{"id":"https://openalex.org/W42333701","doi":null,"title":"Food handling, hygiene, and sanitation practices in the child-care environment in North Carolina and South Carolina","display_name":"Food handling, hygiene, and sanitation practices in the child-care environment in North Carolina and South Carolina","publication_year":2013,"publication_date":"2013-01-01","ids":{"openalex":"https://openalex.org/W42333701","mag":"42333701"},"language":"en","primary_location":{"id":"pmh:oai:tigerprints.clemson.edu:all_theses-2572","doi":null,"is_oa":true,"landing_page_url":"https://tigerprints.clemson.edu/all_theses/1572","pdf_url":"https://tigerprints.clemson.edu/cgi/viewcontent.cgi?article=2572&context=all_theses","source":{"id":"https://openalex.org/S4377196397","display_name":"TigerPrints (Clemson University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8078737","host_organization_name":"Clemson University","host_organization_lineage":["https://openalex.org/I8078737"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"All Theses","raw_type":"text"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://tigerprints.clemson.edu/cgi/viewcontent.cgi?article=2572&context=all_theses","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100329916","display_name":"Xi Chen","orcid":"https://orcid.org/0000-0002-2058-0351","observed_orcids":["https://orcid.org/0000-0002-2058-0351"]},"institutions":[{"id":"https://openalex.org/I8078737","display_name":"Clemson University","ror":"https://ror.org/037s24f05","country_code":"US","type":"education","lineage":["https://openalex.org/I8078737"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Xi Chen","raw_affiliation_strings":["Clemson University"],"raw_orcid":"https://orcid.org/0000-0002-2058-0351","affiliations":[{"raw_affiliation_string":"Clemson University","institution_ids":["https://openalex.org/I8078737"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5100329916"],"corresponding_institution_ids":["https://openalex.org/I8078737"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11957","display_name":"Food Safety and Hygiene","score":0.9771000146865845,"subfield":{"id":"https://openalex.org/subfields/1106","display_name":"Food Science"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11957","display_name":"Food Safety and Hygiene","score":0.9771000146865845,"subfield":{"id":"https://openalex.org/subfields/1106","display_name":"Food Science"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.015200000256299973,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13770","display_name":"Pediatric health and respiratory diseases","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childcare-facilities","display_name":"childcare facilities","score":0.9129999876022339},{"id":"https://openalex.org/keywords/food-handling","display_name":"food handling","score":0.7960000038146973},{"id":"https://openalex.org/keywords/food-hygiene","display_name":"food hygiene","score":0.8080000281333923},{"id":"https://openalex.org/keywords/acute-gastrointestinal-illness","display_name":"acute gastrointestinal illness","score":0.871999979019165},{"id":"https://openalex.org/keywords/enteric-pathogens","display_name":"enteric pathogens","score":0.8560000061988831},{"id":"https://openalex.org/keywords/hand-hygiene","display_name":"hand hygiene","score":0.6370000243186951},{"id":"https://openalex.org/keywords/hand-washing-compliance","display_name":"hand washing compliance","score":0.7319999933242798},{"id":"https://openalex.org/keywords/surface-sanitization","display_name":"surface sanitization","score":0.6359999775886536},{"id":"https://openalex.org/keywords/hand-sanitizer","display_name":"hand sanitizer","score":0.5410000085830688},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.49300000071525574},{"id":"https://openalex.org/keywords/childcare-workers","display_name":"childcare workers","score":0.414000004529953},{"id":"https://openalex.org/keywords/north-carolina","display_name":"North Carolina","score":0.5370000004768372},{"id":"https://openalex.org/keywords/south-carolina","display_name":"South