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Food Safety in a Child Care Setting: Self-Learning Module

Module: Safety

Unit: Food Safety in a Child Care Setting

Unit Overview:  This unit on Food Safety is a self-paced, self-administered learning module designed to educate and train child care employees in the safe handling, preparation and storage of food served in the child care setting.

Pre-requisite
Self-Learning Modules:
Universal Precautions
Hand Washing
Topic Completion Time Approximately 60 minutes 

 

Target Audience Child care employees

 

How To Use This Unit
  1. Read all the material.
  2. Complete the test.
  3. Complete the course evaluation.
When To Use This Unit
bulletInitial orientation of new child care employees
bulletAnnual review of child care employees

Learning Objectives

Following completion of the Food Safety in a Child Care Setting unit, the child care employee will be able to meet the following program objectives:

bulletDiscuss the importance of food safety in the child care setting. 
bulletUnderstand the correct methods for safe purchase, preparation and storage of foods for the child care center. 
bulletList important cleaning techniques involved in safe food preparation and storage.
bulletRecognize safety factors involved in feeding children.

Contents

Introduction
Buying Food
Kitchen 
Kitchen Staff
Preparing Food
Microwave
Storage
Cleaning
Food From Outside Vendors
Picnics and Barbeques
Safety While Eating
Food Brought From Home

Introduction

Food safety is very important in the child care setting.  Food-related illnesses and accidents are quite common and can be fatal for children. Child care providers have an obligation to provide safe food in a safe environment for the children in their care. Dangers for children during food preparation and consumption include: 

bulletFood-borne illnesses (food poisoning)
bulletChoking
bulletAspiration of food
bulletBurns
bulletKitchen accidents while handling knives or appliances
bulletAllergic reactions to food

The National Health and Safety Standards for Child Care Centers — Guidelines For Out-Of-Home Child Care Programs, Chapter 4, clearly details the standards and rationale for food safety in the child care setting.  The focus of many of those standards is the prevention of food-borne illnesses.  According to the Centers for Disease Control, 76 million Americans experience food poisoning each year. The staff and children at child care centers are at high risk for acquiring food-borne illnesses for two reasons:

bulletMost food-borne illnesses are transmitted by the fecal-oral route and can be contracted during diapering, toileting or passed on contaminated toys.
bulletChildren with active food-borne illness may not have any outward symptoms of illness at the time the illness is most communicable.
Common food-borne illnesses acquired at child care centers include Salmonella, Shigella, Campylobacter, E-Coli, Giardia, Amebiasis and Cryptosporidiosis. 

 

This unit is a synopsis of some of the key standards for food safety along with other information for child care providers who prepare food for children. Review these food guidelines to learn more about food safety and how to avoid food-borne illnesses in the child care setting.  

 

Buying Food

If you purchase food for your center, keep these safety factors in mind:

General

Shop when you can take the food directly to the child care center.  Do not allow food to sit in the car while you complete other errands.

 

Don’t buy any food that does not look and smell fresh.

 

Meat and Poultry

bulletWhen buying packaged meat, fish or poultry, check the expiration date on the label. Do not buy outdated meat, fish or poultry products.
bulletDon’t buy ground beef that is brown.
bulletPurchase meat only from government-inspected sources.
bulletDon’t buy pre-stuffed turkeys or chicken.
bulletUse the following guidelines for selecting fresh fish:
bulletWhole, fish should have shiny, protruding eyes and red or pink gills.
bulletFlesh should be firm yet elastic.
bulletAvoid fish that smells very fishy or appears slimy.
bulletFresh fish fillets should appear firm and moist with no browning around the edges.
bulletFish should feel cold to the touch.
bulletBuy fish just before returning to the child care center. If the child care center is an hour or more away, store fish in a cooler with ice for the ride home.
bulletBe sure that grocers wrap meat, fish, poultry and seafood separately and place them in plastic bags so the juices do not drip on other foods in the grocery bag and contaminate them.
bulletHave the bagger put fish, meat, or poultry (already in it’s own plastic bag) on top of frozen or cold foods to keep them cold during transport.

Dairy

bulletSelect eggs that are marked Grade A or AA and are not cracked.
bulletIf you plan to make eggnog, mousse, hollandaise sauce or other foods that require raw egg, purchase a pasteurized egg liquid that you can find in the dairy case and substitute it for raw egg in your recipe. Never feed the children raw egg or products that contain raw egg.
bulletSelect only pasteurized and Grade A dairy products. 
bulletSelect hard cheese that is marked “aged 60 days” or more.

