Early Care and Education
The California Department of Public Health’s Nutrition Education and Obesity Prevention Branch (NEOPB) recognizes the importance of focusing on the birth-to-five age group as part of nutrition education and policy, systems and environmental change efforts. Local Health Departments selecting this group as a target for their activities are encouraged to consider service to the children themselves, as early childhood is an important time to help establish healthy habits and to expose children to a variety of healthy foods. Activities should also be focused on parents and other adult caregivers (such as childcare providers, preschool teachers, aides, afterschool program leads, etc.).
The development of healthy and active early care and education environments is encouraged. This includes aspects such as serving and promoting healthy foods and beverages, implementing healthy celebrations and meetings, and providing multiple opportunities for daily physical activity—all supported by healthy site policies and systems.
A variety of materials are available for use with this population, per the NEOPB Approved Materials section on the
Publications webpage. Qualifying community organizations in California can request free materials through the Local Health Department in their county. To purchase materials, please email
Partnering with California's Early Care and Education (ECE) Community to Prevent Childhood Obesity:
A Guidebook for Public Health Professionals
Created in collaboration with the University of California, San Francisco School of Nursing's California Childcare Health Program, the guidebook provides an overview of California's ECE environment that can help guide public health professionals (e.g., health educators, registered dietitians, and nurses) in understanding ECE in California and in engaging with ECE partners. It provides information about the ECE landscape, funding, laws, best practices, advocacy, and quality improvement. It builds on existing strategies to reduce childhood obesity and provides ideas for collaboration. The guidebook is available at:
Partnering with California's Early Care and Education (ECE) Community to Prevent Childhood Obesity: A Guidebook for Public Health Professionals (PDF)
Early Care and Education Physical Activity and Nutrition Policy and Templates
The Early Care and Education Physical Activity and Nutrition Policy and Templates are customizable and child care providers can use the templates in their entirety or can adapt, and/or adopt portions of the templates as desired. The following information is included in the document:
Physical Activity Template
The template includes information specific to infants, toddlers, and preschoolers.
The template includes general information for infants, toddlers, and preschoolers.
Supportive Background Policy Information and Resources
Early Care and Education Physical Activity Toolkit for Preschool-Aged Children
The Early Care and Education Physical Activity Toolkit for Preschool-Aged Children provides practical tools, including easy-to-use activities, skill cards, and planning suggestions for use with young children ages 3 to 5 years old. It will assist child care providers, teachers, and aides with integrating physical activity throughout each day and providing programming that helps children meet age-level physical activity recommendations. It includes a focus on adding small amounts of activity throughout the day to accumulate minutes towards recommendations in critical areas. These critical areas include adult-led and child-led physical activity, and outside play.
ECE Toolkit English (PDF, 2.4MB)
ECE Toolkit Spanish (PDF, 2.7MB)
Painting Preschool Playgrounds for Movement
CDPH and CSU Chico developed a guide to aid in designing and painting playgrounds. The guide addresses: preschool physical activity recommendations, fundamental movement skills, suggested playground elements, and preparation and instructions for painting the playground designs. The playground activities associated with the use of the stencils will help the children and schools to meet the CDC’s recommended standards: American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education (2012).
Preventing Childhood Obesity in Early Care and Education Programs
Description of Stencil Kit Contents
This is an updated list of all stencils in the Kit with photos and dimensions.
Painting Preschool Playgrounds for Movement "Stencil Kits" Contacts
If your organization is interested in borrowing a kit, use this list to identify your local contact.
Painting Preschool Playgrounds for Movement “Stencil Kit” – Pilot Study, Evaluation, Methods, and Results
With a Community Grant from California Department of Public Health’s (CDPH) California Obesity Prevention Program, the California State University Chico, Center for Healthy Communities piloted the use of inexpensive and reusable playground stencils to enhance outdoor physical activity opportunities for preschool children at eight sites. The Center for Healthy Communities’ observational study of playgrounds enhanced with stencil designs confirmed that the use of playground stencils during the above mentioned pilot program resulted in a significant increase in active play when stenciled playgrounds were compared with a control site without stencils. During the pilot study, System for Observing Play and Leisure Activity in Youth (SOPLAY) was used for the evaluation. SOPLAY is a validated tool for directly observing physical activity and associated environmental characteristics in free play settings (e.g., recess and lunch at school).
"Painting Playgrounds with Stencils" Training Webinar Recording
This training webinar provided information about physical activity recommendations for young children, fundamental movement skills, and how to use the Stencil Kits provided by CDPH/NEOPB.
Painting Playgrounds with Stencils" Training Webinar Slides (PDF)
Painting Preschool Playgrounds for Movement "Stencil Kit" - Frequently Asked Questions (FAQs)
The documents included in this section were developed by stencil kit coordinators across the state.
Painted Playground Activities - A Guide for Grownups (English)
This document provides activities that are intended to help preschoolers learn fundamental movement skills or gross motor skills for healthy growth and development.
Painted Playground Activities - A Guide for Grownups (Spanish)
This document, in Spanish, provides activities that are intended to help preschoolers learn fundamental movement skills or gross motor skills for healthy growth and development.
Promote Active Play with Playground Stencils!
This is a promotional flyer.
Physical Activity Playground Stencils Calendar
This is a calendar used to monitor the usage of the stencils.
Physical Activity Playground Stencils Request Form
This is a request form that would be completed by those who want to borrow the stencils.
UC CalFresh How-To Stencil Guide
This is a step by step description of the processes involved in a stenciling project.
CHOICE – Creating Healthy Opportunities in Child Care Environments
Created in collaboration with the
Contra Costa Child Care Council, the CHOICE guide supports and promotes healthy nutrition and physical activity in early care and education settings through the implementation of self-assessment and policy development resources.
CHOICE - Creating Healthy Opportunities in Child Care Environments (PDF)
Potter the Otter Materials (CalFresh Healthy Living Approved)
Designed for early childhood education, the popular “Potter the Otter” book characters created by First 5 Santa Clara, are featured in the following CalFresh Healthy Living allowable books:
Potter the Otter: A Tale about Water (story book; 2019 edition)
Potter the Otter Eats School Meals (story book)
Potter the Otter's Market Adventure (story book)
Cooking with Potter the Otter (cook book)
Activities with Potter the Otter: Fruit and Veggie Fun! (activity book comprised of age-appropriate activity sheets)
These are the only books in the Potter the Otter book series currently approved for CalFresh Healthy Living use.
The online Potter the Otter mini-poster, activities and worksheets from Scholastic are approved for use with CalFresh Healthy Living nutrition education.
Discover MyPlate is fun and inquiry-based nutrition education that fosters the development of healthy food choices and physically active lifestyles during a critical developmental and learning period for children - kindergarten.
Kindergarten teachers can meet education standards for Math, Science, English Language Arts, and Health using the six ready-to-go and interactive lessons. Children become food-smart as they practice counting, reading, writing, and more. Fun characters and developmentally appropriate activities engage children in:
Exploring healthy choices from each of the MyPlate food groups
Discovering the colorful variety of fruits and vegetables and how they grow
Identifying feelings of hunger and fullness
Selecting balanced meals and healthy snacks
Experiencing the fun and importance of being physically active
Send comments and questions to:
NEOPB@cdph.ca.gov, attention Policy and Partnership Development Unit or call 916-449-5400.