Hygienic requirements for the regime of the day, week, training load. XI. Daily routine requirements

13.10.2019

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Introduction

The correct daily routine allows you to correctly distribute time resources for rest, work, nutrition, self-development, self-care.

Why is it important to teach a child to the correct daily routine? Children easily get used to a new daily routine due to the fact that a clear dynamic stereotype has not yet been developed in their minds - a form of human brain activity, the manifestation of which is a fixed order of actions. Violation of dynamic stereotypes leads to tension of the nerve elements of the cerebral cortex, which goes beyond their functional capabilities, resulting in a violation of higher nervous activity and the development of neurotic states.

The daily routine of a child is somewhat different from the daily routine of an adult. The daily routine for children is the basis of education, accustoming the child to the responsible use of temporary resources, self-discipline, development of character and willpower. The daily routine is especially important for a child.

If the daily regimen is not followed, the following consequences may occur for the child:

Tearfulness, irritability of the child;

Instability of the psycho-emotional state;

Deviations in development;

Difficulties in getting the child used to the routine kindergarten, schools.

Each period in a child's life must be properly organized in terms of alternating activity and rest. Prolonged wakefulness and reduced sleep duration can negatively affect the activity of the child's nervous system, resulting in a violation of his behavior. There is no single correct daily routine that would suit every child. However, there are a number of rules, adhering to which parents will be able to properly organize such a day regimen for the child, which will contribute to his full physical and mental development.

1. The concept of dirima of the day and the reasons for its change

The regime of the day is the organization and expedient distribution of a person's time resources, a kind of life schedule. The daily routine must match age characteristics children and contribute to their harmonious development.

The basis for the normal development and proper upbringing of a small child is a routine.

Compliance with the regimen provides the physiologically necessary duration of sleep and wakefulness, a certain alternation of all hygiene processes and feeding, the timeliness of classes and independent games, walks, tempering procedures. The mode contributes to the normal functioning of the body, is the main condition for the timely and correct physical and neuropsychic development, cheerful mood, calm behavior of the baby.

As a result of exact observance of the hours of sleep, wakefulness, feeding, and their certain sequence, the child develops a dynamic stereotype of behavior. Due to this, the need for food and sleep arises at a set time, and the offer of an adult to go to sleep, eat, and walk does not cause objections in the baby. The correct rhythm protects the nervous system from overwork, favorably affects the quality of sleep, the nature and duration of wakefulness. But the formation of a rhythmic alternation of sleep and wakefulness in children largely depends on the conditions of their upbringing.

The duration of the period of wakefulness is determined by the limit of the working capacity of the nervous system. The most significant role in maintaining active wakefulness is played by visual impressions obtained from observations of the surrounding world. After that, rest and sleep are necessary. The younger the child, the shorter his periods of wakefulness and more often sleep.

With age, not only the duration of the child's wakefulness changes significantly, but also the character, his activity becomes more diverse. This helps keep you active for longer periods of time. However, the endurance of the nervous system still remains relatively low. Therefore, long monotonous exercises, the same body position lead to a rapid decrease in activity during wakefulness and the appearance of fatigue. The younger the children, the more they need frequent shift activities, changing the nature of activity. This also determines the duration of classes in a children's institution.

Determined that the best time for classes - the first half of wakefulness, when the child's nervous system is in a state of optimal excitability (but not immediately after eating, but after 30 minutes). You should not conduct classes immediately after sleep, when the child is still somewhat inhibited, or after a walk, when he is tired, immediately before meals and before bedtime, especially at night (the baby is overexcited, does not fall asleep for a long time).

With changes in the duration of wakefulness, sleep and breaks between feedings during the first three years of life, the regimen changes several times. Each child should live according to the regime of his age. But the duration of wakefulness and the need for sleep in children of the same age may be different depending on their individual characteristics. Close attention is required by children after illness, during the recovery period, physically weakened. Due to the lower endurance and efficiency of the nervous system, weakened by the disease, they need more frequent rest and long sleep.

It is necessary to transfer children to the next age regime taking into account not one, but several indicators, indicating that physiologically the child is already prepared for this. The following should be taken into account: the age of the child; the nature (systematic very slow) falling asleep or refusing daytime sleep; early awakening after a daytime sleep; maintaining activity until the end of wakefulness; restlessness after feeding and signs of hungry arousal that occur long before feeding (in the first year of life).

It is especially difficult for children to switch to a regime with two times a day, and then with a one-time daytime sleep, since this changes not only the rhythm, but also the sequence of all regime processes. Therefore, it is necessary to move to a new regime gradually. First reduce the duration of each daytime sleep and increase wakefulness, then reduce total daytime sleep by increasing the duration of each period of wakefulness. Until the child is completely accustomed to the new rhythm, it is necessary to minimize the duration of his wakefulness, feed him earlier, put him to bed right away, etc. The educator closely monitors the behavior of the children and in a timely manner signals the senior educator and the doctor about the need to transfer this or that baby to a new age regimen in accordance with the changes that have occurred in his behavior.

If in the same group there are children of different ages who need a different mode of sleep and wakefulness, it is necessary to establish 2 or 3 different modes, clearly dividing the kids into age subgroups. In different modes, some are awake while others are asleep. This allows better care for babies. Due to the smaller number of children awake at the same time, the teacher can give each of them maximum attention, in addition, they get less tired.

The regimen of children is determined for a day, i.e. for the duration of their stay in the children's institution and at home. Knowing well the working and living conditions of the family, it is necessary to advise parents on which regimen is better to set for the baby at home in the evening and on days off, emphasizing the usefulness of taking short walks with children in the evening before going to bed. At the same time, excitability is removed and the child sleeps soundly.

During the summer period (compared to the winter period), the time spent by children in the air increases. With this in mind, when drawing up regimes, some outdoor activities should be provided for with children (gymnastics, outdoor games, games with water, sand, etc.). Hardening procedures should be carried out after walking, before dinner.

Accurate adherence to the regime has great importance, however, deviations are possible. For example, if it is noticeable that the child is tired, he should be put to bed earlier than the set time; in cases where the baby sleeps soundly during the day, for some time he should not be woken up, although according to the regime it is time for him to get up. In the morning, during the reception of the child, the teacher finds out how the baby slept at home. Having established that his sleep was not strong enough, he makes sure that he sleeps longer that day, puts him to bed first and, if possible, wakes him up last. In groups, even with the same age composition, children sometimes need to be divided into 2 subgroups with different regimens.

An indicator of the correctness of the regime is the behavior of the baby: he is calm and active, does not cry, is not excited, does not refuse food, falls asleep quickly, sleeps soundly and wakes up cheerful.

During wakefulness, all recreational activities (hardening with air, water, massage, gymnastics, etc.) and hygiene procedures (toilet, bathing, washing hands) should be performed in a timely manner and in a certain sequence. In the daily routine, the time for receiving and leaving children home is also indicated.

In order for the regime to be carried out clearly in a children's institution, it is necessary to distribute the duties of the staff so that the children in the group are never left alone. The distribution of duties is drawn up taking into account the existing real regimes of the day of the group and the work schedule of the staff. The change of caregivers takes place during the hours of the children's sleep, and not during their feeding or going to bed.