Fruit

bulletDon’t buy fruit with broken skin.

 

Kitchen

State public health codes and national standards describe specific requirements for kitchens in child care centers. Some key standards are:

bulletFood preparation areas are to be separated from eating, play, bathroom and animal areas.
bulletA door or gate should separate the kitchen from other areas.
bulletThe kitchen should not be used as a passageway while food is being prepared.
bulletInfants and toddlers should be restricted from the kitchen.
bulletChildren under school age should be restricted from the area where hot foods are prepared.
bulletKitchen surfaces should be in good repair and easily sanitized.
bulletKitchen equipment should be in good repair and easily sanitized.
bulletThe sink used for food preparation should not be used for hand washing.
bulletA defined amount of space or a splashguard should be between the hand washing sink and the area where food is prepared. (See standards for the exact measurements.)
bulletRefrigerators should be maintained at 40 degrees Fahrenheit or less and freezers at 0 degrees Fahrenheit or less for safe food storage.
bulletThermometers should be available for all refrigerators, freezers, ovens and areas for handling cold and hot food.
bulletDishes should be in good shape without chips.
bulletPaper and plastic products should be used only once and discarded. Styrofoam products should not be used because children can choke on pieces of styrofoam.

Kitchen Staff

The staff that prepares food in a child care center must have a good understanding of food safety and must use a meticulous hand washing technique when preparing foods. Standards relative to kitchen staff include:

bulletAny person who has a food-borne illness, diarrhea, vomiting, a bacterial or viral infection or sores on the hands that cannot be covered by nonporous latex gloves should not prepare food.
bulletStaff members who prepare food should not change diapers or toilet the children. In a small setting or if this is not possible, they must meticulously wash their hands between any activity with the children (especially diapering or toileting) and any food preparation. Transmission of food-borne illness often occurs because of poor hand washing by the person responsible for food preparation.
bulletKitchen staff supervising older children who are assisting in food preparation must be certified by the center director or a nutrition specialist as qualified to follow the sanitation, safety and disinfection policies of the center.

Preparing Food

Using safe techniques for preparing food is essential to avoid transmitting food-borne illness. Some suggestions for safe food preparation include:

General 

bulletWash your hands before and after handling raw meat, fish or poultry.
bulletNever put a spoon used to taste food back into the food without washing it.
bulletDo not return food from individual plates back into the serving bowl.
bulletKeep raw foods and cooked foods separate, and use separate utensils when preparing them.
bulletCook food promptly after it has thawed.
bulletServe food promptly after preparation.
bulletCover unserved food promptly, refrigerate it quickly and use it within 24 hours. Discard food that has been out of the refrigerator for 2 or more hours.
bulletHeat leftovers until the inside temperature is 165 degrees or until they are steaming hot.
bulletInspect foods daily for spoilage.

Meat, Fish and Poultry

bulletThaw frozen meat, fish or poultry on a plate in the refrigerator or in the microwave, not on the countertop at room temperature.
bulletDo not use the same cutting board for raw fruits and vegetables that you use for meat unless you wash it thoroughly between uses. Meat and poultry juices may contain bacteria or parasites. If you use a cutting board first for meat and then for salads or vegetables, you may contaminate the salads or vegetables with bacteria or parasites.
bulletMarinate meat in the refrigerator, not on the counter. If you are going to baste cooking meat with the marinade, boil the marinade for a few minutes first to kill any bacteria.
bulletUse a meat thermometer to check the internal temperature of meats, especially large roasts or turkey.
bulletCook meat until it reaches 160 degrees internal temperature
bulletCook poultry until it reaches 180 degrees internal temperature
bulletCook pork until it reaches 170 degrees internal temperature
bulletDefrost frozen fish only in the refrigerator or in cold water.
bulletBe suspicious of fish that tastes peppery, metallic or bitter. It could be tainted or you could be reacting to a substance in the fish.
bulletPlace leftover, cooked fish in the refrigerator within one hour and do not keep it more than 2 days.
bulletDo not use home canned food, food from dented or rusted cans, cans that are leaking or not properly sealed, or cans that are unlabeled.

