ATTCHMNT 3D GO NAAP SAC FAM CHILD CARE.PDF

ATTACHMENT 3D
GO NAP SACC
SELF-ASSESSMENT INSTRUMENT FOR FAMILY CHILD CARE
BREASTFEEDING & INFANT FEEDING
FIT-RCM-19-0632-00 Page 93 of 185

Go NAP SACC
Self-Assessment Instrument for Family Child Care
Your Name:
Child Care Program Name*
Breastfeeding & Infant Feeding
Go NAP SACC is based on a set of best practices that stem from the latest research and guidelines in the field.
After completing this assessment, you will be able to see your program's strengths and areas for
improvement, and use this information to plan healthy changes.
For this self-assessment, breastfeeding and infant feeding topics include daily practices, policies, and other
program offerings related to supporting breastfeeding and feeding infants. All of these questions refer to
children ages 0-12 months.
Before you begin:
,7 Gather parent handbooks, menus, and other documents that state your policies and guidelines about
breastfeeding and infant feeding.
As you assess:
• Definitions of key words are marked by asterisks (*).
• Answer each question as best you can, thinking about your general practices. If none of the answer
choices seem quite right, just pick the closest fit. If a question does not apply to your program, move
to the next question.
Understanding your results:
The answer choices in the right-hand column represent the best practice recommendations in this
area. To interpret your results, compare your responses to these best practice recommendations. This
will show you your strengths and the areas in which your program can improve.
Ward D, Morris E, McWilliams C o Vaughn A, Erinosho T, Mazzucca 5, Hanson P, Ammerman A, Neelon 5, Sommers J, Ball 5. (2014).
Go NAP SACC: Nutrition and Physical Activity Self-Assessment for Child Care, Family Child Care Edition. Center for Health Promotion
and Disease Prevention and Department of Nutrition, University of North Carolina at Chapel Hill. Available at: www.gonapsacc.org .
(7 2014-2017 The University of North Carolina at Chapel Hill
1

1. A quiet and comfortable space* for mothers to breastfeed or express breast milk is available:
D Rarely or never LE Sometimes E Often U Always
* This is a space other than a bathroom
2. The following are available to mothers in the space for breastfeeding or expressing breast milk:
See list and mark response below.
• Privacy
• An electrical outlet
• Comfortable seating
O None El 1 feature U 2 features ID 3 features
3. Enough refrigerator and/or freezer space is available to allow all breastfeeding mothers to store expressed breast
milk:
El Rarely or never 0 Sometimes LI Often 0 Always
Breastfeeding Support Practices
4. I promote breastfeeding and support mothers who provide breast milk for their infants by:
See list and mark response below.
• Talking with families about the benefits of breastfeeding
• Telling families about the ways my program supports breastfeeding
• Telling families about community organizations* that provide breastfeeding support
• Giving families educational materials
• Showing a positive attitude about breastfeeding
El None U 1 strategy CI 2-3 strategies 4-5 strategies
* Community organizations that provide breastfeeding support can include the local public health department,
hospital, or local La Leche League group.
t Educational materials can include brochures, tip sheets, and links to trusted websites.
E. & Professional Development
5. I complete professional development* on promoting and supporting breastfeeding:
Never LI Less than 1 time per U 1 time per year CI 2 times per year or
year more, including at least
1. in-person or online
training, when
available
* Professional development can include taking in-person or online training for contact hours or continuing
education credits. It can also include reading brochures, books, or online articles from trusted organizations.
Ward D, Morris E, McWilliams C, Vaughn A, Frinosho T, Mazzucca S, Hanson P, Ammerman A, Neelon S, Sommers _I, Ball S. (2014).
Go NAP SACC: Nutrition and Physical Activity Self-Assessment for Child Care, Family Child Care Edition. Center for Health Promotion
and Disease Prevention and Department of Nutrition, University of North Carolina at Chapel Hill. Available at: www.gonapsacc.org
CD 2014-2017 The University of North Carolina at Chapel Hill
2

