| Nutrition factors scored |
| Fruits and vegetables |
Types and frequency of fruits and vegetables served; use of butter, margarine, or meat fat on vegetables; added fat in vegetables |
| Grains/low fat meats |
Lean meats/fish; beans/lentils; high fiber and whole grains served |
| High sugar/high fat foods |
Fried vegetables and meats; high fat meats; high sugar and high fat foods and condiments served |
| Beverage |
Servings of 100% fruit juice; availability and encouragement of drinking water, servings of sugary drinks, types and servings of milk |
| Staff behavior |
Staff do not push children to eat more than desired, food not used to control behavior; staff encourage children to try new foods, staff sit with children during lunch, staff eat the same foods as children |
| Nutrition environment |
No soda and vending machines, family-style meals served; display of posters, pictures, or books about nutrition |
| Nutrition training and education |
Nutrition education for children with documented curriculum; staff communicate with children about healthy foods; nutrition training for staff |
| Nutrition policy |
Written guidelines address holiday/celebration foods, review of fundraising projects for healthy foods if food-based, written policy on nutrition and food service evident |
|
Physical activity factors scored
|
| Active play |
Frequency and length of active and structured play, outdoor active play |
| Sedentary behavior |
Children not seated for more than 30 minutes at a time, TV viewing observed (minutes); videogame playing observed (minutes) |
| Sedentary environment |
No TV or computer in room for use by children; posters, pictures, or books about physical activity available |
| Portable environment |
Variety of mobile physical activity equipment (balls, jump ropes, riding toys, etc.) available |
| Fixed environment |
Fixed play items (basketball hoop, swing, running space, etc.) available |
| Staff behavior |
Staff do not restrict active play as punishment; staff join in active play; staff make positive statements about physical activity to children |
| Physical activity training and education |
Physical activity education for children with documented curriculum; extracurricular programs; physical activity training for staff; documentation of physical activity education/workshop materials |
| Physical activity policy |
Center has written policy on physical activity |