Dairy

bulletDon’t leave eggs out of the refrigerator for more than 2 hours.
bulletDon’t lick or allow children to lick a batter bowl or eat raw cookie batter that has raw egg in it.
bulletAvoid icing that contains raw egg whites.
bulletUse dry milk and milk products only for cooking. Carefully follow directions for reconstitution and storage.
Fruits and Vegetables

 

bulletThoroughly wash fruits and vegetables before serving.
bulletDo not use the same cutting board for raw fruits and vegetables that you use for meat unless you wash it thoroughly between uses. Meat and poultry juices may contain bacteria or parasites. If you use a cutting board first for meat and then for salads or vegetables, you may contaminate the salads or vegetables with bacteria or parasites.
bulletRemove and discard the outer leaves from leafy vegetables.

Microwave

When using a microwave to prepare foods, use the following safety guidelines:
bulletCover all meats while in the microwave.
bulletTurn meat over at least once while cooking and rotate the dish.
bulletStir ground meats 1-2 times while cooking.
bulletRotate meatloaf dishes at least once and let stand at least 7 minutes after cooking.
bulletFollow your individual microwave instructions for cooking meat properly.

Storage

Proper storage of food is essential for avoiding food-borne illnesses. Safety factors include:

 

bulletOpened food should be covered with plastic or sealed in a plastic bag, labeled with the date it was opened and refrigerated quickly.
bulletExtra cooked food should be cooled, covered in plastic, labeled and refrigerated quickly.
bulletAll food items in the refrigerator should be in separate, sealed containers or plastic bags.
bulletRaw foods should be kept below the cooked foods in the refrigerator.
bulletOpen foods that do not require refrigeration should be sealed in nonporous containers and kept in a clean area at least 6 inches from the floor.
bulletDry bulk foods should be stored in covered, sealed glass, metal or food-grade plastic containers and should be labeled and dated.
bulletGarbage should be placed in containers with a tight fitting lid and removed from the kitchen daily. Garbage should be kept away from the children, and garbage containers  should be labeled.
bulletMedication, cleaning products, and toxic substances should be stored in a separate area from food, preferably out of the kitchen, away from the children and in a locked cabinet or separate, locked refrigerator.

Cleaning

Proper cleaning is critical for preventing the transmission of food-borne illnesses. Things that look neat on the surface may harbor organisms or parasites unless cleaned properly. Cleaning techniques should include:

bulletClean and sanitize food preparation areas, food service areas and dining areas before and after each meal or use.
bulletClean and sanitize equipment used for food preparation after each use, and store it in a clean and sanitary manner.
bulletWash cutting boards with hot water and detergent and sanitize them between uses.  Cutting boards must be made of a nonporous material and should be discarded if they have cuts and crevices.
bulletA 2-compartment sink with an approved dishwasher or a 3-compartment  sink to wash, rinse and disinfect is ideal for cleaning dishes. If neither of these is available, the child care center must use paper products and plastic utensils that can be discarded after every use.
bulletClean and disinfect bottles, bottle caps and nipples between each use.
bulletEither wash napkins, bibs and tablecloths after each or use paper products and discard them after each use.
bulletClean the refrigerator regularly with soap and water or a disinfectant.
bulletRemove any raw juice spills from meat, fish or poultry as soon as they occur, and clean the area with warm, soapy water or a disinfectant solution.
bulletRinse kitchen sponges in an antimicrobial solution.
bulletAfter each use, scrub your cutting board with soap and water or run it through the dishwasher on a hot setting to destroy bacteria. Rinsing it with water or wiping it with a sponge does not prevent food-borne illness.  Plastic cutting boards clean more easily than wooden cutting boards.
bulletWipe the counters with wet paper towels after preparing a meal and then discard them. Repeatedly using the same dishcloth to wipe off the counter may spread bacteria or parasites.
bulletIf dishcloths become soiled with food juices, wash them in the washing machine before using again. Dishcloths that are used over and over can be a source of contamination to you and the food you are preparing.
bulletPeriodically sanitize the kitchen drain, sink and garbage disposal by pouring an antimicrobial kitchen-cleansing agent or a solution of 1 teaspoon of bleach to l quart of water down the drain. Food particles and a moist environment are ideal growing places for bacteria.
bulletRemember that hand washing before and after handling raw meat, fish or poultry can be the best prevention for avoiding food-borne illness.