6. I have covered the following topics as part of this professional development:
See list and mark response below.
• Proper storage and handling of breast milk
• Bottle-feeding a breastfed baby
• Benefits of breastfeeding for mother and baby
• Promoting breastfeeding and supporting breastfeeding mothers
• Community organizations that support breastfeeding
LI None E 1 topic U 2-3 topics El 4-5 topics
7. I offer expectant families and families with infants information* on breastfeeding:
El Rarely or never E Only when families ask U When families ask and U When families ask, at 1
at 1. set time during the set time during the
year year, and I tell
prospective families
about my policies and
practices
* Information can be offered through brochures, tip sheets, or your program's newsletters, website, or bulletin
board. Information can be offered informally or during meetings or educational sessions with families.
Bi-eiiitfeeding P4:,11
8. My program's written policy* on promoting and supporting breastfeeding includes the following topics:
See list and murk response below.
• Providing space for mothers to breastfeed or express breast milk
• Providing refrigerator and/or freezer space to store expressed breast milk
• My participation in professional development on breastfeeding
• Providing families information on breastfeeding
E No written policy or III 1 topic El_ 2 topics IL 3-4 topics
policy does not include
these topics
* A written policy can include any written guidelines about your program's operations or expectations for
assistants, children, and families. Policies can be included in parent handbooks and other documents.
9. When I purchase cereal or formula for infants, I choose iron-rich products:
Rarely or never U Sometimes IL Often U Always
10. When I purchase or prepare mashed or pureed meats or vegetables for infants, these foods contain added salt:
LI Always U Often E Sometimes II Rarely or never
11. I purchase baby food desserts* for infants that contain added sugar:
LI Always U Often E Sometimes LI Rarely or never
* Desserts are sweet mashed or pureed foods that are made with added sugar.
Ward D, Morris E, McWilliams C, Vaughn A, Erinosho T, Mazzucca S, Hanson P, Ammerman A, Neelon 5, Sommers .1, Ball S. (2014).
Go NAP SACC: Nutrition and Physical Activity Self-Assessment for Child Care, Family Child Care Edition. Center for Health Promotion
and Disease Prevention and Department of Nutrition, University of North Carolina at Chapel Hill. Available at: www.gonapsacc.org ,
© 2014-2017 The University of North Carolina at Chapel Hill
3

12. With permission from families, the timing of infant feedings in my program is:
Feedings are only at E Somewhat flexible to El Mostly flexible to LI Fully flexible .'" to infants
fixed, scheduled times infants showing they infants showing they showing they are
are hungry,* but are hungry,* but hungry*
feedings are mostly at feedings are sometimes
fixed times at fixed times
* Younger infants may show that they are hungry by rooting, sucking on their fingers, licking their lips, making
excited movements, or fussing and crying. Older infants may reach for or point at food, open their mouths
wide for food, or feed themselves when hungry.
t The child might grow into his or her own schedule, but being fully flexible means that the provider always
follows the child's lead in feedings.
13. I end infant feedings based on:*
LI Only the amount of Li Mostly the amount of E Mostly on infants ID Only on infants
breast milk, formula, or food left, but partly on showing they are full,t showing they are fullt
food left infants showing they but partly on the
are fur amount of food left
* This question refers to cases in which you have permission from families to decide when to end infant
feedings.
t infants show they are full by slowing the pace of eating, turning away, becoming fussy, and spitting out or
refusing more food.
14. When feeding infants, I use responsive feeding techniques:*
CI Rarely or never E Sometimes II Often D Always
* Responsive feeding techniques include making eye contact, talking, responding to infants' reactions during
feedings or their signs of hunger and fullness, not propping feeding bottles, and feeding only one infant at a
time.
15. During meal times, 1 praise and give hands-on help* to guide older infants as they learn to feed themselves:
LI Rarely or never LI Sometimes LI Often D Always
* Praise and hands-on help includes encouraging finger-feeding, praising children for feeding themselves, and
• helping children use cups or other utensils.
16. I inform families about what, when, and how much their infants eat each day through:
0 I do not inform families II A written report or a D Some days through LI Both a written and
of daily infant feeding verbal report both a written and verbal report each day
verbal report, but
usually one or the
other
Ward D, Morris E, McWdliams C, Vaughn A, Erinosho T, Mazzucca S. Hanson P, Ammerman A, Neelon 5, Sommers _I, Ball 5. (2014).
Go NAP SACC: Nutrition and Physlcal Activity Self-Assessment for Child Care, Family Child Care Edition. Center for Health Promotion
and Disease Prevention and Department of Nutrition, University of North Carolina at Chapel Hill. Available at: www.gonapsacc.org .
© 2014-2017 The University of North Carolina at Chapel Hill
4

