5.3 Health and Safety Standards for CCDF Providers

Lead Agencies must have health and safety standards for providers serving children receiving CCDF assistance relating to the required health and safety topics as appropriate to the provider setting and age of the children served. This requirement is applicable to all child care programs receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only exception to this requirement is for relative providers, as defined by CCDF. Lead Agencies have the option of exempting certain relatives from any or all CCDF health and safety requirements. Exemptions for relative providers’ standards requirements will be addressed in question 5.8.1. Describe the following health and safety standards for programs serving children receiving CCDF assistance on the following topics (note that monitoring and enforcement will be addressed in subsection 5.5): 5.3.1 Prevention and control of infectious diseases (including immunizations) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention and control of infectious diseases for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Care Licensing and Performance Standards for Day Care Centers and Nighttime Centers Chapter C. Facilities 4. Indoor Area 1. The center shall be clean. (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth, or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. b. Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, the area should be cleaned and sanitized. (5) Contaminated Clothing b. If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter D. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/Toileting (6) Each child's hands shall be washed after diapering (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. Individual disposable paper towels shall be used for hand drying. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying. (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. (12) Potty chairs, if used, shall be emptied and rinsed and disinfected after each use. (13) Diapering areas shall be separate from food service and food preparation areas. Chapter D. Child Care Program 2. Infant/Toddler Daily Program e. Feeding (3) Face and hand washing a) Each child's hands shall be washed with soap and running water before and after snacks and meals, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and warm running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter D. Child Care Program 3. Preschool/School-age Children- Daily Program c. Toileting (2) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Chapter D. Child Care Program 3. Preschool/School-age Children- Daily Program d. Feeding (3) Face and Hand Washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and warm running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. 31 (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter F. Staff 3. Health-Staff a. Initially, each staff person shall provide a statement, on the required form, from a licensed practicing medical doctor, physician's assistant, or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a center, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the center at the time of employment. (See Appendix C., page 76, for required form.) b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement, on the required form, from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a center. The statement shall be on file in the center. (See Appendix C., page 76, for required form.) c. Staff persons with symptoms of a contagious disease/condition shall not be present in the center. Chapter H. Administration 4. Children’s Records b. Individual records on each child shall be on file in the center on the child's first day of attendance. Records shall be maintained in the center for at least two (2) years after the child has left the center. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. In- active files shall be maintained separately from active files. Records shall include but need not be limited to: (3) Immunizations. (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the center, unless one of the following is on file in the center: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. 54 OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (See Appendix G., page 83, for required form) (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area l. The facility shall be clean. (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, 12 Effective September 13, 2021 mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/Toileting (6) Each child's hands shall be washed after diapering. (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. Individual disposable paper towels shall be used for hand drying. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. (12) Potty chairs, if used, shall be emptied and rinsed and disinfected after each use. (13) Diapering areas shall be separate from food service and food preparation areas. Chapter B. Child Care Program 2. Infant/Toddler Daily Program e. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after snacks and meals, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program c. Toileting (1) Children's toileting shall be according to each child's needs. Each child's hands shall be washed with soap and running water after toileting. (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program d. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter D. Staff 3. Health- Staff a. Initially, each staff person shall provide a statement from a licensed practicing medical doctor, physician's assistant or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a facility, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the facility at the time of employment. b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement, on the required form, from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a facility. The statement shall be on file in the facility. c. Staff persons with symptoms of a contagious disease/condition shall not be present in the facility. Chapter E. Administration 3. Children’s Records b. Individual records on each child shall be on file in the facility on the child's first day of attendance. Records shall be maintained in the facility. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. In-active files shall be maintained separately from active files. Records shall include but need not be limited to: (3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES Chapter C. The Home 2. Indoor Area a. Injury Prevention (19) Bio contaminants: (a) If stored inside of the facility, the item must be disposed of in a covered, plastic lined receptacle, and stored in a locked area. The receptacle must be labeled as bio contaminants; (b) If stored outside of the facility, the item must be disposed of in a leakproof plastic bag that can be sealed and placed in a covered receptacle; b. Cleanliness and health (1) The bathroom shall be clean. (3) If potty chairs are used, they shall be promptly emptied into the toilet and washed and disinfected after each use. (4) The diapering area shall be a washable surface and shall be cleaned and disinfected after each use. (7) Disposable diapers shall be placed in a covered, plastic-lined trash container inaccessible to children. (8) Reusable (cloth) diapers shall be rinsed in the toilet, placed in a plastic bag, and stored out of reach of children. (9) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (10) The licensee and each caregiver shall wash his/her hands with soap and warm running water after diapering each child, after assisting with toileting, and after contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. Individual disposable paper towels shall be used for hand drying. (11) The licensee and each caregiver shall use single-use disposable gloves for diapering. Clean gloves shall be used for diapering each child. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. (12) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Caregivers shall wear gloves unless the fluid can be easily contained by the material (e.g., paper towel or cloth) that is being used to clean up. Caregivers shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Caregivers’ hands must be washed with soap and water after cleaning up spills. Caregivers shall clean and disinfect any surfaces, such as counter tops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) hung to dry completely (b) Rugs and carpets. Contaminated carpet/rugs should be blotted as soon as possible to prevent the contaminants from penetrating the surface to lower layers. Next, the area should be cleaned and sanitized. (c) Contaminated clothing items may be sent home in a sealed, plastic bag which is labeled with the child’s name and stored inaccessible to the children. (d) If the home chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. (13) Each child’s hands shall be washed after diapering and toileting (15) The diapering area shall be separate from areas used for serving, preparing, or storing food. (16) The home shall be maintained so as to prevent and eliminate rodent and insect infestation. (17) Garbage and trash shall be removed at intervals so as not to create a nuisance or a menace to health. Garbage shall be stored in fly-proof and watertight containers with tight fitting covers. (18) Bedding, toys, utensils, toilets, and sinks used by a sick child or household member shall be cleaned and disinfected before being used by another person. Chapter E. Care of the Children 3. Health a. Immunizations Each child two (2) months up to five (5) years of age and five (5) year old’s who are not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the home on the child's first day of attendance and the Certificate shall be kept current thereafter unless one of the following certificates is on file in the home: (1) A valid Alabama Certificate of Medical Exemption. OR: (2) A valid Alabama Certificate of Religious Exemption. OR: (3) The child meets the definition of homelessness, according to the McKinney- Vento Homeless Assistance Act. c. Illness or injury (1) The licensee shall report promptly to the child's parent(s)/guardian(s): (b) Any exposure to a contagious disease, so that the child may be observed for symptoms of the disease. (2) No child who is ill shall be admitted to the home. This regulation is not intended to require the exclusion of children in violation of the Americans with Disabilities Act (ADA). The Department of Human Resources is not the enforcement agency for the ADA. Determinations of illness may be based on: the child's inability to participate in the home's activities; the need for additional care that cannot be provided without taking time and attention away from the other children; signs of serious or contagious disease or condition, such as but not limited to food and allergic reactions, fever, diarrhea, vomiting, unexplained rash, scabies, head lice; a physician's diagnosis requiring that the child be separated from other children. (3) Isolation and removal (a) Any child in attendance who becomes ill, has a contagious disease or condition, or suffers an injury that requires professional medical attention shall be separated promptly from the group, but shall have continuous supervision. Toys, bedding, equipment and bathroom facilities used by an ill child or adult shall be cleaned and disinfected prior to use by another person. (4) Contagious diseases/conditions (a) When a contagious disease/condition (a disease/condition which can be transmitted or spread from person to person) has been introduced into the home, parent(s)/guardian(s) of each exposed child shall be notified. (b) The licensee shall urge parent(s)/guardian(s) to notify the licensee when their child is known to have been exposed to a contagious disease/condition outside the home. Chapter E. Care of the Children 4. Daily Program g. The diapering area shall be a washable surface and shall be cleaned and disinfected after each use. i. Wet or soiled diapers and other clothing shall be changed promptly. j. Disposable diapers shall be placed in a covered, plastic-lined trash container inaccessible to children. k. Reusable (cloth) diapers shall be rinsed in the toilet, placed in a plastic bag, and stored out of reach of children. l. