Indoor and Outdoor Safety
Childcare centres may have unique opportunities for children to explore the outside environment. Simple steps can be taken to protect yourselves and the children in your care regarding pests, animals and recreational water use. Taking a little bit of time to ensure that the activities you participate in are done in a safe and sanitary manner, will allow many hours of fun and learning for all.
Mosquito and Tick Disease Prevention and Protection
Mosquito Prevention and Protection Tips
- Mosquitoes can transmit West Nile Virus or Eastern Equine Encephalitis to humans
Tick Prevention and Protection Tips
- Blacklegged Ticks can transmit Lyme Disease
Insects
Teach children not to touch or play with insects.
Look out for:
- Hickory Tussock Moth Caterpillar
- Bees, Wasps, Hornets, Spiders, Ants
Petting Zoo
All animals naturally carry a range of microorganisms, some of which can be transmitted to humans and can cause illness. Some infections which may be contracted include the bacteria E. coli 0157:H7 which can cause severe illness in children.
Some guidelines:
- use handwashing stations with running water and fully supplied with soap and paper towels. Pails of water for handwashing are not acceptable.
- wash hands after touching animals
- wash hands before eating
- no eating while petting animals
- do not drink unpasteurized milk
- prevent or reduce bringing bacteria into the daycare by cleaning or removing soiled articles (i.e. shoes)
- seek medical attention if anyone is sick with vomiting or diarrhea
For more recommendations to prevent disease and injury associated with petting zoos in Ontario, please view the associated Ontario Public Health Standards: Reference Document.
Rabies
Rabies: general information and how to prevent it
What do you do if you think an animal has bitten or scratched?
According to the Ontario Communicable Diseases – General Regulation (Reg. 557)3 under the Health Protection and Promotion Act, R.S.O. 1990, c. H.7, all suspected incidents of rabies exposures, including animal bites or other animal contact incidents, must be reported to the health unit.
Review full details for what to do if there is a possible rabies exposure.
Sun Safety
- How to use the UV index (Environment and Climate Change Canada - ECCC)
- SunSense Program (Canadian Cancer Society)
- Sun Safety (Health Canada)
Extreme Weather
Young children are more sensitive to extreme weather. It is important to have policies for responding to extreme weather events.
- Heat
- Cold
- Air quality and smoke from forest fires. Download our new resource for schools and childcare settings about what to do if there is an air quality event due to forest fire smoke.
Cold Weather Alert Guidelines for Childcare Centres
The Medical Officer of Health issues a Cold Weather Alert when one or more of the following criteria are met:
- Daily predicted low temperature of –15°C without wind chill
- Wind chill reaches the level at which Environment Canada issues a warning for outdoor activity for people in the Middlesex-London area
- Extreme weather conditions, such as blizzard or ice storm
Recommendations:
- Establish a policy and procedure to deal with potential consequences of extreme cold temperatures and winter storms (e.g., power outages, lack of transportation). An emergency kit should be readily available.
- Plan to reduce the amount of time children spend outside when the temperature reaches -15°C or colder, with or without wind chill (ECCC). Children should be kept indoors when the temperature reaches minus 25°C with or without wind chill. Some people are more susceptible to cold, particularly children, and some medications can increase a person’s susceptibility to cold also.
- Ensure that children are dressed warmly, covering exposed skin: insulated boots, winter weight coats, mittens, hats and neck warmers.
- Change wet clothing and footwear immediately (wet clothing chills the body rapidly).
- Staff should be able to recognize and treat symptoms of cold injuries: frostbite and hypothermia (ECCC)
Winter Safety for Children
Children enjoy playing outdoors throughout the year. During cold months, children often do not realize how cold they are becoming. Instead of going inside to warm up, they stay outside to continue playing.
