As with all qualitative research, questions regarding representativeness and generalizability must be addressed. This study was restricted to a small geographic area in one province in Canada. Although the data and recommendations appear applicable to other jurisdictions, it would be useful to hold similar groups with staff in other jurisdictions to explore and confirm these themes further, taking potential regional differences into account. The one group that was mixed with staff from different centres demonstrated the highest level of interaction from the participants and also gave the greatest degree of contrast. Further research should consider maximizing the number of mixed groups to gain further interaction and insight which would allow for a deeper comparison between groups in analysis due to the potential for contrasting discussion. The relationship between staff and parents is important as it relates to monitoring and preventing enteric illness in CCCs. Recommendations from this study will have impact on parents and therefore further research with parents is required before any recommendations should be implemented. An intervention study could be conducted to test the effectiveness of the recommendations in reducing the amount of illness or improving the response and understanding of staff. Further work with public health officials to gain their perspectives regarding strategies to implement recommendations would also be of value.