Standard 1.002
Toddler child: staff ratio for centers changed.

Standards 1.026; 1.028
CPR required when swimming/wading present or child with special need, who may require CPR, is in care. Otherwise not every staff person needs to be CPR trained.

Standards 1.041
Expansion of skills and knowledge of child care health consultants.

Standards 1.045; 6.014
Tb testing shall not be repeated on a regular basis unless required by the local or state health department or staff person falls into high risk categories.

Standards 1.045; 1.047
Supporting reasonable accommodations to staff health issues as required by the Americans with Disabilities Act.

Chapter 2
Recent brain development research and theory was added to rationale through out this chapter. Support of cultural diversity in all activities has been added throughout.

Standard 2.009
Appropriate outdoor temperatures for play added.

Standards 2.033 and 5.236
Updated information on proper use and type of vehicle child safety restraints systems (car seats and seat belts)

Chapter 3
Standard 3.008
Proper sleep position - Infants shall be placed supine on bedding based on studies regarding reducing the incidence of sudden infant death syndrome

Standards 3.010 and 3.011
More detail given on oral health issues: when dental visits should occur, use of dental sealants, toothbrushing.

Standard 3.014
Diaper changing procedure added.

Standard 3.021
Handwashing procedure added.

Standard 3.026; 1.033
Universal precautions term changed to Standard precautions; modified procedure from CDC added and training requirements added.

Standard 3.027
Procedure added to follow if a child has been fed another mother's human milk.

Standard 3.035
Removing or covering shoes when entering infant play surfaces.

Standard 3.059
Facility layout to reduce child abuse - use of video surveillance or other tools; 2 or more staff present in centers.

Standard 3.060
New management plan to handle seizures included.

Standard 3.062
New management plan for children with asthma included.

Standard 3.065
Modifications to the inclusion/exclusion policies, including not excluding immediately children with head lice. Also specifics on exclusions for diarrhea and number of negative stool cultures needed for certain infectious diseases.

Standard 3.081
Detail on getting permission to apply sunscreen.

Chapter 4
Standard 4.010
New food allergy special care plan included.

Standard 4.015
Feeding of human milk expanded.

Standard 4.058
Food and water supply in case of disaster added.

Chapter 5
Standards were made consistent with American Society of Testing and Materials', National Fire Safety Association's and the US Consumer Product Safety Commission's standards, codes and recommendations.

Standards 5.005; 5.027; 5.102; 5.108
References to controlling indoor air pollution through need for fresh air, notifying staff of potential toxic substances in air; need for good ventilation to reduce indoor air pollution.

Standard 5. 017
Finger-pinch protection devices required wherever doors are accessible to children to prevent injuries.

Standard 5.042
Concept of "natural" lighting added to standard on levels of illumination.

Standard 5.043
Safety issues regarding portable halogen lamps added.

Standard 5.089
Latex type balloons not permitted.

Standard 5.091
Water tables now allowed based on specific restrictions.

Standard 5.092
Scooters and tricycles added to riding toys requiring helmets for riders.

Standard 5.180
Sandbox formula from 1st edition deleted; specific requirements added into standard.

Standard 5.146
Appropriate bedding for infant sleep areas to reduce the incidence of sudden infant death syndrome.

Standard 5.160
Inaccessibility of strings and cords.

Standard 5.167
Inaccessibility of satellite dishes added.

Standard 5.187
Play equipment for children with disabilities; compliance with ADA Accessibility Guidelines added.

Chapter 6
All standards in Chapter 6 have been updated to be consistent with the American Academy of Pediatrics' Red Book, 2000.

Standard 6.004
Immunization with S. Pneumoniae conjugate vaccine required.

Standard 6.016
Inclusion of children who have developed fifth disease added.

Standard 6.032
Infection control procedures required when children with Hepatitis C virus are in attendance.

Standard 6.037
Exclusion of children with scabies added.

Standard 6.038
Children shall not be excluded immediately because of head lice.

Standard 6.039
Inclusion of children with ringworm who have received appropriate treatment allowed.

Chapter 7
Renamed and reorganized to contain standards specifically related to children who are eligible for services under IDEA. Many standards in the 1st edition were reorganized into the subject chapter of their primary content (i.e. Nutrition issues for children with special health needs in Chapter 4) thus encouraging the concept of inclusion through the various aspects of child care services and administration.

Recommendation 9.027
Injury prevention role added to other roles of health department in relationship to child care.

Appendices
Many appendices were updated; some merged into the actual standard and listed below are the new ones:
Appendix D - Illustration of gloving procedure. PDF
Appendix E - Staff health assessment form. PDF
Appendix I - Selecting an appropriate sanitizer. PDF, XML, HTML
Appendix J - Procedure for cleaning up body fluids. PDF, XML, HTML
Appendix M - Special Care plan for a child with asthma. PDF
Appendix O - Food guide pyramid. PDF
Appendix R - Food storage chart. PDF, XML, HTML
Appendix S - Food service cleaning schedule. PDF
Appendix W - Permission for medical treatment form. PDF, XML, HTML
Appendix X - Emergency information form for children with special health needs. PDF
Appendix Z - Child Care Health Assessment form. PDF
Appendix AA - NAEYC Licensing position statement. PDF, XML, HTML

Index
A much more extensive index has been created and readers are encouraged to check as a resource.