ensure the success of your active lesson plans
Individualized infant schedules should take
into account each infant’s developmental
progress and preferences. This means that
two infants may be engaged in activities that
look quite different. (See sample schedule in
Appendix F). Physical activity opportunities are
spread throughout the day. Ideas include:
Include two or three opportunities for
tummy time, so infants can practice
lifting their heads and focusing on objects
in front of them
As you go through the motions of changing
diapers, talk to infants about their movements
As you transition for sleeping periods, move
the infant’s arms and legs up and down and
across the midlines before swaddling. Talk to
the infant all the time, describing movements
To promote physical activity, try to reduce
or even eliminate the use of restrictive
equipment such as bouncy seats or swings
Think about ways to integrate other
experiences that will help infants’ future
physical and gross motor development. For
example, the sensory experiences integrated
into the activity at right can transform tummy
time into an opportunity for an infant to
practice tracking the motion of an object.
This will later help with hand-eye coordination
and the manipulation of objects.
i n f a n t s
a c t i v i t y i d e a
Jazzed Up Tummy Time
During tummy time, place infants on their
tummies on a soft blanket. With the lights
dimmed softly, play Twinkle, Twinkle Little
Star. Roll a light-up Mylar water ball between
yourself and another child care provider or
an older child. This adds sensory experiences
and helps infants develop visual tracking
skills during routine tummy time.
Equipment: Twinkle, Twinkle Little Star
music, a light-up Mylar water ball, a blanket
Time Frame: 5 to 10 minutes or until
interest is lost
Adaptations: Adjust the speed at which you
roll the ball so the infant is not overwhelmed,
but remains interested
• 32 •
q u i c k t i p
Toddlers love to move!
Allow lots of opportunities
for movement throughout
the day. Create cards with
quick ideas to help you get
them moving!
Toddlers need 90 minutes of physical activity each
day, including 30 minutes of teacher-led physical
activity. Here are some ideas and considerations
for incorporating opportunities for physical and
gross motor development in daily routines into
toddlers’ daily routines:
Focus your lesson planning around refining skills
that toddlers have developed. For example,
toddlers can run, but they are not yet agile or fast,
so give them opportunities to practice this skill
Make your schedule visible to toddlers and use
symbols and pictures that let them know what is
coming next
Use larger blocks of time in your schedule to
maintain flexibility throughout the day
Plan for free playtimes with options for
movement, as well as group times that keep
children up and active
Captivate children in physical activity by using
songs and dances that are familiar to them
Promote language and literacy development along
with physical activity. For example, read a story
that is based on a song such as Five Little Ducks
or Five Little Monkeys Jumping on the Bed, and
encourage the children to act out the motions
with you
Model activities and describe your movements
so children can copy the movements you make
Use words to describe your movements, for
example say shake your hands” and “twist
your body back and forth”
t o d d l e r s
D A I L Y R O U T I N E S
Lead toddlers in active, simple transitions. For
example, on Monday, instruct children to hop like
bunnies from one space to another; on Tuesday,
have them waddle like ducks, etc.
Don’t worry if some children participate more
actively than others. It is all right for toddlers
to roam and explore on their own.
• 33 •
a c t i v i t y i d e a s
Cooperative Musical Hoops
This has the same basic rules as the traditional game of musical chairs, except
no one is ever “out.” Spread hula-hoops on the floor (if you do not have hula-
hoops, make rings out of yarn or ribbon). You should have one less hula hoop
than number of children. Play fun music as children move from hoop to hoop.
When the music stops, all players must get inside a hoop, so that no players are
eliminated. Remove one hoop each round. As you remove the hoops, let the
group know that no one is out. Part of the fun is seeing how many players can
fit into one hoop. The game is over when everyone is in the last remaining hoop.
Active Cleanup!
Make cleanup times more exciting and fun for both you and your toddlers. Each
day, focus on a different traveling skill, such as walking fast, hopping, or jumping.
When it is time to clean up, ask your toddlers to use these traveling skills as they
put away materials. Add sensory experiences by playing music or letting children
ring a bell when they put an item away. Be sure to model your expectations for
cleanup, too!
Equipment: A classroom that has been in use
Time Frame: Until cleanup is finished
Adaptations: Use different elements for sensory experiences, such as
dimming lights
• 34 •
Best practices say preschool-age children
need 120 minutes of physical activity each day,
including at least 60 minutes of teacher-led
physical activity. To achieve this standard, look
at your current schedule and use your imagi-
nation to add physical activity wherever you
can. Ideas include:
To create opportunities for teacher-led
activities, sneak physical activity into group
times (both small and large), as well as
transition times
Make music and movement interest areas
available during free-choice time. Play music
that guides children in movement and dancing
Preschoolers also can engage in child-
initiated active play outdoors. Provide
a variety of materials outdoors to foster
development of traveling skills (running,
jumping, climbing), manipulative skills
(throwing, kicking) and balancing skills
p r e s c h o o l e r s
q u i c k t i p
Try a few teacher-led physical activities
at the end of outdoor play as a way to
make transitions smoother.
a c t i v i t y i d e a
A Wild Rumpus
Read the book Where the Wild Things Are by
Maurice Sendak. After reading it, invite the
children to join you in dancing the Wild Rumpus!
Equipment: The book Where the Wild
Things Are
Time Frame: 15 minutes
Try an active story time where children act
out a book as you read, or practice their
recall skills by recreating the storyline later.
(See Books To Move To: Physical Activity
and Literacy, Appendix G)
Activity and math go hand in hand. Children
can learn numbers, shapes, directions and
patterns through movement
Science covers health and the human body.
As you teach children how movement helps
their heart, muscles and bones, they learn
foundations of science
For group times, consider activities such as
jumping out the date. If it is the 20th of the
month, have children jump 20 times. Mix it
up by encouraging the children to jump on
one foot or two feet, or to take little jumps
or big jumps
Working with a group of children of various
ages and developmental stages requires
great flexibility when planning schedules and
lessons. You also will see differing physical
activity and gross motor development needs.
Here are some ideas for incorporating physical
activity into your daily routines:
Focus on one general category of skills
and then think about how each child in
your care is currently developing that skill.
For example, create a relay race focused
on traveling skills. Instead of breaking into
teams, have all the children participate on
the same team. Call out which develop-
mentally appropriate traveling skills each
child will use to begin his/her portion of the
relay (e.g. preschool-age children can skip;
toddlers can run)
Keep activity cards on a ring, or have a pair
of dice with illustrations of physical activity
that quickly can be referenced when a new
idea is needed. These tools may help with
time management because they enable
older children to help lead activities
Throw a dance party! Children
of all ages can be active on
their own when there is music
multi-age groups
D A I L Y R O U T I N E S
a c t i v i t y i d e a
Group Shapes
Encourage children to work together as
a group and to act individually to form
different shapes and objects out of their
bodies. You can create shapes, such as
circles, triangles and rectangles, or letters,
such as “C” and “Y,” or even objects, such
as tables or chairs. Older children can help
younger children. Hold infants while you
lead this activity so they can watch.
Equipment: Ideas of objects to create
Time Frame: 5 to 10 minutes or until
interest is lost
Adaptations: Keep modeling how to make
your body look like the different shapes
– From Healthy Movement & Active Play
We start our day with
the bingo animal cards.
I cut them up and put them
in a bucket. They take turns
drawing a card and acting
it out. It’s part of our ‘get
the day started routine.
Nancy Storkel,
Learning Ladder Daycare,
Tomah
q u i c k t i p
Use movement activities that actively
involve all children, rather than
activities in which some children just
wait and watch. For example, modify
games so no child is ever “out.”
D A I L Y R O U T I N E S
“Gross and fine motor activities
s build skills that children continue
to expand upon. Movement can
easily be incorporated into activities
ranging from math to literacy to
science and beyond.
Jill Bodwin, CESA 7 Headstart,
Manitowoc
• 35 •
The best approach to inclusion and daily
routines is to honor each child as an
individual. If a child has an Individualized
Education Plan (IEP) or an Individualized
Family Service Plan (IFSP), use this as a guide
for thinking about scheduling, transitions and
lesson plans as they relate to physical activity.
These plans provide expertise and valuable
guidance from each child’s parents and can
inform your physical activity daily routines.
Be mindful of time as you create schedules
or lesson plans. Children with developmen-
tal delays or disabilities may need more
time to complete tasks or they may need
a shorter period of time to ensure they are
not stressed or overwhelmed by the activity.
Alternatively, children may need more breaks
to rest. Think about the pace at which the ac-
tivity is moving, and do not be afraid to slow
things down or speed things up accordingly.
Build in flexibility when planning and imple-
menting your lessons. Modify rules to games,
prepare extra cues or prompts for children
and ensure you have adaptive equipment for
the activity. For example, a child with a hear-
ing deficit may benefit from being strategi-
cally placed across from you in order to see
your lips move and watch you model activi-
ties, or by being next to you to hear instruc-
tions better. Remember that there is variation
in developmental delays and disabilities.
Not every child with a hearing deficit
or every child with autism will react the
same way to an activity. Make sure you
know the children in your care and
customize activities accordingly.
i n c l u s i o n
I think that no matter what age they
are or what kind of disability they
may have, there is always some kind
of physical activity they can do, so I
encourage them to at least try and
if they think its too hard, then they
can try something else.
– Maichao Lor, MC Care, Wausau
)
)
• 36 •
c u l t u r a l c o m p e t e n c y
Just as your child care program has daily routines,
children have daily routines at home, too. What
children do at home carries over into your child care
program and what you do carries over into their
home lives. It is important to remember that
different values guide families’ daily routines. For
example, one family might prioritize eating dinner
together every night while another prioritizes
community involvement in the evenings.
An understanding of daily home routines will help
you understand how a child reacts to the daily
routines in your early care and education program.
Talk to parents about each child’s life at home. Be
open and respectful, and honor each family’s values
and priorities, as these are reflections of their culture.
Eating, sleeping and physical activity patterns at
home influence how active a child will be in your
program. And a child’s activity in your program will
affect eating and sleeping overall. Communicate
frequently with parents about the amount of physical
activity their child is getting in your care and discuss
the benefits of physical activity for their child. Ask
parents “how” and “what” questions to encourage
them to talk about their children’s physical activity
both at home and in care.
t o o l s i n c l u d e d
1. Full Day Sample Schedule: Group Child Care,
Family Child Care, and Infants and Toddlers.
This sample schedule provides an outline for how
to demonstrate that children are physically active
throughout the day. (Appendices E and F)
2. Books to Move to: Physical Activity and Literacy.
Physical activity fits well with the school readiness
goals of early care and education. One way to do
this is to make story-times become active. Here is
a list of books that can get kids moving as they are
learning to read. (Appendix G)
e n g a g i n g f a m i l i e s
Plan weekly walks for families in your program.
Designate a defined route. On the walk, try some
of the games used for transitions during the day so
parents can experience and enjoy them. Consider
bringing pets for the walk, too. Make sure you bring
plenty of water!
c o m m u n i t i e s
Encourage your community to provide safe routes,
such as sidewalks and bike trails, near child care
centers so families and staff can walk or bike
safely to your program!
