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Reason(s) for non-compliance: • The Lead Agency has not established a standard for pediatric first aid for all staff for licensed centers, licensed family child care, license-exempt centers, or out-of-school programs, as required by 98.41(a)(1)(x). (Plan Questions 5.3.10ai, 5.3.10aii, 5.3.10aiv, and 5.3.10avii) • The Lead Agency does not require pre-service or orientation training on pediatric first aid for licensed centers, licensed family child care homes, or license-exempt centers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1j) • The Lead Agency does not require an annual unannounced inspection for licensed centers and licensed family child care providers or an annual inspection for license- exempt centers for compliance with a standard for pediatric first aid and with related pre- service or orientation training requirements, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2ai) Overall Target Completion Date: 07/31/2025 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency has not established a standard for pediatric first aid for all staff for licensed centers, licensed family child care, license-exempt centers, or out-of-school programs, as required by 98.41(a)(1)(x). (Plan Questions 5.3.10ai, 5.3.10aii, 5.3.10aiv, and 5.3.10avii) 06/30/2025 2 Revise performance standards to include pediatric first aid for all staff for licensed centers, licensed family child care, license-exempt centers, and out- of-school programs, 03/31/2025 3 New performance standards become effective. 05/31/2025 4 Inform child care staff and providers of implementation of new performance standards. 06/30/2025 5 The Lead Agency does not require pre-service or orientation training on pediatric first aid for licensed centers, licensed family child care homes, or license-exempt centers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1j) 06/30/2025 6 Revise pre-service/orientation training requirements on Pediatric First Aid and Pediatric CPR for licensed day care center staff, licensed 02/28/2025 family day care home staff, group day care home staff, out of school time facility staff, and legal exempt providers. 7 Communicate with Quality Enhancement Agencies the new training requirements. 06/30/2025 8 Communicate to staff and providers the new training requirements. 06/30/2025 9 The Lead Agency does not require an annual unannounced inspection for licensed centers and licensed family child care providers or an annual inspection for license-exempt centers for compliance with a standard for pediatric first aid and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2ai 06/30/2025 10 Draft a revised monitoring check list to include a standards for Pediatric first aid with the related pre-service or orientation training requirement for licensed centers, licensed family child care providers, and license-exempt centers. 02/28/2025 11 Implement new monitoring checklists. 06/30/2025