Nutrition and Physical Activity Self-Assessment for Child Care Centers (NAP SACC) is a tool to improve nutrition and physical activity standards in child care settings. KEYS 4 Healthy Kids has partnered with 18 child care centers that completed NAP SACC before participating in workshops and implementing policy and environment changes.The workshop topics include an overview of nutrition and physical activity policies, menu planning with registered dieticians, physical activity improvement opportunities, incorporating families into nutrition and physical activity goals, worksite wellness, and goal setting to measure progress.