Children engaging in social-emotional learning activities in a vibrant classroom setting

Hearts and Minds: The Emotional Side of Early Education

November 03, 20250 min read

Hearts and Minds: Understanding Emotional Development and Social-Emotional Learning in Early Childhood Education

Children engaging in social-emotional learning activities in a vibrant classroom setting

Emotional development in early childhood describes how young children recognize, express, and manage feelings while learning to form healthy relationships, and social-emotional learning (SEL) is the set of intentional practices that support those capacities. This article explains why emotional competence matters for school readiness, peer relationships, and long-term mental health, and it shows educators and caregivers practical strategies to build emotional literacy and self-regulation in toddlers and preschoolers. Readers will learn age-banded milestones, core emotional intelligence components, classroom activities tied to CASEL competencies, and simple monitoring tools that fit common early childhood curricula. The piece also addresses educator well-being, program-level implementation considerations, and resources for mental health supports so centers can protect both child outcomes and operational efficiency. Finally, the guide outlines professional development and organizational practices that help embed SEL sustainably across routines and learning centers.

What Is Emotional Development in Early Childhood and Why Is It Important?

Emotional development in early childhood is the progressive acquisition of skills for recognizing feelings, regulating reactions, and forming secure relationships, and these changes shape attention, learning, and social competence. The mechanism is relational and neurobiological: repeated co-regulation with caregivers tunes stress-response systems and strengthens neural circuits that support attention and executive function, producing better readiness for classroom learning. Benefits are immediate improvements in classroom behavior, stronger peer interactions, and foundation-building for resilience and mental health across development. Understanding these links helps educators prioritize routines and targeted interactions that foster emotional safety and predictable co-regulation in daily practice.

How Do Emotions Influence Early Childhood Growth?

Emotions act as regulators of attention and social learning by signaling salience and guiding priorities for young brains, which influences memory encoding and engagement. Secure attachment relationships provide repeated experiences of co-regulation that reduce toxic stress and create physiological conditions—stable heart rate, moderated cortisol—for exploratory learning and language development. When caregivers label feelings and scaffold coping, children develop vocabulary and internal strategies that support attention during instruction and cooperative play. These processes show how classroom climate and caregiver responsiveness directly affect both social competence and cognitive readiness, so strengthening emotion talk becomes a classroom priority.

What Are the Key Emotional Milestones for Toddlers and Preschoolers?

Toddler identifying emotions with caregiver support in a playful learning environment

Emotional milestones show typical patterns for ages 1–2, 2–3, and 3–5 that indicate growing recognition and regulation capacities and can be observed in everyday interactions. Between 1–2 years, children show clear attachment to caregivers, simple emotion expression, and emerging distress regulation with adult help; 2–3 years bring clearer labeling of basic emotions and early self-soothing strategies; 3–5 years show increasing empathy, cooperative play, and use of simple problem-solving for conflicts. Caregivers can watch for these signs during routines and play to tailor supports and to identify earlier when extra help or scaffolded instruction is needed.

Introductory quick-reference: core emotional skills across age bands and classroom/home examples.

SkillTypical Age RangeClassroom / Home Example
Emotion recognition1–3 yearsChild points to a picture of a sad face and seeks comfort from caregiver
Basic self-soothing1–2 yearsChild uses a comfort object and breathing with adult prompting after upset
Emotion labeling2–4 yearsChild says “I’m mad” after a block structure is knocked down
Empathy / perspective-taking3–5 yearsChild offers a tissue or shares a toy when a peer is crying
Collaborative problem-solving4–5 yearsChildren negotiate turn-taking during a game with adult facilitation

This table helps teachers and parents quickly match observable behaviors to age-range expectations and design targeted interactions.

How Does Emotional Development Impact Long-Term Mental Health and Well-being?

Early emotional competencies are protective factors that predict later resilience, social relationships, and academic achievement by shaping regulatory strategies and coping skills. Longitudinal research shows that children who develop consistent emotion-labeling and self-regulation early have lower rates of anxiety and behavioral problems and higher rates of school success, indicating that early intervention yields long-term returns. Early supports reduce cumulative risk by altering trajectories of stress responsivity and by creating positive peer and teacher relationships that scaffold later learning. Therefore, preventing gaps in emotional skill development during preschool years is both a clinical and an educational priority.

