Maternal and child health care institutions

(a) with the administrative department of health, formulate and organize the implementation of the health care work plan and annual plan of nurseries and kindergartens within their respective jurisdictions, formulate detailed rules for the implementation of the health care work assessment of nurseries and kindergartens within their respective jurisdictions, and establish and improve the quality control system and assessment system.

(2) According to the Administrative Measures, the maternal and child health care institutions designated by the administrative department of health shall conduct a health evaluation on the newly established child care institutions before entering the nursery, and issue a health evaluation report.

(3) Entrusted by the administrative department of health, the maternal and child health care institutions conduct a 1 comprehensive assessment of the health care work of qualified kindergartens (institutes) every three years, and report the results to the administrative department of health.

(4) Maternal and child health care institutions at or above the prefecture level shall be responsible for the pre-job training and assessment of local kindergarten health care personnel, and those who pass the training shall be issued with training certificates. Maternal and child health care institutions at or above the county level shall organize at least 1 business training or on-site observation activities on relevant knowledge every year.

(five) maternal and child health care institutions regularly give professional guidance to the health care work of nurseries and kindergartens within their respective jurisdictions. The contents include daily life arrangement, children's diet, physical exercise, health examination, sanitation and disinfection, disease prevention, injury prevention, psychological and behavioral health care, health education, health information management, etc.

(six) to assist the food and drug supervision and management, health supervision and disease prevention and control departments within their respective jurisdictions to carry out publicity and education on food safety and the prevention and control of infectious diseases.

(seven) to provide relevant professional technical guidance and training to the medical and health institutions that undertake the health examination services for children and staff in nurseries and kindergartens within their respective jurisdictions.

(eight) responsible for regularly organizing health care work conferences in nurseries and kindergartens within their respective jurisdictions, exchanging experiences and learning health care knowledge and skills. Collect information, master the health care situation of kindergartens in the jurisdiction, and provide relevant basis for the decision-making of health administrative departments.

One-day living arrangement

(a) the kindergarten should be based on the physiological and psychological characteristics of children of all ages, combined with the seasonal changes in the region and the actual situation of the kindergarten, to develop a reasonable living system.

(2) Reasonably arrange children's work and rest time and the time, sequence and frequency of sleeping, eating, urinating and playing, and pay attention to the combination of static and dynamic, group activities and free activities, indoor activities and outdoor activities, and alternately carry out different forms of activities.

(three) to ensure that children have enough outdoor activities every day. Full-time children are not less than 2 hours a day, and boarding children are not less than 3 hours, which can be adjusted as appropriate in hot and cold seasons.

(four) according to the age characteristics of children and the service form of kindergartens, arrange the daily meal and sleep time reasonably. Make meals and count them. The interval between meals for children is 3.5 ~ 4 hours, the meal time is 20 ~ 30 minutes/meal, and the time for quiet activities or walks after meals is 10 ~ 15 minutes. The nap time for children aged 3-6 years old is 2-2.5 hours/day according to different seasons, and the daytime sleep time for children under 3 years old can be appropriately extended.

(5) Strictly implement the one-day life system, and health care personnel patrol and observe the implementation of classes every day, and correct problems in time when they find them, so as to ensure the regularity and stability of children's life in kindergartens.

Extended data

According to the "Nursery, Kindergarten Health Care Standards"

Children's diet

(1) diet management.

1. Kindergarten canteens shall obtain catering service licenses in accordance with the requirements of the Food Safety Law, the Regulations for the Implementation of the Food Safety Law, the Measures for the Administration of Catering Service Licenses, the Measures for the Supervision and Administration of Food Safety in Catering Services, and the Provisions for the Hygienic Administration of School Canteen and Students' Collective Dining, and establish and improve various food safety management systems.

2. Kindergartens should provide children with drinking water that meets the national sanitary standards for drinking water. Ensure that children drink water as needed. Concentrate on drinking water 1 ~ 2 times every morning and evening. The water consumption of 1 ~ 3-year-old children is 50 ~ 100ml/ time, and that of 3 ~ 6-year-old children is 100 ~ 150ml/ time, and adjust the water consumption according to the seasonal changes.

3, children's diet should have someone in charge, set up a diet committee with parents' representatives, and hold regular meetings for democratic management. Staff meals and children's meals should be strictly separated, children's meals should be earmarked, accounts should be published every month, and the profit and loss of meals per semester should not exceed 2%.

4. Children's food should be purchased in units with food production licenses or food circulation licenses. Food must be purchased, inspected before purchase, with tickets and certificates. Nursery institutions shall establish food purchase and acceptance records.

5. Children's canteens should be cleaned and disinfected daily to keep the internal and external environment clean and tidy. Food processing utensils must be clearly marked, used separately and stored in a fixed location. Tableware and cooked food containers should be cleaned and disinfected in the canteen or cleaning and disinfection room, and kept clean after disinfection. Stored food should be classified, labeled, marked with shelf life and stored in a fixed place.

6. It is forbidden to process spoiled, toxic, unclean and expired food, and it is forbidden to make and provide cold meat and cold dishes. Food samples should be stored in sealed special containers after cleaning and disinfection according to varieties, and kept for more than 48 hours under cold storage conditions; Each variety shall not be less than 100g, which meets the inspection requirements and shall be recorded.

7. The dining environment should be sanitary, neat and comfortable. Make full preparations before meals, eat on time, ensure children's happy mood, and cultivate children's good eating behavior and hygiene habits.

(2) Dietary nutrition.

1, nurseries and kindergartens shall, according to children's physiological needs, take the Dietary Guide for China residents as a guide, and refer to the Dietary Nutrient Reference Intake (DRIs) of China residents and the daily reference intake of various foods (see table) to make children's dietary plans.

2. Make recipe dosage according to the meal plan, 1 ~ 2 weeks replacement 1 time. Food varieties should be diversified and reasonably matched.

3. In the process of selecting materials, washing, cutting and cooking the main and non-staple foods, the methods should be scientific and reasonable, reduce the loss of nutrients, meet the light taste of children and meet the requirements of nutritious diet. Pay attention to the color, aroma, taste and shape of cooked food to improve children's interest in eating.

4. Nursery institutions should carry out at least 1 meal survey and nutrition assessment every quarter. Full-time child care institutions and boarding child care institutions should reach 80% and 90% of DRIs respectively. Vitamins A, B 1, B2, C and minerals such as calcium, iron and zinc should reach more than 80% of DRIs.

The percentage of calories of three nutrients in total calories is: protein 12 ~ 15%, fat 30 ~ 35%, carbohydrate 50 ~ 60%. The daily calorie allocation ratio of breakfast, lunch and dinner is 30%, 40% and 30% respectively. High-quality protein accounts for more than 50% of protein's total.

Conditional child care institutions can provide special meals for children with anemia, malnutrition and food allergy. Child care institutions that do not provide meals should provide snacks at least/kloc-0 times a day.