Thus, when compiling and assigning daily routines for children early age the following must be taken into account:

1. The possible duration of wakefulness of each child is determined by the limit of the working capacity of his nervous system.

2. The number of hours of sleep per day, the duration of each daily period of sleep provide timely and complete recovery of the expended energy, the correct rhythm of work and rest of the nervous system.

3. The rhythm of feeding should be consistent with the rhythm of wakefulness and sleep.

But it is not enough just to establish correct mode, it is very important to methodically correctly carry out all regime processes. The physical development of the child largely depends on how feeding is organized, putting to bed, what techniques adults use at the same time.

It is important to remember that when carrying out regime processes, due attention should be paid to individual work with children. Conduct individual sessions it is necessary during all periods of wakefulness, in the time free from feeding and hygiene procedures.

So, the educational influences of adults in regime processes are aimed at maintaining a positive emotional state of children, creating an attitude for the upcoming action, drawing attention to it, helping the baby in fulfilling his instructions, mastering the necessary skills.

2. Modern SANPiN with requirements for the daily routine in preschooleducational institutions

preschool educational standard hygienic

The maximum duration of continuous wakefulness of children aged 3-7 years is 5.5-6 hours, up to 3 years - in accordance with medical recommendations. The recommended duration of daily walks is 3-4 hours. The duration of the walk is determined by the preschool educational organization, depending on climatic conditions. When the air temperature is below minus 15°C and the wind speed is more than 7 m/s, it is recommended to reduce the duration of the walk.

When organizing the regime of stay of children in preschool educational organizations (groups) for more than 5 hours, meals are organized with an interval of 3-4 hours and daytime sleep; when organizing a stay regime for children up to 5 hours, a single meal is organized.

The total duration of daily sleep for preschool children is 12 - 12.5 hours, of which 2 - 2.5 hours are spent on daytime sleep. For children from 1 year to 1.5 years, daytime sleep is organized twice in the first and second half of the day for a total duration of up to 3.5 hours. The best is the organization of daytime sleep in the air (verandas). For children from 1.5 to 3 years, daytime sleep is organized once for at least 3 hours. Before going to bed, it is not recommended to carry out mobile emotional games, tempering procedures. During the sleep of children, the presence of a teacher (or his assistant) in the bedroom is mandatory.

For independent activities of children 3 - 7 years old (games, preparation for educational activities, personal hygiene) in the daily routine should be given at least 3-4 hours.

For young children from 1.5 to 3 years, the duration of continuous directly educational activity should not exceed 10 minutes. It is allowed to carry out educational activities in the first and second half of the day (8-10 minutes each). It is allowed to carry out educational activities on the playground during a walk.

The duration of continuous direct educational activity for children from 3 to 4 years old - no more than 15 minutes, for children from 4 to 5 years old - no more than 20 minutes, for children from 5 to 6 years old - no more than 25 minutes, and for children from 6 to 7 years old - no more than 30 minutes.

The maximum allowable amount of educational load in the first half of the day in the younger and middle groups does not exceed 30 and 40 minutes, respectively, and in the senior and preparatory - 45 minutes and 1.5 hours, respectively. In the middle of the time allotted for continuous educational activities, physical culture minutes. Breaks between periods of continuous educational activity - at least 10 minutes.

Educational activities with children of older preschool age can be carried out in the afternoon after daytime sleep. Its duration should be no more than 25 - 30 minutes a day. In the middle of a directly educational activity of a static nature, physical culture minutes are held.

Educational activities that require increased cognitive activity and mental stress of children should be organized in the first half of the day. To prevent fatigue in children, it is recommended to conduct physical education, music classes, rhythm, etc.

3. Hygienic conditions for creating a safe environment for children in preschools

The walls of the premises must be smooth, allowing wet cleaning and disinfection. Ceilings in rooms high humidity air ( production shops catering, showers, laundry, washrooms, toilets and others) are painted with moisture-resistant materials.

For the floor, materials are used that can be processed in a wet way, using washing and disinfecting solutions.

The equipment of the main premises should be appropriate for the height and age of the children. The functional dimensions of the purchased and used children's furniture for sitting and tables must comply with the mandatory requirements established by technical regulations and/or national standards.

Wardrobes for clothes and shoes are equipped with individual cells-shelves for hats and hooks for outerwear. Each individual cell is marked. In locker rooms (or in separate rooms) conditions must be provided for drying children's outerwear and shoes.

In groups for children 1.5 years and older, tables and chairs are set according to the number of children in groups. For children of the senior and preparatory groups, it is recommended to use tables with a changing tilt of the cover up to 30 degrees. Chairs and tables must be of the same group of furniture and marked. The selection of furniture for children is carried out taking into account the growth of children according to table 1.

The working surfaces of the tables should have a light-colored matte finish. The materials used for lining tables and chairs must have low thermal conductivity, be resistant to moisture, detergents and disinfectants. All fixed equipment must be securely fastened.

Preschool educational organizations use toys that are harmless to children's health, meet sanitary and epidemiological requirements and have documents confirming safety, which can be subjected to wet processing (washing) and disinfection. Soft stuffed and latex foam brushed toys for preschool children should only be used as didactic aids.

Placement of aquariums, animals, birds in group rooms is not allowed.

Beds must be appropriate for the height of the children. Children are provided with individual bedding, towels, personal hygiene items. Bed linen is marked individually for each child.

Toilet bowls are equipped with child seats or hygienic pads made of materials that are harmless to the health of children, allowing them to be treated with detergents and disinfectants. In the toilet rooms (next to the washbasins or opposite them), hangers for children's towels (separately for hands and feet) according to the list of children, a utility closet and a closet for cleaning equipment are installed. Use of disposable hand towels in children's toilets is allowed.

All rooms are cleaned with a wet method using detergents at least 2 times a day with open transoms or windows with mandatory cleaning of dust accumulation areas (floors near baseboards and under furniture, window sills, radiators, etc.) and frequently contaminated surfaces (door handles , cabinets, switches, hard furniture, etc.). Wet cleaning in the bedrooms is carried out after night and daytime sleep, in group rooms - after each meal.

Toys are washed in specially designated, labeled containers.

Carpets are vacuumed daily and cleaned with a damp brush or knocked out on specially designated areas of the economic zone, then cleaned with a damp brush. It is recommended that carpets be dry-cleaned once a year.

General cleaning of all premises and equipment is carried out once a month with the use of detergents and disinfectants. Windows outside and inside are washed as they get dirty, but at least 2 times a year (in spring and autumn).

Louvre grilles of exhaust ventilation systems must be open; they should only be covered sharp drop indoor and outdoor air temperatures. As they get dirty, they are cleaned of dust.

All types repair work it is not allowed to conduct during the functioning of preschool educational organizations in the presence of children.