Carolina","score":1.0},{"id":"https://openalex.org/keywords/daycare-centers","display_name":"daycare centers","score":0.8889999985694885},{"id":"https://openalex.org/keywords/risk-factors-for-infection","display_name":"infection risk factors","score":0.4790000021457672}],"concepts":[{"id":"https://openalex.org/C3020212850","wikidata":"https://www.wikidata.org/wiki/Q1456","display_name":"South carolina","level":2,"score":0.7030137181282043},{"id":"https://openalex.org/C2780151969","wikidata":"https://www.wikidata.org/wiki/Q949149","display_name":"Sanitation","level":2,"score":0.6898834705352783},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.6331295967102051},{"id":"https://openalex.org/C2993037610","wikidata":"https://www.wikidata.org/wiki/Q1455871","display_name":"Child care","level":2,"score":0.5932937860488892},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.464839905500412},{"id":"https://openalex.org/C761482","wikidata":"https://www.wikidata.org/wiki/Q118093","display_name":"Transmission (telecommunications)","level":2,"score":0.4643137454986572},{"id":"https://openalex.org/C2993130379","wikidata":"https://www.wikidata.org/wiki/Q1497296","display_name":"Food preparation","level":3,"score":0.44437122344970703},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.43447279930114746},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4271225035190582},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.39044293761253357},{"id":"https://openalex.org/C516717267","wikidata":"https://www.wikidata.org/wiki/Q909821","display_name":"Food safety","level":2,"score":0.3379196524620056},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.19424912333488464},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.1092948317527771},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.10431128740310669},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.08861905336380005},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:tigerprints.clemson.edu:all_theses-2572","doi":null,"is_oa":true,"landing_page_url":"https://tigerprints.clemson.edu/all_theses/1572","pdf_url":"https://tigerprints.clemson.edu/cgi/viewcontent.cgi?article=2572&context=all_theses","source":{"id":"https://openalex.org/S4377196397","display_name":"TigerPrints (Clemson University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8078737","host_organization_name":"Clemson University","host_organization_lineage":["https://openalex.org/I8078737"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"All Theses","raw_type":"text"},{"id":"pmh:oai:open.clemson.edu:all_theses-2572","doi":null,"is_oa":false,"landing_page_url":"https://open.clemson.edu/all_theses/1572","pdf_url":null,"source":{"id":"https://openalex.org/S4377196397","display_name":"TigerPrints (Clemson University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8078737","host_organization_name":"Clemson University","host_organization_lineage":["https://openalex.org/I8078737"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"All Theses","raw_type":"text"},{"id":"mag:42333701","doi":null,"is_oa":false,"landing_page_url":"https://tigerprints.clemson.edu/all_theses/1572/","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:tigerprints.clemson.edu:all_theses-2572","doi":null,"is_oa":true,"landing_page_url":"https://tigerprints.clemson.edu/all_theses/1572","pdf_url":"https://tigerprints.clemson.edu/cgi/viewcontent.cgi?article=2572&context=all_theses","source":{"id":"https://openalex.org/S4377196397","display_name":"TigerPrints (Clemson University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8078737","host_organization_name":"Clemson University","host_organization_lineage":["https://openalex.org/I8078737"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"All Theses","raw_type":"text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306114","display_name":"U.S. Department of Agriculture","ror":"https://ror.org/01na82s61"},{"id":"https://openalex.org/F4320309106","display_name":"Clemson