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. m. The licensee and each caregiver shall wash his/her hands with soap and warm running water after diapering each child, after assisting with toileting, and after contact with bodily fluids. Individual disposable paper towels shall be used for hand drying. n. The licensee and each caregiver shall use single-use disposable gloves for diapering. Clean gloves shall be used for diapering each child. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. o. Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Caregivers shall wear gloves unless the fluid can be easily contained by the material (e.g., paper towel or cloth) that is being used to clean up. Caregivers shall be careful not to get any of the fluid in your eyes, nose, mouth or any open sores. Caregivers shall clean and disinfect any surfaces, such as counter tops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed. Mops used to clean up body fluids should be: (1) cleaned; (2) rinsed with a disinfecting solution; 3) wrung as dry as possible; (4) hung to dry completely. Caregivers should wash their hands with soap and water after cleaning up any spills. p. Each child’s hands shall be washed after diapering and toileting. r. The diapering area shall be separate from areas used for serving, preparing, or storing food. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area l. The facility shall be clean. (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/Toileting (6) Each child's hands shall be washed after diapering. (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. Individual disposable paper towels shall be used for hand drying. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. (12) Potty chairs, if used, shall be emptied and rinsed and disinfected after each use. (13) Diapering areas shall be separate from food service and food preparation areas. Chapter B. Child Care Program 2. Infant/Toddler Daily Program e. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after snacks and meals, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program c. Toileting (1) Children's toileting shall be according to each child's needs. Each child's hands shall be washed with soap and running water after toileting. (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program d. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter D. Staff 3. Health- Staff a. Initially, each staff person shall provide a statement from a licensed practicing medical doctor, physician's assistant or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a facility, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the facility at the time of employment. b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement, on the required form, from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a facility. The statement shall be on file in the facility. c. Staff persons with symptoms of a contagious disease/condition shall not be present in the facility. Chapter E. Administration 3. Children’s Records b. Individual records on each child shall be on file in the facility on the child's first day of attendance. Records shall be maintained in the facility. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. In-active files shall be maintained separately from active files. Records shall include but need not be limited to: (3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area l. The facility shall be clean. (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, 12 Effective September 13, 2021 mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/Toileting (6) Each child's hands shall be washed after diapering. (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. Individual disposable paper towels shall be used for hand drying. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. (12) Potty chairs, if used, shall be emptied and rinsed and disinfected after each use. (13) Diapering areas shall be separate from food service and food preparation areas. Chapter B. Child Care Program 2. Infant/Toddler Daily Program e. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after snacks and meals, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program c. Toileting (1) Children's toileting shall be according to each child's needs. Each child's hands shall be washed with soap and running water after toileting. (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program d. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter D. Staff 3. Health- Staff a. Initially, each staff person shall provide a statement from a licensed practicing medical doctor, physician's assistant or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a facility, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the facility at the time of employment. b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement, on the required form, from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a facility. The statement shall be on file in the facility. c. Staff persons with symptoms of a contagious disease/condition shall not be present in the facility. Chapter E. Administration 3. Children’s Records b. Individual records on each child shall be on file in the facility on the child's first day of attendance. Records shall be maintained in the facility. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. In-active files shall be maintained separately from active files. Records shall include but need not be limited to: (3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter 2. Requirements A. Facilities 4. Indoor Area d. Space for ill or injured children Space shall be provided for a child who becomes ill or is injured at the facility. Items used by an ill child shall be disinfected before being used by another child. h. Hazard Prevention (9) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptable. i. The facility shall be clean (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter B. Child Care Program 2. Preschool/School-age Children- Daily Program a. Toileting (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine Chapter B. Child Care Program 2. Preschool/School-age Children- Daily Program b. Feeding (2) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Individual paper towels shall be supplied for each washing and drying. Chapter B. Child Care Program 4. Health Information a. illness and injury (1) No child who is ill shall be admitted to the facility. This regulation is not intended to require the exclusion of children in violation of the Americans with Disabilities Act (ADA). The Department of Human Resources is not the enforcement agency for the ADA. Determinations of illness may be based on: the child's inability to participate in the facility's activities; the need for additional care that facility staff cannot provide without taking time and attention away from the other children; signs of serious or contagious disease or condition, such as but not limited to food and allergic reactions, fever, diarrhea, vomiting, unexplained rash, scabies, head lice; a physician's diagnosis requiring that the child be separated from other children. (2) Isolation and removal (a) Any child in attendance who becomes ill, has a contagious disease or condition, or suffers an injury that requires professional medical attention shall be separated promptly from the group, but shall have continuous supervision by a staff person. Toys, bedding, equipment, and bathroom facilities used by an ill child or adult shall be cleaned and disinfected prior to use by another person. (3) Contagious diseases/conditions (a) When a contagious disease/condition (a disease/condition which can be transmitted or spread from person to person) has been introduced into the facility, parent(s)/guardian(s) of each exposed child shall be notified. (b) The facility shall urge parent(s)/guardian(s) to notify the facility when their child is known to have been exposed to a contagious disease/condition outside the facility. (c) The facility shall report any known or suspected case of contagious disease/condition to the county or state health department. Chapter D. Staff 3. Health- Staff a. Initially, each staff person shall provide a statement from a licensed practicing medical doctor, physician's assistant or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a facility, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the facility at the time of employment. b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a facility. The statement shall be on file in the facility. c. Staff persons with symptoms of a contagious disease/condition shall not be present in the facility. Chapter E. Administration 3. Children’s Records b. Individual records on each child shall be on file in the facility on the child's first day of attendance. Records shall be maintained in the facility. Records shall include but need not be limited to: (3) Immunizations (a) On the child's first day of attendance, each child not lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter 2. Requirements A. Facilities 4. Indoor Area d. Space for ill or injured children Space shall be provided for a child who becomes ill or is injured at the facility. Items used by an ill child shall be disinfected before being used by another child. h. Hazard Prevention (9) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptable. i. The facility shall be clean (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter B. Child Care Program 2. Preschool/School-age Children- Daily Program a. Toileting (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine Chapter B. Child Care Program 2. Preschool/School-age Children- Daily Program b. Feeding (2) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Individual paper towels shall be supplied for each