Purchased toys (with the exception of soft stuffed ones) are washed with running water (temperature 37 ° C) with soap or other detergent that is harmless to children's health before entering the group rooms, and then dried in the air. Latex foam toys and stuffed toys are processed according to the manufacturer's instructions. Toys are washed daily at the end of the day, and in groups for infants and young children - 2 times a day. Doll clothes are washed as they get dirty using baby soap and ironed.

Bed linen and towels are changed as they get dirty, but at least once a week. Linen after use is folded into a special bag made of double fabric. Dirty linen is delivered to the laundry room (or a special room).

Bedding: mattresses, pillows, sleeping bags are ventilated directly in the bedrooms with open windows during each general cleaning and periodically on specially designated areas of the economic zone. It is recommended that bedding be dry-cleaned or processed in a disinfection chamber once a year.

In a preschool educational organization, measures should be taken to exclude the penetration of insects and rodents. If they are detected, disinsection and deratization measures should be organized and carried out within 24 hours in accordance with the requirements for disinfection and deratization measures.

4. Hygienic requirements for the organization educational process in preschoolnom educational institution

When organizing learning activities child must be strictly observed hygiene requirements. Any activity is accompanied by the formation of a working dominant, which provides the best conditions for the functioning of all organs and systems and increases work productivity. Against its background, the phenomenon of workability arises, then optimal performance, which is kept at a certain level, and then the level of performance gradually decreases, as fatigue processes begin. When organizing a child's activities, it is necessary to take into account the age and state of health, individual characteristics, life experience. Children of the first or second year of life can be joyfully and actively awake only when all their physiological needs are satisfied. At the first signs of a deterioration in mood in a child of this age: lethargy, drowsiness or overexcitation, games should be stopped.

With children from one and a half to 3 years old, it is recommended to conduct 10 lessons per week, two lessons per day (in the morning), lasting 8-10 minutes, with children 4 years old - 11 lessons of 15 minutes, 5 years old - 12 lessons of 20 min., 6 years old - 15 lessons of 25 minutes, in the preparatory group - 17 lessons of 30 minutes. In children over 5 years old, one lesson is allowed after daytime sleep, but not more than 3 times a week. Breaks between classes should be at least 10 minutes.

An increase in the mental and physical stress of children is a negative illegal practice that causes overwork and neuroticism in children, which negatively affects their health. In the middle of classes, a physical education session should be held.

It is recommended to conduct classes that are static in nature on days with the highest working capacity of children (Tuesday, Wednesday). Classes in additional education (studios, circles, sections) are unacceptable at the expense of the time allotted for a walk and daytime sleep; their number per week should not exceed two. The duration of these classes should not exceed 20-25 minutes, the participation of the child in more than two additional classes is not advisable.

When organizing the mode of stay of children in a preschool educational institution during the day, it is necessary to provide for a balanced alternation of specially organized classes, unregulated activities, free time and rest for children, to prevent tension, “hurrying” children during meals, waking up, performing any tasks by them.

Maintain balance throughout the day different types activity of children - mental, physical, as well as various types of children's activities, among which the game is predominant. At the same time, among the total time of classes, 50% should be devoted to classes that require mental stress from children, the remaining 50% should be aesthetic and physical education classes. It is advisable to conduct classes in the most difficult subjects that require increased cognitive activity and mental stress (mathematics, speech development, a foreign language, etc.) only in the first half of the day; to prevent children from fatigue, these classes must be combined with physical education, music, rhythm and etc.

When scheduling classes, it is recommended to plan an even distribution of the study load during the day, week, year. At the beginning and at the end of the school week, preference is given to classes that are lighter in content and complexity of the program material.

There are no homework assignments for preschool students.

At the beginning of the year, in the preparatory group, I determine the readiness of children to study at school.

Children's well-being is affected by the conditions in which they study. Insufficient lighting, stuffiness, improperly selected furniture can cause not only early fatigue in a child, but also visual impairment (nearsightedness), posture, anemia. Preschool children get tired much faster than adults in a stuffy, poorly ventilated room, because. due to the increased growth and development of the body, their need for oxygen is much higher, and their resistance to adverse environmental influences is lower than in adults.

Conclusion

Compliance with the daily routine leads to a normal mental and emotional state of the body of any person or child. If you do not follow the daily routine, then this leads to serious mental and emotional disorders and stress.

Literature

1. Golubev V.V. Fundamentals of pediatrics and hygiene of preschool children: Proc. allowance for students. doshk. faculties of higher ped. textbook establishments. - M.: Publishing Center "Academy", 2011.

2. SANPiN 2.4.1.3049-13

3. http://coollib.net/b/184805/read

4. http://www.neboleem.net/stati-o-zdorove/5362-pravilnyj-rezhim-dnja.php

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Peculiarities public policy RF on the maintenance and upbringing of children in preschool educational institutions. The main types of educational institutions. Directions for improving the system of raising children in preschool educational institutions.

1.8. Each employee must have a personal medical book of the established form, which contains the results of medical examinations and laboratory research, information about the transferred infectious diseases, preventive vaccinations, marks on the passage of professional hygienic training and certification.

1.9. In all cases of group infectious diseases, emergencies in the operation of water supply, sewerage, technological and refrigeration equipment, as well as other identified violations of sanitary rules that pose a threat of the emergence and spread of infectious diseases and mass poisoning, the head of the health institution is obliged to immediately (within 1 hour) to inform the body authorized to carry out state sanitary and epidemiological supervision, for adoption in accordance with the established legislation Russian Federation measures.

II. Hygienic requirements for the daily routine

2.1. The organization of the work of health-improving institutions with day stay is carried out in the modes of stay of children:

From 8.30 to 14.30, with the organization of 2 meals a day (breakfast and lunch);

From 8.30 to 18.00, with the obligatory organization of daytime sleep for children under the age of 10 and 3 meals a day (breakfast, lunch, afternoon tea). The organization of daytime sleep is also recommended for other age groups of children and adolescents.

2.2. The daily routine provides for the maximum stay of children in the fresh air, holding recreational, sports, cultural events, organizing excursions, hiking, games; regular 2 or 3 meals a day and daytime sleep for children.

Elements of the daily routine	Children's stay
Elements of the daily routine	from 8.30 to 14.30 hours	from 8.30 to 18 hours
Collection of children, exercises
morning ruler

Work according to the plan of detachments, socially useful work, the work of circles and sections
Wellness treatments

Free time
leaving home
daytime sleep

Work according to the plan of detachments, the work of circles and sections
leaving home

2.3. Club activities with limited motor activity(graphic activity, modeling, chess, needlework and other similar activities) should alternate with outdoor activities and sporting events.

2.4. The organization and mode of classes using computer technology is carried out in rooms equipped in accordance with sanitary rules that impose hygienic requirements on personal electronic computers and the organization of work.

2.5. The duration of classes and sports sections is allowed no more than 35 minutes for children 7 years old and no more than 45 minutes for children over 7 years old.

For certain types circles (tourist, young naturalists, local history, etc.) the duration of classes is up to 1.5 hours.

2.6. The optimal occupancy of groups when organizing classes in circles, sections and clubs is no more than 15 people, the allowable one is 20 people (with the exception of choral, dance, orchestral and other classes).