University","ror":"https://ror.org/037s24f05"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W42333701.pdf","grobid_xml":"https://content.openalex.org/works/W42333701.grobid-xml"},"referenced_works_count":205,"referenced_works":["https://openalex.org/W672557","https://openalex.org/W31681442","https://openalex.org/W41406399","https://openalex.org/W48000768","https://openalex.org/W69915692","https://openalex.org/W160735366","https://openalex.org/W161119706","https://openalex.org/W173048328","https://openalex.org/W203528525","https://openalex.org/W272992737","https://openalex.org/W1077812201","https://openalex.org/W1493406847","https://openalex.org/W1502717336","https://openalex.org/W1550999390","https://openalex.org/W1564938549","https://openalex.org/W1578113097","https://openalex.org/W1580288159","https://openalex.org/W1589435530","https://openalex.org/W1602155689","https://openalex.org/W1602831112","https://openalex.org/W1781043444","https://openalex.org/W1827489577","https://openalex.org/W1900603170","https://openalex.org/W1910770017","https://openalex.org/W1965258378","https://openalex.org/W1966040440","https://openalex.org/W1966399267","https://openalex.org/W1967505279","https://openalex.org/W1967779683","https://openalex.org/W1968558856","https://openalex.org/W1969817441","https://openalex.org/W1971925202","https://openalex.org/W1972547509","https://openalex.org/W1972890385","https://openalex.org/W1973457900","https://openalex.org/W1977020894","https://openalex.org/W1982008564","https://openalex.org/W1982429561","https://openalex.org/W1982931044","https://openalex.org/W1985211739","https://openalex.org/W1985379351","https://openalex.org/W1985642951","https://openalex.org/W1985869314","https://openalex.org/W1987566869","https://openalex.org/W1987747972","https://openalex.org/W1987753529","https://openalex.org/W1988131204","https://openalex.org/W1988280801","https://openalex.org/W1989216986","https://openalex.org/W1990951397","https://openalex.org/W1991696367","https://openalex.org/W1992431266","https://openalex.org/W1994752919","https://openalex.org/W1995454931","https://openalex.org/W1996570211","https://openalex.org/W1997289471","https://openalex.org/W1998143545","https://openalex.org/W1999773671","https://openalex.org/W2001229716","https://openalex.org/W2001492364","https://openalex.org/W2001615771","https://openalex.org/W2002010867","https://openalex.org/W2002173785","https://openalex.org/W2002482272","https://openalex.org/W2006172386","https://openalex.org/W2006348351","https://openalex.org/W2009877693","https://openalex.org/W2010155015","https://openalex.org/W2010358187","https://openalex.org/W2015255325","https://openalex.org/W2015386589","https://openalex.org/W2015410688","https://openalex.org/W2015995786","https://openalex.org/W2016756312","https://openalex.org/W2020993410","https://openalex.org/W2025322624","https://openalex.org/W2029871933","https://openalex.org/W2031712774","https://openalex.org/W2035901226","https://openalex.org/W2035967838","https://openalex.org/W2036446082","https://openalex.org/W2043923801","https://openalex.org/W2046421131","https://openalex.org/W2047331218","https://openalex.org/W2047924838","https://openalex.org/W2047980394","https://openalex.org/W2048082897","https://openalex.org/W2048514044","https://openalex.org/W2049061313","https://openalex.org/W2050012426","https://openalex.org/W2050891798","https://openalex.org/W2051058736","https://openalex.org/W2056387909","https://openalex.org/W2057328160","https://openalex.org/W2057586730","https://openalex.org/W2057807928","https://openalex.org/W2058289471","https://openalex.org/W2061113871","https://openalex.org/W2062335974","https://openalex.org/W2067884196","https://openalex.org/W2068897641","https://openalex.org/W2069544628","https://openalex.org/W2070690389","https://openalex.org/W2071233234","https://openalex.org/W2072200126","https://openalex.org/W2073047139","https://openalex.org/W2076121434","https://openalex.org/W2077786031","https://openalex.org/W2079738023","https://openalex.org/W2080097079","https://openalex.org/W2083441973","https://openalex.org/W2084558482","https://openalex.org/W2086742291","https://openalex.org/W2088568221","https://openalex.org/W2089982618","https://openalex.org/W2089984543","https://openalex