Question #5

• This resource is an article from Center for Disease Control & Prevention on chemicals and odors https://www.cdc.gov/niosh/topics/indoorenv/chemicalsodors.html
• This resource is an EPA brief on indoor air quality for child care and supplemental resources https://www.epa.gov/childcare/resources-about-indoor-air-quality-child-care-providers
• This resource is a Train the Trainer Guide on Indoor Air Quality for Child Care Facilities from the Arizona Department of Environmental Quality https://legacy.azdeq.gov/function/about/download/indoorair.pdf
• This resource is an EPA brief on pollutants/contaminants that may affect the health of children https://www.epa.gov/americaschildrenenvironment/ace-environments-and-contaminants

Question #6

• This resource is a smokefree environment policy template from the Arizona Department of Health Services https://www.azdhs.gov/documents/prevention/nutrition-physical-activity/empower/forms-sample-policies/empower-sample-policy-standard-10.pdf
• This resource is from the Public Health Law Center and gives a policy overview on smoke-free child care centers https://publichealthlawcenter.org/sites/default/files/resources/phlc-fs-smokefreechildcare-2011.pdf

Question #7

• This resource is an article from the Center for Disease Control and Prevention on the impact of secondhand smoke https://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/index.htm#:~:text=Secondhand%20smoke%20causes%20numerous%20health,infant%20death%20syndrome%20(SIDS).&text=Smoking%20during%20pregnancy%20results%20in%20more%20than%201%2C000%20infant%20deaths%20annually
• This resource is a Lexington Family article on thirdhand smoke and suggested policies https://www.lexingtonfamily.com/2015/05/thirdhand-smoke-at-home-or-in-daycare-is-your-child-safe-from-this-health-hazard/
• This resource is from Caring For Our Children and shares information about health protection in child care specific to tobacco and drug use. https://nrckids.org/cfoc/database/3.4.1.1

Question #8

• This resource is an article from Princeton University Environmental Health & Safety on maintaining pipe drain traps. https://ehs.princeton.edu/news/keep-drain-traps-drying-out
• This resource is an article from Caring for our Children, Quality of Indoor and Outdoor Environment specifically about sewage and garbage https://nrckids.org/CFOC/Database/5.2.7

Question #9

• This resource is an article from Caring for our Children Quality of Indoor and Outdoor Environment specific to ventilation, heating, cooling and hot water inclusive of processes for heating and ventilation equipment inspection and maintenance https://nrckids.org/CFOC/Database/5.2.1
• This resources ia an EPA article on safely providing power for lighting, cooking and heating https://www.epa.gov/indoor-air-quality-iaq/power-outages-and-indoor-air-quality-iaq

Question #10

• This resource is an article from Caring for our Children Quality of Indoor and Outdoor Environment specific to prevention and management of toxic substances-carbon monoxide monitors https://nrckids.org/cfoc/database/5.2.9.5
• This resource is an article on carbon monoxide and use of detectors from Safe kids Worldwide https://www.safekids.org/carbon-monoxide
• This EPA resource is an article on carbon monoxide’s Impact on indoor air quality https://www.epa.gov/indoor-air-quality-iaq/carbon-monoxides-impact-indoor-air-quality

Question #11

• This is a brief from the National Fire Protection Association and resources on carbon monoxide detectors https://www.nfpa.org/Public-Education/Staying-safe/Safety-equipment/Carbon-monoxide
• This resource is an article by the Lee Company on the maintenance of frequency of smoke and carbon monoxide detectors https://www.leecompany.com/resources/why-you-need-to-check-your-smoke-and-carbon-monoxide-detectors-monthly/
• This EPA resource is a brief on carbon monoxide detectors https://www.epa.gov/indoor-air-quality-iaq/where-should-i-place-carbon-monoxide-detector

Question #12

• This resource is an article by This Old House on how often air filters should be changed. https://www.thisoldhouse.com/heating-cooling/21314527/how-often-to-change-air-filter
• This resource is from Caring for our Children on ensuring access to fresh air indoors https://nrckids.org/CFOC/Database/5.2.1

