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Table 1 EPAO for FCCH scoring rubric based on best practicea (BP) compliance

From: Assessment of nutrition and physical activity environments in family child care homes: modification and psychometric testing of the Environment and Policy Assessment and Observation

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
  1. 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
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