.org/W2090316321","https://openalex.org/W2092803862","https://openalex.org/W2093487930","https://openalex.org/W2094512743","https://openalex.org/W2095664490","https://openalex.org/W2097416626","https://openalex.org/W2100862591","https://openalex.org/W2102780109","https://openalex.org/W2103352018","https://openalex.org/W2104265229","https://openalex.org/W2106979665","https://openalex.org/W2107315871","https://openalex.org/W2109041415","https://openalex.org/W2109674039","https://openalex.org/W2110775348","https://openalex.org/W2111256197","https://openalex.org/W2111663489","https://openalex.org/W2111683253","https://openalex.org/W2112138267","https://openalex.org/W2113484582","https://openalex.org/W2114691194","https://openalex.org/W2115022156","https://openalex.org/W2115243488","https://openalex.org/W2115416319","https://openalex.org/W2117058366","https://openalex.org/W2117477607","https://openalex.org/W2120045376","https://openalex.org/W2120546418","https://openalex.org/W2121578673","https://openalex.org/W2121665720","https://openalex.org/W2123217551","https://openalex.org/W2123523958","https://openalex.org/W2124921548","https://openalex.org/W2125283487","https://openalex.org/W2126786459","https://openalex.org/W2128591134","https://openalex.org/W2128990349","https://openalex.org/W2133638292","https://openalex.org/W2134146578","https://openalex.org/W2134740567","https://openalex.org/W2137684363","https://openalex.org/W2139723091","https://openalex.org/W2139736795","https://openalex.org/W2140548866","https://openalex.org/W2141267388","https://openalex.org/W2142150409","https://openalex.org/W2142174093","https://openalex.org/W2142338795","https://openalex.org/W2142625733","https://openalex.org/W2143528245","https://openalex.org/W2143954045","https://openalex.org/W2146203909","https://openalex.org/W2146453846","https://openalex.org/W2146523116","https://openalex.org/W2146671194","https://openalex.org/W2152173141","https://openalex.org/W2155735634","https://openalex.org/W2155757795","https://openalex.org/W2158148778","https://openalex.org/W2166753283","https://openalex.org/W2168172204","https://openalex.org/W2168924589","https://openalex.org/W2169850192","https://openalex.org/W2171228892","https://openalex.org/W2171440296","https://openalex.org/W2174676490","https://openalex.org/W2186571031","https://openalex.org/W2234374619","https://openalex.org/W2274453547","https://openalex.org/W2305818259","https://openalex.org/W2320382270","https://openalex.org/W2334026581","https://openalex.org/W2342181283","https://openalex.org/W2401751333","https://openalex.org/W2415077544","https://openalex.org/W2419106346","https://openalex.org/W2433541065","https://openalex.org/W2460195752","https://openalex.org/W2465450746","https://openalex.org/W2568854734","https://openalex.org/W2596001258","https://openalex.org/W2620839533","https://openalex.org/W2886410401","https://openalex.org/W2891897278","https://openalex.org/W2924561645","https://openalex.org/W3022163106","https://openalex.org/W3170449664","https://openalex.org/W3188281264","https://openalex.org/W4241096965"],"related_works":["https://openalex.org/W1990337225","https://openalex.org/W1999735243","https://openalex.org/W2417332523","https://openalex.org/W2046944632","https://openalex.org/W1998688481","https://openalex.org/W2158148778","https://openalex.org/W3006412215","https://openalex.org/W1821170346","https://openalex.org/W2525420922","https://openalex.org/W118370681"],"abstract_inverted_index":{"Introduction:":[0],"Children":[1],"between":[2],"the":[3,46,56,102,112,135,170,177,186,215,274,288,308,311,341,352],"ages":[4],"of":[5,48,58,64,105,115,143,159,169,188,242,266,280,302,323,371,380,390,399,405,411,419,425,443],"37":[6],"and":[7,69,99,101,107,134,195,199,209,235,251,260,345,385,446],"54":[8],"months":[9,120,125],"enrolled":[10],"in":[11,37,51,66,76,167,214,222,255,298,358,422],"child-care":[12,161,207],"facilities":[13,324],"(CCFs)":[14],"are":[15,33],"reported":[16,325],"to":[17,20,25,55,74,83,87,155,182,273,287,330],"be":[18],"2.3":[19],"3.5":[21],"times":[22,373,382,392],"more":[23],"likely":[24],"experience":[26],"