Child care programs routinely handle confidential information about enrolled children, families, and staff. Child care programs maintain confidentiality on a “need to know” basis. This information is shared only when it is necessary. This is important especially when there are specific health and safety concerns. Maintaining confidentiality also builds trust in child care programs. Fostering relationships with staff, children, and families is built on trust. When managing sensitive information, there is an ethical and legal responsibility to protect the privacy of individuals and families.