Question #13

• This resource is an EPA article on biological pollutants impact on indoor air quality https://www.epa.gov/indoor-air-quality-iaq/biological-pollutants-impact-indoor-air-quality
• This resource is an EPA article on mold and indoor air quality in schools https://www.epa.gov/mold/mold-and-indoor-air-quality-schools
• This resource is from Molekule and provides guidance on indoor air quality testing https://molekule.science/the-ultimate-guide-to-indoor-air-quality-testing/
• This resource is from Caring for our Children on prevention and management of toxic substances https://nrckids.org/CFOC/Database/5.2.9.13

Question #14 No resources listed Question #15

• This is a listing of general recommendations by the EPA to minimize the health Impact of VOC’s due to remodeling activities. https://www.epa.gov/indoor-air-quality-iaq/addressing-indoor-environmental-concerns-during-remodeling#tab-10
• The article is an introductory narrative of the sources, health effects and overall impact of VOC’s on indoor air quality along with some general guidelines and steps to reduce exposure. https://www.epa.gov/indoor-air-quality-iaq/volatile-organic-compounds-impact-indoor-air-quality
• This resource is a EPA’s fact sheet titled, Indoor Air Facts No. 4 describes symptoms of the sick building syndrome, possible sources, and recommended steps to diagnose it. https://www.epa.gov/sites/default/files/2014-08/documents/sick_building_factsheet.pdf

Question #16

• This resource is an article by the International Association of Certified Home Inspectors and explains the importance of bathroom venting on human’s and building’s health and the possible indicators of a malfunctioning system. https://www.nachi.org/bathroom-ventilation-ducts-fans.htm

Mold & Fungal Presence

Question #17

• This resource is a fact sheet from The American Industrial Hygiene Association’s (AIHA) that focuses on mold, its detection, general health impacts, and steps to take for testing and remediation. https://aiha-assets.sfo2.digitaloceanspaces.com/AIHA/resources/Facts-About-Mold-A-Consumer-Focus-Fact-Sheet.pdf
• This article is from the Center for Disease Control (CDC) and provides facts about mold and dampness, the risks, and possible steps to remove mold and maintain it under control. https://www.cdc.gov/mold/faqs.htm
• This EPA resource offers a downloadable publishing about mold and moisture with tips for cleanup and prevention. https://www.epa.gov/sites/default/files/2016-10/documents/moldguide12.pdf

Question #18

• This EPA document presents an introduction to mold in the environment, process for evaluating and remediating, tips for cleanup and repairing after water damage and remediation guidelines. https://www.epa.gov/mold/mold-remediation-schools-and-commercial-buildings-guide-appendix-b

Question #19

• This is Chapter 3 of the EPA document on mold that focuses on investigating, evaluating and remediating moisture and mold problems. https://www.epa.gov/mold/mold-remediation-schools-and-commercial-buildings-guide-chapter-3
• This is Chapter 6 of the EPA’s document on mold that provides the easy-to-follow checklist for mold remediation https://www.epa.gov/mold/mold-remediation-schools-and-commercial-buildings-guide-chapter-6

Asbestos

Question #20

• This article details materials that might contain asbestos and where you can locate licensed inspectors in your state. https://www.healthychildren.org/English/safety-prevention/all-around/Pages/Keeping-Your-Child-Safe-From-Asbestos.aspx

Question #21

• This information from the EPA details regulatory requirements to protect school children and employees from asbestos exposure along with required documentation. https://www.epa.gov/asbestos/asbestos-and-school-buildings
• This information from the EPA provides clarity specific to nursery/daycares following the Asbestos Hazard Emergency Response Act (AHERA) https://www.epa.gov/asbestos/nurserydaycare-center-subject-asbestos-hazard-emergency-response-act-ahera

Radon Gas

Question #22

• This information from the EPA shares US radon zones and state specific information about testing and associated processes. https://www.epa.gov/radon/epa-map-radon-zones-and-supplemental-information#radonmap

Question #23

• This resource is the 2016 EPA’s consumers guide to radon reduction in the home/environment. https://www.epa.gov/sites/default/files/2016-12/documents/2016_consumers_guide_to_radon_reduction.pdf