This month we encouraged
family scavenger hunts:
Start by making a list of
common things found
in your neighborhood,
like the blue house or
the tall oak tree. Then
walk around your
neighborhood with your
child and search for the
items on your list which
can lead you to a fun
destination, like the park!
Jill Bodwin,
CESA 7 HeadStart,
Manitowoc
q u i c k t i p
Think about culture and gender roles. There
are overall societal norms that in many ways
encourage physical activity in boys but not
girls. However, we know girls need just as
much physical activity as boys to be healthy.
We get all the children together, 3 and
up, and have a baseball game every
Tuesday in the summer at the park
across the street from our center.
– Karen Verhagen, Kinder Haus, Kaukauna
)
)
D A I L Y R O U T I N E S
• 37 •
ENVIRONMENT
Your classroom or home environment sets the
stage for physical activity. You can encourage
children to be more active by making times for
physical activity visible on the schedule in a way
that children know when to expect their next
break. You can set out new and exciting active
materials each week to keep children engaged
and encourage them to select active options
during their free-choice time. Additionally,
you can create an active culture in your early
care and education space by using everyday
materials that promote physical activity, such
as posters of active kids and books about
physical activity in your reading area.
Children learn by exploring and children of all
ages need time to be physically active both
indoors and outdoors. Creating supportive
indoor and outdoor environments will promote
physical activity and greatly influence gross
motor outcomes for children. Think about your
classrooms, play spaces and outdoor areas, and
where you can encourage more physical activity.
Structure activities and environments so
children of all ages can actively explore, learn
and practice gross motor skills.
Child-Provider Interactions and
Your Role as a Provider
Familiarize yourself with developmentally-
appropriate practices and the sequence
of physical and motor development. Also,
know which resources are available to you
and seek out new resources
Model and participate in physical activity,
and dress to be active
Observe and record children’s development
so you can help them expand their skill sets
Set the pace for activity so all children in
your program are included
Understand that movement and physical
activity overlap with social-emotional
development. Your interactions with children
regarding their physical and gross motor
development will have an impact on other
areas of their development
o v e r v i e w
Anything we introduce with enthusiasm and fun always excites
the children. There is the occasional child who says they do not
want to participate, but they always join in eventually.”
Maggie Smith, R.E.A.L. K.I.D.S, Menominee
• 38 •
special considerations for
family child care providers
If you are a family child care provider, your physical
activity environment will depend on whether your
living space is used for child care or if you use a
separate space for your program.
Indoors. If you care for children in your home, think
about arranging furniture to define spaces, and
identify an area for music and movement. There
should be plenty of space for children to jump,
skip, gallop, use push-and-pull toys, and throw soft
objects. Think about how opportunities for physical
activity occur naturally in your home, such as stairs
for climbing, hallway spaces that can be used as
“bowling alleys” and even chairs and couches that
serve as support for children learning to stand and
walk. Consider using portable equipment so you can
rotate materials as the children’s interests, abilities
and developmental stages evolve. Use tubs and
shelving to store materials so your home can serve as a
supportive environment for childrens physical develop-
ment as well as a home for you and your own family.
Outdoors. Children need opportunities to explore
nature, so consider landscaping that includes trees
for shade, large rocks for climbing, hills for rolling
down and climbing up, and gardens for digging
and planting. Accompany these natural features
with developmentally appropriate equipment, such
as slides and swings, as well as push-pull toys and
tricycles. This will present children with a variety of
experiences in traveling skills, balancing skills and
manipulating skills.
considerations for all ages
Here are some tips for setting up active indoor
and outdoor spaces:
Your space should be safe, clean, neat and
clutter free
Arrange your space so that it is easy for you to
supervise all children. This way you will know
if children are being active and if you need to
encourage more movement
Create a space that purposefully promotes
physical activity. Set aside plenty of space to
practice large muscle skills
Provide free access to physical activity and
movement materials. This will encourage
children to initiate their own physical activity
Set clear expectations for behavior. Model
appropriate behaviors so children understand
how to act and know how to use available
materials and equipment
Some materials and equipment will be more
popular with children than others, so have more
than one available. Store these items where
children can gain access to them
Indoor Space
Provide clear traffic patterns. Set up furniture
in certain ways, or place footprints on the floor
to demonstrate where to walk
Choose developmentally appropriate materials
to set out in your room. If children seem uninter-
ested in a material, it may be too challenging
or not challenging enough. Don’t be afraid to
try something else
Hang up posters of diverse, active families,
and keep books in your reading area that show
children dancing, moving and playing games
Make sure lighting is sufficient for children to see
and that materials absorb sound to limit noise levels
Outdoor Space
Make sure that there is lots of variation in
the materials and equipment available outside.
For example, make sure there are different
types of surfaces, such as a paved bike path,
a cushioned surface beneath climbing areas,
and grassy spaces for running
Provide both portable and fixed materials.
For example, stationary and movable tunnels.
This will encourage children to practice a
variety of gross motor skills
Ensure access to plenty of natural materials.
For example, have rocks to climb on, hills to
rolldown, and a garden to tend
Ensure access to drinking water
Provide a shaded or covered area to protect
children from the sun, rain or snow
E N V I R O N M E N T
• 39 •
q u i c k t i p
Go outside in the winter or even in light rain!
Fresh air—even in winterbenefits children.
Licensing rules in Wisconsin define “inclement
weather as stormy or severe weather,
including any of the following elements:
(a) Heavy rain
(b) Temperatures above 90 degrees
Fahrenheit
(c) Wind chills of 0 degrees Fahrenheit or
below for children age 2 and above
(d) Wind chills of 20 degrees Fahrenheit
or below for children under age 2
• 40 •
Provide space for infants who are mobile and
younger infants who are not yet mobile. This
provides a safe space for all infants to explore
their environments in their own ways.
Infants who are not yet walking should have
space and time to move their arms and legs
freely while awake
Infants crawling and walking should have
enough space and supports (e.g. furniture)
to help them pull themselves up and balance
Outfit your outdoor space with appropriately-
scaled equipment, including equipment
infants can use for support and push-pull toys
for walking infants
Provide a variety of surfaces for all infants
to explore
The outdoor environment should encourage
infants to guide their own active exploration
During tummy time, place attractive
materials just out of reach to encourage
young infants to practice reaching
Structure more exploratory activities as
infants grow, such as climbing in and out
of low cardboard boxes or rolling beach
balls for batting and kicking
Have one-on-one time with all infants to
encourage gross motor skills. Be sure
the environment provides infants with
opportunities to repeatedly practice their
developing skills
i n f a n t s
a c t i v i t y i d e a
Tunneling to Toys
Set up a collapsible tunnel or create your own using
a large cardboard box open on both ends with the flaps
taped out of the way. Position an infant who is practicing
and close to mastering crawling at one end of the tunnel.
Place a favorite toy at the other end and wait there,
providing encouragement all the way!
Equipment: Child’s favorite toy, a collapsible tunnel
(or cardboard box)
Time Frame: 5 to 10 minutes or until
interest is lost
Adaptations: Try adjusting the length
of the tunnel
• 41 •
E N V I R O N M E N T
q u i c k t i p
To ensure children get enough physical
activity in the winter months, make getting
dressed to go outdoors part of the physi-
cal activity. Sing songs or do stretches
between putting on mittens. Get creative!
t o d d l e r s
Make your indoor space for toddlers an
area they want to actively explore. Bring
materials into the space that promote
gross motor skills while providing a
variety of sensory experiences.
Provide plenty of room for toddlers to
practice their emerging traveling skills.
A small climber with a wooden slide
and stairs or a sit-and-spin make great
additions to your indoor space. Not
only does this equipment encourage
exploration, but you can easily
disinfect the nonporous surfaces
Bring in balls that are of different textures,
sizes, weights and colors. Balls, bean bags
and scarves will encourage toddlers to
practice skills such as throwing and tossing
Introduce movement into other areas
of your classroom by bringing in natural
objects, such as pinecones and leaves, for
your sensory table. You can link these
objects to the outdoors by taking
an afternoon hike through the
neighborhood or to a nearby park
Provide time for toddlers to
actively explore the outdoor
environment on their own
Make sure there are a variety of
surfaces for practicing different gross
motor skills. Locate a solid surface for
push-and-pull toys and a grassy area
for running and hopping
Provide plenty of size-appropriate
materials and promote various gross
motor skills, such as low-riding toys
that toddlers can push with their feet
and climbers that are not too high
Store materials in a low space easily
accessible to toddlers
If you share an outdoor space with
other age groups, try to secure some
time for toddlers to explore on their
own
a c t i v i t y i d e a
Hop and Jump like Betsy
Read the book Hop, Jump by Ellen Walsh. The
children jump forward in a variety of ways (short,
quick jumps, long jumps and high jumps). Next,
the children hop using one foot, then the other.
Next, the children leap. Finally, the children do
all of these movements in any order they choose!
Materials: The book Hop, Jump
Time Frame: 10 to 15 minutes
Adaptations: Switch up the order. Adjust the
amount of space for children
“One of my teachers came to me this week to
tell me how wonderful the new climber is in her
classroom. She told me that in the two weeks
it has been in use, she has noticed a drastic
difference in the amount of time she spends on
redirecting her 2 ½-year-old children. She said
they are all much calmer now that they have
a designed active area in her classroom.
– Nancy Karn, Kids Depot, Madison
)
)
• 42 •
p r e s c h o o l e r s
Preschool-age children need time indoors
and outdoors for gross motor play. The
environment of each of the spaces will
influence gross motor outcomes. Take time
to plan your environments so they incorpo-
rate physical activity and gross motor skills
in every way possible.
Consider art projects that encourage
children to draw while kneeling on
the ground. It will help them develop
their low-level balancing skills on
hands and knees
Add books about physical activity to your
reading library. Read books together and give
children the opportunity to act out the story
Bring physical activity to life in the dramatic
play area
Give children options to pretend they are
athletes, yoga teachers or fictional characters
Create a music and movement interest area.
Locate the area close to an electrical outlet
so music can be played. Provide instruments
that make more music with more movement,
such as tambourines and maracas
Place pictures and names of materials on
shelves to show children where materials
belong
Provide a variety of equipment outdoors
to promote traveling skills, balancing skills
and manipulative skills. Incorporate both
natural and structural elements to give
children a variety of experiences in
learning gross motor skills
Engage children in teacher-led activities
indoors and outdoors, and plan challenging
games and activities
Join in activity as much as possible to
model skills, such as shooting a basketball
or running backward
Children who did not have the
confidence to participate in physical
outdoor play enjoy the active indoor
centers. The limited number of children
and open-ended activities build their
confidence, their strength, their activity
levels. Teachers have noticed that children
are more focused during group time and
less classroom management seems to be
needed. Indoor active centers allow
children to release some of their
energy in a positive manner.
a c t i v i t y i d e a
Balance Low, Balance High
As a group, explore balancing at both high
and low levels. Challenge each other to
balance as steadily as possible for as long as
possible. High-level positions include stand-
ing on tiptoe, on one flat foot; on tiptoes
with both feet and knees bent; on tiptoes
with eyes closed; and on one foot on tip-
toes. Low-level positions include balancing
on two hands and one knee, one hand and
two knees, one hand and one knee,
bottom only, knees only and one knee only.
