When touring a child care facility, ask about and evaluate the physical environment for signs that it is clean and generally well-kept. Notice whether the facility observes good hygiene practices, and ask questions to clarify policies. Consider the following physical traits and hygiene issues:

• Is the facility clean? Are toys and other clutter kept off the floor? Are wastebaskets placed throughout the facility?
• Are there written policies for cleanliness of staff members? For handling of environmental waste (such as vomit, blood, or feces)?¹
• Where are the restrooms and sinks?
  • Can even the smallest toddlers reach them?
  • How often are they disinfected?
  • Do you see the staff washing their own hands and helping children wash their hands?
  • Are separate sinks used for hand-washing after diapering a child or using the bathroom and before preparing food?
• What are the diapering practices? Diapers should be changed in a designated area away from food preparation areas. Surfaces should be nonporous and sanitized after each diaper change. (Disposable paper pads may also be used for a changing surface and thrown away after each change.) Diaper-changing procedures should be clearly written out and posted at the changing area.¹
• How frequently are toys disinfected?
• What type of bedding is used for naps? Children should have their own mat, cot, and bedding and have it washed at least on a weekly basis.
• How frequently are floors/carpets cleaned?
• Does there seem to be enough space for the number of children?
• Is there good ventilation? How often are rooms opened to allow fresh air to enter? Notice whether there are any stale or foul odors.
• Is the facility well-lit?