How Does Emotional Intelligence Develop in Young Children?

Emotional intelligence in young children emerges through progressive mastery of self-awareness, self-management, social awareness, relationship skills, and responsible decision-making, supported by adult modeling and scaffolded practice. Neurologically, repeated social experiences wire circuits for regulation and empathy; behaviorally, children move from co-regulation to independent coping across ages. Practical implications: targeted activities accelerate specific competencies and strengthen classroom climate, leading to improved attention and fewer behavioral interruptions. The following table maps EI components to typical ages and activities to foster each skill for quick classroom use.

EI ComponentTypical Age of EmergenceActivity to Foster
Self-awareness2–3 yearsMirror play with feeling faces and naming sensations
Self-management2–4 yearsShort breathing or calm-down routines after transitions
Social awareness3–5 yearsStory-based role-play that explores others’ feelings
Relationship skills3–5 yearsCooperative games with turn-taking prompts
Responsible decision-making4–5 yearsSimple choices with guided reflections on outcomes

This table clarifies which practices target specific EI components and helps teachers schedule activities that align with developmental readiness.

What Are the Core Components of Emotional Intelligence for Kids?

Core components include self-awareness (recognizing one’s emotions), self-management (regulating reactions), social awareness (noticing others’ feelings), relationship skills (communicating and cooperating), and responsible decision-making (choosing helpful actions). Each component appears in observable behaviors: toddlers indicating hunger or discomfort, preschoolers using words to request help, and older preschoolers negotiating turns or making repair attempts after conflict. Adults can encourage these components by labeling emotions, offering brief regulation tools, and scaffolding cooperative problem-solving during play. Understanding these components enables educators to design targeted activities that map directly to SEL goals.

What Are the Benefits of High Emotional Intelligence in Early Years?

High emotional intelligence yields measurable benefits including better peer relationships, improved attention and classroom engagement, and greater resilience to stressors that otherwise impede learning. Evidence from recent studies indicates that SEL programs in preschool predict improved school readiness skills and reduced conduct problems later in elementary school, suggesting cost-effective prevention. For teachers, higher class-wide EI translates to fewer behavior disruptions and more instruction time, which supports both child outcomes and operational efficiency. These outcomes justify integrating SEL into daily routines as a foundational part of early education.

Social and Emotional Skills Development Through Play-Based Learning in Preschool

This action research study was driven by the researcher’s interest in play-based learning. This action research investigates if social and emotional skills develop through play in a preschool classroom setting. This action research answered the question: Can social and emotional skills develop through play-based learning? Preschool students were engaged in developmental learning play-based learning centers that helped them academically, socially, and emotionally. Teachers were more intentional with interactions with students. Teachers were more present with students, encouraging engagement with learning opportunities. This research study was conducted throughout the 2021 – 2022 academic school year. Data was collected throughout two Teaching Strategies GOLD checkpoints in the school year.

Social and Emotional Skills Develop Through Play-Based Learning, 2022

Which Activities Help Build Emotional Intelligence in Children?

A range of play-based, story-based, and routine-integrated activities effectively build EI when practiced consistently and scaffolded by adults. Activities include feelings charades, emotion matching with cards, calm-down breathing games, puppet role-play for perspective-taking, cooperative block-building challenges, and reflective circle time after conflicts. Below is a concise activity list educators can rotate across the week to ensure balanced attention to EI components.

These activities support varied EI components through structured practice and repetition:

  1. Feelings Charades: Children act out an emotion while peers guess, building emotion recognition and vocabulary.
  2. Calm-Down Box: A small kit with sensory objects used with a brief breathing script to teach self-management.
  3. Puppet Conversations: Puppets model emotion language and conflict repair to scaffold social awareness and relationship skills.
  4. Turn-Taking Games: Short cooperative games that require negotiation and fair play, supporting relationship skills.
  5. Story Reflection: After reading, adults ask how characters felt and what choices they could have made, enhancing perspective-taking.
  6. Choice Charts: Simple daily choices with guided reflection to practice responsible decision-making.

These activities are practical to implement with low materials and can be embedded in routine transitions to maximize learning and generalization.

What Is Social-Emotional Learning in Preschool and How Is It Implemented?