III. Hygienic requirements for the organization of physical education of children and recreational activities

3.1. Physical education activities are organized in accordance with the age of children, their state of health, the level of physical development and physical fitness.

3.2. Physical culture and health-improving work provides for the following activities:

Morning exercises;

Physical education classes in circles, sections, swimming training;

Walks, excursions and hiking with games in the area;

Sports competitions and holidays;

Training on simulators.

3.3. Sports and recreational activities can be held on the basis of the stadium and sports hall of a school or boarding school, sports facilities of district, local or city significance, sports schools and other facilities allocated for a recreational institution.

3.4. The distribution of children and adolescents into the main, preparatory and special groups, for participation in physical culture and recreation and sports events, is carried out by the doctor, taking into account their state of health (or on the basis of certificates of their health). Children basic physical culture group participation in all sports and recreational activities in accordance with their age is allowed. With children of preparatory and special groups, physical culture and health work should be carried out taking into account the conclusion of a doctor. If possible, physical therapy classes are organized.

3.5. Hardening procedures (water, air and sun baths) should be supervised by medical personnel. Hardening begins after the adaptation of children in a health institution, carried out systematically, gradually increasing the strength of the hardening factor.

3.6. Water procedures after morning exercises(rubbing, dousing) are carried out under the supervision of a doctor.

Bathing is carried out daily in the first half of the day until 11-12 o'clock; on hot days, re-swimming is allowed in the afternoon, after 16:00. It is recommended to start swimming on sunny and calm days at an air temperature of at least 23 ° C and a water temperature of at least 20 ° C for children of the main and preparatory groups, for children of a special group - with the permission of a doctor, the water and air temperature should be 2 ° higher . After a week of regular bathing, the water temperature may drop to 18°C for the main and preparatory groups. Duration of bathing in the first days of the start bathing season- 2-5 minutes, with a gradual increase to 10-15 minutes.

Swimming is not allowed immediately after eating and exercising with a heavy load.

3.7. Use of open water body for bathing children is allowed only if there is a document confirming its compliance with sanitary rules, imposing hygienic requirements for the protection of surface waters and (or) imposing on the protection of coastal waters of the seas from pollution in places of water use of the population, issued by an authority authorized to exercise state sanitary and epidemiological supervision.

When using swimming pools for children, sanitary and epidemiological requirements for the device, operation and water quality of swimming pools must be observed.

3.8. Air baths begin from the first days of stay in an institution for children of the main group at an air temperature of at least 18 ° C, for children of a special group - at least 22 ° C. The duration of the first procedures is 15-20 minutes.

3.9. Sunbathing is carried out in the morning or evening hours on the beach, special areas (solariums), protected from the wind, an hour and a half after eating, at an air temperature of 18-25 ° C. In II and III climatic regions, sunbathing is carried out in the afternoon. Children of the main and preparatory groups should start sunbathing from 2-3 minutes for the younger ones and from 5 minutes for the older ones, gradually increasing the procedure to 30-50 minutes. Sunbathing is carried out at an air temperature of 19-25°C.

Children of a special group take sun baths on the recommendation of a doctor.

3.10. Outdoor games should occupy children of the main and preparatory groups in the daily routine: 40-60 minutes for younger children (6-11 years old) and 1.5 hours for older children (from 12 years old).

3.11. Children who have undergone acute diseases during rest or shortly before arrival, may be exempted from classes by a doctor physical education and sports.

IV. Requirements for the territory of a health institution

4.1. At least 3 zones are allocated on the territory of a health-improving institution: a recreation area, a sports and economic area.

4.2. The equipment of the physical culture and sports zone should provide conditions for the implementation of the physical education program, as well as for conducting sectional sports and recreational activities. Sports and playgrounds must have a hard surface, a football field - a grass cover. Synthetic and polymer coatings for outdoor sports grounds must be safe, waterproof, frost-resistant and equipped with drains. Classes on damp areas with bumps and potholes are not held.

4.3. If there is no recreation area and (or) physical culture and sports zone on the territory of the health institution, it is recommended to use parks of culture and recreation, green areas, sports facilities, including swimming pools, located near the health institution for the implementation of health programs for physical education.

4.4. The utility zone should be located on the side of the entrance to the production premises of the canteen and have an independent entrance from the street.

4.5. For the collection of garbage and food waste on the territory of the utility zone, at a distance of at least 25 m from the building, a platform with a waterproof hard surface should be provided, the dimensions of which exceed the base area of the containers by 1 m along the perimeter in all directions. The site is equipped with a windproof fence on three sides with a height exceeding the height of the garbage containers.

V. Requirements for the building, premises and equipment

It is not allowed to place the premises of a health-improving institution in the basement and basement floors of the building.

5.2. The set of premises of a health-improving institution should include: game rooms, rooms for classes, sleeping rooms, medical facilities, a sports hall, a dining room, a room for drying clothes and shoes, a locker room for outerwear, a storage room for sports equipment, games and club equipment, toilets, a room for storage, processing of cleaning equipment and preparation of disinfection solutions.

For carrying out water hardening procedures, washing feet before going to bed, it is recommended to provide conditions for their organization, including using existing showers or specially adapted rooms (sites).

5.3. Sleeping quarters are equipped at the rate of at least 3 square meters. m per 1 person, but not more than 15 people in 1 room.

Sleeping quarters for boys and girls are arranged separately, regardless of the age of the children.

Bedrooms are equipped with fixed beds (cots) and bedside chairs (according to the number of beds). Fixed 2 and 3 bunk beds are not used.

Each bed is provided with a set of bedding (mattress with mattress topper, pillow, blanket) and at least 1 set of bed linen (pillowcase, sheet, duvet cover, 2 towels). Bed linen is changed as it gets dirty, but at least once every 7 days; it is allowed to wash bed linen by parents individually for each child.

5.4. Premises for circle classes and their equipment must comply with the sanitary rules for institutions additional education. Dressing rooms are equipped with hangers or wardrobes for children's outerwear.

5.5. To watch television programs, it is possible to install a TV set with rows of chairs in the games room. The distance from the TV screen to the first rows of chairs must be at least 2 meters.

5.6. Catering for children in recreational institutions with day stay is provided on the basis of various public catering establishments, in accordance with the catering for students in educational institutions, primary and secondary institutions vocational education, and these sanitary rules.

5.7. For the organization of medical care in a health-improving institution, a medical center or a medical office, an isolation room for patients, equipped with sinks for washing hands, with cold and hot water with a mixer, the necessary inventory and equipment.

The medical office is equipped with a desk, chairs, a screen, a couch, office and pharmacy cabinets, a medical table, a refrigerator, a bucket with a pedal lid, as well as tools and instruments necessary for medical activities.

The insulator is equipped with beds (folding beds) - at least 2, a table and chairs. For temporary isolation of sick children, the use of a medical and (or) treatment room is allowed.

It is not allowed to use upholstered furniture (sofas, armchairs, upholstered chairs) as chairs and couches.

In the absence of a medical office, it is allowed to organize medical care in polyclinics, outpatient clinics and feldsher-obstetric stations serving the children's population.