Lead-Based Paint

Question #24

• This information from the EPA details potential lead sources and how to reduce lead exposure and protective measures to implement. https://www.epa.gov/lead/protect-your-family-sources-lead

Question #25

• This information details the EPA’s processes for renovation, repair and painting program for operators of child care facilities. https://www.epa.gov/lead/renovation-repair-and-painting-program-operators-child-care-facilities
• This pamphlet shares the process for child care providers to implement to select a lead safe contractor. https://www.epa.gov/sites/default/files/2013-08/documents/childcareproviderrrptrifold_horizontal.pdf

Questions #26-27

• The EPA shares information on how to identify possible exposure areas from lead-based paint and supplemental resources for assistance. https://www.epa.gov/lead/learn-about-lead

Water Quality

Question #28

• The EPA presents its recommendations for reducing lead in drinking water for schools and child care centers https://www.epa.gov/ground-water-and-drinking-water/3ts-reducing-lead-drinking-water
• This EPA article shares extensive resources to help schools and child care facilities implement a voluntary program for reducing lead in the drinking water process 3t’s: Training, Testing and Taking Action. https://www.epa.gov/system/files/documents/2021-07/3ts_checklist_establishing_a_program_508_0.pdf
• “Understanding the Lead and Copper Rule” details the EPA’s treatment technique for contaminants like lead and copper that prevents known or anticipated health effects to the extent feasible as required by The Safe Drinking Water Act. https://www.epa.gov/sites/default/files/2019-10/documents/lcr101_factsheet_10.9.19.final_.2.pdf
• This resource provides an interactive U.S. map to aid in finding your state’s Consumer Confidence Report (CCR), also known as an annual drinking water quality report from your water supplier which tells you where your water comes from and what’s in it. https://ordspub.epa.gov/ords/safewater/f?p=136:102
• This resource provides an interactive U.S. map to aid in finding your state’s requirements for maintenance and testing guidelines for private drinking water wells. https://www.epa.gov/privatewells/private-drinking-water-well-programs-your-state

Question #29

• The EPA article shares extensive resources to help schools and child care facilities implement a voluntary program for reducing lead in drinking water process 3t’s: Training, Testing and Taking Action. https://www.epa.gov/system/files/documents/2021-07/3ts_checklist_establishing_a_program_508_0.pdf
• This article by the CDC explains how to read, understand, and interpret water quality reports. https://www.cdc.gov/healthywater/drinking/public/understanding_ccr.html

Question #30

• This article by the CDC explains and gives general guidance to effectively reopening buildings after prolonged shutdown or reduced operation. https://www.cdc.gov/nceh/ehs/water/legionella/building-water-system.html
• This downloadable publishing by the EPA details proactive steps that can be taken to prevent stagnation and maintain building water in buildings with low or no use. https://www.epa.gov/sites/default/files/2020-05/documents/final_maintaining_building_water_quality_5.6.20-v2.pdf

Question #31

• This article by the EPA explains basic guidelines on how to care for your septic system. https://www.epa.gov/septic/how-care-your-septic-system
• This downloadable publishing by the EPA is a guide to septic systems and required maintenance for homeowners. https://www3.epa.gov/npdes/pubs/homeowner_guide_long.pdf

Pests

Question #32

• This EPA article shares how to identify and prevent rodent infestation https://www.epa.gov/rodenticides/identify-and-prevent-rodent-infestations
• This EPA resource provides information on the do’s and don’t’s of pest control https://www.epa.gov/safepestcontrol/dos-and-donts-pest-control

Question #33

• This resource is an EPA document on Integrated Pest Management in Child Care https://www.epa.gov/sites/default/files/documents/IPM_CCC.pdf
• This resources from Caring for Our Children provides information on pest management process. https://nrckids.org/cfoc/database/5.2.8.1

Question #34

• This resource is an article from the National Pesticide Information Center on minimizing exposure to pesticides and associated processes. http://npic.orst.edu/health/child.html

Question #35

• This resource from Caring for Our Children provides information on pest management process. https://nrckids.org/cfoc/database/5.2.8.1

