1. RECOMMENDATIONS IN ACTION: Improving Nutrition, Physical Activity & Screen Time Child Care Standards

2. Timeline & History 2012 : MOCAN Child Care Workgroup Strategic Plan identifies need for licensing rule enhancement 2013: CDC 50 State Analysis - MO child care compared with Caring for Our Children (CFOC) best practice standards, identifies opportunity for licensing rule enhancement 2014: Children Service Commission, Sub-Committee on Childhood Obesity Recommendations

3. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

4. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

5. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

6. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

7. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

8. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

9. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

10. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

11. Taking Action: A Participatory Process Identify opportunities for enhancements Develop implementable rule language Create strategies for tracking and enforcement Follow and advocate for rule adoption process Pass new licensing rule Conduct public awareness and marketing campaign Propose new rules language Develop responses and resources to overcome implementation barriers Anticipate implementation barriers

12. Taking Action: Strategies for Change CORE PLANNING TEAM STATEWIDE SURVEY TOWN HALL MEETINGS WEBINARS SOCIAL MEDIA & PARTNER NETWORKS

13. Taking Action: Who Plays a Role? CHILD CARE PROFESSIONALS PEDIATRICIANS & MEDICAL EXPERTS ACADEMICS & RESEARCHERS EARLY CHILDHOOD ADVOCATES & EXPERTS FUNDING & SUPPORT