5.8. Toilets for boys and girls should be separate and equipped with cubicles with doors without locks. The number of sanitary appliances is determined at the rate of 1 toilet bowl for 20 girls, 1 wash basin for 30 girls, 1 toilet bowl, 1 urinal and 1 wash basin for 30 boys. There is a separate toilet for staff.

Toilets are equipped with pedal buckets, toilet paper holders, soap, electric or paper towels. Soap, toilet paper and towels should be available at all times. Sanitary equipment must be in good working order without chips, cracks or other defects. Toilet bowls are provided with seats that allow their daily wet cleaning with the use of detergents and disinfectants (according to epidemiological indicators).

5.9. To comply with the rules of personal hygiene, children, adolescents and staff are equipped with washbasins in front of the dining room at the rate of 1 washbasin for 20 seats. Each washbasin is provided with soap, electric towels or paper rolls, or individual towels.

5.10. For storage and processing of cleaning equipment, preparation of disinfectant solutions, a separate room is provided, equipped with a drip tray and cold and hot water supply with a mixer.

5.11. During the period of operation of the health-improving institution, it is not allowed to carry out all types of repair work in the base institution.

5.12. Equivalent noise levels in the premises of a health facility should not exceed 40 dBA.

VI. Air-thermal requirements

6.1. The air temperature in the premises of a health-improving institution should not be below 18°C, the relative humidity of the air should be within 40-60%.

6.2. In game rooms, rooms of circles, bedrooms, the ventilation regime should be observed. For these purposes, at least 50% of the windows must open and (or) have vents (transoms), equipped with fanlight devices. On opening windows, transoms, vents in summer time it is necessary to provide for the presence of a mesh from the flight of blood-sucking insects.

Airing of premises is carried out in the absence of children.

6.3. To limit the excessive thermal impact of insolation on the premises of a health-improving institution during the hot season, windows with southern, south-western and western orientations must be provided with sun protection devices or curtains.

Measures to limit the excessive thermal effects of insolation should not lead to a violation of the norms of natural lighting in the premises.

6.4. The concentration of harmful substances in the air of all premises of health-improving institutions should not exceed the maximum permissible concentrations and indicative safe exposure levels (MAC and SHEL) for atmospheric air populated places.

VII. Requirements for natural and artificial lighting

7.1. All main premises of the health institution should have natural lighting.

7.2. The windows of the gaming and club rooms should be oriented to the south, southeast and east sides horizon.

7.3. In all premises of the health institution, normalized levels of illumination are provided in accordance with sanitary rules, which impose requirements on natural, artificial, combined lighting of residential and public buildings.

VIII. Requirements for water supply, sewerage and organization of drinking regime

8.1. Buildings of health-improving institutions must be equipped with systems of domestic and drinking water supply, sewerage and drains in accordance with the requirements for public buildings and structures in terms of domestic and drinking water supply and sanitation; provided with centralized water supply and sewerage.

8.2. If there is no centralized water supply in the settlement, the health-improving institution should be provided with uninterrupted water supply to the premises of the catering unit and sanitary facilities.

8.3. In non-sewered areas, health-improving institutions are equipped with internal sewerage, subject to the installation of local treatment facilities. It is allowed to equip institutions with backlash closets (with the organization of waste disposal), outdoor toilets.

8.5. The drinking regime in a health institution can be organized in the following forms: stationary drinking fountains; bottled drinking water packaged in containers.

Children and adolescents should be provided with free access to drinking water during the entire time of their stay in a health institution.

8.6. Constructive decisions stationary drinking fountains must provide for a restrictive ring around a vertical water jet, the height of which must be at least 10 cm.

8.7. When organizing a drinking regimen using bottled drinking water health care facility should be provided with sufficient clean dishes(glass, earthenware - in the dining room; disposable cups - in play, educational and sleeping rooms), as well as separate marked trays for clean and used glass or earthenware; containers - for collecting used disposable tableware.

8.8. When using installations with metered bottling of drinking water packaged in containers, it is planned to replace the container as needed, but at least once a week.

8.9. Bottled water supplied to health facilities must have documents confirming its origin, quality and safety.

IX. Requirements for the organization of a healthy diet and the formation sample menu

9.1. To provide children and adolescents with healthy nutrition, the components of which are the optimal quantitative and qualitative nutritional structure, guaranteed safety, physiologically technological and cooking products and dishes, a physiologically based diet, a diet should be developed (an approximate 7-day menu for spring, autumn, winter holidays and a 10- or 14 (18) - day menu for summer holidays).

9.2. The diet provides for the formation of a set of products intended for feeding children during the day, based on the physiological needs for nutrients (Table 1 of Appendix 3) and the recommended set of products, depending on the age of children (Table 2 of Appendix 3) of these sanitary rules.

9.3. Based on the formed diet, a menu is developed, including the distribution of a list of dishes, culinary, flour, confectionery and bakery products for individual meals (breakfast, lunch, afternoon tea).

9.5. An exemplary menu is developed by a legal entity that provides food in a health facility and is agreed upon by the head of the health facility.

9.6. In an exemplary menu, the requirements of these sanitary rules for the mass of servings of dishes (Appendix 5 of these sanitary rules), their nutritional and energy value, daily requirement in vitamins (Appendix 3 and these sanitary rules).

9.7. Sample menu should contain information about quantitative composition dishes, energy and nutritional value of each dish. References to the recipes of the dishes and culinary products used in accordance with the collections of recipes must be provided. The names of dishes and culinary products indicated in the sample menu must correspond to their names indicated in the recipe books used.

9.8. The production of ready-made meals is carried out in accordance with technological maps, which should reflect the recipe and technology of prepared dishes and culinary products.

9.9. When developing a menu, preference should be given to freshly prepared dishes that are not subjected to repeated heat treatment, including reheating frozen dishes.

9.10. In the sample menu, the repetition of the same dishes or culinary products on the same day or the next 2-3 days is not allowed.

9.11. An exemplary menu should take into account the rational distribution of energy value for individual meals. The distribution of calories by meals as a percentage of the daily diet should be: breakfast - 25%, lunch - 35%, afternoon snack -15%.

It is allowed during the day to deviate from the norms of calorie content for individual meals within +/-5%, provided that the average percentage of nutritional value for the wellness shift meets the above requirements for each meal.

9.12. In the daily diet, the optimal ratio of nutrients: proteins, fats and carbohydrates should be 1:1:4.

9.13. The nutrition of children and adolescents must comply with the principles of sparing nutrition, which include the use of certain methods of cooking, such as boiling, steaming, stewing, baking, and excluding foods with irritating properties.

9.14. Breakfast should consist of an appetizer, a hot dish and a hot drink. It is recommended to include vegetables and fruits.

9.15. Lunch should include an appetizer, first, second and sweet dishes. As an appetizer, you should use a salad of cucumbers, tomatoes, fresh or sauerkraut, carrots, beets, etc. with the addition of fresh herbs; portioned vegetables are allowed. The second hot dish should be meat, fish or poultry with a side dish.