Social-emotional learning (SEL) in preschool is an intentional, curriculum-aligned approach that teaches children competencies for emotion understanding, regulation, and positive relationships, and it works by embedding instructional moments across routines and play. The mechanism of SEL implementation is integration: short, repeated lessons plus coaching in natural contexts produce transfer to everyday interactions, improving classroom climate and learning readiness. Benefits include improved peer cooperation, reduced aggressive incidents, and better attendance rates—outcomes that also support operational efficiency for centers. Below is a mapping of CASEL competencies to classroom strategies and indicators for monitoring progress.

SEL CompetencyClassroom StrategyMeasurement / Indicator
Self-awarenessFeelings chart during circle timeChild labels own emotion with adult prompt
Self-managementShort calm-down routine after transitionsDecrease in time to return to activity after upset
Social awarenessRole-play and story discussionsIncreased supportive actions toward peers
Relationship skillsCooperative projects with rolesFewer disputes and smoother sharing
Responsible decision-makingGuided choice opportunitiesChild describes consequences of choices

This EAV-style table ties competencies to concrete practices and measurable classroom indicators to guide implementation and monitoring.

What Is the CASEL Framework and Its Core Competencies?

The CASEL framework defines five core competencies—self-awareness, self-management, social awareness, relationship skills, and responsible decision-making—that serve as the backbone for preschool SEL curricula. In preschool settings, each competency translates into simple, observable targets such as naming feelings, following short routines, expressing concern for peers, practicing turn-taking, and making safe choices. Teachers can operationalize competencies through daily micro-lessons, modeling, and embedded coaching during play and transitions. Aligning classroom activities to CASEL supports coherent assessment and communication with families about child progress.

Bridging SEL Framework with European Educational Policies and Assessment

The importance of enhancing social and emotional skills in educational settings has gained prominence, with many countries and organizations embracing the Social and Emotional Learning (SEL) framework to equip individuals with the tools needed for shaping a self-identity, emotional regulation, goal achievement, empathy, nurturing relationships, and responsible decision-making and overall well-being. In this paper, we aim to connect the globally acknowledged Collaborative for Academic, Social, and Emotional Learning SEL framework with international policies that underscore the importance of social and emotional skills in the school context. To accomplish this goal, we first provide a brief overview of the key components of the SEL framework. Subsequently, we explore two significant educational policies within the European context. The first policy is the World Health Organization Health Promoting Schools initiative. We present its objectives, a WHO-affiliated program example, the promot

Bridging the SEL CASEL Framework with European educational policies and assessment approaches, V Cavioni, 2024

How Can SEL Be Integrated into Early Childhood Curriculum?

SEL integrates best when embedded into predictable routines—circle time, transitions, learning centers, snack, and clean-up—so children encounter repeated opportunities to practice skills in context. Integration techniques include pairing a brief emotion check-in with morning routines, using story time to prompt perspective-taking, and structuring free-play invitations with social goals and role cues. This approach aligns with common early childhood philosophies like Montessori and play-based learning by using child-led exploration as practice grounds for SEL skills. Embedding SEL into existing schedules reduces additional planning time and increases consistency across staff, improving program efficiency.

What Are Effective Social-Emotional Learning Activities for Preschoolers?

Preschoolers using puppets to explore emotions during a social-emotional learning activity

Effective SEL activities are brief, repeatable, and scaffolded to match developmental readiness, focusing on vocabulary, co-regulation, empathy practice, and cooperative problem-solving. High-impact activities include emotion matching games, collaborative building tasks, puppet-based conflict resolution, sensory calm-down stations, and story-based moral reasoning circles. Each activity should specify materials, timing (5–15 minutes), and desired outcomes so teachers can implement with fidelity and measure change. When activities are predictable and routine-integrated, children generalize skills across peers and settings, producing classroom-wide improvements.

Introductory list of high-impact SEL activities with facilitation tips:

  • Emotion Matching Games: Use picture cards and short discussions to increase emotion vocabulary.
  • Collaborative Building Tasks: Assign roles during block play to practice negotiation.
  • Puppet Conflict Resolution: Model safe language and repair statements with puppets.
  • Calm-Down Corner Practices: Rotate sensory tools and scripts for self-management.

These activities are time-efficient and scalable for centers seeking to build SEL into daily practice without disrupting core curriculum.

How Is SEL Progress Measured in Young Children?