Question #36

• This resource is an EPA document on the safe storage of pesticide https://www.epa.gov/safepestcontrol/storing-pesticides-safely
• This resource is from Penn State Extension and shares information on safe storage of pesticides https://extension.psu.edu/what-you-need-to-know-about-storing-a-pesticide

Question #37

• This resource is from the Office of Head Start and provides a list of poisonous and non-poisonous plants and supplemental resources to check plant toxicity. https://eclkc.ohs.acf.hhs.gov/safety-practices/article/even-plants-can-be-poisonous

Chemical & Irritant Use

Question #38

• This resource provides poison prevention tips including storage of medicine, cleaning products, pesticides and other toxic substances https://www.healthychildren.org/English/safety-prevention/all-around/Pages/Poison-Prevention.aspx
• This resource provides information on childproofing your home for poisons https://www.healthychildren.org/English/safety-prevention/at-home/Pages/Childproofing-Your-Home.aspx
• This resource provides information from North Carolina on storing hazardous materials in child care settings https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/H/Hazardous_Items_Storage.pdf?ver=MrLWC2-P68-nwv7XBc7vcA%3D%3D
• This resource is from Caring For Our Children’s best practices in the use and storage of Toxic substances https://nrckids.org/cfoc/database/5.2.9.1
• This resource is a poison prevention tip sheet from Head Start https://eclkc.ohs.acf.hhs.gov/publication/poisoning-prevention-home-safety-tip-sheet

Question #39

• This resource is information about green cleaning from the EPA that has a reduced impact on human health and the environment https://www.epa.gov/childcare/resources-about-green-cleaning-child-care-providers
• This resource is an EPA region 5 and Shakopee MDEWAKATON Sioux training video about safer cleaning products https://www.youtube.com/watch?v=XfHgOXfmszo
• This resource is a household chemical fact sheet to aid in reducing exposure to toxic chemicals https://cehn.org/download/household-chemicals-fact-sheet/

Question #40

• This resource is an article about cleaning, sanitizing and disinfecting in child care https://childcare.extension.org/cleaning-sanitizing-and-disinfecting-in-child-care/
• This resource is from Caring for our Children and shares information about routine cleaning and sanitizing in child care settings https://nrckids.org/cfoc/database/3.3.0.1
• This resource provides supplementary guidance for cleaning, sanitizing and disinfecting child care facilities from the District of Columbia Office of the State Superintendent of Education https://osse.dc.gov/sites/default/files/dc/sites/osse/page_content/attachments/Supplementary%20Guidance%20for%20Cleaning%2C%20Sanitizing%2C%20and%20Disinfecting%20Child%20Care%20Facilities%2010.22.20.pdf
• This resource is from the Western States Pediatric Environmental Health Specialty Unit and shares information about safer disinfectant use in child care and school during the Covid 19 pandemic https://wspehsu.ucsf.edu/main-resources/green-cleaning-sanitizing-and-disinfecting-a-toolkit-for-early-care-and-education/
• This resource is from Penn State Extension and shares information on a curriculum for green cleaning, sanitizing and disinfecting in early childhood education https://extension.psu.edu/programs/betterkidcare/lessons/green-cleaning
• This resource shares tips to reduce the use of toxic chemicals in child care programs https://info.childcareaware.org/blog/reducing-the-use-of-toxic-chemicals-in-child-care-programs
• This resource is a fact sheet of commonly used toxic cleaning products and how to reduce exposure. https://cchp.ucsf.edu/sites/g/files/tkssra181/f/ToxicProductsEN_051707.pdf

Question #41

• This resources shares information about the dangers of fragrances https://cehn.org/our-work/eco-healthy-child-care/ehcc-faqs/fragrances/
• This resource shares information from NAEYC on creating eco-friendly, healthy learning environments. https://www.naeyc.org/resources/pubs/tyc/oct2019/eco-friendly-environment
• This resource is from the New Jersey Department of Health and shares important information about air fresheners https://www.nj.gov/health/ceohs/documents/ccc-toolkit/ccc_air%20fresheners.pdf