9.17. The actual diet should correspond to the approved sample menu. In exceptional cases, in the absence of the necessary food products, it is allowed to replace them with other products that are equivalent in chemical composition (nutrition value) in accordance with the food replacement table (Appendix 7 of these sanitary rules), which must be confirmed by the necessary calculations.

9.18. A menu is posted daily in the dining room, which includes information about the volume of dishes and the names of culinary products.

9.19. To prevent the occurrence and spread of infectious and mass non-infectious diseases (poisoning) and in accordance with the principles of sparing nutrition, it is not allowed to use food products and prepare dishes specified in Annex 8 of these sanitary rules.

9.20. The acceptance of food products and food raw materials in public catering organizations serving health-improving institutions should be carried out in the presence of documents guaranteeing the quality and safety of food products. Documentation certifying the quality and safety of products must be kept until the end of the use of products.

9.21. In the nutrition of students, it is allowed to use food raw materials of plant origin grown in agricultural organizations for educational and experimental and garden plots, in greenhouses of educational institutions, in the presence of the results of laboratory and instrumental studies of the specified products, confirming its quality and safety.

9.22. Vegetables harvested last year (cabbage, carrots) in the period after March 1 can only be used after heat treatment.

9.23. Delivery of food products is carried out by specialized transport, which has a sanitary passport issued in the prescribed manner.

9.24. In order to production control for the good quality and safety of cooked food, for compliance with the storage conditions and shelf life of food products, for assessing the quality of prepared dishes at the catering unit of a health institution, logs must be filled out daily, in accordance with the recommended forms (Appendix 9 of these sanitary rules), and daily samples should be taken from each batch of cooked dishes.

The selection of daily samples is carried out by a medical worker or, under his supervision, by a cook in accordance with the recommendations of Annex 10 of these sanitary rules.

When cases occur food poisoning or infectious diseases, daily samples of prepared meals, as well as samples of other suspect food products, are provided at the request of the authorities authorized to exercise sanitary and epidemiological supervision (control) for laboratory research.

X. Requirements for the conditions for the manufacture of culinary products, fortification of ready meals

10.1. Processing of food raw materials and implementation of all production processes for the preparation of culinary products, which includes a set of dishes, culinary products and culinary semi-finished products, must be carried out in accordance with the sanitary and epidemiological requirements for catering for students in general educational institutions, institutions of primary and secondary vocational education.

10.2. When compiling a sample menu, vitamins and mineral salts should be supplied with diets in the quantities regulated by these sanitary rules.

10.3. To meet the physiological need for vitamins in without fail C-vitaminization of the third courses of the lunch diet is carried out. Vitaminization is carried out in accordance with the instructions (Appendix 6). The use of premixes is allowed; instant vitamin drinks are prepared in accordance with the attached instructions immediately before distribution.

10.4. Vitaminization of dishes is carried out under control medical worker(if there is no other responsible person).

10.5. Replacing the fortification of meals with the issuance of multivitamin preparations in the form of dragees, tablets, lozenges and other forms is not allowed.

10.6. For additional enrichment of the diet with micronutrients, the menu can be used specialized products food enriched with micronutrients.

10.7. The administration of the educational institution should inform the parents of children and adolescents about the measures taken in the institution to prevent vitamin and microelement deficiencies.

XI. Requirements for the sanitary maintenance of the territory, premises and washing dishes

11.1. The territory of the health facility must be kept clean. Cleaning of the territory is carried out daily before the children leave the site. In summer, in dry weather, it is recommended to water the surfaces of the playgrounds and grass cover 20 minutes before the start of sports activities. In winter, grounds and footpaths should be cleared of snow and ice.

Garbage is collected in garbage bins, which must have tight-fitting lids, and when 2/3 of their volume is filled, they are taken to solid waste landfills. household waste in accordance with the contract for the removal of household waste. After being emptied, the containers (garbage bins) must be cleaned and treated with agents permitted in the prescribed manner, in accordance with the guidelines for the fight against flies. It is not allowed to burn garbage on the territory of the institution, including in garbage bins.

11.2. All premises of the health institution are subject to daily wet cleaning with the use of detergents. Cleaning of the premises is carried out with open windows and transoms in the summer and open windows and transoms in other seasons.

11.3. Cleaning of the sleeping quarters should be carried out after a daytime sleep, the dining room - after each meal, the gym - after each lesson, the rest of the premises - at the end of the day.

11.4. In health-improving institutions for cleaning and disinfection of premises and equipment, detergents, cleaners and disinfectants are used that are approved for use in the prescribed manner. When using detergents and disinfectants, follow the instructions for their use.

11.5. All types of disinfection work are carried out in the absence of children. Disinfectants and detergents are stored in accordance with the instructions in places inaccessible to children.

11.6. In the event of a threat of the emergence and spread of infectious diseases and mass non-infectious diseases (poisoning), additional anti-epidemic measures are taken in the institution as prescribed by officials exercising state sanitary and epidemiological supervision.

11.7. Cleaning of the premises is carried out by the technical staff (without involving children).

11.8. Common areas (toilets, canteen, canteen and medical office) are cleaned daily with detergents and disinfectants and kept clean.

11.9. Sanitary equipment is subject to daily disinfection: sinks for washing hands and toilet bowls are cleaned with ruffs or brushes using cleaners and disinfectants. Wash cistern handles and door handles warm water with soap.

11.10. Cleaning equipment for cleaning sanitary facilities (buckets, basins, mops, rags) must have signal markings (red), be used for their intended purpose and stored separately from other cleaning equipment.

11.11. Dining rooms should be cleaned after every meal. Dining tables are washed hot water with the addition of detergents, using specially allocated rags and labeled containers for clean and used rags.

Rags at the end of work are soaked in water at a temperature not lower than 45 ° C, with the addition of detergents, disinfected or boiled, rinsed, dried and stored in a container for clean rags.

11.12. Equipment, inventory, utensils, containers must be made of materials approved for contact with food in the prescribed manner, and comply with the sanitary and epidemiological requirements for catering for students in general education institutions, primary and secondary vocational education institutions.

Washing of kitchen and table utensils, cutting equipment, technological equipment, kitchen tables, cabinets and containers should be carried out in accordance with the sanitary and epidemiological requirements for catering for students in general education institutions, primary and secondary vocational education institutions.

11.13. Food waste is stored in containers with lids in a specially designated place. The containers are released as they are filled with no more than 2/3 of the volume, washed with a detergent solution.

11.14. Storage of cleaning equipment in the industrial premises of the canteen is not allowed.

11.15. At the end of cleaning, all cleaning equipment should be washed with detergents and disinfectants, dried and stored clean.

11.16. When medical waste is generated, which, according to the degree of their epidemiological danger, are classified as potentially hazardous (risk) waste, they are neutralized and disposed of in accordance with the established sanitary rules for the collection, storage, processing, neutralization and disposal of all types of waste from medical institutions.

11.17. If there is a pool, the mode of operation and the quality of the pool water, as well as cleaning and disinfection of premises and equipment, is carried out in accordance with the established sanitary and epidemiological requirements for swimming pools.

