CCP Health, Safety & Nutrition Standards 2 — Questions and Answers
Question 1: A child in your care develops a rash with small, fluid-filled blisters. Which illness is most likely and requires exclusion from child care?
- Hand, foot, and mouth disease (Correct answer)
- Eczema flare-up
- Mild diaper rash
- Dry skin from winter weather
Correct answer: Hand, foot, and mouth disease
Hand, foot, and mouth disease causes fluid-filled blisters and is highly contagious, requiring exclusion until the child is fever-free and blisters have dried.
Question 2: What is the correct water-to-formula ratio when preparing standard infant formula from powder?
- 1 scoop powder per 2 oz water (Correct answer)
- 1 scoop powder per 4 oz water
- 2 scoops powder per 2 oz water
- 1 scoop powder per 1 oz water
Correct answer: 1 scoop powder per 2 oz water
Standard powder formula is prepared using 1 unpacked level scoop of powder per 2 fluid ounces of water.
Question 3: Which surface disinfectant concentration is recommended by the AAP and APHA for sanitizing diaper-changing surfaces in child care?
- 1 tablespoon bleach per gallon of water (Correct answer)
- 1 cup bleach per gallon of water
- 1 teaspoon bleach per quart of water
- Undiluted bleach applied directly
Correct answer: 1 tablespoon bleach per gallon of water
A solution of 1 tablespoon of unscented bleach per gallon of water (approximately 1:256) is the recommended sanitizer for diaper-changing surfaces.
Question 4: Under USDA Child and Adult Care Food Program (CACFP) guidelines, which food is NOT a creditable grain for children ages 1–5?
- White rice cakes (Correct answer)
- Whole wheat bread
- Corn tortilla
- Oatmeal
Correct answer: White rice cakes
Rice cakes made from enriched or whole grain rice can be creditable, but many commercial rice cakes fail CACFP's minimum whole grain or enriched grain requirements and serving-size thresholds.
Question 5: A provider notices a 3-year-old frequently stumbles and has bruising in unusual locations such as the torso and back. The FIRST action should be to:
- Document observations and report concerns to child protective services (Correct answer)
- Ask the child directly what happened
- Call the parents to pick up the child immediately
- Wait to see if bruising worsens before reporting
Correct answer: Document observations and report concerns to child protective services
Child care providers are mandated reporters and must document and report suspected abuse immediately without confronting parents or delaying.
Question 6: Which practice best prevents the spread of conjunctivitis (pink eye) in a child care setting?
- Frequent handwashing and avoiding shared towels or washcloths (Correct answer)
- Keeping infected children indoors during outdoor play only
- Applying eye drops to all children in the classroom
- Dimming lights to reduce eye irritation
Correct answer: Frequent handwashing and avoiding shared towels or washcloths
Conjunctivitis spreads through direct contact with eye secretions, so handwashing and no shared linens are the most effective prevention strategies.
Question 7: When should a fire evacuation drill be conducted in a licensed child care center?
- At least monthly (Correct answer)
- Once per year
- Every six months
- Only when new staff are hired
Correct answer: At least monthly
Most state licensing regulations and NFPA 101 require fire drills at least monthly in child care centers to ensure children and staff are prepared.
CCP Health, Safety & Nutrition Standards 2
A child in your care develops a rash with small, fluid-filled blisters.
Which illness is most likely and requires exclusion from child care?