Record keeping was cited as an important component of routine monitoring, and especially so during an outbreak. Staff used several forms related to the group they cared for (e.g. attendance) and each individual child (e.g. bowel movement records). This record-keeping required a large amount of time and may prevent staff from performing other actions such as cleaning, speaking with a parent, planning other programs and activities, or looking after themselves. Forms related to enteric illness were only some of the records staff kept. Staff were also responsible for documenting information related to diet, allergens, what activities the child participated in, or behaviour they exhibited.