Equipment: Ideas for balancing!
Time Frame: 5 to 10 minutes
Adaptations: Offer the different variations
to challenge children but also make the
activity fun for everyone
From Healthy Movement & Active Play
q u i c k t i p
How active you can make your dramatic
play area? Provide materials for children
to be active in their imaginative play.
For example, they could pretend to be
an aerobics or yoga teacher or act out
a story such as the Three Little Pigs.
Linda Groom, Hudson Community
Children’s Center, Hudson
E N V I R O N M E N T
families. Make sure materials such as books and
posters represent all children in your care.
How can you show honor and respect for your
children’s cultural backgrounds? Invite parents to
lead physical activities and encourage children to
share physical activity materials and books from
their homes. This also will help children develop
an awareness of diverse cultures while learning
new and exciting activities.
e n g a g i n g f a m i l i e s
Take time to communicate how the home or
classroom has been structured to promote physical
activity. Relate these changes to ways parents could
change their home environments to promote physi-
cal activity. It can be done in a newsletter, at a parent
conference or even during daily drop-
offs and pick-ups.
e n g a g i n g c o m m u n i t i e s
Encourage your community to build neighborhood
playgrounds to increase access for families. Look at the
tools and resources provided by Kaboom!, an organi-
zation with a mission to create great play spaces within
walking distance of every child in America through the
participation and leadership of communities.
m u l t i - a g e g r o u p s
Supportive indoor and outdoor environments
for multi-age groups should accommodate
children of different physical abilities. Promote
positive interactions between children of all
ages so they continue to learn from one another.
Join children in physical activity whenever possible.
i n c l u s i o n
To ensure that learning experiences are rich
and beneficial to all children, including those
with developmental disabilities, you may need
to adapt the environment to suit individual
needs. If a child has an Individualized Education
Plan (IEP) or Individualized Family Service Plan
(IFSP), use it as a helpful tool in making
meaningful adaptations.
Carefully assess your environment through the
eyes of each child in your class, including those
with developmental disabilities. Position yourself
at the children’s height and carefully examine
every feature of your
environment. This will
help you understand
how to adapt
your environment.
quick tip
Try pulling the plug on your home televi-
sion and computer! Over time, observe the
changes you see in children’s behaviors!
• 43 •
ADAPTING
EQUIPMENT
Provide a variety of balls,
including different sizes,
weights and textures
Use Velcro to adapt
materials so they are
easier to handle
Have scoops or EZ
catches available
Use larger equipment, such
as bigger bean bags, or a
wider balance beam or board
For example, make sure materials and equipment
are within reach of all children. Place heavier
objects lower to the ground and place lighter
physical activity materials, such as scarves or bean
bags, on higher shelves.
Think about how space is defined. Is there enough
room for all children? If a child uses a walker or
wheelchair, can the same traffic patterns in the
classrooms be used as other children? Are the
boundaries of the space clearly defined? If not, use
tape or fixed features in the room to create a well-
defined space for movement and physical activity.
Remove obstacles both large and small.
Ensure that equipment and materials can be used
by all children in your care. If you notice that a child
is having trouble using a ball, think of ways to make
it easier. Try textured balls. Try balls of different sizes
or weights. Let children master rolling, throwing and
catching with equipment that is easier to use and
can help the child be successful.
Child-provider interactions are just as important
for children with special needs. Take the time to
make sure activities are understood and are
accessible. This may mean positioning yourself
so that a child can see your lips moving while
you speak or that you close enough to help
support their movement. This will create
positive association with physical activity.
c u l tu r al c om p et en c y
Creating accessible environments for the children
in your care means considering their culture when
selecting materials and equipment. Include games
and activities that children play at home with their
• 44 •
Resources are essential in promoting physical
activity. There are never too many ideas for
engaging young children in active learning.
These resources may range from physical
activity curricula to books and CDs to hands-on
physical activity equipment and materials. As
you research and review the different resources
available, you will find a wide range in quality
and quantity. Here are a few things to keep in
mind as you select resources.
Physical Activity Curriculum
A movement education and physical activity
curriculum will emphasize meaningful content,
which includes:
Instruction in a variety of motor skills
designed to enhance child development
Fitness education and assessment that
promotes an understanding of physical
well-being
Development of cognitive concepts related
to motor skills and physical activity
Opportunities to improve social and
cooperative skills
Opportunities to increase the value placed
on physical activity for health, enjoyment,
self-expression and confidence
Sequencing to ensure that motor skills,
physical activity and assessments are
appropriate for age and developmental
stage, with basic skills leading to more
advanced skills; and that appropriately
monitors, reinforces and plans for
children’s learning
Physical activity curriculum should cover the
essential elements of physical development
and activity. Will the curriculum:
Match the philosophy, mission and policy
statements you have in place
Support the inclusion of all children,
including ages, skill sets, developmental
stages and cultural backgrounds
Align with the Wisconsin Model Early
Learning Standards
Involve parents
Provide specific instructions on how to
implement the curriculum
o v e r v i e w
RESOURCES
D A I L Y R O U T I N E S
Equipment and Materials
When searching for physical activity equipment and materials, you will
want to test each item against a few standards. Use the following to chart
to help you think about what to get out of your equipment and materials.
Equipment
What kind of space is required?
o size of play area
o indoor needs
o outdoor needs
Is the equipment portable or fixed?
Is the equipment manmade or
does it occur in the natural
environment?
How many children does the
equipment support?
What age range is recommended?
Does the equipment support
the skill sets that children are
developing?
Is the equipment safe?
Does equipment follow licensing
regulations?
Does equipment follow quality
improvement recommendations?
Is the equipment inclusive?
Is the equipment culturally
competent?
R E S O U R C E S
Materials
Do the materials t with your
program philosophy?
Are the materials developmentally
appropriate?
Do the materials support the skill
sets that children are developing?
Are materials manmade or do they
occur in the natural environment?
Are the materials evidence based?
Does the child or the teacher make
the materials?
Are materials safe?
Do materials support individual child
outcomes?
Are the materials sustainable?
Are the materials culturally
competent?
Are the materials inclusive?
Suppliers
Community Playthings
Constructive Playthings
Discount School Supply
Early Childhood Manufacturers Direct
Education Station
Environments, Inc.
Kaplan
Lakeshore Learning
Play with a Purpose
School Specialty
Publishers
Brookes Publishing
Gryphon House
Highscope Press
Human Kinetics
PE Central
Redleaf Press
Where can you find Physical Activity Equipment and Materials?
There are plenty of options. When you prepare to invest in physical activity,
take time to compare prices, quality and features of equipment, materials
and resources. Here are some suppliers and publishers to start with:
• 45 •
• 46 •
i n c l u s i o n
Here are a few questions to ask when
determining whether a resource is inclusive:
1. Is inclusive and child-focused language
evident and are specific examples
regarding individual outcomes included
in the resource?
2. Does the resource include visuals and
examples that include children with
varying abilities?
3. Does the resource have suggestions for
modifications and adaptations for varying
levels of ability?
4. Does the resource include tips for lead-
ing activities in ways that embrace various
learning styles?
5. If the resource suggests or requires equip-
ment, does it provide examples of adaptive
equipment or ideas to modify equipment?
c u l t u r a l c o m p e t e n c y
Here are a few questions to ask when
determining whether a resource is culturally
competent:
1. Does the resource include visuals and
examples that include children of diverse
backgrounds?
2. Is the resource linguistically appropriate,
for example is it available in various
languages and does it address the
linguistic needs of children and families?
3. Does the resource provide music and
movement activity ideas that are inclusive
of various cultures? This would include
songs, instruments and dances that are
culturally diverse?
4. Do examples of imaginative games and
activities allow children define their own
roles according to their culture, rather
than using stereotypical roles?
5. Does the resources provide suggestions
for culturally appropriate props and
materials? For example, if using a hot
potato is not culturally appropriate
because there is a norm that food should
never be used in play, does the resource
give an alternative?
t o o l s i n c l u d e d
1. Homemade Physical Activity Materials.
This tool provides instructions for creating
homemade materials that promote physi-
cal activity in your early care and education
program. (Appendix H)
2. Physical Activity Materials & Equipment
Ideas. This list of materials and equipment
will help you provide children with
opportunities to develop a variety of
gross motor skills. (Appendix I)
e n g a g i n g f a m i l i e s
Create take-home physical activity kits for
families. Kits can include fact sheets and
activity ideas for parents, as well as resources
to be active at home!
e n g a g i n g c o m m u n i t i e s
Ask your local library to be supportive of
active lifestyles for young children through
active story times or by devoting sections
of the library to physical development and
activity for young children.
To minimize costs, think about
the different ways to access
resources, such as Wisconsin’s
Child Care Information Center
(CCIC) and your local libraries.
Libraries often have inter-
library loan arrangements that
can help you find and check
out materials your local library
may not have on hand.
q u i c k t i p
R E S O U R C E S
PHYSICAL ACTIVITY RESOURCES FOR EARLY CARE & EDUCATION
Curriculum & Books
AGE GROUP TOPIC OTHER
Infants
Toddlers
Preschoolers
School-Age
Multi-Age Groups
Obesity Prevention
PA Best Practices & Benefits
Development
Assessment
Daily Routines
Environment
Business Practices
Cultural Competency
Inclusion
Family Engagement
Community Engagement
Activity Examples
Cost (reflect lowest cost
available new or used)
CURRICULUM
CATCH Early Childhood Kit
X X X X X X X X X $$$$$
Color Me Healthy
X X X X $$$
Healthy Habits for Life
X X X X X X X $
Healthy Movement Active Play
X X X X X X FREE
I Am Moving, I Am Learning
X X X X X X X X X X X X X $$$$
SPARK Early Childhood Curriculum Manual
X X X $$$$
BOOKS
Active Learning Series
X X X X X $$
Active Start for Healthy Kids
X X X X X X X X X X $
All About the ECERS-R
X X X X X X $$
All About the ITERS-R
X X X X X X X $$
Big Body Play
X X X X X X X X X X $
Designing Preschool Movement Programs
X X X X $$
Dr. Craft’s Active Play!
X X X X X X X X X X $$
Focused Observations
X X X X X X X $$
Focused Portfolios
X X X X X X X X $$
Inclusive Games
X X $
Lets Go Outside: Designing the Early Childhood Playground
X X X X $
Movement Activities for Early Childhood
X X X X $
Movement in Steady Beat
X X $
Moving and Learning Across the Curriculum
X X $
Moving and Learning Series
X X X X X $$
Moving with a Purpose: Developing Programs for Preschoolers of All Abilities
X X X X X X X X $$
Natural Playscapes
X $$$
Purposeful Play: Early Childhood Movement Activities on a Budget
X X X X $
Six Simple Ways to Assess Young Children
X X X X X X X X $$
The Creative Curriculu
X X X X X X X X X X X X $$$$
Wisconsin Model Early Learning Standards
X X X X X X X X X $
$ = $25 or less $$ = $25 to $49 $$$ = $50 to $99 $$$$ = $100 to $249 $$$$$ = $250+
Check with your local public library of the Child Care Information Center (CCIC) to find resources for loan.