17. The written infant feeding plan that families complete for my program includes the following information:
See list and mark response below.
• Infants' food intolerances, allergies, and preferences
• Instructions for introducing solid foods and new foods to infants
• Permission to feed infants when they show they are hungry and end feedings when they show they are full
• Instructions* for feeding infants who are breastfed or fed expressed breast milk
None Li 1 topic E 2-3 topics E 4 topics
* Instructions can include what to feed infants if there is no expressed breast milk available, and scheduling to
avoid large feedings before mothers plan to breastfeed.
ofessional Development
18. I complete professional development on infant feeding and nutrition:
Li Never 11 Less than 1 time per E 1 time per year D 2 times per year or
year more, including at least
1 in-person or online
training, when
available
19. I have covered the following topics as part of this professional development:
See list and mark response below.
• Using responsive feeding techniques
• Not propping feeding bottles
• Introducing solid foods and new foods
• Infant development* related to feeding and nutrition
• Talking with families about infant feeding and nutrition
Li None II 1 topic E 2-3 topics D 4-5 topics
* Developmental milestones related to feeding include infants starting solid foods, feeding themselves finger
foods, and using spoons and cups.
20. I offer families information on infant feeding and nutrition:
El Rarely or never L Only when families ask El When families ask and ID When families ask, at 1
at 1 set time during the set time during the
year year, and at other
times as infants reach
developmental
milestones
iIsmorigim
Ward D, Morris E, McWilliams C, Vaughn A, Erinosho T, Mazzucca S, Hanson P, Ammerman A, Neelon 5, Sommers J, Ball S. (2014),
Go NAP SACC: Nutrition and Physical Activity Self-Assessment for Child Care, Family Child Care Edition. Center for Health Promotion
and Disease Prevention and Department of Nutrition, University of North Carolina at Chapel Hill. Available at: www,gonapsacc.org .
C 2014-2017 The University of North Carolina at Chapel Hill
5

21. The information I offer families on infant feeding and nutrition covers the following topics:
See list and mark response below.
• Using responsive feeding techniques
• Not propping feeding bottles
• Introducing solid foods and new foods
• Infant development related to feeding and nutrition
• My program's policies on infant feeding and nutrition
I=1 None H 1 topic E 2-3 topics E 4-5 topics
22. My program's written policy on infant feeding and nutrition includes the following topics:
See list and mark response below,
• Foods provided to infants
• Infant feeding practices
• Information included on written infant feeding plans
• My participation in professional development on infant feeding and nutrition
• Education for families on infant feeding and nutrition
IA No written policy or El 1 topic E 2-3 topics El 4-5 topics
policy does not include
these topics
Ward D, Morris E, McWilliams C, Vaughn A, Erinosho T, Mazzucca S, Hanson P, Ammerman A, Neelon 5, Sommers J, Ball S. (2014).
Go NAP SACC: Nutrition and Physical Activity Self-Assessment for Child Care, Family Child Care Edition. Center for Health Promotion
and Disease Prevention and Department of Nutrition, University of North Carolina at Chapel Hill. Available at: www.gonapsacc.org .
0 2014-2017 The University of North Carolina at Chapel Hill
6