Staff described a high level of comfort in their ability to thoroughly clean, and thereby to help prevent and manage enteric illness within the centre. When staff felt uncertain, they relied on their own judgment and experience to assist them. This was apparent when staff described their difficulty in defining both "diarrhea" and "outbreak". In situations where challenges related to money, time, staffing and parents were identified, or staff required flexibility in their response, staff adapted their actions to ensure appropriate care, even if it meant modifying recommendations provided by public health officials. Staff gave examples including: adapting cleaning schedules, exclusion guidance, and record-keeping. Public health officials provide guidance based on legislated regulations. The purpose of this guidance is to ensure that staff consistently achieve outcomes which protect the safety and health of the children. This includes the prompt identification of cases and outbreaks of enteric illness so that appropriate public health preventative measures can be put in place. Findings demonstrated the health and safety of the children was a priority for CCC staff but how objectives related to this priority were achieved and how guidance from public health officials was used may vary by staff and facility.