• 47 •
PHYSICAL ACTIVITY RESOURCES FOR EARLY CARE & EDUCATION
Articles & Websites
AGE GROUP TOPIC OTHER
Infants
Toddlers
Preschoolers
School-Age
Multi-Age Groups
Obesity Prevention
PA Best Practices & Benefits
Development
Assessment
Daily Routines
Environment
Business Practices
Cultural Competency
Inclusion
Family Engagement
Community Engagement
Activity Examples
Cost (reflect lowest cost
available new or used)
ARTICLES
Active Start: A Statement of Physical Activity Guidelines
for Children from Birth to Age 5
X X X X X X X X $
Alignment of the Wisconsin Model Early Learning
Standards with HighScopes Preschool Child Observation
Record (COR), 2nd Edition
X X X X X FREE
Alignment of the Wisconsin Model Early Learning
Standards, 2nd edition with the Content and Objectives
of The Creative Curriculum(R) System
X X X X X X X FREE
Best Practices for Physical Activity: A Guide to Help
Children Grow Up Healthy
X X X X X X X X FREE
Cultural Diversity and Play
X X X X FREE
How we playCultural determinants of play
X X X X X X X X FREE
Preventing Childhood Obesity in Early Care and
Education Programs
X X X X FREE
SEARCH FOR THESE TOPICS ON THE WEB
Choosy Kids
X X X X X X X X X X FREE
Early Childhood Development: A Multicultural Perspective
X X X X X X FREE
Family Education
X X X X X X X X FREE
Head Start Body Start Toolbox
X X X X X X X X FREE
Keystone Kids Go Active!
X X FREE
Lets Move! Child Care
X X X X X X X X X X X X X FREE
National Center on Quality Teaching and Learning, Early
Childhood Knowledge and Learning Center
X X X X X X X X X X X FREE
National Network for Child Care
X X X X X X X X FREE
PE Central
X X X X X FREE
Physical Activity For Everyone
X X X X FREE
Physical Activity Space & Equipment Checklist
X X X X X X X X FREE
• 48 •
$ = $25 or less $$ = $25 to $49 $$$ = $50 to $99 $$$$ = $100 to $249 $$$$$ = $250+
Check with your local public library of the Child Care Information Center (CCIC) to find resources for loan.
PHYSICAL ACTIVITY RESOURCES FOR EARLY CARE & EDUCATION
Websites (continued),
Assessment Tools
& Materials
AGE GROUP TOPIC OTHER
Infants
Toddlers
Preschoolers
School-Age
Multi-Age Groups
Obesity Prevention
PA Best Practices & Benefits
Development
Assessment
Daily Routines
Environment
Business Practices
Cultural Competency
Inclusion
Family Engagement
Community Engagement
Activity Examples
Cost (reflect lowest cost
available new or used)
Play Hard Your Way
X X X FREE
Physical Activities and Healthy Snacks for Young Children
X X X FREE
Tips for Raising Heart Healthy, Active Children
X X X X X X X X X FREE
99 Tips for Family Fitness Fun
X X X X FREE
ASSESSMENT TOOLS
Environment Rating Scales (ECERS-R, ITERS-R,
FCCERS-R, SACERS-R)
X X X X X X X X X $
HighScope-COR
X X X X X X $$$$
Model Work Standards
X X X $
Nutrition and Physical Activity Self-Assessment for
Child Care (NAP SACC)
X X X X X X X X X FREE
Preschool Outdoor Environment Measurement
Scale (POEMS)
X X X X X X X X $
Teaching Strategies GOLD™
X X X X X $$$$
The Portage Project
X X X X X $$$$
Wisconsin Department of Health Services Worksite
Wellness Resource Kit
X X X FREE
MATERIALS
Be Choosy, Be Healthy™ Activity Kit
X X X X X X $$$$$
All Time Favorite Dances
X X X X X X X $
Bean Bag Activities and Coordination Skills
X X X X X X $
Dr. Jean Feldman
X X X X X X X $
Greg and Steve
X X X X X X X $
Kimbo Educational Music and Movement CDs and
DVDs for Children
X X X X X X X $
The Learning Station
X X X X X X X $
R E S O U R C E S
• 49 •
$ = $25 or less $$ = $25 to $49 $$$ = $50 to $99 $$$$ = $100 to $249 $$$$$ = $250+
Check with your local public library of the Child Care Information Center (CCIC) to find resources for loan.
o v e r v i e w
Business Practices are essential for success in
promoting physical activity in early care and
education settings. Program policies and worksite
wellness express a programs commitment to
physical activity and its overarching values and culture.
If managed well, physical activity practices can result
in a healthier environment for children in care and
may improve children’s physical activity behaviors.
w h a t i s a p o l i c y ?
A policy is a rule to guide and determine
decisions. Every early care and education
(ECE) program should prepare its own
set of physical activity policies with
input from parents and staff.
Policies can help to:
Create consistent messages
for staff, parents and licensing
officials explaining and reinforcing
physical activity habits
Provide clear guidelines for
staff members and families
Provide a basis for evalua-
tion of your program and
identify areas that may
need improvement
Educate new staff and
parents on current
nutrition and physical
activity practices
Guide decisions and
choices your program
makes every day
BUSINESS PRACTICES
• 50 •
Communicate the program’s benefits to
potential families
Prevent problems and provide solutions
Policies may be included in:
Parent handbook
Personnel handbook or Standard Operating
Procedures
Fliers or newsletters
Displayed around the center
Talk to staff and parents when developing
policies. This important step assures that those
involved understand their role and are prepared
to put the policies into action. Make sure parents
are aware of your physical activity policies when
enrolling their children in your facility. Continually
review your policies to provide ongoing quality care.
p o l i c y d e v e l o p m e n t
1. Look at your program’s current policies and
identify areas in need of improvement.
2. Refer to the physical activity recommendations
and sample policies in this guide
3. Consult with those affected by the policy
(staff members, parents) by conducting
surveys, questionnaires, or by hosting
meetings or discussions
4. Write the policies and have another staff
member or parent review them
5. Set dates for when the policies will be
implemented
6. Determine how staff members and parents
will be made aware of the new policies
(letter to staff/parents, revised handbook
pages, newsletter article, meetings, etc.)
B U S I N E S S P R A C T I C E S
7. Train staff and/or parents on new policies
8. Assess effectiveness of policy
a. Decide how you will know if the policy
is effective
b. Periodically review and re-evaluate
What to include in a physical activity policy
A statement describing what is covered in
the policy
Goals or purpose of the policy
Reasons for the policy
The policies in this guide are intended to be
examples of what may be used in your program.
They may be used as they are written or you may
make changes to meet the needs of your program.
t y p e s o f p o l i c i e s
A program that chooses to make physical
activity a priority should include evidence-
based policies and personnel practices. You
will find general concepts related to physical
activity in program and personnel policies below.
For more specific examples, see the specific
age groups and the Sample Policies Tool.
Program Policies for your Parent Handbook:
A. Education
o Set a daily amount of time for active play
o Set a required number of times children
play outdoors each day
o Limit the amount of screen time
o Add policies that demonstrate how the child
care environment supports physical activity
o Add policies that demonstrate how staff
support physical activity
“Parents are pleased with the
comments from their children
about exercising and happy
hearts. One mother said that
even though they try to be
active and eat healthy, Active
Early has had an influence that they
could not have done alone. Her son is
generalizing healthy habits by asking
about healthy foods and checking his
heart rate. Another mother said we
are helping to support the ground
work for a healthy adult lifestyle.
q u i c k t i p
Policies set the stage for best practices.
But remember that a policy is only as
good as its implementation!
Linda Groom,
Hudson Community
Children’s Center,
Hudson
• 51 •
B. Child guidance
o Add physical activity to child guidance
so that just as in meals, snacks and
naps, physical activity is not withheld
or forced for misbehavior
o Parent involvement
o Consider offering physical activity
education or events to involve parents
on a yearly basis, or more frequently
o Include gross motor development and
physical activity as a standard part of
daily communications with parents
Personnel Policies for your Employee
Handbook:
A. Dress code
o Ensure staff members wear clothing and
footwear that allow them to be active
with children
B. Continuing education
o Include physical development and
physical activity as a mandatory part
of staff continuing education hours
o Include policies that ensure the program
will provide staff with physical activity and
development training
C. Job responsibilities or duties
o Ensure staff members understand that
their job entails being physically active
with children and modeling gross motor
skills, as well as using developmentally-
appropriate language to talk about
physical development and physical activity
• 52 •
i n f a n t s
Policy Options for Infant Early Care & Education
Provide supervised tummy time for all infants
several times each day
Provide infants with opportunities to move
around within the classroom throughout the
day, excluding eating and sleeping times
Provide outdoor active play for all infants for
at least 60 minutes each day, except in cases
of inclement weather
Provide infants with opportunities for outdoor
exploration, including rolling, scooting,
crawling and walking
Separate infant active playtime from older children
Place infants in a bouncy seat, swing, or play
pen no more than 15 minutes at a time
Do not allow any screen
time for infants
Separate toddler outdoor active playtime
from older children
Provide more than 60 minutes of outdoor
active playtime for all toddlers each day,
except in cases of inclement weather
Do not keep toddlers seated for more
than 30 minutes at a time
Do not allow screen time for toddlers
Set aside indoor space for active play for
all toddlers
Encourage toddlers to dance, clap and
move around
Join in active play and make positive
statements about physical activity
during toddlers’ active (free) playtime
Talk with toddlers about their activities
and name the movements
Offer parents active play education that is
age-appropriate for their toddlers
Give parents daily written updates on their
child’s gross motor skills and physical activity
Options for Personnel Policies and Job
Description Elements for Toddler Teachers
Offer training opportunities on promoting
toddler movement at least twice a year
Job responsibilities or duties include:
o Engaging toddlers in teacher-led activities,
modeling gross motor skills and structuring
opportunities for free active play
o Using and teaching positive language
regarding physical activity and movement.
Engage infants to encourage development of
gross motor skills (reaching, sitting, standing,
crawling or walking)
Talk with infants about their activities and
name the movements
Offer parents active play education that is
age-appropriate for infants
Give parents daily written updates on their
child’s gross motor skills and physical activity
Options for Personnel Policies & Job
Description Elements for Infant Teachers
Offer training opportunities on promoting
infant movement at least twice a year
Job responsibilities or duties include:
o Engaging infants in active playtime and
structuring opportunities for infants to
actively explore
o Using positive language about physical
activity and movement
t o d d l e r s
Policy Options for Toddler Early Care
and Education
Provide at least 60 minutes of active (free)
playtime for all toddlers each day
p r e s c h o o l e r s
Policy Options for Preschooler Early Care
and Education
Provide at least 120 minutes of daily active
playtime for all preschool-age children
Provide teacher-led physical activity to all
preschool-age children at least twice a day
Provide outdoor active playtime for all
preschool-age children at least twice a day
Do not withhold active playtime as a punish-
ment for misbehavior
Do not keep preschool-age children seated
for more than 30 minutes at a time, excluding
nap and meal times
Limit screen time to 30 minutes per week for
preschool-age children. Any screen time should
be educational or promote physical activity.