an":[27],"acute":[28],"gastrointestinal":[29],"illness":[30],"(AGI)":[31],"than":[32],"children":[34],"cared":[35],"for":[36,45,164,449],"their":[38],"own":[39],"home.":[40],"Identifying":[41],"potential":[42],"risk":[43],"factors":[44],"transmission":[47],"enteric":[49],"pathogens":[50],"CCFs":[52,65,205],"is":[53,431],"essential":[54],"prevention":[57],"AGI.":[59],"Methods:":[60],"A":[61,79],"convenience":[62],"sample":[63],"North":[67],"Carolina":[68,71],"South":[70],"was":[72,81,315,402,416],"recruited":[73],"participate":[75],"this":[77,359],"study.":[78,216,360],"survey":[80],"administered":[82],"all":[84,144],"CCF":[85,178],"directors":[86,179],"collect":[88,183],"information":[89,184],"about":[90,185],"facility":[91],"characteristics,":[92],"meal":[93],"preparation,":[94],"staff":[95,106],"training,":[96],"hygiene":[97,397,409,445],"policies":[98],"procedures,":[100],"health":[103],"status":[104],"children.":[108],"In":[109],"each":[110,168],"facility,":[111],"sanitary":[113],"conditions":[114],"two":[116],"classrooms":[117,146,268,281,401],"(infant":[118],"[0-11":[119],"old]":[121,126,132],"room,":[122,127],"toddler":[123],"[12-35":[124],"or":[128,318,429],"combined":[129],"[3-5":[130],"years":[131],"room)":[133],"food":[136,312,413],"preparation":[137,313,414],"area":[138],"were":[139,147,180,258,293,356],"assessed.":[140],"Floor":[141],"plans":[142],"audited":[145,171,267],"also":[148],"prepared.":[149],"Trained":[150],"data":[151],"collectors":[152],"used":[153,294],"iPods":[154],"record":[156],"hand-touch":[157,219,244],"events":[158,220,245],"one":[160],"provider":[162],"(CCP)":[163],"45":[165],"minutes":[166],"classrooms.":[172],"Follow-up":[173],"telephone":[174],"interviews":[175],"with":[176,240,340,351,366],"conducted":[181],"use":[187],"hand":[189],"sanitizers,":[190],"surface":[191],"sanitizing":[192],"practices,":[193,198],"carpet":[194],"rug":[196],"cleaning":[197],"flooring":[200],"materials.":[201],"Results:":[202],"Forty":[203],"(40)":[204],"(31":[206],"centers":[208],"9":[210],"day-care":[211],"homes)":[212],"participated":[213],"Of":[217],"10,134":[218],"observed":[221,357],"51":[223,400],"classrooms,":[224],"4,563":[225],"occurred":[226,231,237],"on":[227,232,238,295],"porous":[228],"surfaces;":[229,234],"4,024":[230],"nonporous":[233],"1,547":[236],"bare-skin":[239],"average":[241,370,379,389],"198.7":[243],"per":[246,374,383,393],"provider.":[247],"The":[248,395,407],"overall":[249],"handwashing":[250,270,336,343],"diaper-changing":[252,275,289,296,303,347,354],"compliance":[253,337,348],"rates":[254],"both":[256],"states":[257],"3.5%":[259],"8.8%":[261,300],"respectively.":[262],"Forty-nine":[263],"percent":[264],"(25/51)":[265],"had":[269,282,363],"sinks":[271],"adjacent":[272,286],"area.":[276,290],"About":[277,305,320],"55%":[278],"(28/51)":[279],"hands-free":[283],"trash":[284],"cans":[285],"Disposable":[291],"sheets":[292],"surfaces":[297,377],"only":[299],"(3/34)":[301],"events.":[304],"41%":[306],"(13/32)":[307],"temperature":[309,424],"inside":[310],"refrigerator":[314,426],"at":[316,427],"41\u00a1F":[317,428],"lower.":[319],"83%":[321],"(25/30)":[322],"using":[326],"chlorine":[327],"bleach":[328],"solution":[329],"disinfect":[331],"a":[332,441],"surface.":[333],"Conclusions:":[334],"Low":[335],"(3.5%":[338],"[5/142])":[339],"CDC":[342,353],"guidelines":[344,355],"low":[346],"(8.8%":[349],"[3/34])":[350],"Child-care":[361],"providers":[362],"frequent":[364],"contacts":[365],"children's":[367,386],"clothes":[368],"(an":[369,378,388],"34.2":[372],"observation),":[375,384],"food-contact":[376],"18.6":[381],"hands":[387],"9.8":[391],"observation).":[394],"mean":[396,408],"score":[398,410],"7.7":[403],"out":[404,418],"8.":[406],"32":[412],"areas":[415],"7.3":[417],"10.":[420],"Improvement":[421],"maintaining":[423],"lower":[430],"needed.":[432],"Sanitation":[433],"practices":[434],"varied":[435],"among":[436],"facilities,":[437],"which":[438],"may":[439],"indicate":[440],"need":[442],"universal":[444],"sanitation":[447],"standards":[448],"CCFs.":[450]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2016-06-24T00:00:00"}