Date of Award

January 2012

Document Type

Open Access Thesis

Degree Name

Master of Science in Nursing (MSN)


Yale University School of Nursing

First Advisor

Angela Crowley


The purpose of this thesis was to review the 50 state and D.C. child care center regulations (N=51) and compare with medication administration standards in Caring for Our Children (CFOC)- National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs, 3rd edition (CFOC). A data collection instrument, which included the seven standards directly related to medication administration in early care and education programs (ECE), was developed and reviewed by a team of national experts to measure compliance of state regulations with the standards. None of the states' regulations (N=51) met the criteria for all seven standards. Most of the states (98%) met some criteria for standards on medication administration (98%), labeling, storage, disposal (98%), contents of medication record (98%), and maintenance of records (84%). However, only a few states' regulations included some of the criteria for training of caregivers (27%), a medication policy (22%), and records of injury (12%). Most state child care regulations do not meet CFOC standards to ensure safe medication administration to children in ECE programs.


This is an Open Access Thesis.

Open Access

This Article is Open Access