Care providers can reduce risk of hypothermia and frostbite:
- Dress children in layers of clothing:
- If they get too warm while playing, they can take off one layer at a time
- Have children wear hats that cover the top of their heads and ears (toques)
- most body heat is lost through the head
- Young children should take frequent breaks indoors
- children get cold faster than adults
- very important for infants as they are not moving
- Children should wear neck warmers instead of scarves and mitten clips instead of mittens on strings
- scarves and strings can be a choking hazard
- hoods on coats should also fit snugly around the face
- Children should have extra clothing to wear in case they get wet
- Watch for signs of frostbite and hypothermia and move child inside if any symptoms:
- Frostbite: whitening of the affected skin especially fingers, nose and ears
- Hypothermia: shivering and loss of coordination (stiffness)
- Complaining of pain, numbness, burning or fatigue, confusion, slurring of speech
- Children should not eat snow. It may contain dirt, pollution or other contaminants.
- Teach children not to lick metal objects. The tongue can freeze to the metal and cause injury.
- Tell children to go indoors when they get cold.
Recreational Water Safety and Inspections
Recreational water facilities can present risks to health and safety. Inspections of public pools, spas, wading pools and splash pads are conducted regularly by Public Health Inspectors (PHIs) to ensure that they meet the requirements of Ontario Public Pools Regulation (Reg. 565)6 under the Health Protection and Promotion Act, R.S.O. 1990, c. H.7. PHIs work closely with the owners/operators of these facilities to help prevent and reduce illness and injuries related to recreational water use.
Keep Children Safe in and Around Water
- Educators should be within arms’ reach of children when children are in and around water.
- Young children should wear a life jacket or personal flotation device around water.
- Walking (not running) prevents slips and falls.
- Swim diapers should be used instead of disposable diapers.
- Footwear that provides good grip in a splash pad should be worn to avoid slips and falls as well as cuts and scrapes.
- Small portable wading pools should be drained daily, and stored upside down when not in use.
Playground Area
Fencing:
- outside play area must be fenced
- keep fence in good repair
- Fencing requirements should be considered as part of the Child Care Centre’s design and compliant with applicable Municipal Bylaws (i.e. City of London Bylaw No. P.S.-5, Swimming Pool Fence and Pool Regulation Bylaw)
Check for Hazards:
- check daily for:
- animal droppings
- broken glass or sharp objects
- tripping hazards
- standing water
- play and deck surfaces (nails or screws, rotten wood, splinters)
- thorns or branches below 150 cm. (5 ft.)
- dead or decaying limbs capable of falling in playground area
- roots that create tripping hazards in pathways
- sand suitable for child play (cover sandboxes at night)
Any outdoor play space, fixed play structure or surfacing under those structures that is constructed or renovated on or after August 29, 2016 meets the requirements set out in the Canadian Standards Association standard CAN/CSA-Z614-14 and is inspected by staff on a regular basis. If assistance is needed, external playground inspectors may be hired.
Wildfire Smoke Guidance
4Ontario Ministry of Health. (2020). Management of Potential Rabies Exposures Guideline, 2020. Retrieved from: https://files.ontario.ca/moh-guidelines-management-of-potential-rabies-exposures-guideline-en-2020.pdf
Environment and Climate Change Canada. (2018). Wind Chill and Cold Weather. Retrieved from: https://www.canada.ca/en/environment-climate-change/services/weather-health/wind-chill-cold-weather.html
Ontario. Ministry of the Attorney General. (1990). Health Protection and Promotion Act, R.R.O. 1990, Reg. 565: Public Pools. Retrieved from: https://www.ontario.ca/laws/regulation/900565
Parachute Canada: https://parachute.ca/en/injury-topic/playgrounds-and-play-spaces/
Active supervision is vital for ensuring child safety. Even when the highest safety standards are met, serious injuries can happen if children are not properly supervised. Active supervision means more than simply being physically present. Active supervision involves watching the children, inspecting equipment, and being knowledgeable about environmental risks.
The Childcare and Early Years Act: includes: Play and sleep guidelines, equipment, materials and environments must be continually followed, inspected and maintained. The minimum standards for safe play areas and safe sleep are outlined in sections 19, 23, 24 and 27 of the Childcare and Early Years Act.
Creating a Safe Indoor Environment:
- Add handrails at a level easily reached by children for all flights of stairs.
- Install guards or bars on any windows that are 1 metre (2 1/2 feet) above floor level or lower to prevent children from falling through windows.
- Secure furniture (wall unit or bookcase) to the wall with angle braces or anchors.
- Install window guards above the 1st floor to prevent window from opening more than 4 inches.
