Committee on Early Childhood


In order for Texas children to reach their full potential, the Texas Pediatric Society’s Early Childhood Committee envisions that all Texas children will have optimal nurturing and bonding with a supportive environment during their early childhood.


Recognizing the critical importance of early brain and child development, the Early Childhood Committee's mission is to empower pediatricians to support and guide families and their communities in providing care for Texas’ young children. 


  • Promote optimal early childhood nutrition, especially breastfeeding.
  • Support early literacy.
  • Collaborate with other state agencies, health and childcare providers, and communities in promoting optimal early childhood development.


TPS is receiving questions from members who have been approached by childcare centers about guidelines for sending children back to childcare. As a resource for members, TPS is sharing the following guidance for pediatricians receiving inquiries on this matter. As a parent, it is reasonable and appropriate to ask the daycare what types of precautions the center has put in place to limit risk to children. There is no formal recommendation that children should not return to daycare and, unless the child is symptomatic or has a known COVID+ exposure, they should not be excluded from daycare. Please refer to AAP, CDC, and state and local guidance related to childcare during COVID-19. See this tip sheet from AAP as a resource for both pediatricians and families.

On June 25, 2020, the Texas Health and Human Services Commission enacted a new set of emergency rules for child care providers. The emergency rules require child care centers to operate in accordance with the Guidance for Child Care Programs that Remain Open released by the Centers of Disease Control in addition to the specific requirements related to caregivers, screening, drop-off and pick-up procedures, diapering procedures, soiled clothing requirements, environmental health, and food preparation.


ICD Codes related to Breastfeeding Management (Texas Department of State Health Services)
Academy of Breastfeeding Medicine - very useful protocols
United States National Library of Medicine Toxicology Data Network, select LactMed - database with information about medications and breastfeeding
Baby Friendly Hospital Initiative
CDC Webpage On Breastfeeding
Office of Women’s Health Webpage on Breastfeeding - website sponsored by the United States Department of Agriculture that provides personalized dietary guidelines for children and adults. Includes recommendations about intake of specific foods and physical activity.
Breastfeeding Resouces -
HALF - Healthy Active Living for Families, by the AAP

American Academy of Pediatrics Literacy Toolkit - includes useful information about health literacy and the pediatrician’s role in promoting literacy
Reach Out and Read National Center
Reach Out and Read Texas
Reach Out and Read Resources
Reach Out and Read Podcasts
Delivering Reach out and Read 0-5 months

Early Childhood Development
Kids Health - website sponsored by the Nemours Foundation with great information for parents and children
Healthy Child Care America - website by the AAP with information for parents and physicians about child care
Healthy Kids website by the National Resource Center for Health and Child Care and Early Education - useful information for parents about childcare.
Resources for working with children in foster care
Business leaders recognizing the importance of early childhood education
Texas Early Childhood Intervention
Resources discussing the impact of toxic stress on the developing child
Texas Project First: Website that provides information and support for families of children with disabilities.  The site is maintained by the Texas Education Agency and Region 9 Education Service Center: 
Texas Early Learning Council
Anticipatory Guidance Resource List for Birth to 5
Telehealth Links ECI Children and Families to Needed Services
ECI Service Area Map

Parenting Resources
DFPS Help and Hope
Circle Family Activity Collection (from The Children's Learning Institute at UT Health Houston)
Family Resources for COVID-19 (from The Children's Learning Institute at UT Health Houston)

Policy Statements and Guidelines Related to Early Childhood
AAP Screening in Practices STAR Center (Screening Technical Assistance and Resource Center)
Resource for screening, referral, and follow-up for development, maternal depression, and social determinants of health per AAP guidelines, includes screening tool finder
CDC Developmental Milestones Tracker App
National Center on Early Childhood Health and Wellness
Zero to Three
Center on the Developing Child at Harvard

Childcare Resources
Childcare Resource List
National Resource Center For Health and Safety In Child Care and Early Education

AAP Council On Early Childhood (COEC)
COEC Policy and Publications
AAP Policy Collections by the COEC

For more information related to the AAP Council on Early Childhood, please contact Hilda Marie Loria, MD or Marjan A. Linnell, MD

TPS Staff Contact

Angelica Ferrandino, MPAff;; 512-370-1503