SEL progress in preschool is best tracked with observation-based tools, simple checklists, and brief sample-based ratings that focus on frequency and context of target behaviors. Practical measures include weekly observation notes on emotion labeling, a simple calming scale indicating time to recover after upset, peer-interaction tallies during free play, and anecdotal records for problem-solving attempts. Downloadable checklists and short monitoring templates enable teachers to record progress without extensive paperwork and support data-driven PD conversations. Regular, low-burden measurement allows centers to monitor fidelity and to allocate training resources where staff need the most support.

How Can Parents and Educators Teach Emotional Regulation to Young Children?

Teaching emotional regulation combines labeling emotions, modeling calm behavior, and offering simple, age-appropriate strategies that children can use during distress, and these practices change physiological and behavioral responses over time. The mechanism—co-regulation—relies on adults who remain calm and provide language and tools so children internalize strategies they experience repeatedly. Benefits include faster recovery after upset, reduced meltdown frequency, and improved capacity for sustained attention in group activities. Below are common challenges and stepwise approaches for teaching regulation.

What Are Common Emotional Dysregulation Challenges in Early Childhood?

Common regulation challenges include tantrums, hitting or biting during intense frustration, withdrawal or shutdown, and sleep- or separation-related anxiety that interferes with participation. Triggers often include transitions, sensory overload, unclear expectations, or unmet physical needs, and differentiating developmentally typical reactions from persistent patterns requiring further support is critical. Concerning signs include prolonged dysregulation, social avoidance, or aggression that escalates despite consistent strategies, which suggest consultation with mental health professionals. Early identification and low-intensity classroom supports often prevent escalation and support better learning outcomes.

Which Strategies Support Self-Regulation in Toddlers and Preschoolers?

Effective strategies include predictable routines, sensory-informed calm-down options, breathing games, emotion labeling, and brief coaching scripts that guide children through naming, calming, and reflecting. Age-tailored examples: for toddlers, offer consistent transition cues and a cozy calm-down spot with adult presence; for preschoolers, teach simple belly breathing and use a feelings chart with peers to normalize naming emotions. Embedding these practices into transitions and routines—arrival, clean-up, before nap—creates repeated practice that supports internalization. Materials needed are minimal: visual prompts, a small quiet area, and a consistent adult script.

Practical step-by-step list for a core strategy (calm-down routine):

  1. Name the feeling: Adult says, “You look upset. Are you feeling angry?” and waits for response.
  2. Offer a brief tool: Guide child through 3 slow breaths or a sensory object for one minute.
  3. Re-engage with a task: Offer a simple re-entry task like putting a toy back to practice returning to activity.
  4. Reflect: Later, ask the child to describe what helped to reinforce strategy learning.

This stepwise routine creates immediate de-escalation and a short reflection that builds future self-regulation.

How Can Adults Model Emotional Regulation Effectively?

Adults model regulation by naming their own feelings calmly, demonstrating repair after moments of stress, and using consistent, brief language to describe strategies they use. Sample caregiver scripts include “I’m taking three deep breaths so I can think” or “I felt frustrated but I asked for help,” which provide concrete language children can imitate. Adults should practice quick micro-regulation breaks—breathing or brief grounding—and show peer repair when conflicts arise, reinforcing that everyone uses strategies. Modeling combined with explicit coaching accelerates children’s ability to adopt these skills independently.

How to Support Children Through Emotional Outbursts and Big Feelings?

Supporting children through outbursts requires immediate safety checks, calm presence, brief de-escalation techniques, and restorative follow-up that turns the episode into a learning moment. First, ensure safety and offer co-regulation by sitting near the child with a calm tone; second, use a short, predictable soothing routine (breathing, sensory object); third, once calm, offer a simple reflection using “What happened?” and “What can we try next next time?” to scaffold problem-solving. Restorative steps—reconnecting, repairing relationships, and practicing a small alternative strategy—help children learn from upset episodes and restore classroom cohesion.

How Can Emotional Growth Be Fostered in Toddlers and Preschoolers?

Fostering emotional growth combines age-specific expectations, caregiver scaffolding, and play-based opportunities that repeatedly practice targeted skills, and doing so builds both individual capacities and classroom social climates. Mechanisms include scaffolding (adult support that gradually fades), safe exploratory play, and explicit emotion coaching embedded in routines. By aligning activities with developmental milestones, adults create predictable learning trajectories that support both child outcomes and smoother classroom operation. The following subsections break down age-band specifics and caregiver roles.