- Protect all heating elements, such as hot water pipes, to prevent scalding.
- Cover all electrical outlets with safety covers.
- Keep cords out of reach.
- Prevent scalding by regulating maximum water temperature to 43⁰C.
- Purchase change tables with protective safety ledge (does not replace need for close supervision).
- Visit Toy Safety (Health Canada) for more ideas on selecting safe toys.
- Avoid choking hazards or items that could be toxic (e.g. balloons, water beads)
- Sign up for Health Canada Recalls and Safety Alerts.
- Keep loose or powerful magnets out of reach.
- Use non-toxic materials (labelled as child friendly) for arts and crafts.
- Follow Arts and Crafts Safety (Alberta Health Services)
- DO NOT use or make products that contain boric acid.
- Store all hazardous substances in a locked cupboard away from children.
- Label all substances accurately and keep them in their original containers.
- Position garbage receptacles away from children and clean and sanitize them regularly.
- Review Design Guidelines for Safety
- Ensure play areas are free of poisonous plants.
*Many products are not appropriate for children under 3 years of age. Regardless of age, children should be supervised at all times while they are playing with toys and sensory items.
Indoor Air Quality
Health problems associated with poor indoor air quality may include irritation of the eyes, nose and throat, resulting in pain, dryness, hoarseness and other voice problems. Neurological and general health symptoms may include headache, sluggishness, mental and physical fatigue, reduced level of concentration, dizziness, feeling of intoxication, nausea and vomiting.
Protective Measures
- Control humidity and dampness in your Centre.
- Store cardboard, paper, cellulose materials in low humidity, well-ventilated room.
- Discard water-damaged materials that encourage mould growth.
- Discard cardboard and other cellulose materials that have a musty odour or appear damp.
- Clean and disinfect carpet, rugs, etc. to prevent the growth of harmful organisms.
- Where warranted, older buildings should be checked for asbestos and lead paints by a professional.
- Substitute natural products for artificial products for cleaning, polishing, insecticides, etc.
Clean indoor air can provide the basis for a healthy nurturing environment which will in turn impact positively on the health of the children in your care, and on your own health.
Safe Sleep
Cribs must meet the current Crib, Cradle and Bassinet Safety Standards (Health Canada)
- Infants should each have their own crib, cradle or bassinet
- Safe sleep (Health Canada) practices should be followed to reduce risk for Sudden Infant Death Syndrome (SIDS).
Homemade Playdough in Child Care Centres
In summer 2025, Public Health Ontario (PHO) updated the Infection Prevention and Control (IPAC) in Child Care Centres Checklist, now available on their website:
In fall 2025, Middlesex-London Health Unit (MLHU) staff began using the revised checklist during childcare centre inspections. Information related to homemade playdough is addressed by items 4.18, 4.19, and 4.20 within the checklist.
Flour Use in Playdough and Sensory Play
As a safer alternative to regular flour, it is highly recommended that childcare centres use commercially produced, heat-treated flour or “ready‑to‑eat” flour.
Why this is important:
- Raw flour may be contaminated with harmful bacteria, such as E. coli, which can cause foodborne illness.
- Heat-treating flour outside of an approved food processing or commercial food business setting is not recommended.
- Home-based heat treatment methods may not effectively kill all bacteria.
- These methods do not make raw flour safe to eat.
Hand Hygiene During Sensory Play
Children should continue to wash their hands both before and after sensory play, with the supervision and assistance of an adult, to reduce the risk of ingestion of harmful bacteria when they put their hands in their mouths.
Additional Resources
PHO has shared the following resources for further information:
- Safe handling of flour – Canada.ca
- Handling flour and flour products safely | Food Standards Agency
- Handling Flour Safely: What You Need to Know | U.S. Food & Drug Administration (FDA)
- Arts & Crafts Safety | Alberta Health Services
- Is your child safe? (Health Canada)
- Is your child safe? Sleep Time (Health Canada)
- Is your child safe? Play Time (Health Canada)
Alberta Health Services. (2025). Arts and Crafts Safety. Retrieved from: https://www.albertahealthservices.ca/assets/wf/eph/wf-eh-arts-crafts-safety.pdf
