UTILIZING A STATEWIDE TRAINING SYSTEM TO IMPROVE CHILD DAY-CARE QUALITY

This article describes Pennsylvania's comprehensive child day care and early childhood development training system, with particular attention to ECELS-the Early Childhood Education Linkage System of the Pennsylvania chapter of the American Academy of Pediatrics-and its immunization initiative. The innitiative was established with the state Bureau of Child Day Care Services to improve the overall immunization status of all children in child day care in Pennsylvania. An early childhood education/child day care quality improvement model is briefly discussed to demonstrate how licensing/monitoring data can be tied to a training and technical assistance program.