The report Achieving a State of Healthy Weight 2020, ASHW 2020, is the tenth update of Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010 (ASHW 2010). In that original baseline study, the National Resource Center for Health and Safety in Child Care and Early Education (NRC) assessed all states’ child care licensing regulations for content regulating 47 High-Impact Obesity Prevention Standards (HIOPS) (previously referred to as Healthy Weight Practices). The ASHW HIOPS were drawn from standards included in Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Ed. (CFOC3). More specifically, the CFOC standards used to derive the HIOPS were those included in a topical CFOC collection, Preventing Childhood Obesity in Early Care and Early Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition (PCO). NRC developed the HIOPS with input from representatives of key federal agencies and national stakeholders in children’s wellbeing and healthy development (see Origin of Achieving a State of Healthy Weight High-Impact Obesity Prevention Standards). In annual updates thereafter, the NRC rated new and revised state licensing regulations that impacted the HIOPS. Beginning in 2013, the NRC extracted state profiles from the ASHW reports, publishing the data as ASHW supplements. This document presents updated ASHW ratings for a single care type. (author abstract)
2020 supplement: State profile pages: Large family care homes: Achieving a state of healthy weight
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