(Screen time could be eliminated for this age
group, too!)
Encourage preschool-age children to be active
during active free playtime and join children in
active play
Support physical activity in preschool classrooms
by displaying posters, pictures and books
Offer physical activity education through a
standardized curriculum at least once weekly
Offer parents active play education that is
age-appropriate for preschoolers
Give parents frequent updates on their child’s
gross motor skills and physical activity
Policy Options for Family Child Care or
Multi-Age Early Care and Education
Engage all children in age-appropriate
amounts of active playtime each day
Encourage the development of gross motor skills
by engaging and joining children in active play
Provide at least 60 minutes of outdoor active
playtime for all children, except in cases of
inclement weather
Make indoor space available for active play
for all children
Do not allow screen time
Use healthy language and teach children about
physical activity through program materials, such as
books, posters, toys and curricula, as appropriate
Offer age-appropriate active play education
to parents
Give parents frequent updates on each childs gross
motor skills development and physical activity
Options for Personnel Policies & Job
Description Elements for Family Providers
or Teachers of Multi-age Groups
Offer training opportunities on promoting
physical activity and movement for all ages
of children at least twice a year
Job responsibilities or duties include:
o Engaging children of all ages in teacher-led
activities, modeling gross motor skills and
structuring opportunities for free active play
o Using and teaching positive language
regarding physical activity and movement
Options for Personnel Policies & Job
Description Elements for Preschool Teachers
Offer training opportunities on promoting
preschool movement at least twice a year
ob responsibilities or duties include:
Engaging preschoolers in teacher-led
activities, modeling gross motor skills and
structuring opportunities for free active play
o Using and teaching positive language
regarding physical activity and movement
m u l t i - a g e g r o u p s
Review the program and personnel policies
for each of the age groups above. You will see
differences in policies that reflect best practic-
es for each age group. However, you will also
see many similarities that make it possible for
policies to fit a multi-age group of children. It
may take some creativity in intertwining the
best practices for each age group, but here
are some examples to get you going:
B U S I N E S S P R A C T I C E S
• 53 •
• 54 •
staff & worksite wellness
What is Worksite Wellness?
Worksite wellness refers to education and
activities that a worksite uses to promote
healthy lifestyles to employees and their
families. Examples of wellness programming
include health education, subsidized fitness
club memberships, internal policies geared
toward health promotion, and any other
activities or policy and environment changes
that benet health. For the purposes of
these Action Tools, we will focus on how to
promote physical activity as a primary part
of worksite wellness.
Why is it important?
Worksite wellness emphasizes the health
of employees. There are many benets:
Controlled costs
Increased productivity
Reduced absenteeism
Improved morale
Enhanced image for the organization
1. Assess your worksite
Use the Worksite Assessment Checklist
and Worksite Wellness Survey to see
where your program stands and what
changes staff would like to see.
2. Consider your options
Use the Worksite Assessment Checklist
to look at all options for changes at the
individual level, the environmental or
organizational level and the policy level.
3. Develop your program
Use your assessments to choose realistic options that will be valued by staff. As you
choose options to promote wellness, think strategically about which options will
most benet staff and motivate all participants.
4. Sustain the program
Maintain staff interest and motivation
by keeping the program new and fresh,
setting goals, using teams or buddy
systems to accomplish goals, and
communicating effectively. Remember
that the following factors may help or
hinder staff participation:
Time
Access
5. Evaluate
Make sure you track the effects of
the program. If certain initiatives
don’t work, tweak them. If things
are working, keep doing them!
When analyzing an option, be sure to ask
yourself:
How important is it?
How much will it cost to implement?
How much time and effort will be
needed to implement?
How many staff will be affected?
How well does it match the staff’s inter-
ests and opinions?
When creating your plan, be specific
and include:
Overall measurable goals and
objectives of the wellness program
Specific strategies to implement
Chosen activities
Staff, resources and materials needed
Time frame
Evaluation Plan
Knowledge
Cost
Here are the 5 basic steps in getting
your worksite wellness program started
Worksite Wellness Resource Kit
Download the resources youll need at:
www.dhs.wisconsin.gov/health/
physicalactivity/sites/worksitekit.htm
Worksite Wellness Checklist
Worksite Assessment Checklist
B U S I N E S S P R A C T I C E S
i n c l u s i o n
Write your policies to reflect inclusive practices.
Physical activity can be adapted for anyone and
everyone, so make sure your policies show that.
Use the phrases “all children” or “regardless of
ability.” Include personnel policies that ensure staff
members receive training in inclusive practices as
they relate to physical development and physical
activity. Ensure that job descriptions require staff
to practice inclusion in their classrooms.
c u l t u r a l c o m p e t e n c y
Be sure your business practices are respectful
and competent of culture. Your policies should
not only guard against discrimination in any form
but also embrace the culture of the children and
families in your program.
Shape your policies relating to physical activity
and gross motor development in a way that
demonstrates your program’s commitment to
understanding the culture of every family.
Acknowledge of each family should be visible in
the program’s environment, daily routines and
resources. Strive to invite families to share their
culture and nd ways to integrate the understanding
you gain. To ensure that you have adequately
addressed cultural competency in your policies,
it is helpful to have an overarching philosophy
and statement regarding cultural competence.
Use specific language when outlining each of
the policies, including those pertaining to
physical activity.
Make this commitment to providing culturally
competent early care and education explicit in
your program’s policies.
The children love to be
active. Our program
numbers continue to grow.
Increasingly we have
surveyed families about
physical activity, and it
continues to be a key
factor in why people are
involved in our centers
and programs.
Jennie Melde,
La Crosse Family YMCA,
La Crosse
• 55 •
B U S I N E S S P R A C T I C E S
t o o l s i n c l u d e d
Child Care Physical Activity Policies.
These sample policies outline best practices
and cover topics such time, environment,
training and education as each relates to
physical activity. (Appendix B)
e n g a g i n g f a m i l i e s
Share your policies with current and prospec-
tive families in your program. Emphasize that
physical activity has been integrated into every
part of a child’s day to encourage learning.
e n g a g i n g c o m m u n i t i e s
Contact your local YMCA and other community
recreational centers to ask about membership
discounts to early care and education providers
in your area.
A P P E N D I C E S
• 56 •
>
L e t s M o v e ! C h i l d C a r e C h e c k l i s t
APPENDIX A
Active Play Time Provisions
A. Active play time (indoor and outdoor) is
provided to all preschool children, including
children with special needs:
45 minutes or
less each day
46-90 minutes
each day
91-120 minutes each
day
More than 120
minutes each day
B. In preschool classrooms, structured (or
teacher-led) activities are provided to all chil-
dren, including children with special needs:
1 time per week
or less
2-4 times per
week
1 time per day 2 or more times
per day
C. Outdoor active play time is provided to all
preschool children, including children with
special needs:
1 time a day for
30 minutes or less
1 or more times
a day for a total of
30-45 minutes
1 or more times a day
for a total of 45-60 minutes
or more
2 or more times
each day for a total
of 60 minutes or more
D. During a typical day, excluding naps and
meals, preschool children are expected to
remain seated:
More than 30
minutes at a time,
or 15-30 minutes on
3 or more occasions
15-30 minutes
on 2 occasions
15-30 minutes but only 1
occasion
No more than 15
minutes at a time
Environment
A. Indoor gross motor play area for preschool
children, including those with special needs,
consists of:
Space only suit-
able for quiet play
Space for limited
movement (jump-
ing and rolling)
Ample space for some
active play (jumping, roll-
ing, and skipping)
Space for all
activities, including
running
B. Outdoor play areas for preschool children
including those with special needs, consists
of:
1-2 different play
areas (e.g., sandbox,
swing set) but no
open space for run-
ning or track/path for
wheeled toys
2-3 different
play areas, but
limited space for
running and use
of wheeled toys
Multiple play areas, and
either an open space for
running or a track/path for
wheeled toys
Multiple play
areas, open space for
running, and a track/
path for wheeled toys
C. Portable play equipment
(e.g., wheel toys, balls, hoops, ribbons)
for preschool children consists of:
Limited variety
and children must
take turns
Some variety
but children must
take turns
Good variety both
indoors and outdoors but
children must take turns
Lots of variety
both indoors and out-
doors for children to
use at the same time
• 57 •
Recommendations for Physical Activity for Preschoolers
1) Preschool children should receive be offered at least 120 minutes of active time each day
Provider Behaviors
A. In preschool classrooms, active play time is:
Often withheld
for misbehavior
Sometimes
withheld for mis-
behavior
Never withheld for mis-
behavior
Never withheld for
misbehavior and we
have a written policy
B. During preschool childrens active play time,
providers:
Supervise play
only (mostly sit or
stand)
Sometimes en-
courage children
to be active
Sometimes encourage
children to be active and
join children in active play
Often encourage
children to be active
and join children in
active play
Education
A. Training opportunities in physical activity
for preschool children (not including play-
ground safety) are offered to providers:
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
B. Parents of preschool children are offered
physical activity education (e.g., special pro-
grams, newsletters, information sheets):
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
Policy
A. At our child care facility, a policy on physi-
cal activity for preschool children address-
ing provider behaviors, education, and
active play opportunities:
Does not exist Is generally fol-
lowed but is not
written
Is written, generally
followed, and sometimes
shared with parents
Is written, avail-
able, followed, and
always shared with
parents
The Let’s Move! Child Care Checklist is based on the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program. Checklist development was led by Dr. Dianne S. Ward, with
the assistance of her research team, including Temitope Erinosho, Christina McWilliams, Amber Vaughn, Chris Ford, and Phil Hanson; and in consultation with the Centers for Disease Control
and Prevention and expert reviewers, including (in alphabetical order) the Carolina Global Breast Feeding Institute, Marsha Dowda, Sybille Kranz, Sara Switzer, Stewart Trost, and Heather Wasser.