What Are Emotional Milestones for Ages 1-2 and 3-5?

Children aged 1–2 typically demonstrate strong attachment behaviors, simple emotion expression, and emerging regulation with adult help, while ages 3–5 show expanding emotion vocabulary, early empathy, cooperative play, and emerging independent coping strategies. Observable indicators include seeking comfort from familiar adults at 1–2, then by 3–5 offering comfort to peers or using words like “sorry” and “I’m sad.” Tracking these milestones helps adults tailor expectations and interventions: brief scaffolds for toddlers and more explicit coaching and role-play for preschoolers. Such alignment improves responsiveness and reduces mismatches between expectations and child capacity.

What Role Do Parents and Caregivers Play in Emotional Growth?

Parents and caregivers act as primary regulators and language models, offering consistent responses that teach children how feelings are managed and understood, and their role includes labeling emotions, modeling calm behavior, and structuring predictable routines. Responsive interactions—prompt attention, sensitive responses to distress, and explanatory talk about emotions—scaffold children’s internal models for handling feelings. Caregivers who intentionally narrate feelings during daily activities—“You’re excited about the swing”—provide repeated, context-rich learning that accelerates emotional literacy. This consistent adult support is central to durable emotional growth.

How Does Play-Based Learning Support Emotional Development?

Play supports emotional development by creating low-stakes contexts for practicing perspective-taking, cooperation, and problem-solving, and by enabling children to rehearse responses to social challenges in imaginative scenarios. Types of play—parallel, cooperative, pretend—each foster distinct SEL outcomes: pretend play enhances perspective-taking, cooperative games build negotiation skills, and sensory play supports regulation. Designing play invitations with clear social goals and minimal adult prompts encourages peer-led practice and increases generalization of skills across settings. Structured play opportunities therefore serve both developmental and classroom management aims.

How Can Empathy and Social Skills Be Encouraged in Young Children?

Empathy and prosocial skills grow through explicit teaching, modeled behavior, and scaffolded role-play where children practice noticing and responding to others’ feelings. Practical strategies include reading picture books that highlight emotions, prompting children to identify characters’ feelings, and using role-play with puppets to rehearse helping behaviors and repair language. Simple scripts—“I see you’re sad; do you want a hug?”—and praise for prosocial attempts reinforce desired actions. Repeated, coached practice during routines and play fosters more consistent empathetic responses over time.

What Is the Connection Between Early Childhood Mental Health and Emotional Development?

Emotional development and early childhood mental health overlap closely: strong emotional skills act as protective factors that buffer stress and support adaptive functioning, while deficits in emotional competence often co-occur with early mental health concerns. Mechanistically, regulated emotion processes reduce chronic activation of stress systems, whereas persistent dysregulation can lead to increased vulnerability to anxiety and behavior problems. Early screening and low-intensity supports within classrooms—emotion coaching, routine-based regulation tools, and caregiver training—can shift trajectories and reduce later service needs. Organizations implementing system-level monitoring and supports can more efficiently allocate resources and protect both child outcomes and fiscal stability.

How Does Emotional Development Influence Early Childhood Mental Health?

Emotion skills shape how children respond to adversity, with regulated children showing lower physiological stress responses and greater capacity to seek support, which reduces risk for internalizing and externalizing problems. Early interventions that teach emotion labeling and coping strategies decrease symptom emergence by promoting adaptive coping and social support-seeking. From an operational perspective, investing in early SEL reduces higher-cost referrals later by addressing needs in familiar settings. This linkage underscores why program-level SEL and mental health alignment matters for both child well-being and efficient service delivery.

When organizations need system-level implementation support or monitoring to integrate SEL and mental health strategies at scale, they can pursue consultation or a demo of implementation planning to align staff training, measurement templates, and routine-based coaching with available resources.

What Are Signs of Positive Emotional Health in Young Children?

Signs of positive emotional health include curiosity, engagement in play, appropriate distress and quick recovery with support, willingness to try tasks, and cooperative interactions with peers and adults. Children who can label basic feelings, use simple calming strategies, and seek help when upset demonstrate emerging resilience and social competence. Monitoring these indicators helps educators recognize classroom-level strengths and areas where targeted instruction or individual support might be necessary. Regular observational notes and brief checklists make tracking straightforward and actionable.

