According to

Maternal and child health care institutions

(1) Cooperate with the administrative department of health, formulate the health care work plan and annual plan of nurseries and kindergartens within their jurisdiction and organize their implementation, formulate the detailed rules for the implementation of health care work evaluation of nurseries and kindergartens within their jurisdiction, and establish a sound quality control system and evaluation system.

(2) According to the Administrative Measures, the maternal and child health care institutions designated by the administrative department of health shall conduct health evaluation on the newly-established kindergartens before enrollment, and issue health evaluation reports.

(3) Entrusted by the administrative department of health, maternal and child health care institutions conduct a comprehensive assessment of health care work for child care institutions that have obtained the qualification of running parks (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 are responsible for pre-job training and assessment of health care personnel in local kindergartens, and those who pass the training will be awarded training certificates. Maternal and child health care institutions at or above the county level shall organize at least 1 business trainings or on-site observation activities on relevant knowledge every year.

(5) Maternal and child health care institutions regularly provide operational guidance to the health care work of nurseries and kindergartens within their jurisdiction. 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, and health care data management.

(6) 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 prevention and control of infectious diseases.

(7) Provide relevant professional 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 jurisdiction.

(8) to be responsible for regularly organizing regular meetings on health care work 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

(1) Kindergartens should formulate a reasonable living system according to the physiological and psychological characteristics of children of all ages, combined with the seasonal changes in the region and the actual situation of the kindergartens.

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

(3) Ensure that children have enough time for 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 cold and hot seasons.

(4) reasonably arrange the daily meal and sleep time according to the age characteristics of children and the service form of kindergartens. Make meals and counting, the interval between meals for children is 3.5 ~ 4 hours, the meal time is 21 ~ 31 minutes/meal, and the time for quiet activities or walks after meals is 11 ~ 15 minutes. The nap time for children aged 3 ~ 6 years is 2 ~ 2.5 hours/day according to the season, and the daytime sleep time for children under 3 years old can be extended appropriately.

(5) Strict implementation of the one-day living system, health care personnel should patrol every day, observe the implementation of classes, and correct problems in time to ensure the regularity and stability of children's life in kindergartens.

expanded information

according to the

children's diet

(1) dietary management.

1. The canteens of nurseries and kindergartens shall, in accordance with the Food Safety Law, the Regulations for the Implementation of the Food Safety Law, the Measures for the Administration of Catering Service License, the Measures for the Supervision and Administration of Catering Service Food Safety, and the Provisions for the Hygienic Administration of School Canteen and Students' Group Dining, obtain the Catering Service License and establish and improve various food safety management systems.

2. Nursery institutions should provide children with drinking water that meets the national Hygienic Standard for Drinking Water. Ensure that children drink water as needed. Concentrate on drinking water 1 ~ 2 times a day in the morning and afternoon, with the water consumption of 1 ~ 3 years old children of 51 ~ 111 ml/time and 3 ~ 6 years old children of 111 ~ 151 ml/time, and adjust the water consumption as appropriate according to the seasonal changes.

3. Children's diet should be handled by a special person, and a diet committee with parents' representatives should be established and held regularly for democratic management. Staff 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 License or Food Circulation License. Food must be purchased and inspected before purchase, and tickets and certificates must be obtained. Child care institutions should 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 centrally in the canteen or cleaning and disinfection room, and kept clean after disinfection. The food in stock shall be classified, marked, marked with shelf life date and stored in a fixed location.

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. Samples of food should be stored in sealed special containers after cleaning and disinfection according to varieties, and stored for more than 48 hours under cold storage conditions; Each variety shall be no less than 111g to meet the inspection requirements, and records shall be made.

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. Kindergartens should work out children's dietary plans according to children's physiological needs, guided by the Dietary Guidelines for China residents, and referring to the Dietary Nutrient Reference Intake (DRIs) of China residents and the daily reference intake of various foods (see table).

2. Make a recipe with quantity according to the meal plan, and change it 1 times every 1 ~ 2 weeks. Food varieties should be diversified and reasonably matched.

3. In the process of selecting materials, washing, cutting and cooking, 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, smell, taste and shape of cooking food to improve children's interest in eating.

4. Nursery institutions should conduct dietary survey and nutritional assessment at least 1 times every quarter. Full-time child care institutions and boarding child care institutions should reach 81% and 91% of DRIs respectively. Vitamins A, B1, B2, C and minerals such as calcium, iron and zinc should reach more than 81% of DRIs.

The percentage of calories of three nutrients in total calories is 1.2-1.5% in protein, 31-35% in fat and 51-61% in carbohydrate. The daily calorie distribution ratio of breakfast, lunch and dinner is 31%, 41% and 31%. High-quality protein accounts for more than 51% of protein's total.

5. Conditional child care institutions can provide special meals for children with anemia, malnutrition and food allergies. Nursery institutions that do not provide meals should provide snacks at least 1 times a day.