• 58 •
Recommendations for Physical Activity for Preschoolers continued
Recommendations for Infant/Toddler Physical Activity
Active Play Time Provisions
A. Short supervised periods of tummy time
are provided for all infants, including those
with special needs:
45 minutes or
less each day
46-90 minutes
each day
91-120 minutes each
day
More than 120
minutes each day
B. Use of swings, infants seats (e.g., exersau-
cers, car seats, molded seats) is limited to
15 minutes (or less):
1 time per week
or less
2-4 times per
week
1 time per day 2 or more times
per day
C. Infants, including those with special needs,
are taken outside:
1 time a day for
30 minutes or less
1 or more times
a day for a total of
30-45 minutes
1 or more times a day
for a total of 45-60 minutes
or more
2 or more times
each day for a total
of 60 minutes or more
D. When outdoors, infants are provided op-
portunities for exploration (e.g., rolling,
scooting, crawling, walking):
More than 30
minutes at a time,
or 15-30 minutes on
3 or more occasions
15-30 minutes
on 2 occasions
15-30 minutes but only 1
occasion
No more than 15
minutes at a time
E. Active play time (indoor and outdoor) is
provided to all toddlers, including children
with special needs:
15-30 minutes
each day
31-45 minutes
each day
46-60 minutes each day 60-90 minutes
each day
F. Outdoor active play time is provided to all
toddlers, including children with special
needs:
1 time a day for
30 minutes or less
1 or more times
a day for a total of
30-45 minutes
1 or more times a day
for a total of 45-60 minutes
or more
2 or more times
each day for a total
of 60 minutes or more
Environment
A. For infants, including those with special
needs, indoor and outdoor play spaces
consist of:
Space only suit-
able for quiet play
Space is avail-
able, but allows
for only limited
types of activities
Areas separate from
preschoolers that provides
space for exploration and
skill building
Areas separate
from preschooler with
space available for all
types of activities
B. Play equipment for infants (small push toys,
balls, ramps for crawling, outdoor pad or
blanket) are age appropriate and consist of:
Limited variety
and children must
take turns
Some variety
but children must
take turns
Good variety both
indoors and outdoors but
children must take turns
Lots of variety
both indoors and out-
doors for children to
use at the same time
1) Toddlers should be offered at least 60 minutes of active time each day
• 59 •
C. For toddlers, including those with special
needs, indoor and outdoor play spaces
consist of:
Space only suit-
able for quiet play
Space is avail-
able, but allows
for only limited
types of activities
Areas separate from
preschoolers that provides
space for exploration and
skill building
Areas separate
from preschooler with
space available for all
types of activities
D. For toddlers, portable play equipment
(e.g., wheeled toys, balls, hoops, ribbons)
are ageappropriate and consist of:
Limited variety
and children must
take turns
Some variety
but children must
take turns
Good variety both
indoors and outdoors but
children must take turns
Lots of variety
both indoors and out-
doors for children to
use at the same time
Provider Behaviors
A. Providers engage with infants to encourage
development of gross motor skills
(e.g., reaching, sitting, standing, crawling,
walking):
Rarely or never Some of the
time
Most of the time All of the time
B. During toddlers’ active play time, staff:
Supervise play
only (mostly sit or
stand)
Sometimes en-
courage children
to be active
Sometimes encourage
children to be active and
join children in active play
Often encourage
children to be active
and join children in
active play
Education
A. Providers are provided training opportunities
in physical activity for infants and toddlers
(not including playground safety):
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
B. Parents of infants and toddlers are offered
physical activity education (e.g., special
programs,newsletters, information sheets):
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
Policy
A. At our child care facility, a policy on
physical activity for infant and toddlers
addressing provider behaviors, education,
and active play opportunities:
Does not exist Is generally fol-
lowed but is not
written
Is written, generally
followed, and sometimes
shared with parents
Is written, avail-
able, followed, and
always shared with
parents
The Let’s Move! Child Care Checklist is based on the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program. Checklist development was led by Dr. Dianne S. Ward, with
the assistance of her research team, including Temitope Erinosho, Christina McWilliams, Amber Vaughn, Chris Ford, and Phil Hanson; and in consultation with the Centers for Disease Control and
Prevention and expert reviewers, including (in alphabetical order) the Carolina Global Breast Feeding Institute, Marsha Dowda, Sybille Kranz, Sara Switzer, Stewart Trost, and Heather Wasser.
• 60 •
Recommendations for Infant/Toddler Physical Activity continued
Recommendations for Screen Time for Preschoolers
Screen Time Provisions
A. In preschool classrooms, televisions are:
Located in every
classroom
Located in
most classrooms
Located in some class-
rooms
Stored outside of
classrooms, except
for occasional use
B. For preschool children, the amount of
screen time allowed is:
More than 2
hours per week of
total screen time at
child care.
2 hours or less
per week of total
screen time at
child care.
1 hour or less per week
for total screen time at
child care.
30 minutes per
week or less for total
screen time at child
care.
C. For preschool children, television/DVD
viewing includes:
All types of
programming and
videos; with limited
coordination with
the curriculum
Educational
and some com-
mercial program-
ming and videos,
some of which are
integrated with
the curriculum
Mostly educational,
age-appropriate program-
ming and videos, many of
which are integrated with
the curriculum
Only commercial-
free, age-appro-
priate, educational
programming that is
integrated with the
curriculum
D. For preschool children, television/DVD
viewing during meals or snack time occurs:
All of the time Most of the
time
Some of the time Rarely or never
E. Television/video viewing is used as a reward
in preschool childrens classrooms:
All of the time Most of the
time
Some of the time Rarely or never
F. Among preschool children, computers are:
Available for use
all of the time, and
time allowed per
child is unlimited
Available sev-
eral times during
the day, and each
child is allowed
between 30 and 45
minutes per day
Available only during a
set time of day, and each
child is allowed between
15 and 30 minutes per day
Available only
during a set time of
day, and each child is
limited to 15 minutes
per day
Provider Behaviors
A. During screen time activities with preschool
children, providers supervise and watch
with the children:
Rarely or never Some of the
time
Most of the time All of the time
1) Screen time should be limited to 30 minutes a week for preschool children in child care
2) Screen time at home for preschool children should be limited to 1-2 hours of quality viewing
• 61 •
Education
A. Providers are offered training opportunities on
screen time reduction and/or media literacy for
preschool children:
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
B. Parents of preschool children are offered screen time
reduction and/or media literacy education (e.g., spe-
cial programs, newsletters, or information sheets):
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
Policy
A. At our child care facility, a written policy on screen
time in preschool classrooms that includes provid-
er behaviors, education, and screen time use:
Does not exist Is generally fol-
lowed but is not
written
Is written, generally
followed, and sometimes
shared with parents
Is written, available,
followed, and always
shared with parents
The Let’s Move! Child Care Checklist is based on the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program. Checklist development was led by Dr. Dianne S. Ward, with
the assistance of her research team, including Temitope Erinosho, Christina McWilliams, Amber Vaughn, Chris Ford, and Phil Hanson; and in consultation with the Centers for Disease Control and
Prevention and expert reviewers, including (in alphabetical order) the Carolina Global Breast Feeding Institute, Marsha Dowda, Sybille Kranz, Sara Switzer, Stewart Trost, and Heather Wasser.
Recommendations for Screen Time for Infants and Toddlers 1) No screen time for 0-2 year olds
Screen Time Provisions
A. Toddlers and infants are allowed to watch televi-
sion/videos:
1 or more times
each day
2-4 times per
week
1 time per week or less Never
Education
A. Training opportunities on screen time reduction
and/or media literacy for infants and toddlers
are offered to providers:
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
B. Parents of infants and toddlers are offered screen
time reduction and/or media literacy (e.g., special
programs, newsletters, or information sheets):
Rarely or never Less than 1
time per year
1 time per year 2 times per year or
more
Media Policy
A. At our child care facility, a written policy on screen
time for infants and toddlers that includes provider
behaviors, education, and screen time use:
Does not exist Is generally fol-
lowed but is not
written
Is written, generally
followed, and sometimes
shared with parents
Is written, available,
followed, and always
shared with parents
• 62 •
Recommendations for Screen Time for Preschoolers continued
• 63 •
C h i l d c a r e p h y s i c a l a c t i v i t y p o l i c i e s
APPENDIX B
Active Play and Inactive Time
m We provide at least 120 minutes of active playtime to all preschool-age children each day
m We provide toddlers with at least 90 minutes of physical activity each day, with at least 30 minutes of teacher-led activity
m We provide infants with tummy time two to three times a day while the child is awake
m We provide all children with opportunities for outdoor play two or more times per day
m We limit the use of confining equipment, such as swings and bouncy chairs, in order to support infant development
m We ensure that preschool-age children are rarely seated for periods of more than 30 minutes
m We do not withhold active playtime for children who misbehave. Instead, we provide additional active playtime for good behavior
m We rarely show television or videos. Children under age 2 are not allowed screen time
Play Environment
m We provide fixed play equipment (tunnels, climbing and balancing equipment) that is extensive and varied for all children
m We provide portable play equipment (wheeled toys, balls, hoops, ribbons) that is diverse and available for children to use at the same time
m We make outdoor portable play equipment freely available to all children all of the time
m Outdoor play space includes an open, grassy area and a track/path for wheeled toys
m Indoor play space is available for all activities, including running, when weather does not permit outdoor play
m Indoor play space that is large, open and safe is available for infants to move freely and be active
m Safe indoor equipment is accessible in classrooms at all times (soft balls, push-pull toys, low-carpeted blocks for climbing, tunnels)
Supporting Physical Activity
m Our staff provides planned daily physical activity for infants that is safe, engaging and appropriate and responds promptly to infant cues of frustration, boredom or fatigue
m Our staff often encourages children to be active and often join others in active play, both indoors and outdoors
m We provide visible support for physical activity in classrooms and common areas through use of posters, pictures and displayed books
m We provide fun and engaging physical activity daily in our lesson plans
m We re-direct children to safe physical activities and/or involve them in discussion about safety concerns
m We ask that all children are dressed for physical activity. Restrictive shoes are not allowed
Physical Activity Education
m We provide training opportunities for staff on physical activity (other than playground safety) two times a year or more
m We provide teacher-directed physical activity education for children, through a standardized curriculum, once a week or more
m We offer physical activity education to parents twice a year or more
In an effort to provide the best possible nutrition and physical activity environment for the children in our facility, we have adopted the following policies.
The administration and staff appreciate support from parents in promoting the health of our children.
A c t i v e E a r l y q u a l i t y i m p r o v e m e n t p l a n
APPENDIX C
Directions: Using the results of the self-assessment, prioritize the quality improvement area(s) to be completed within the plan. Not all physical activity areas
need to be addressed immediately. Start with three to five aims/outcomes to work on at a time. More aims/outcomes can be overwhelming and too few will
limit the success you experience in your program. Be sure to write your goals in a way that demonstrates how they are inclusive and culturally competent.