washing and drying. Chapter B. Child Care Program 4. Health Information a. illness and injury (1) No child who is ill shall be admitted to the facility. This regulation is not intended to require the exclusion of children in violation of the Americans with Disabilities Act (ADA). The Department of Human Resources is not the enforcement agency for the ADA. Determinations of illness may be based on: the child's inability to participate in the facility's activities; the need for additional care that facility staff cannot provide without taking time and attention away from the other children; signs of serious or contagious disease or condition, such as but not limited to food and allergic reactions, fever, diarrhea, vomiting, unexplained rash, scabies, head lice; a physician's diagnosis requiring that the child be separated from other children. (2) Isolation and removal (a) Any child in attendance who becomes ill, has a contagious disease or condition, or suffers an injury that requires professional medical attention shall be separated promptly from the group, but shall have continuous supervision by a staff person. Toys, bedding, equipment, and bathroom facilities used by an ill child or adult shall be cleaned and disinfected prior to use by another person. (3) Contagious diseases/conditions (a) When a contagious disease/condition (a disease/condition which can be transmitted or spread from person to person) has been introduced into the facility, parent(s)/guardian(s) of each exposed child shall be notified. (b) The facility shall urge parent(s)/guardian(s) to notify the facility when their child is known to have been exposed to a contagious disease/condition outside the facility. (c) The facility shall report any known or suspected case of contagious disease/condition to the county or state health department. Chapter D. Staff 3. Health- Staff a. Initially, each staff person shall provide a statement from a licensed practicing medical doctor, physician's assistant or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a facility, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the facility at the time of employment. b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a facility. The statement shall be on file in the facility. c. Staff persons with symptoms of a contagious disease/condition shall not be present in the facility. Chapter E. Administration 3. Children’s Records b. Individual records on each child shall be on file in the facility on the child's first day of attendance. Records shall be maintained in the facility. Records shall include but need not be limited to: (3) Immunizations (a) On the child's first day of attendance, each child not lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area l. The facility shall be clean. (1) Cleaning shall be done daily. Floors and bathroom fixtures shall be cleaned and disinfected daily or more often as needed. Carpets shall be vacuumed daily. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, 12 Effective September 13, 2021 mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. Chapter B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/Toileting (6) Each child's hands shall be washed after diapering. (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. Individual disposable paper towels shall be used for hand drying. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. (12) Potty chairs, if used, shall be emptied and rinsed and disinfected after each use. (13) Diapering areas shall be separate from food service and food preparation areas. Chapter B. Child Care Program 2. Infant/Toddler Daily Program e. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after snacks and meals, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program c. Toileting (1) Children's toileting shall be according to each child's needs. Each child's hands shall be washed with soap and running water after toileting. (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program d. Feeding (3) Face and hand washing (a) Each child's hands shall be washed with soap and running water before and after meals and snacks, and after toileting and diapering. (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (c) Each staff person shall wash his/her hands with soap and warm running water before and after diapering each child, even if gloves are used. (d) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic lined container, inaccessible to children, and shall be disposed of daily. (e) Individual paper towels shall be supplied for each washing and drying. Chapter D. Staff 3. Health- Staff a. Initially, each staff person shall provide a statement from a licensed practicing medical doctor, physician's assistant or a certified nurse practitioner. The initial statement shall be dated within six (6) months prior to employment and shall document the date and results of a tuberculin skin test or chest x-ray (also dated within six (6) months). The statement shall attest to the physical suitability of the staff person to care for children or to perform services in a facility, and the person's freedom from infectious or contagious diseases. The statement shall be signed by the licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, and shall be on file in the facility at the time of employment. b. At least every four (4) years after the date of the initial statement, each staff person shall obtain a statement, on the required form, from a licensed practicing medical doctor, physician's assistant, or certified nurse practitioner, which attests to the staff person's freedom from infectious or contagious diseases and physical fitness to care for children or perform services in a facility. The statement shall be on file in the facility. c. Staff persons with symptoms of a contagious disease/condition shall not be present in the facility. Chapter E. Administration 3. Children’s Records b. Individual records on each child shall be on file in the facility on the child's first day of attendance. Records shall be maintained in the facility. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. In-active files shall be maintained separately from active files. Records shall include but need not be limited to: (3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate b. Provide the standards, appropriate to the provider setting and age of children, that address that children attending child care programs under CCDF are age-appropriately immunized, according to the latest recommendation for childhood immunizations of the respective State public health agency, for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Care Licensing and Performance Standards for Day Care Centers and Nighttime Centers Chapter H. Administration 4. Children's Records, subsection (b)(3) Immunizations. (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the center, unless one of the following is on file in the center: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (See Appendix G., page 83, for required form) (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. Health and Safety Guidelines Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program Chapter E. Administration 3. Children's Records, subsection (b)(3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; ORA valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child Care Licensing and Performance Standards for Family Day Care Homes/Family Nighttime Homes and Group Day Care Home /Group Nighttime Homes Chapter E. Care of the Children 3. Health a. Immunizations Each child two (2) months up to five (5) years of age and five (5) year old’s who are not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the home on the child's first day of attendance and the Certificate shall be kept current thereafter unless one of the following certificates is on file in the home: (1) A valid Alabama Certificate of Medical Exemption. OR: (2) A valid Alabama Certificate of Religious Exemption. OR: (3) The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. Health and Safety Guidelines Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program Chapter E. Administration 3. Children's Records, subsection (b)(3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; ORA valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Health and Safety Guidelines Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program Chapter E. Administration 3. Children's Records, subsection (b)(3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; ORA valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. Health and Safety Guidelines Requirements and Procedures for Out of School Time Facilities Participating in Child Care Subsidy Program Chapter E. Administration 3. Children's Records, subsection (b)(3) Immunizations (a) On the child's first day of attendance, each child not lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Health and Safety Guidelines Requirements and Procedures for Out of School Time Facilities Participating in Child Care Subsidy Program Chapter E. Administration 3. Children's Records, subsection (b)(3) Immunizations (a) On the child's first day of attendance, each child not lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; OR A valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. Health and Safety Guidelines Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program Chapter E. Administration 3. Children's Records, subsection (b)(3) Immunizations (a) On the child's first day of attendance, each child from two (2) months of age to lawful school age and each child of lawful school age who is not enrolled in public or private school kindergarten shall have a valid State of Alabama Certificate of Immunization on file in the facility, unless one of the following is on file in the facility: A valid State of Alabama Certificate of Medical Exemption; ORA valid Alabama Certificate of Religious Exemption. OR The child meets the definition of homelessness, according to the McKinney-Vento Homeless Assistance Act. (b) Each child’s Certificate of Immunization shall be updated according to the expiration date indicated on the certificate. 