How Can Emotionally Supportive Environments Be Created?

Emotionally supportive environments combine predictable routines, accessible calm spaces, emotion-rich language, and staff trained to co-regulate and scaffold interactions, creating contexts where children practice regulation safely. Physical cues—cozy corners, clear visual schedules, and consistent transition signals—reduce uncertainty and lower stress reactivity while staff practices like labeled praise and brief emotion coaching build skills. Program-level policies that protect planning time and allow for peer mentoring strengthen implementation fidelity and reduce staff burnout. Thoughtful environmental design therefore supports both child outcomes and smoother daily operations.

Introductory table of trusted resources and support categories for early childhood mental health monitoring and referral:

Resource TypePurposeExample Use
Professional consultationSystem-level implementation & monitoringPlan PD cycles and measurement templates
Observational toolsScreening and progress trackingWeekly behavior tallies and emotion charts
Community mental health servicesSpecialist assessment and interventionReferral pathway for persistent concerns

What Resources Are Available for Supporting Early Childhood Mental Health?

Authoritative organizations, local mental health providers, and downloadable tools offer supports ranging from program-level PD to individual clinical referrals, and centers can combine low-intensity classroom interventions with clearer referral pathways. Practical resources include downloadable emotion charts, simple observational templates, and guidance from national early childhood organizations that inform evidence-based practice. Center leaders can use these resources to create tiered supports—classroom strategies first, then targeted interventions and external referrals as needed—to preserve both child outcomes and budgetary efficiency.

How Can Educators Maintain Their Own Emotional Well-being to Support Children?

Educator emotional well-being matters because teachers’ regulation and emotional attunement directly shape classroom climate, student engagement, and the effectiveness of SEL instruction, and maintaining staff well-being reduces turnover and operational disruptions. Mechanisms include modeling, emotional contagion, and consistent adult behavior; stressed educators transmit dysregulation while regulated educators create safe learning contexts. Centers that prioritize staff supports—short micro-practices, protected planning time, peer coaching, and structured PD—see better classroom outcomes and fewer costly staffing disruptions. The following subsections outline why educator EI matters, practical self-care strategies, and PD options.

Why Is Educator Emotional Intelligence Important for Child Development?

Educator emotional intelligence affects how adults respond to children's distress, their ability to model regulation, and the quality of teacher-child interactions that predict social and academic outcomes. Teachers who label emotions, use calm repair language, and offer consistent routines foster secure classroom attachment and better peer relations among students. These modeling effects are powerful because children internalize repeated relational experiences, so teacher regulation skills become classroom-level determinants of emotional climate. Investing in educator EI training therefore yields returns via improved child behavior and smoother instructional time.

What Self-Care Strategies Help Educators Manage Burnout?

Effective self-care strategies include brief daily micro-practices—three deep breaths between activities, quick mindful grounding, and brief peer check-ins—combined with organizational policies like protected planning time, peer mentoring, and flexible scheduling where possible. Institutional supports such as regular reflective supervision, opportunities for peer observation, and access to professional development focused on stress management reduce cumulative burden. Teachers who practice quick regulation techniques and receive workplace supports report better emotional capacity to implement SEL, leading to more consistent classroom experiences for children. These measures are low-cost and scalable for centers seeking operational stability.

After describing individual and organizational strategies, centers may consider booking a consultation or demo focused on professional development pathways, burnout mitigation, and SEL program implementation to design PD cycles and monitoring templates tailored to their staffing structure.

How Can Professional Development Enhance Educator SEL Skills?

Professional development that combines workshops, coaching, peer observation, and coaching cycles leads to measurable changes in classroom practice by providing knowledge, modeling, and feedback loops that sustain skill use. Effective PD includes short applied sessions, in-class coaching, and simple fidelity checklists that enable teachers to practice and refine SEL strategies during routine activities. Measurable PD outcomes include increased use of emotion language, reduced time spent on behavior redirection, and improved classroom climate scores on observational tools. Structured PD aligned with program-level monitoring supports both child outcomes and operational efficiency by reducing ad-hoc training needs.

For administrators and center leaders ready to translate these practices into a sustainable plan, booking a consultation or a demo for implementation planning can help align PD, measurement tools, and workflows to protect both child outcomes and the center's operational health.

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