Table 1 EPAO for FCCH scoring rubric based on best practice^a (BP) compliance

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