Acts and regulations related to child care and health are issued by the provinces and territories in Canada. Additionally, public health officials at the local level have a high level of responsibility for performing inspections, responding to outbreaks and providing guidance or developing resources for CCCs according to these Acts and regulations. Staff of CCCs are most likely made aware of these Acts and regulations through their formal training, but also through regular interaction with public health officials. The variation between provincial/territorial or local health regions can make consistent public health response to enteric outbreaks challenging. Currently, knowledge is limited on how staff working in CCCs interpret and implement the guidance they are provided from public health officials. A previous study identified that staff may have inconsistent definitions of what constitutes diarrhea, and that their actions during an outbreak may differ from those recommended by public health officials [11] . Furthermore, reports from three recent Canadian investigations recommended the development of consistent guidance for CCCs related to outbreak management, prevention and control of illness [9, 11, 12] .