Table 1.

EPAO for FCCH scoring rubric based on best practice^a (BP) compliance

Overall score component	Environmental sub-scores (# BP compliance items)	Example best practices
Overall nutrition score Range: 0–21	Seven nutrition-related environmental sub-scores
	• Food provided (12 BPs)	• Fruit (not juice) served ≥2 times per day
	• Beverages provided (5 BPs)	• 100% fruit juice served ≤2 times per week
	• Feeding environment (7 BPs)	• Children served food family style
	• Feeding practices (8 BPs)	• Teachers always praise children for trying new or less preferred foods
	• Menus and variety (1 BP)	• Menu cycle is ≥3 weeks
	• Nutrition education and professional development (4 BPs)	• Children participate in planned nutrition education ≥1 time per week
	• Nutrition policy (1 BP)	• There is a comprehensive, written nutrition policy
Overall physical activity score Range: 0–30	Ten physical activity-related environmental sub-scores
	• Time provided for physical activity (3 BPs)	• Preschool children are provided with ≥120 min per day of physical activity
	• Indoor play equipment (2 BPs)	• A large variety of equipment is available and in good condition to use indoors
	• Physical activity practices (3 BPs)	• Teachers never take away physical activity for longer than 5 min as a way of managing child behaviors
	• Physical activity education and professional development (4 BPs)	• Teachers and staff receive professional development of child physical activity ≥2 times per year
	• Physical activity policy (1 BP)	• There is a comprehensive, written physical activity policy
	• Time provided for outdoor play (2 BPs)	• Preschool children and toddlers get outside playtime ≥3 times per day
	• Outdoor play environment (5 BPs)	• Portable play equipment is always available during outdoor playtime
	• Screen time (4 BPs)	• No TV present or stored outside of classroom
	• Screen time practices (2 BPs)	• Screen time is rarely/never used as a reward
	• Screen time policy (1 BP)	• There is a comprehensive, written screen time policy

^aBest Practice (BP) compliance is based on a series of evidence-based, or evidence-informed nutrition and physical activity practices associated with healthy weight development in preschool-aged children