Question #42

• This resource is from Caring for our Children and shares information about the use and storage of toxic substances https://nrckids.org/cfoc/database/5.2.9.1
• This resource is from Health Child Care Iowa and shares information about using chemicals wisely in child care https://idph.iowa.gov/Portals/1/Files/HCCI/using_chemicals_wisely.pdf

Toys & Equipment

Question #43-44

• This resource shares information about the concerns related to pressure treated wood in playground equipment https://www.playgroundequipmentusa.com/outdoor-commercial-playground-equipment/pressure-treated-wood/
• This resource shares information about precautions in pressure treated wood in playground equipment https://www.mass.gov/doc/pressure-treated-wood-use-in-playground-equipment/download
• This resource shares how to identify lead based paint on children’s playgrounds https://www.rospa.com/play-safety/advice/lead-paint
• This resource from the EPA shares information about the concerns related to tire crumb https://www.epa.gov/chemical-research/federal-research-recycled-tire-crumb-used-playing-fields

Question #45

• This resource is from the EPA and provides information about the importance of testing soil and support with testing. https://www.epa.gov/sites/default/files/2020-10/documents/lead-in-soil-aug2020.pdf
• This resources from the Center for Disease Control and Prevention shares information on preventing lead exposure through soil. https://www.cdc.gov/nceh/lead/prevention/sources/soil.htm

Question #46 No resources listed Question #47

• This resource is from Caring for our Children Play Areas/Grounds and Transportation and shares information about age appropriate toys. https://nrckids.org/cfoc/database/6.4.1.2
• This resource is from the Consumer Product Safety Commission and provides links to several toy fact sheets https://www.cpsc.gov/Regulations-Laws–Standards/Voluntary-Standards/Topics/Toys
• This resource is from the CDC and shares information about concerns specific to lead in toys. https://www.cdc.gov/nceh/features/leadintoys/
• This resources is from the Consumer Product Safety Commission and provides information about recalled toys and other items. https://www.cpsc.gov/Recalls
• This resource is from Caring for Our Children and shares information about facilities, supplies, equipment and environmental health (plastic containers and toys). http://nrckids.org/CFOC/Database/5.2.9.9

Question #48

• This resource is from the EPA and shares information about the concerns related to tire crumb https://www.epa.gov/chemical-research/federal-research-recycled-tire-crumb-used-playing-fields
• This resource is a handbook on playground safety from the U.S. Consumer Product Safety Commission (Page 9 shares appropriate and inappropriate playground surfacing) https://www.cpsc.gov/s3fs-public/325.pdf
• This resource is from Children’s Environment Health Network and shares benefits and challenges of playground surfaces (inclusive of other playground safety links). https://cehn.org/wp-content/uploads/2017/11/Playground-Surfaces_Nov2017.pdf

Question #49

• This resource is from Caring for Our Children and shares information about facilities, supplies, equipment and environmental health (art and craft materials) http://nrckids.org/CFOC/Database/5.2.9.7
• This article is from the Arts and Crafts Material Institute and provides information about the seals to look for to ensure safety https://acmiart.org/

Question #50

• This resource is from the California Childcare Health program and shares information about banning chemicals called phthalates in childhood products. https://cchp.ucsf.edu/sites/g/files/tkssra181/f/BannedChem_0308.pdf
• This resource is from the Children’s Environment Health Network and shares information about BPA and how to reduce exposure to BPA. https://cehn.org/our-work/eco-healthy-child-care/ehcc-faqs/plastics/
• This resource is from Caring For Our Children and shares information about nutrition and food service in preparing, feeding, and storing infant formula https://nrckids.org/CFOC/Database/4.3.1.5
• This resource is from Caring For Our Children and shares information about nutrition and food service in preparing, feeding, and storing human milk https://nrckids.org/CFOC/Database/4.3.1.3
• This resource is from Caring For Our Children and shares information about nutrition and food service specific to warming bottles and infant foods https://nrckids.org/CFOC/Database/4.3.1.9
• This resource is from Caring For Our Children and shares information about nutrition and food service specific to tableware and feeding utensils. https://nrckids.org/CFOC/Database/4.5.0.2