11.18. Sports equipment must be treated with detergents daily.

11.19. Carpets are cleaned with a vacuum cleaner daily, and after each shift they are dried and knocked out on the street.

11.20. To prevent the entry of insects, window and door openings in the dining room should be screened.

11.21. Carrying out measures to combat insects and rodents should be carried out by specialized organizations in accordance with the hygienic requirements for deratization and pest control.

In order to prevent tick-borne encephalitis in epidemiologically disadvantaged areas for this disease, it is necessary to organize anti-tick treatment in places where children are planned to stay (parks, forest park areas and other green areas).

11.22. Before the start of the health-improving season and at the end of the health-improving shift, a general cleaning of all the premises of the health-improving institution, equipment and inventory is carried out, followed by their disinfection.

XII. Personal hygiene requirements

12.1. In order to prevent the occurrence and spread of infectious diseases among children and adolescents of health-improving institutions, the following measures must be taken:

a) in the dining room, conditions must be created for the staff to observe the rules of personal hygiene;

b) for washing hands in all production workshops, washbasins with hot and cold water with faucets, equipped with a device for placing soap and individual or disposable towels. Washing hands in industrial baths is not allowed.

c) personnel must be provided with special sanitary clothing (dressing gown or jacket, trousers, headdress in the form of a scarf or cap) in the amount of at least three sets per employee, in order to regularly replace it, light non-slip work shoes;

d) in basic catering organizations, it is necessary to organize a centralized washing of special sanitary clothing for staff.

12.2. Canteen employees are required to: i) not eat or smoke at the workplace.

12.3. In dressing rooms, personal belongings and footwear of personnel should be stored separately from sanitary clothing (in different cabinets).

12.4. After handling the eggs, before breaking them, the handlers should wear clean sanitary clothing, wash their hands with soap and water and disinfect them with an approved disinfectant solution.

12.5. When symptoms appear colds or gastrointestinal upset, as well as suppuration, cuts, burns, the employee is obliged to inform the administration about this and seek medical help, as well as all cases of intestinal infections in his family.

Persons with intestinal infections, pustular diseases skin, inflammatory diseases of the upper respiratory tract, burns or cuts are temporarily suspended from work. They can only be allowed to work after recovery, medical examination and a doctor's opinion.

XIII. Requirements for compliance with sanitary rules

13.1. The head of a recreational institution and legal entities, regardless of organizational legal forms, and individual entrepreneurs whose activities are related to the organization of summer recreation, are responsible for the organization and completeness of the implementation of these sanitary rules, including ensuring:

a) the presence in the institution of these sanitary rules and sanitary rules, which impose requirements on the organization of meals for students in general educational institutions, institutions of primary and secondary vocational education, and bringing their content to the staff of the institution;

b) compliance with the requirements of sanitary rules by all employees of the institution;

13.3. To determine the nutritional value (proteins, fats, carbohydrates, calories, minerals and vitamins) in foodstuffs, and to confirm the safety of prepared dishes, for compliance with their hygienic requirements for food products, as well as to confirm the safety of production items in contact with food environment, laboratory and instrumental studies should be carried out.

The procedure and scope of laboratory and instrumental studies carried out is established by a legal entity or individual entrepreneur providing and (or) organizing food, regardless of ownership, production profile in accordance with the recommended nomenclature, volume and frequency of laboratory and instrumental studies (Appendix 11 of these sanitary rules).

13.4. medical staff carries out daily monitoring of compliance with the requirements of sanitary rules, organizes preventive work with children and staff to prevent infectious and non-communicable diseases, conducts daily examinations of children upon admission to a health institution (including examination for pediculosis), keeps records of morbidity and evaluates morbidity rates and the effectiveness of children's recovery and teenagers.

13.5. Employees of a health-improving institution must ensure the implementation of these sanitary rules.

13.6. For violation of sanitary legislation, the head and responsible persons, in accordance with job descriptions (regulations), are liable in accordance with the procedure established by the current legislation of the Russian Federation.

Annex 9. Documentation of the catering unit Annex 10. Recommendations for taking a daily sample

Introduction

The correct daily routine allows you to correctly distribute time resources for rest, work, nutrition, self-development, self-care.

If the daily regimen is not followed, the following consequences may occur for the child:

Tearfulness, irritability of the child;

Instability of the psycho-emotional state;

Deviations in development;

Difficulties with accustoming the child to the routine of the kindergarten, school.

1. The concept of the regime of the day and the reasons for its change

The regime of the day is the organization and expedient distribution of a person's time resources, a kind of life schedule. The daily regimen should correspond to the age characteristics of children and contribute to their harmonious development.

The basis for the normal development and proper upbringing of a small child is a routine.

With age, not only the duration of the child's wakefulness changes significantly, but also the character, his activity becomes more diverse. This helps keep you active for longer periods of time. However, the endurance of the nervous system still remains relatively low. Therefore, long monotonous exercises, the same body position lead to a rapid decrease in activity during wakefulness and the appearance of fatigue. The younger the children, the more they need a frequent change of activity, a change in the nature of the activity. This also determines the duration of classes in a children's institution.

It has been established that the best time for classes is the first half of wakefulness, when the child's nervous system is in a state of optimal excitability (but not immediately after eating, but after 30 minutes). You should not conduct classes immediately after sleep, when the child is still somewhat inhibited, or after a walk, when he is tired, immediately before meals and before bedtime, especially at night (the baby is overexcited, does not fall asleep for a long time).

Accurate adherence to the regime is of great importance, but deviations are possible. For example, if it is noticeable that the child is tired, he should be put to bed earlier than the set time; in cases where the baby sleeps soundly during the day, for some time he should not be woken up, although according to the regime it is time for him to get up. In the morning, during the reception of the child, the teacher finds out how the baby slept at home. Having established that his sleep was not strong enough, he makes sure that he sleeps longer that day, puts him to bed first and, if possible, wakes him up last. In groups, even with the same age composition, children sometimes need to be divided into 2 subgroups with different regimens.

Thus, when compiling and assigning day regimens for young children, the following should be taken into account:

The possible duration of wakefulness of each child is determined by the limit of the working capacity of his nervous system.

The number of hours of sleep per day, the duration of each daily period of sleep provide timely and complete recovery of the expended energy, the correct rhythm of work and rest of the nervous system.

The rhythm of feeding should be coordinated with the rhythm of wakefulness and sleep.

But it is not enough just to establish the correct regime, it is very important to carry out all regime processes methodically correctly. The physical development of the child largely depends on how feeding is organized, putting to bed, what techniques adults use at the same time.

It is important to remember that when carrying out regime processes, due attention should be paid to individual work with children. It is necessary to conduct individual classes during all periods of wakefulness, in the time free from feeding and hygiene procedures.

2. Modern SANPiN with requirements for the daily routine in preschool educational institutions

preschool educational standard hygienic

The maximum allowable amount of educational load in the first half of the day in the junior and middle groups does not exceed 30 and 40 minutes, respectively, and in the senior and preparatory - 45 minutes and 1.5 hours, respectively. In the middle of the time allotted for continuous educational activities, physical education minutes are held. Breaks between periods of continuous educational activity - at least 10 minutes.

