• Provide information to caregivers and teachers on the importance on instilling sun-protection behavior in children, including teaching children, when age-appropriate, to use sunscreen properly.
• Encourage caregivers or staff to be sun-safe role models.
• Encourage parents to apply SPF 15 or higher sunscreens before sending their children to daycare and to send along a supply to be reapplied during the day.
• Encourage staff to reapply to all exposed skin if children are outdoors for more than two hours total.
• Ensure that  there is adequate shade in play areas.
• Encourage caregivers to organize outdoor activities before 10 am and after 4 pm, to avoid the peak sunlight hours.
• Encourage the local agency in charge of child care to include the provision of shade on its "Safety Checklist."
• Review local policy to ensure that  sun protection is promoted.

Action plan:

Umbrellas are an easy and novel way to provide shade for children in sandboxes and other sunny play areas.  They can be anchored into plastic-capped metal holders, which are placed permanently into the ground and do not protrude, so they can be mown over  but not tripped over.