This study was conducted to identify factors which influence the safety of children in day-care centres and home-based nurseries in the state of Kelantan. A total of 20 registered day care centres (DCC) and 40 home-based nurseries (IIBN) identified in 3 districts in the state were included in the study. Problems identified which could affect the safety of children cared-for in these nurseries were inadequate and unsafe facilities, inappropriate location of nurseries, lack of trained workers and their ignorance of necessary safety measures.