3. Hygienic conditions for creating a safe environment for children in a preschool educational institution

The walls of the premises must be smooth, allowing wet cleaning and disinfection. Ceilings in rooms with high air humidity (production shops of the catering department, showers, laundry, washrooms, toilets and others) are painted with moisture-resistant materials.

For the floor, materials are used that can be processed in a wet way, using washing and disinfecting solutions.

The equipment of the main premises should be appropriate for the height and age of the children. The functional dimensions of the purchased and used children's seating and table furniture must comply with the mandatory requirements established by technical regulations and/or national standards.

Extract from SanPiN 2.4.1.3049-13 "Sanitary and epidemiological requirements for the device, content and organization of the operating mode of preschool educational organizations" approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated May 15, 2013 N 26 Moscow.

XI. Requirements for the admission of children to preschool educational organizations, the daily routine and organization of the educational process

11.1. Admission of children entering preschool educational organizations for the first time is carried out on the basis of a medical report.

11.2. The daily morning reception of children is carried out by educators and (or) medical workers who interview parents about the state of health of children. According to indications (in the presence of catarrhal phenomena, intoxication phenomena), thermometry is performed for the child.

Identified sick children or children with suspected illness in preschool educational organizations are not accepted; children who fall ill during the day are isolated from healthy children (temporarily placed in the premises of the medical block) until the arrival of the parents or their hospitalization in a medical and preventive organization with informing the parents.

11.3. After the disease, as well as the absence of more than 5 days (except weekends and public holidays) children are admitted to preschool educational organizations only if they have a certificate indicating the diagnosis, duration of the disease, information about the absence of contact with infectious patients.

11.4. The daily regimen should correspond to the age characteristics of children and contribute to their harmonious development. The maximum duration of continuous wakefulness of children aged 3-7 years is 5.5-6 hours, up to 3 years - in accordance with medical recommendations.

11.5. The recommended duration of daily walks is 3-4 hours. The duration of the walk is determined by the preschool educational organization, depending on climatic conditions. When the air temperature is below minus 15 C and the wind speed is more than 7 m/s, it is recommended to reduce the duration of the walk.

11.7. When organizing the regime of stay of children in preschool educational organizations (groups) for more than 5 hours, meals are organized at intervals of 3-4 hours and daytime sleep; when organizing a stay regime for children up to 5 hours, a single meal is organized.

11.8. At least 3-4 hours should be allotted for independent activities of children aged 3-7 years (games, preparation for educational activities, personal hygiene) in the daily routine.

11.9. For young children from 1.5 to 3 years, the duration of continuous directly educational activity should not exceed 10 minutes. It is allowed to carry out educational activities in the first and second half of the day (8-10 minutes each). It is allowed to carry out educational activities on the playground during a walk.

11.10. The duration of continuous direct educational activity for children from 3 to 4 years old - no more than 15 minutes, for children from 4 to 5 years old - no more than 20 minutes, for children from 5 to 6 years old - no more than 25 minutes, and for children from 6 to 7 years - no more than 30 minutes.

11.11. The maximum allowable amount of educational load in the first half of the day in the junior and middle groups does not exceed 30 and 40 minutes, respectively, and in the senior and preparatory - 45 minutes and 1.5 hours, respectively. In the middle of the time allotted for continuous educational activities, physical education minutes are held. Breaks between periods of continuous educational activity - at least 10 minutes.

11.12. Educational activities with children of older preschool age can be carried out in the afternoon after daytime sleep. Its duration should be no more than 25 - 30 minutes a day. In the middle of a directly educational activity of a static nature, physical culture minutes are held.

11.13. Educational activities that require increased cognitive activity and mental stress of children should be organized in the first half of the day. To prevent fatigue in children, it is recommended I conduct physical education, music classes, rhythm, etc.

Decree of the Chief State Sanitary Doctor of the Russian Federation of December 27, 2013 N 73 (as amended on March 22, 2017) "On approval of SanPiN 2.4.4.3155-13" Sanitary and epidemiological requirements for the arrangement, maintenance and organization of work of inpatient organizations ...

XI. Daily routine requirements

11.1. The daily regimen should include: the duration of night sleep is at least 9 hours (for children from 7 to 10 years old, at least 10 hours), daytime sleep (rest) - at least 1.5 hours, meals for children at least 5 times (breakfast, lunch, afternoon tea, dinner, second dinner), holding morning exercises, sports and cultural events, hygienic, health-improving and hardening (water, air) procedures, as well as rest and free time. Morning rise of children is carried out not earlier than 8 hours.

For children 15 years of age and older, it is allowed to replace daytime sleep with reading books and board games.

11.3. Physical culture and sports events are organized taking into account the age, physical fitness and health of children.

11.4. AT daily mode days, hardening procedures should be carried out. Hardening should include exercises, physical education, water, air and solar procedures. When organizing hardening, the basic hygienic principles should be implemented - gradual, systematic, comprehensive and taking into account the individual characteristics of the child.

11.5. Morning exercises are carried out daily in the open air. In rainy weather, morning exercises are recommended to be carried out in well-ventilated areas.

The duration of morning exercises is at least 15 minutes.

11.6. Bathing children in open water is recommended on sunny and calm days, at an air temperature of at least +23 °C and a water temperature of at least +20 °C. The recommended duration of continuous stay in water in the first days is 2-5 minutes with a gradual increase to 10-15 minutes. Bathing immediately after a meal (less than 30 minutes) is not recommended.

When organizing bathing for children, the presence of a medical worker is mandatory.

11.7. The use of surface water bodies for bathing children is allowed only if there is a document confirming its compliance with sanitary rules that impose hygienic requirements for the protection of surface waters and (or) impose sanitary and epidemiological requirements for the protection of coastal waters of the seas from pollution in places of water use of the population, issued by authorities, performing the functions of control and supervision in the field of ensuring the sanitary and epidemiological welfare of the population.

11.8. Bathing of children is carried out in specially designated and equipped places. Sheds from the sun are equipped on the shore and cabins for changing clothes and toilets are installed.

11.9. Taking into account the educational and health-improving orientation of children's health camps, in accordance with their age, it is possible to organize the following types of work. For children 7 - 13 years old, it is allowed to make beds, pick berries and medicinal herbs under the supervision of a teacher; for children over 14 years old - cleaning bedrooms, dining room duty (setting dinner tables, cleaning dirty dishes, cleaning the dining room).

11.10. It is not allowed to involve children in work related to large physical activity(carrying and moving heavy loads, sawing firewood, washing bed linen and others), with a danger to life (washing windows, wiping lamps and others), cleaning common areas: landings, flights and corridors, washing floors using detergents and disinfectants ; performing epidemiologically dangerous types of work (cleaning bathrooms, washrooms, cleaning and removal of waste and sewage, processing the pool bowl and others).

Hygienic requirements for the regime of the day, week, training load. XI. Daily routine requirements

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