• 64 •
Quality
Improve-
ment Area
Aim/
Desired
Outcome
Barriers Task(s) Responsible
Party
Resources
in-hand/
Resources
Needed
Measurement Timeline/
Benchmarks
Test of Plan
Worth doing? Y or N
Measurable? Y or N
Outcomes? Y or N
Inclusive? Y or N
Culturally
Competent? Y or N
Worth doing? Y or N
Measurable? Y or N
Outcomes? Y or N
Inclusive? Y or N
Culturally
Competent? Y or N
Worth doing? Y or N
Measurable? Y or N
Outcomes? Y or N
Inclusive? Y or N
Culturally
Competent? Y or N
Worth doing? Y or N
Measurable? Y or N
Outcomes? Y or N
Inclusive? Y or N
Culturally
Competent? Y or N
Original QIP Date: Date of QIP Review:
TERM MEANING
STABILITY MOVEMENTS
Swaying Moving the top of your body from side to side without moving your feet
Swinging Moving back and forth with the lower part of your body
Hanging Holding on to or fastening to something above and leaving the bottom of your body free to move
Turning Changing the direction of your body
Twisting Turning one part of your body in one direction while leaving the other part of your body in the same position
Balancing Keeping your body steady, so you do not fall over
Curling Moving your body parts in wards, such as bringing your knees to your chest
Standing Being on your feet with your body upright, but without moving your feet
Sitting Resting on your bottom
Squatting Bending your knees and lowering your body
Kneeling Bending your legs and putting your knees on the ground
Pulling Moving something forward or toward you
Pushing Pressing on or against something
Stretching Spreading out your arms, legs or body and reaching as far as you can with each
Bending Moving at your joints, such as your waist, elbow or knee
Shaking Moving quickly back and forth or side to side
Dodging Avoiding something by moving quickly out of the way
Landing Coming down from the air
Transferring Body Weight Moving from one part of your body to another; balancing on one foot and then the other or moving from your hands to your feet
L a n g u a g e d e v e l o p m e n t w o r d l i s t s
APPENDIX D
Movement Awareness: What the Body Does
• 65 •
TERM MEANING
TRAINING MOVEMENTS
Walking Moving along by placing one foot on the ground before lifting the other
Climbing Using hands and feet to move upwards on an object
Crawling
Moving forward on your hands and knees
Marching
Moving like you are walking, but lifting your knees higher
Gliding Moving smoothly and easily, as in a skating motion
Running Moving along by quickly placing one foot in front of the other
Jumping Pushing off with two feet and landing on two feet
Hopping Pushing off on one foot and landing on the same foot
Leaping Jumping from one foot and landing on the other foot
Galloping Moving forward quickly with both feet leaving the ground at the same time
Sliding Moving sideways, taking a step with one foot and then bringing the other foot from behind up next to it
Skipping Moving forward with a step and a hop on one foot and then a step and a hop on the other foot
MANIPULATING OBJECTS WITH MOVEMENTS
Throwing Sending something through the air by pulling your hand back, bringing your arm forward and releasing the object as you
pull your arm to the front
Underhand
throwing
Sending something through the air by pulling your hand back under your shoulder, bringing your arm forward under your
shoulder and releasing the object as you pull your arm to the front
Overhand throw-
ing
Sending something through the air by pulling your hand back over your shoulder, bringing your arm forward over your
shoulder and releasing the object as you pull your arm to the front
Rolling Moving something across the ground by pulling it back, pushing it forward and releasing it
Catching Grabbing hold of something moving through the air
Kicking Moving something forward by hitting it with your foot
Punting Dropping an object, such as a ball, from your hands and kicking it before it hits the ground
Trapping Stopping an object, such as a ball, with your foot
Striking To hit an object, such as a ball, away from the body with a hand or an object such as a bat or racket
Volleying To hit an object before it hits the ground
Dribbling To hit an object, such as a ball, downwards, so it hits the ground and bounces back up to your hand
• 66 •
• 67 •
Relational Awareness:
Awareness of Self, Others and Objects
Body Parts
____________________________________________________
Head Foot Shoulder
Hand Arms Neck
Ears Fingers Stomach
Eyes Wrist Back
Nose Elbow Bottom
Leg Ankles Hips
Knee Toes Chest
Shapes
____________________________________________________
Big Narrow Circle
Small Thin Rectangle
Curved Twisted Symmetrical
Straight Triangle Nonsymmetrical
Wide Square
Roles
____________________________________________________
Leading Taking Turns Between Groups
Following Partner Unison
Mirroring Solo Contrast
Matching Groups
Association
____________________________________________________
Letters Colors Pretense
Numbers Hand Signs
Locations
____________________________________________________
Near to In front Apart
Far from Behind Surrounding
Around Meeting Alongside
Through Parting Over
Facing In Under
Side by Side Out Top
On Together Bottom
Off
Stanley, Shelia (Ed.). (1977). Physical education: A movement orientation. 2nd ed. New York: McGraw-Hill.
Space Awareness:
Where the Body Moves
Direction
________________________________________________
Up Left Sideways
Down Forward Clockwise
Right Backward Counterclockwise
Levels
________________________________________________
Low High Middle
Pathways
________________________________________________
Straight Curved Zigzag
Extensions
________________________________________________
Large Small Far Near
Effort Awareness:
How the Body Moves
Time & Speed
____________________________________________________
Slow Speeding up Quick
Medium Slowing down Sustained
Fast Sudden
Rhythm
____________________________________________________
Beats Patterns Cadence
(Regular Rhythm) (Repeated Order) (Rhythmic Pattern)
Sound
____________________________________________________
Loud Quiet Soft
Force & Muscle Tension
____________________________________________________
Degree of:
Light Strong Heavy
Medium Weak
Creating:
Starting Sustained Explosive
Absorbing:
Stopping Receiving
Controlling Effort
____________________________________________________
Weight Transfer:
Rocking Rolling Flight Stepping
Dimensions:
Single Movement Combination Transitions
of Movements
Full day sample schedules: group child care & family child care
APPENDIX E
Full Day Sample Schedule: Group Child Care
Arrival, preparation
& choice activities
30 minutes (be-
fore and while
children arrive)
Music & Movement interest
area available
Group meeting
20 minutes Teacher-Led Physical Activity
Integrated into Content
Choice time
60 minutes Music & Movement Interest
area available
Cleanup, handwashing
and snack
20 minutes Activity related to transition
Small groups
20 minutes Integration of Physical
Activity into studies
(i.e. math, literacy)
Outdoor choice time
40 minutes Teacher-Led Physical Activity
Included
Read-aloud
15 minutes Acting out Story
Lunch & Meaningful
Conversation
40 minutes
Rest and quiet
activities
45 minutes
Outdoor choice time
30 minutes Teacher-Led Physical Activity
Included
Read-aloud
15 minutes Acting out Story
Limited choices and
small groups
30 minutes Movement Interest Area
available and/or Integration
of Physical Activity into stud-
ies (i.e. math, literacy)
Group meeting and
departures
20 minutes Teacher-Led Physical Activity
Integrated into Content
Teacher planning
time
Intentionally include physical
activity in tomorrows plan
Full Day Sample Schedule: Family Child Care
Early morning and
arrival
Morning circle
15
minutes
Teacher-Led Physical
Activity Integrated into
Content
Morning choice
time and snack
1 hour
Music & Movement
Interest area available
Outdoor play
1 hour Teacher-Led Physical
Activity Included
Transition indoors
and to group read-
aloud time
1/2 hour Activity related to
transition and acting
out Story
Lunch & Meaningful
Conversation
30-45
minutes
Nap time and
afternoon snack
1-2 hours
Afternoon choice
time and outdoor
play
2 hours Music & Movement
Interest area available &
Teacher-Led Physical
Activity Included Outdoors
Transition and af-
ternoon meeting
1/2 hour Activity related to
transition & Teacher-
Led Physical Activity
Integrated into Content
End of the day
Physical Activity Options
available (i.e. Music &
Movement Interest Area)
• 68 •
I n f a n t a n d t o d d l e r s c h e d u l e
APPENDIX F
Time Child: Infant Child: Toddler Child: Child:
7:00am
Arrives
7:30am
Eat
8:00am Tummy Time
8:30am Free Movement
9:00am Free Movement
Arrives
9:30am
Naptime
Group Time
10:00am
Naptime Snack
10:30am
Eat
Choice Time
11:00am Outdoor Time Outdoor Time
11:30am Engaged PA
Meal Time
12:00pm
Free Movement Naptime
12:30pm Tummy Time
Naptime
1:00pm
Eat
Choice Time
1:30pm
Naptime
Choice Time
2:00pm
Naptime Snack
2:30pm
Naptime
Group Time
3:00pm Outdoor Time Outdoor Time
3:30pm Outdoor Time Outdoor Time
4:00pm
Eat
Choice Time
4:30pm Tummy Time Choice Time
5:00pm
Departs Late Snack
5:30pm Outdoor Time
6:00pm
Departs
List the child’s name and times for care-giving routines, such as physical activity, sleeping, eating, etc. Using this information for the group, determine the following: outdoor times,
planning times and cleaning times. Highlight times for physical activity and outdoor play. Think about times when more help may be needed to be prepared ahead of time.
Choice Time always includes options for physical activity and gross motor development Group Time always includes 10 minutes of planned teacher-led physical activity, but remains flexible
• 69 •
B o o k s t o m o v e t o : P h y s i c a l a c t i v i t y a n d l i t e r a c y
APPENDIX G
Amazon Sun, Amazon Rain
By Ximena de la Piedra
Anna Banana,
101 Jump Rope Rhymes
By Joanna Cole
The Ants Came Marching
By Martin Kelly
The Aunts Go Marching
By Maurie Jo Manning
Barnyard Dance
By Sandra Boynton
Boom Chicka Rock
By John Archambault
Bounce
By Doreen Cronin
Brown Bear, Brown Bear,
What Do You See
By Bill Martin, Jr.
The Busy Body Book:
A Kid’s Guide to Fitness
By Lizzie Rockwell
Catch the Ball!
By Eric Carle
The Caterpillar Fight
By Sam McBratney
Clap Your Hands
By Lorinda Bryan Cavley
Down By the Bay
By Raffi
Five Green and Speckled Frogs
By Martin Kelly & Phil Legris
Five Little Ducks
By Raffi
Five Little Monkeys
Jumping on the Bed
By Eileen Christelow
From Head to Toe
By Eric Carle
Head, Shoulders, Knees and Toes
By Annie Kubler
Hey! Wake Up!
By Sandra Boynton
The Hokey Pokey
By Larry La Prise
Hop! Hop! Hop!
By Ann Whitford Paul
Hop Jump
By Ellen Stoll Walsh
If You’re Happy and Know It!
By Jane Cabrera
Jump, Kangaroo, Jump!
By Stuart J. Murphy
Just Like Josh Gibson
By Angela Johnson
Millions of Snowflakes
By Mary McKenna Siddals
Monkey See, Monkey Do
By Marc Graveg
Monster Musical Chairs
By Stuart J. Murphy
My Mama Had a Dancing Heart
By Libba Moore Gray
One, Two, Skip A Few!
By Roberta Arenson
Over in the Grasslands
By Anna Wilson and Alison Bartlett
Over, Under, Through
By Tana Hoban
Philadelphia Chickens:
A Too Illogical, Zoological
Musical Revue
By Sandra Boynton and
Michael Ford
Polar Bear, Polar Bear,
What Do You Hear
By Bill Martin, Jr.
Rap a Tap Tap: Here’s Bojangles—
Think of That!
By Leo and Diane Dillon
Shake My Sillies Out
By Raffi
Shape Space
By Cathryn Falwell
Sheep Wants to Jump
By Clive Batkin
The Snowy Day
By Ezra Jack Keats
Sometimes, I Like to Curl up in a Ball
By Vicki Churchill
Song and Dance Man
By Karen Ackerman
Stomp, Stomp!