Food From Outside Vendors

If an outside vendor provides food to the child care center, that vendor’s place of business must be inspected and approved by the local health department. Centers that use outside vendors must follow guidelines for proper holding and serving of food, including the ability to keep hot foods at 140 degrees Fahrenheit or more and cold foods at 40 degrees Fahrenheit or less, until the food is served to prevent bacterial proliferation in the food.

Picnics and Barbeques

Keeping food fresh and uncontaminated is more difficult when eating outdoors than when eating indoors. If you are preparing and serving a picnic or outside meal for the children at the center, food-safety methods should include:

General 

bulletWash your hands and the children’s hands frequently and thoroughly before preparing, handling or eating food.
bulletHave pre-moistened towlettes available for the children, and be sure to give one to the cook to use after handling raw meats.
bulletKeep all dishes covered when not serving to keep insects away. Insects such as flies can carry bacteria and may contaminate your food.
bulletKeep cooked and raw foods in separate containers.
bulletEat food while it’s hot. The longer it sits, the more likely it is to grow bacteria.
bulletUse plastic containers when drinking juice. The acid in juices can cause metal to leach out of untreated metal cans.
bulletBe sure that cider from a roadside stand has been pasteurized. Otherwise, you run the risk of acquiring Salmonella or E-coli. You can also acquire salmonella from raw egg, unpasteurized milk and unpasteurized orange juice.
bulletIf the ice in the cooler has melted, discard the food.
bulletDo not leave food out of the cooler for more than 1 hour on a warm day.
bulletWhen in doubt about whether food has been exposed to the sun for too long, throw it out.
bulletDo not eat food that does not look and smell fresh.
bulletDo not drink water from an unfamiliar source. Carry bottled water for drinking on picnics.

Meats, Poultry, Fish

bulletThoroughly cook all meats and poultry (until their juices run clear).
bulletWhen cooking, grilling or broiling meats, turn them at least once during cooking.
bulletDo not eat meat rare. Beef patties and steak should be cooked until brown inside. Chicken should be white inside. Juices should be clear. Fish should be white and flaky.
bulletUse separate utensils and platters for raw meat and cooked meat. Putting cooked meat on a platter with raw meat juices may recontaminate it with bacteria.

Vegetables

bulletRefrigerate summer salads, such as potato salad, after preparing them, and keep them in a cooler until served.
bulletBacteria that may be in or on the raw foods you used for salads can grow and produce toxins in as little as in 7-20 minutes of exposure to sun and heat. Leave your salads in the cooler, not on the picnic table.
bulletThoroughly wash raw vegetables and fruit.

Safety While Eating

Choking and aspirating are the biggest threats to children while they are eating. Allergic reactions to food may occur within minutes or up to several hours after a child eats. Vigilance by the child care staff is critical during meal times. All of these situations are emergencies, and prompt response by trained staff may save a child’s life. Actions that can be taken to prevent these food-related injuries include:

 

bulletKnow which children have food allergies and what foods will elicit an allergic reaction.
bulletProperly position children for meals:  
bulletUse highchairs with appropriate belts for upright placement of toddlers. 
bulletUse appropriate-sized chairs and tables so children are sitting upright with their feet on the floor when eating.  
bulletHold infants with their head at a 45-degree angle when they are drinking from a bottle. Do not give a bottle to an infant lying down.  
bulletUse developmentally appropriate eating utensils.
bulletHave staff present at the table to supervise mealtime activity of older children.
bulletDo not feed more than three young children at the same time.
bulletHave an adult sit within reach of children who have just learned to feed themselves.
bulletHave staff and children properly wash their hands before and after meals.
bulletDo not drink hot liquids at the table with children because of the risk of spills and burns.
bulletEncourage children to eat, but don’t force-feed them.
 

Food Brought From Home

Food-safety standards for the child care center must include policies about food brought from home and should address the following:

bulletFood brought from home must be labeled with the date, type of food and the child’s name.
bulletPerishable food must be refrigerated promptly to avoid bacterial growth.
bulletFood brought from home should not be shared with other children.
bulletIf food brought from home consistently does not meet nutritional or safety guidelines, the center should provide food for the child and refer the parent to a nutritional specialist or health provider for instructions.
 

Read your center’s food-safety policies and procedures now then proceed to the Food Safety Test.

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