By Bob Kolar
Stop Drop and Roll
By Margery Cuyler
Ten Flashing Fireflies
By Philemon Sturges
Ten Go Tango
By Arthur Dorros
Tessa’s Tip-Tapping Toes
By Carolyn Crimi
Under the Sea
By Emma Lynch
Walking Through the Jungle
By Debbie Harter
We All Went on Safari
By Larie Krebs
We’re Going on a Bear Hunt
By Michael Rosen
Where the Wild Things Are
By Maurice Sendak
Who Hops?
By Katie Davis
Who Jumps?
By Edwina Lewis and Ant Parker
The Wind Blew
By Pat Hutchins
• 70 •
H o m e m a d e p h y s i c a l a c t i v i t y m a t e r i a l s
APPENDIX H
Item Instructions
Balance Beam
Use a 4x4 beam of about 8 feet in length. Secure two stabilizing pieces of lumber to the bottom of the beam with screws. Smooth the
edges with a router or apply carpeting or matting over the length of the beam. (Contact a local hardware store for assistance).
Balance Boards
Use a ½ or ¾ piece of plywood for top of the balance board. Use a piece of piping or any other strong material that is shaped in a
cylinder for bottom. Wrap the piping in tape if its surface needs to be smoother.Try making different shapes (circle, rectangle, square)
for the top of the balance board.
Beanbags
Cut a heavy, sturdy cloth material into a 4” x 8” rectangle or a 6” x 6” rectangle. Fold the piece of cloth over to make a square (make sure you are
folding the sides you want on the outside of the beanbag inwards). Triple stitch two of the sides. Turn the cloth inside out to expose a smooth out-
side surface. Fill with dried beans or other seeds. Sew the last side. If you want to get really creative, try making bean bags in different shapes!
Bowling Pins
Use either empty ½ gallon plastic bleach bottles or potato chip canisters. Fill each with 2 to 3 inches of sand to weigh them down.
Climbing Rope
Select a rope with a diameter of 1½ inches. Put a few knots in the bottom half of the rope so children can be successful at climbing.
Space knots about 9 inches apart. By leaving the top half without knots, it can serve as a challenge to more experienced climbers.
Jump Ropes
Use 3/8” to ½” sash cord or plow line (this can be purchased at a hardware store). Cut into 5 to 8 foot lengths for individual short ropes. To prevent
unraveling, wrap rope ends with duct tape and cut through tape with a sharp knife. If you would like longer ropes, cut pieces into 10 to 16 foot lengths.
Ladder
Rails of the ladder can be made from 2” x 2” or 2” x 4” pieces of lumber. The rails should be between 7’ and 12’ long. Rungs should be between 12”
and 16” inches long with a piece of wood either 1½” in diameter or a 2” x 2”. Use screws and/or nails to fasten rungs securely with spacing of 12” to
14” apart. Sand and paint or varnish the ladder for safety. Also, consider using varied spacing between the rungs for a more challenging experience.
Cones
Ask government traffic and highway agencies if you can have discarded traffic cones. Otherwise, half gallon bleach bottles or milk contain-
ers that have been emptied and cleaned can be used for cones by filling them was 2 or 3 cups of sand to keep them from tipping.
Movement
Mats
Purchase clear plastic carpet runners. Cut footprints, handprints and seatprints from contact paper. Apply them to the carpet runner.
This can help guide children in their movements.
Parachute
Instead of purchasing a parachute, use a sheet from a queen size or king size set. Military supply depots also may have old, inexpensive parachutes.
Scoop
Cut the bottom from a cleaned ½ gallon plastic bottle with a handle. Tape along the cut edge for safety!
Tires
Ask a tire store if you can have discarded automobile rubber tires. Look for tires of different sizes for children to have different
handling and lifting experiences. You can paint the tires various colors and with designs using lacquer or water-based paints.
Vaulting Box
Stack old newspapers and magazines in a cardboard box. Tape and tie the box securely. Now you have a vaulting box!
Wands
Saw off discarded broomsticks or dowels in lengths of 30 inches or less. Sand and paint each colorfully!
• 71 •
From See How They Run: A Lesson Guide to Preschool Movement Education by Joni Coe and Lee Allsbrook. 1978.
P h y s i c a l a c t i v i t y m a t e r i a l s & e q u i p m e n t i d e a s
APPENDIX I
Travelling Skills
Movement CDs
Movement Cards
Cone Markers
Hurdles
Foam Dice
Streamers
Hopscotch Carpet
Relay Batons
Movement Mats
Jump Ropes
Dancing Wrist Bands
Tricycles
Tunnels
Spot Markers
Tumbling Mat
Movement Dice
Sleds
Wagon
Manipulating Skills
Parachute
Playground Balls
Whiffle Balls
Sports Balls
Foam Balls
Sensory Balls
Fleece Balls
Beach Balls
EZ Catch
Bean Bags
Scarves
Soft Flying Discs
Plastic Bat
Batting Tee
Paddles
Targets
Scoops
Basketball Hoop
Soccer Goal
Bowling Pins
Balancing Skills
Yoga for Kids
Hula Hoops
Stilts
Activity Rings
Teeter Totter
Balance Beam
Ladder
Stepping Stones
Stepping Logs
Storage & Upkeep
Storage Cart
Storage Shelves
Storage Tubs
Hooks
Inflator
Mesh Bag
Foot Pump
The Materials and Equipment Ideas are broken down by the physical development or gross motor skill they promote the most.
However, many materials can be used to develop multiple gross motor skills!
• 72 •
Best Practices for Physical Activity: A Guide to Help Children Grow Up Healthy” Nemours Health and Prevention Services. 2010 Nemours Foundation, Newark, Delaware
• 73 •
Lead Author
Bridget Cullen, MSE, is the
Program and Policy Analyst
for the Wisconsin Department
of Children and Families’
YoungStar program.
Writing Team
Jill Hoiting, MSW, is the
Prevention and Policy Manager
for Supporting Families
Together Association.
Amy Meinen, MPH, RD, CD,
is the Nutrition Coordinator
for the Wisconsin Department
of Health Services’ Nutrition,
Physical Activity, and Obesity
Program.
Jon Morgan, MS, is the
Physical Activity Coordinator
for the Wisconsin Department
of Health Services’ Nutrition,
Physical Activity & Obesity
Program.
Karen Odegaard, MPH, is
the Physical Activity Project
Coordinator with Communities
Putting Prevention to Work with
the Wisconsin Department of
Health Services.
Contributors
Zach Bartel created the
illustrations for Active Early.
Moryah Becker, MBA, RD, is a
Nutrition Program Consultant
with the Community Nutrition
Team at the Wisconsin Depart-
ment of Public Instruction.
Jessica Cioci is a Training
Specialist at 4-C Community
Coordinated Child Care.
Leslie Clachrie is an Outreach
Coordinator, Food Program
Coordinator and YoungStar
Technical Consultant at Family
Connections of Southwest WI.
Laura Fischer is the Child
Care Nutrition Educator and
AmeriCorps Member with
Communities Putting
Prevention to Work in
Wood County, Wisconsin.
Renee Fox is a Health Educator
with Aspirus and Communities
Putting Prevention to Work in
Wood County, Wisconsin.
Linda Francis is a Resource &
Referral Manager at Child Care
Resource & Referral of Central
Wisconsin, Inc.
Connie Frey is an Early
Childhood Consultant at Child
Care Resource & Referral, Inc.
Pattie Godsell is an Active Early
Coordinator and YoungStar
Specialist with the Wisconsin
Early Childhood Association in
Milwaukee, Wisconsin.
Whitney Hein collaborated
on the design and lay out of
Active Early.
Tracie Jarentowski is a Training
Specialist at 4C-For Children.
Delechia Johnson is an Early
Care and Education Manager
at 4C-For Children.
Julee Katona is a Site
Coordinator at The Parenting
Place in Tomah, Wisconsin.
Tara LaRowe, PhD, is an Assis-
tant Scientist at the University of
Wisconsin-Madison Department
of Family Medicine.
Julie Logue is the Physical
Activity Coordinator for Com-
munities Putting Prevention
to Work with the Wisconsin
Department of Health Services.
Michelle Messer, RN, is a
Quality Improvement Special-
ist with the Western Dairyland
Child Care Partnership.
Paula Naumann is a Technical
Consultant at Western Dairy-
land Child Care Partnership.
Monica Owsichek, RD, CD, is a
Nutrition Program Consultant
with the Community Nutrition
Team at the Department of
Public Instruction.
Mark Lundey, copy edited
Active Early.
Molle Polzin, RD, CD, is a
Nutrition Program Consultant
with the Community Nutrition
Team at the Department of
Public Instruction.
Paige Rauen is an Early
Childhood Consultant at
Family Connections, Inc.
Susie Reeck-Mathe is a
Child Care Resource &
Referral Specialist at The
Parenting Place.
Courtney Saxler is a Research
Specialist at the University of
Wisconsin-Madison Depart-
ment of Family Medicine.
Jamie Tramte Brassfield is a
Quality Improvement Special-
ist with Family & Childcare
Resources of N.E.W.
Mary Kay Warner is the owner
of Sandhill Studio, LLC. She was
the art director and designer
for Active Early.
Patti Whyte is a Resource
Specialist and Trainer and
Technical Constulant for
Pre-Licensing, YoungStar and
Active Early at Northwest
Connection Family Resources.
Kao Xiong is a Bilingual Aid
and YoungStar Technical
Consultant with Child Care
Connection, Inc.
Marilyn Young is a Parent
Educator at Northwest
Connection Family Resources.
Former University of Wisconsin
Hospital and Clinics Dietetics
Interns Michaela Covelli,
Suzanne Fuchs, Nicholle
Oman, Christine Taylor
Reviewers
Tanya Kirtz is the Child and
Adult Care Food Program
manager for 4-C Community
Coordinated Child Care.
Sarah Mittermaier is a Program
Assistant for the Wisconsin
Department of Health Services’
Nutrition, Physical Activity &
Obesity Program.
Lana Nenide, MS, IMH-E
®
(IV) is
the Professional Development
Director and WI Pyramid Model
State Coordinator with the
Wisconsin Alliance for Infant
Mental Health.
Jeanette Paulson is the
Director of the Department
of Workforce Initiatives with
the Wisconsin Early Childhood
Association.
Teresa Storm is the owner
and operator of Tender Times
Child Care in Amery, WI,
a family provider pilot site
for Active Early.
ACKNOWLEDGEMENTS
OBESITY PREVENTION UNIT
Division of Public Health
Wisconsin Department of Health Services
P.O. Box 2659
Madison, WI 53701-2659
608.267.3694
http://dhs.wisconsin.gov/health/
physicalactivity/index.htm
BUREAU OF QUALITY IMPROVEMENT
Division of Early Care and Education
Wisconsin Department of Children and Families
201 E. Washington Ave
Madison, WI 53707
608. 266.8880
www.dcf.wisconsin.gov
COMMUNITY NUTRITION TEAM
Wisconsin Department of Public Instruction
125 S. Webster St.
Madison, WI 53707
608.267.9129
http://dpi.wi.gov/fns/cacfp1.html
P-00280 SEPTEMBER 2011