5.3.2 Prevention of sudden infant death syndrome and the use of safe-sleep practices health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address the prevention of sudden infant death syndrome and use of safe sleeping practices for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter C. Facilities 4. Indoor area i. Ventilation, lighting, and heating in areas used by children. (7) During napping/resting, lighting shall be maintained at a level that will enable children to be visible. Chapter C. Facilities 8. Furnishings and Equipment c. Amount and type of furnishings to be provided by the center (4) There shall be a crib, manufactured with slats no more than 2³/8 inches apart, provided for each infant. Each crib shall have a firm, waterproof mattress that fits snugly against all sides of the crib. Mattresses shall be in good condition with no tears or exposed foam rubber or other stuffing material. Stacked cribs or multiple crib units are prohibited. (5) In accordance with the U.S. Consumer Product Safety Act of 2008, any crib provided by a child care facility must meet federal safety standards. i. To verify compliance with federal standards, any crib manufactured prior to June 28, 2011, there shall be a Certificate of Compliance on file in the facility and the crib must have a label attached to show the date of manufacture. ii. Any crib manufactured after June 28, 2011, must have a label attached to show date of manufacture. Chapter D. Child Care Program 2. Infant/Toddler Daily Program c. Napping/resting (2) In accordance with recommendations from the American Academy of Pediatrics, unless the infant has a note from a physician specifying otherwise, each infant younger than twelve (12) months, shall be placed in a supine (on his/her back) position for sleeping to lower the risks of Sudden Infant Death Syndrome (SIDS). (3) In accordance with recommendations from the American Academy of Pediatrics, when an infant can easily turn over from the supine (back) to the prone (front) position, he/she shall be put down to sleep on his/her back, but allowed to adopt whatever position he/she prefers for sleep. (4) In accordance with recommendations from the American Academy of Pediatrics, unless a physician specifies the need for a positioning device that restricts movement within the child’s bed, such devices shall not be used. (6) At least one (1) staff person shall be present in each room where children are napping/resting. The staff person shall be able to see all the children in the room. Chapter D. Child Care Program 2. Infant/Toddler Daily Program d. Cribs, cots, and bedding (4) Crib sheets shall fit the mattress snugly. (5) In accordance with recommendations from the American Academy of Pediatrics, soft materials are prohibited in the infant’s sleeping environment (younger than twelve (12) months). (a) Soft materials or objects, such as pillows, quilts, comforters, or sheepskins, shall not be placed under a sleeping infant. (b) Soft objects, such as pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, and other gas-trapping objects shall be kept out of the infant’s sleeping environment. (c) No infant shall be put to sleep on a sofa, soft mattress, or other soft surface. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area i. Ventilation, lighting, and heating in areas used by children. (7) During napping/resting, lighting shall be maintained at a level that will enable children to be visible. Chapter B. Child Care Program 2. Infant/Toddler Daily Program c. Napping/resting (2) In accordance with recommendations from the American Academy of Pediatrics, unless the infant has a note from a physician specifying otherwise, each infant younger than twelve (12) months, shall be placed in a supine (on his/her back) position for sleeping to lower the risks of Sudden Infant Death Syndrome (SIDS). (3) In accordance with recommendations from the American Academy of Pediatrics, when an infant can easily turn over from the supine (back) to the prone (front) position, he/she shall be put down to sleep on his/her back, but allowed to adopt whatever position he/she prefers for sleep. (4) In accordance with recommendations from the American Academy of Pediatrics, unless a physician specifies the need for a positioning device that restricts movement within the child’s bed, such devices shall not be used. (6) At least one staff person shall be present in each room where children are napping/resting. The staff person shall be able to see all the children in the room. Chapter B. Child Care Program 2. Infant/Toddler Daily Program d. Cribs, cots, and bedding (4) Crib sheets shall fit the mattress snugly. (5) In accordance with recommendations from the American Academy of Pediatrics, soft materials are prohibited in the infant’s sleeping environment. (i) Soft materials or objects, such as pillows, quilts, comforters, or sheepskins, shall not be placed under a sleeping infant. (ii) Soft objects, such as pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, and other gas-trapping objects shall be kept out of the infant’s sleeping environment. (iii) No infant shall be put to sleep on a sofa, soft mattress, or other soft surface. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter C. The Home 2. Indoor Area d. Equipment and furnishings (1) The licensee shall provide a crib, playpen, bed, or cot for each child who requires rest or sleep during the hours while in care. (b) Each child younger than twelve (12) months of age shall sleep alone in a crib or play pen. If cribs are used, cribs manufactured with slats no more than 2³/8 inches apart shall be provided. A waterproof mattress which fits snugly against all sides of the crib shall be provided. Mattresses shall be in good condition, with no tears or exposed foam rubber or other stuffing. (c) In accordance with the U.S. Consumer Product Safety Act of 2008, any crib provided by a child care facility must meet federal safety standards. i. To verify compliance with federal standards, any crib manufactured prior to June 28, 2011, there shall be a Certificate of Compliance on file in the facility and the crib must have a label attached to show the date of manufacture. ii. Any crib manufactured after June 28, 2011, must have a label attached to show date of manufacture. (d) In accordance with recommendations from the American Academy of Pediatrics, unless the infant has a note from a physician 19 specifying otherwise, each infant shall be placed in a supine (on his/her back) position for sleeping to lower the risks of Sudden Infant Death Syndrome (SIDS). (e) In accordance with recommendations from the American Academy of Pediatrics, when an infant can easily turn over from the supine (back) to the prone (front) position, he/she shall be put down to sleep on his/her back but allowed to adopt whatever position he/she prefers for sleep. (g) In accordance with recommendations from the American Academy of Pediatrics, unless a physician specifies the need for a positioning device that restricts movement within the child’s bed, such devices shall not be used. (h) In accordance with recommendations from the American Academy of Pediatrics, soft materials are prohibited in the infant’s sleeping environment (younger than twelve (12) months). i. Soft materials or objects, such as pillows, quilts, comforters, or sheepskins, shall not be placed under a sleeping infant. ii. Soft objects, such as pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, and other gas-trapping objects shall be kept out of the infant’s sleeping environment. (i) No infant shall be put to sleep on a sofa, soft mattress, or other soft surface. (j) Doors should not be closed in any area where children are sleeping. (m) The beds, cots, cribs or play pens shall be clean, sanitary and free of hazards. They shall be maintained in good condition. (n) During napping/resting, lighting shall be maintained at a level that will enable children to be visible. Chapter E. Care of the Children 4. Daily Program a. In accordance with recommendations from the American Academy of Pediatrics, unless the infant has a note from a physician specifying otherwise, each infant shall be placed in a supine (on his/her back) position for sleeping to lower the risks of Sudden Infant Death Syndrome (SIDS). b. In accordance with recommendations from the American Academy of Pediatrics, when an infant can easily turn over from the supine (back) to the prone (front) position, he/she shall be put down to sleep on his/her back, but allowed to adopt whatever position he/she prefers for sleep. e. In accordance with recommendations from the American Academy of Pediatrics, unless a physician specifies the need for a positioning device that restricts movement within the child’s bed, such devices shall not be used. f. In accordance with recommendations from the American Academy of Pediatrics, soft materials are prohibited in the infant’s sleeping environment (younger than twelve (12) months). (1) Soft materials or objects, such as pillows, quilts, comforters, or sheepskins, shall not be placed under a sleeping infant. (2) Soft objects, such as pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, and other gas-trapping objects shall be kept out of the infant’s sleeping environment. (3) No infant shall be put to sleep on a sofa, soft mattress, or other soft surface. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area i. Ventilation, lighting, and heating in areas used by children. (7) During napping/resting, lighting shall be maintained at a level that will enable children to be visible. Chapter B. Child Care Program 2. Infant/Toddler Daily Program c. Napping/resting (2) In accordance with recommendations from the American Academy of Pediatrics, unless the infant has a note from a physician specifying otherwise, each infant younger than twelve (12) months, shall be placed in a supine (on his/her back) position for sleeping to lower the risks of Sudden Infant Death Syndrome (SIDS). (3) In accordance with recommendations from the American Academy of Pediatrics, when an infant can easily turn over from the supine (back) to the prone (front) position, he/she shall be put down to sleep on his/her back, but allowed to adopt whatever position he/she prefers for sleep. (4) In accordance with recommendations from the American Academy of Pediatrics, unless a physician specifies the need for a positioning device that restricts movement within the child’s bed, such devices shall not be used. (6) At least one staff person shall be present in each room where children are napping/resting. The staff person shall be able to see all the children in the room. Chapter B. Child Care Program 2. Infant/Toddler Daily Program d. Cribs, cots, and bedding (4) Crib sheets shall fit the mattress snugly. (5) In accordance with recommendations from the American Academy of Pediatrics, soft materials are prohibited in the infant’s sleeping environment. (i) Soft materials or objects, such as pillows, quilts, comforters, or sheepskins, shall not be placed under a sleeping infant. (ii) Soft objects, such as pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, and other gas-trapping objects shall be kept out of the infant’s sleeping environment. (iii) No infant shall be put to sleep on a sofa, soft mattress, or other soft surface. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area i. Ventilation, lighting, and heating in areas used by children. (7) During napping/resting, lighting shall be maintained at a level that will enable children to be visible. Chapter B. Child Care Program 2. Infant/Toddler Daily Program c. Napping/resting (2) In accordance with recommendations from the American Academy of Pediatrics, unless the infant has a note from a physician specifying otherwise, each infant younger than twelve (12) months, shall be placed in a supine (on his/her back) position for sleeping to lower the risks of Sudden Infant Death Syndrome (SIDS). (3) In accordance with recommendations from the American Academy of Pediatrics, when an infant can easily turn over from the supine (back) to the prone (front) position, he/she shall be put down to sleep on his/her back, but allowed to adopt whatever position he/she prefers for sleep. (4) In accordance with recommendations from the American Academy of Pediatrics, unless a physician specifies the need for a positioning device that restricts movement within the child’s bed, such devices shall not be used. (6) At least one staff person shall be present in each room where children are napping/resting. The staff person shall be able to see all the children in the room. Chapter B. Child Care Program 2. Infant/Toddler Daily Program d. Cribs, cots, and bedding (4) Crib sheets shall fit the mattress snugly. (5) In accordance with recommendations from the American Academy of Pediatrics, soft materials are prohibited in the infant’s sleeping environment. (i) Soft materials or objects, such as pillows, quilts, comforters, or sheepskins, shall not be placed under a sleeping infant. (ii) Soft objects, such as pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, and other gas-trapping objects shall be kept out of the infant’s sleeping environment. (iii) No infant shall be put to sleep on a sofa, soft mattress, or other soft surface. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Not applicable 5.3.3 Administration of medication, consistent with standards for parental consent health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the administration of medication for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter D. Child Care Program 6. Health Information a. Illness and Injury (4) Care for children with food allergies. Each child with a food allergy should have a written care plan that includes: (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, on the required form, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated or unrefrigerated), and specific directions for administering the medication/medical procedure, such as given by mouth, apply to skin, (such as but not limited to sun-screen, bug spray, hand sanitizer), inhale, drops in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (See Appendix H, page 85, for required form.) (b) Any prescription drug or over the counter drug sent to the center shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over the counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (c) Medication or medical procedures shall be administered to the child by the designated staff. (d) Locked storage (lock and key or combination lock), inaccessible to children, shall be provided for all medication or drugs (children's or staff's). (e) Medicines/drugs shall be returned to the parent(s)/guardian(s) or disposed of properly when no longer needed. (f) Time and date of all medication dosages or medical procedures administered at center shall be documented, in writing, signed by the staff person administering the medication or medical procedure (initials not acceptable), and kept in the child's file. (See Section H., 4., page 53, for children's records requirements.) Copies shall be made available to the child's parent(s)/guardian(s) on request. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (b) Any prescription drug or over the counter drug sent to the facility shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over the counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (c) Medication or medical procedures shall be administered to the child by the designated staff. (d) Locked storage (lock and key or combination lock), inaccessible to children, shall be provided for all medication or drugs (children's or staff's). (e) Medicines/drugs shall be returned to the parent(s)/guardian(s) or disposed of properly when no longer needed. (f) Time and date of all medication dosages or medical procedures administered at facility shall be documented, in writing, signed by the staff person administering the medication or medical procedure (initials not acceptable), and kept in the child's file. Copies shall be made available to the child's parent(s)/guardian(s) on request. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter E. Care of the Children 3. Health d. Medication/Medical Procedures (1) No medication or medical procedures (prescription or over-the-counter) shall be administered without being ordered by the child’s health professional and without a written, signed, authorization form from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated or unrefrigerated), and specific directions for administering the medication/medical procedure, such as given by mouth, apply to skin (such as but not limited to sunscreen, bug spray, hand sanitizer), inhale, drops in eyes, etc. An authorization form shall be valid for no more than seven (7) days, unless accompanied by a written physician’s statement. (See Appendix H, page 79, for required form.) (2) Any prescription drug or over-the-counter drug sent to the home shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over-the-counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (3) All medication (children's or household member's) shall be kept under lock and key or combination lock. (4) Medicines/drugs shall be returned to the child's parent(s)/guardian(s) or disposed of properly when no longer needed. (5) Time and date of all medication dosages or medical procedures administered by the licensee/caregiver shall be documented, in writing, signed by the person administering the medication or medical procedure (initials not acceptable), and kept in the child's file in the home. (See Section F., 3., h., page 46, for children's records requirements.) Copies shall be made available to the child's parent(s)/guardian(s) on request. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (b) Any prescription drug or over the counter drug sent to the facility shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over the counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (c) Medication or medical procedures shall be administered to the child by the designated staff. (d) Locked storage (lock and key or combination lock), inaccessible to children, shall be provided for all medication or drugs (children's or staff's). (e) Medicines/drugs shall be returned to the parent(s)/guardian(s) or disposed of properly when no longer needed. (f) Time and date of all medication dosages or medical procedures administered at facility shall be documented, in writing, signed by the staff person administering the medication or medical procedure (initials not acceptable), and kept in the child's file. Copies shall be made available to the child's parent(s)/guardian(s) on request. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (b) Any prescription drug or over the counter drug sent to the facility shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over the counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (c) Medication or medical procedures shall be administered to the child by the designated staff. (d) Locked storage (lock and key or combination lock), inaccessible to children, shall be provided for all medication or drugs (children's or staff's). (e) Medicines/drugs shall be returned to the parent(s)/guardian(s) or disposed of properly when no longer needed. (f) Time and date of all medication dosages or medical procedures administered at facility shall be documented, in writing, signed by the staff person administering the medication or medical procedure (initials not acceptable), and kept in the child's file. Copies shall be made available to the child's parent(s)/guardian(s) on request. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (b) Any prescription drug or over the counter drug sent to the facility shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over the counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (c) Medication or medical procedures shall be administered to the child by the designated staff. (d) Locked storage (lock and key or combination lock), inaccessible to children, shall be provided for all medication or drugs (children's or staff's). (e) Medicines/drugs shall be returned to the parent(s)/guardian(s) or disposed of properly when no longer needed. (f) Time and date of all medication dosages or medical procedures administered at facility shall be documented, in writing, signed by the staff person administering the medication or medical procedure (initials not acceptable), and kept in the child's file. Copies shall be made available to the child's parent(s)/guardian(s) on request. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-thecounter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (b) Any prescription drug or over the counter drug sent to the facility shall be in its original container. Prescription drugs shall have a pharmacy label or shall be accompanied by a physician’s written instructions. Over the counter drugs shall be clearly labeled with the child's name and directions for administering the drug. Medication should not be used beyond the date of expiration. A measuring device (if the medication requires measuring) shall be provided for each child's medication. (c) Medication or medical procedures shall be administered to the child by the designated staff. (d) Locked storage (lock and key or combination lock), inaccessible to children, shall be provided for all medication or drugs (children's or staff's). (e) Medicines/drugs shall be returned to the parent(s)/guardian(s) or disposed of properly when no longer needed. (f) Time and date of all medication dosages or medical procedures administered at facility shall be documented, in writing, signed by the staff person administering the medication or medical procedure (initials not acceptable), and kept in the child's file. Copies shall be made available to the child's parent(s)/guardian(s) on request. b. Provide the standards, appropriate to the provider setting and age of children, that address obtaining permission from parents to administer medications to children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter D. Child Care Program 6. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, on the required form, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated or unrefrigerated), and specific directions for administering the medication/medical procedure, such as given by mouth, apply to skin, (such as but not limited to sun-screen, bug spray, hand sanitizer), inhale, drops in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. (See Appendix H page 85, for required form.) HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter E. Care of the Children 3. Health d. Medication/Medical Procedures (1) No medication or medical procedures (prescription or over-the-counter) shall be administered without being ordered by the child’s health professional and without a written, signed, authorization form from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated or unrefrigerated), and specific directions for administering the medication/medical procedure, such as given by mouth, apply to skin (such as but not limited to sunscreen, bug spray, hand sanitizer), inhale, drops in eyes, etc. An authorization form shall be valid for no more than seven (7) days, unless accompanied by a written physician’s statement. (See Appendix H, page 79, for required form.) HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (6) Authority and procedure for administering medication or medical procedures shall be clearly defined. (a) No medication or medical procedures (prescription or over-the counter) shall be administered without being ordered by the child’s health professional and without a written, signed authorization, from the child's parent(s)/guardian(s). Blanket authorization forms are prohibited. The authorization form shall include time(s) and date(s) to be administered, dosage, storage instructions (refrigerated and unrefrigerated), and specific directions for administering the medication/medical procedures, such as ￿give-by-mouth￿, apply to skin, inhale, drop in eyes, etc. An authorization form shall be valid for no more than seven (7) days unless accompanied by a written physician’s statement. 5.3.4 Prevention of and response to emergencies due to food and allergic reactions health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter D. Child Care Program 6. Health information a. Illness and injury (4) Care for children with food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The center should notify the parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The center should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter E. Care of the Children 3. Health c. Illness or injury (5) Food Allergies Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and steps to be taken to avoid that food; (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The plan should include specific symptoms that would indicate the need to administer one or more medications; (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The home provider should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The home provider should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic, and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic, and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). b. Provide the standards, appropriate to the provider setting and age of children, that address the response to emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter D. Child Care Program 6. Health information a. Illness and injury (4) Care for children with food allergies. Each child with a food allergy should have a written care plan that includes: (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The center should notify the parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The center should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter E. Care of the Children 3. Health c. Illness or injury (5) Food Allergies Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and steps to be taken to avoid that food; (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The plan should include specific symptoms that would indicate the need to administer one or more medications; (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The home provider should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The home provider should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). iii. All CCDF-eligible licensed in-home care. Provide the standard:: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic, and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 4. Health Information a. Illness and injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic, and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 5. Health Information a. Illness and Injury (4) Food allergies. Each child with a food allergy should have a written care plan that includes: (a) Instructions regarding the food(s) to which the child is allergic and the steps to be taken to avoid that food. (b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses and methods of prompt administration of any medicines. (c) The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be carried on field trips and when the child is transported. (d) The facility should notify the parent(s)/guardian(s) immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The facility should contact the emergency medical services system immediately whenever epinephrine has been administered. (e) Each child’s food allergies should be readily available and known by the child’s teacher(s). 5.3.5 Building and physical premises safety, including the identification of and protection from hazards, bodies of water, and vehicular traffic health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from building and physical premises hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter C. Facilities 4. Indoor Area k. hazard prevention (1) The center shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials (including but not limited to anything that states ￿Keep out of reach of children￿) shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the center with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. ( 5) Clear glass doors shall be plainly marked at child level, to avoid accidental impact. (6) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (See Section D., 2., (6)., page 34, for additional requirements regarding medication.) (7) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (8) Exposed electrical outlets shall have protective covers. The covers shall be large enough to prevent being swallowed. (9) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the center premises, as well as any vehicle used by the center. (10) Smoking or tobacco usage is prohibited on the center premises, as well as any vehicle used by the center (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter C. Facilities 5. Outdoor Area a. For centers licensed, permitted, or approved after January 22, 2001, an off- street area for loading/unloading children shall be provided. c. Separate play areas shall be provided for children younger than age 2½ years. This may be achieved by scheduling alternate play periods. d. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. e. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. g. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Safety and Health Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. h. Stairways or steps used by the children shall have hand railings within child’s reach. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area k. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the facility with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. (5) Clear glass doors shall be plainly marked at child level, to avoid accidental impact. (6) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (7) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (8) Exposed electrical outlets shall have protective covers. The covers shall be large enough to prevent being swallowed. (9) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the facility premises, as well as any vehicle used by the center. (10) Smoking or tobacco usage is prohibited on the facility premises, as well as any vehicle used by the facility (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter A. Facilities 5. Outdoor Area a. An off-street area for loading/unloading children shall be provided. c. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. d. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. f. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Health and Safety Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. g. Stairways or steps used by the children shall have hand railings within child’s reach. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter C. The Home 2. Indoor Area a. injury prevention (1) The home shall be free from apparent hazardous conditions. (2) The home shall have electricity, water, gas (if used for cooking/heating), and a waste disposal system (city sewage or septic tank). (3) The licensee shall have a working telephone in the home. (4) All poisons, cleaning supplies, flammable and other dangerous substances (including but not limited to anything that states, ￿Keep out of Reach of Children￿) shall be kept under lock and key or combination lock when not in use. (5) Animals in the home (a) Animals or breeds of animals that have shown aggressive behavior, shall not be kept in the home or on the grounds. (b) Animals that are not aggressive but could pose a threat to the health and safety of the children shall be kept in an area away from the children. (c) Animals shall not be allowed in areas of food storage, food preparation or food service during the hours of child care. (d) Animal feeding/water containers shall be inaccessible to the children. (e) Animal litter boxes shall not be located in areas accessible to the children. (f) A current certificate of rabies vaccination shall be on file in the home for any animal required by law to be vaccinated. (6) Barriers shall be erected around radiators, heaters and fans that are accessible to the children. (7) Fireplaces should not be used during the hours of operation. (8) All exposed electrical outlets shall have protective covers. The covers shall be large enough to prevent being swallowed. (9) During hours of operation, all guns/firearms shall be unloaded and stored under lock and key or combination lock. Ammunition shall be stored separately from guns/firearms, under lock and key or combination lock. (10) All stairs used by the children shall have handrails within child’s reach. (11) Smoking/tobacco use is prohibited on the premises, as well as any vehicle used to transport children, during the hours of child care, including but not limited to cigarettes, cigars, electronic cigarettes, pipes, etc. (12) All medication shall be kept under lock and key or combination lock. (13) Clear glass doors, such as patio and storm doors, shall be plainly marked at child level, to prevent accidental impact. (14) Tools and machinery shall be kept in an area where the children cannot get to them. (15) Hot tubs shall be securely covered or drained during the hours of child care. (16) In the event of power failure or other emergency situations, the licensee shall have a flashlight in working condition, in a convenient location. (17) Consumption of alcohol is prohibited during hours of child care. All alcohol must be stored under lock and key or combination lock. (18) Non-prescription narcotic or illegal substances are prohibited in the home or on the grounds, as well as any vehicle used to transport children. Chapter C. The Home 3. Outdoor Area The home and grounds shall be maintained in a clean and safe condition. a. Outdoor play area (2) The outdoor play area and equipment shall be free from apparent hazardous conditions. (3) The outdoor play area shall be enclosed by a fence or wall at least four (4) feet in height, free from sharp, protruding edges, except where prohibited by federal regulations. Written documentation shall be submitted to the Department. (5) Outdoor play equipment, which is not designed to be portable, shall be securely anchored so that it cannot be tipped over by an adult. (6) Concrete or asphalt shall not be used under outdoor play equipment, except wheel toys. (7) The outdoor play area shall be free of any stacked wood, construction materials, lumber, or firewood. (8) Stairs or steps used by the children shall have handrails within child’s reach. b. Injury prevention (1) The home and grounds shall be free from apparent hazards including, but not limited to: (a) Abandoned automobiles (b) Unused household appliances (c) Uncovered wells and cisterns (d) Stacked lumber with exposed nails (e) Explosives (2) Tools and machinery shall be inaccessible to the children in care. (3) All poisons shall be kept in a locked area (lock and key or combination lock). (4) Animals or breeds of animals that have shown aggressive behavior shall not be kept in the home or on the grounds. (5) Animals that are not aggressive but could pose a threat to the health and safety of the children shall be kept in an area away from the children. (7) Water hazards on the grounds or adjacent to the grounds shall be inaccessible to the children, including but not limited to lakes, ponds, waterfalls, fountains and/or other standing water devices. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area k. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the facility with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. (5) Clear glass doors shall be plainly marked at child level, to avoid accidental impact. (6) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (7) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (8) Exposed electrical outlets shall have protective covers. The covers shall be large enough to prevent being swallowed. (9) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the facility premises, as well as any vehicle used by the center. (10) Smoking or tobacco usage is prohibited on the facility premises, as well as any vehicle used by the facility (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter A. Facilities 5. Outdoor Area a. An off-street area for loading/unloading children shall be provided. c. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. d. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. f. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Health and Safety Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. g. Stairways or steps used by the children shall have hand railings within child’s reach. Chapter A. Facilities 6. Swimming and Wading at the Facility a. Parent(s)/guardian(s) permission: Written permission signed by each child's parent(s)/guardian(s) shall be on file in the facility for each child participating in swimming or wading activities. b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for each child younger than 2½ years of age; (b) 1 staff for every 4 children ages 2½ years up to 4 years; (c) 1 staff for every 6 children ages 4 years up to 6 years; (d) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see pages 15-16). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see pages 15-16). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area k. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the facility with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. (5) Clear glass doors shall be plainly marked at child level, to avoid accidental impact. (6) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (7) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (8) Exposed electrical outlets shall have protective covers. The covers shall be large enough to prevent being swallowed. (9) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the facility premises, as well as any vehicle used by the center. (10) Smoking or tobacco usage is prohibited on the facility premises, as well as any vehicle used by the facility (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter A. Facilities 5. Outdoor Area a. An off-street area for loading/unloading children shall be provided. c. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. d. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. f. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Health and Safety Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. g. Stairways or steps used by the children shall have hand railings within child’s reach. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilities 4. Indoor Area h. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the facility with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. (5) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (6) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (7) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the facility premises, as well as any vehicle used by the facility. (8) Smoking or tobacco usage is prohibited on the facility premises, as well as any vehicle used by the facility (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter A Facilities 5. Outdoor Area a. An off-street area for loading/unloading children shall be provided. b. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. Children shall be visually supervised going to and from the playground and while on the playground. c. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. d. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Health and Safety Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. e. Stairways or steps used by the children shall have hand railings within child’s reach. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilities 4. Indoor Area h. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the facility with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. (5) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (6) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (7) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the facility premises, as well as any vehicle used by the facility. (8) Smoking or tobacco usage is prohibited on the facility premises, as well as any vehicle used by the facility (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter A Facilities 5. Outdoor Area a. An off-street area for loading/unloading children shall be provided. b. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. Children shall be visually supervised going to and from the playground and while on the playground. c. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. d. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Health and Safety Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. e. Stairways or steps used by the children shall have hand railings within child’s reach. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 4. Indoor Area k. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (3) No firearms or ammunition shall be kept or allowed in the facility with the exception of law enforcement officers. (4) Stairways used by the children shall have hand railings within child’s reach. (5) Clear glass doors shall be plainly marked at child level, to avoid accidental impact. (6) Medicines and drugs for children or staff shall be kept under lock and key or combination lock, in a separate location away from toxic chemicals and other harmful items. (7) Barriers shall be erected around radiators, heaters, and fans that are accessible to the children. (8) Exposed electrical outlets shall have protective covers. The covers shall be large enough to prevent being swallowed. (9) Consumption or possession of alcohol or use of non-prescription narcotic or illegal substances is prohibited on the facility premises, as well as any vehicle used by the center. (10) Smoking or tobacco usage is prohibited on the facility premises, as well as any vehicle used by the facility (including but not limited to cigarettes, cigars, pipes, and electronic cigarettes). Chapter A. Facilities 5. Outdoor Area a. An off-street area for loading/unloading children shall be provided. c. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. d. Outdoor play areas on the premises shall be enclosed by a fence or wall at least four (4) feet in height. The fence or wall shall be free from sharp protruding edges. Gates shall be secured. f. The outdoor play area and equipment shall be free of apparent hazardous conditions. (1) Concrete or asphalt shall not be used under outdoor playground equipment, except wheel toys. Department approved exceptions may be requested by the facility. The facility must provide documentation of Occupational Health and Safety Administration (OSHA) approval. (2) The outdoor play area shall be well-drained. (3) Playground equipment which is not designed to be portable shall be securely anchored so that it cannot be tipped over by an adult. g. Stairways or steps used by the children shall have hand railings within child’s reach. b. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from bodies of water for the following CCDF- eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter C. Facilities 6. Swimming and Wading at the Center b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR). A copy of each certificate or certification shall be on file in the center. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for each child younger than 2½ years of age; (b) 1 staff for every 4 children ages 2½ years up to 4 years; (c) 1 staff for every 6 children ages 4 years up to 6 years; (d) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (See Section F., 1., b., page 41, for qualifications.) (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water. Required staff-child ratios as stated in Section D., 1., a, page 22, shall be met for children not in the water. (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground or in ground) shall be enclosed with a fence or a solid wall with no doors or windows. The fence or wall shall be at least four (4) feet in height and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates or Certifications shall be on file in the center. Required staff-child ratios as stated in Section D., 1., a., page 22, shall be met at all times. (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision￿. (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 6. Swimming and Wading at the Facility a. Parent(s)/guardian(s) permission: Written permission signed by each child's parent(s)/guardian(s) shall be on file in the facility for each child participating in swimming or wading activities. b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for each child younger than 2½ years of age; (b) 1 staff for every 4 children ages 2½ years up to 4 years; (c) 1 staff for every 6 children ages 4 years up to 6 years; (d) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see pages 15-16). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see pages 15-16). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter C. The Home 3. Outdoor Area c. Swimming and Wading (1) When a swimming pool (above ground or in-ground), two (2) feet or more in depth is accessible to the area used for child care, the pool shall be enclosed by a fence or a solid wall which has no doors or windows. The sides of an above ground pool shall not be considered a fence or wall. The fence or wall shall be at least four (4) feet in height, with a locking gate. The gate and all areas of access shall remain locked at all times the pool is not in use. (a) If children are allowed in the pool area, additional supervision shall be required. Caregivers shall be within arm’s length providing ￿touch supervision.￿ The adult to child ratio shall be: i. one adult caregiver for each child younger than 2½ years; ii. one adult caregiver for every three (3) children 2½ years up to 6 years of age; iii. one adult caregiver to every five (5) children 6 years of age and older. (b) A person with a current American Red Cross Lifeguard Training Certificate shall be in the pool area at all times when the pool is in use. A copy of the current American Red Cross Lifeguard Training Certificate shall be on file in the home. (c) The pool shall be maintained in a clean and safe condition. (2) When a wading structure less than two (2) feet in depth is available to the children, there shall be continuous supervision by an adult caregiver. The wading pool shall be filled with clean water prior to each day's usage. The wading pool shall be emptied when not in use. (3) The licensee shall be present during any swimming/wading activities. (4) Written permission for participation in swimming/wading activities from each child's parent(s)/guardian(s) shall be on file in the home if swimming/wading is provided. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A. Facilities 6. Swimming and Wading at the Facility a. Parent(s)/guardian(s) permission: Written permission signed by each child's parent(s)/guardian(s) shall be on file in the facility for each child participating in swimming or wading activities. b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for each child younger than 2½ years of age; (b) 1 staff for every 4 children ages 2½ years up to 4 years; (c) 1 staff for every 6 children ages 4 years up to 6 years; (d) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see pages 15-16). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see pages 15-16). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for every 6 children ages 4 years up to 6 years; (b) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see page 15). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see page 15). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilities 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for every 6 children ages 4 years up to 6 years; (b) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see page 15). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see page 15). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not Applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not Applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilities 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for every 6 children ages 4 years up to 6 years; (b) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see page 15). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see page 15). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. (2) The lifeguard shall not be counted in the staff-child ratio for children in the pool. (3) The staff-child ratio for children in the pool shall be: (a) 1 staff for every 6 children ages 4 years up to 6 years; (b) 1 staff for every 10 children ages 6 years and older. (4) Ratios shall be determined by the age of the youngest child in the pool. (5) Persons counted in the staff-child ratios for children in the pool shall meet child care worker qualifications, and shall be in the pool at all times. (6) In addition to the lifeguard and persons counted in the staff-child ratios for children in the pool, staff meeting child care worker qualifications shall be provided to supervise any child or children in the enclosed pool area (inside the fence), but not in the water (see page 15). (7) If any part of a child's body is in the water, the child shall be considered to be in the pool and shall be counted in the staff-child ratios for children in the pool. (8) Pools (above-ground on in ground) shall be enclosed with a fence or a solid wall with no doors, windows, or other openings. The fence or wall shall be at least four (4) feet in height, and shall be constructed to prevent accessibility by children. The sides of an above-ground pool shall not be considered a fence or wall. Gates and all other access areas shall be locked when the pool is not in use. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Required staff-child ratios shall be met at all times (see page 15). (2) There shall be at least two (2) staff at each wading structure at all times it is in use. Staff supervising children shall be within arm’s length providing ￿touch supervision.￿ (3) Clean water shall be provided each day. (4) The wading structure shall be emptied when not in use. c. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from vehicular traffic hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter C Facilities. 5 Outdoor Area a. For centers licensed, permitted, or approved after January 22, 2001, an off-street area for loading/unloading children shall be provided. Chapter E Transportation. 1 Transportation Provided by the Center. f. Safety precautions in all vehicles used and operated by the center in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check, on the required form, (See Appendix O, page 95, for required form.) shall be done annually and signed and dated by a certified mechanic, on all vehicles regularly used by the center to transport children. (2) A copy of the safety check, on the required form, shall be on file in the center. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. (See Appendix O, page 95, for required form.) HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 5 Outdoor Area a. An off-street area for loading/unloading children shall be provided. Chapter C Transportation f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES/ FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES/GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter C The Home 4 Transportation g. Doors of the vehicle shall be locked at all times when the vehicle is moving. h. All passengers and the driver shall be secured in a seat belt or a child passenger restraint system: (1) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (2) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (3) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (4) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (5) Each child six (6) years of age and older shall be secured in an individual seat belt, as prescribed by law, which is properly anchored to the vehicle. i. Children shall not be transported in the front seat of any vehicle with a passenger side air bag. j. Vehicle safety check (1) A safety check, on the required form, (See Appendix M, page 86), shall be done annually and signed and dated by a certified mechanic, on all vehicles regularly used by the home to transport children. (2) A copy of the safety check, on the required form, shall be on file in the home. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. (See Appendix M, page 86, for required form.) HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 5 Outdoor Area a. An off-street area for loading/unloading children shall be provided. Chapter C Transportation f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 5 Outdoor Area a. An off-street area for loading/unloading children shall be provided. Chapter C Transportation f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 5 Outdoor Area a. An off-street area for loading/unloading children shall be provided. Chapter C Transportation. 1 Transportation Provided by the Facility e. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; and ventilation and heating system. (3) All vehicles used to transport children shall be operated and maintained in full compliance with all applicable state and federal laws, rules, and regulations. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 5 Outdoor Area a. An off-street area for loading/unloading children shall be provided. Chapter C Transportation. 1 Transportation Provided by the Facility e. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; and ventilation and heating system. (3) All vehicles used to transport children shall be operated and maintained in full compliance with all applicable state and federal laws, rules, and regulations. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 5 Outdoor Area a. An off-street area for loading/unloading children shall be provided. Chapter C Transportation f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. 5.3.6 Prevention of shaken baby syndrome, abusive head trauma, and maltreatment health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of shaken baby syndrome and abusive head trauma and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter D. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (8) Infants/toddlers shall be handled gently. Staff shall support each infant's head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant's/toddler's mouth, face, or head, etc. Chapter D. Child Care Program 3. Preschool/School-age Children - Daily Program a. Learning/growth activities (7) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter D. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/ bizarre posture. (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that is inappropriate, offensive, threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter 2. Regulations E. Care of the Children 2. Infants and children shall be handled gently. The licensee and each caregiver shall support each infant's head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant's or child's mouth, face or head, etc. 4. Daily Program s. Infants shall be handled gently. The licensee and each caregiver shall support each infant's head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant's mouth, face or head, etc. 10. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of the children. b. The following disciplinary practices are prohibited: (1) Corporal or physical punishment is prohibited, including, but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; or ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre postures; (2) Verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that is inappropriate, offensive, threatens, humiliates, or frightens a child; (3) Discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) Physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited; (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head, etc.; (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter 2 Requirements B. Child Care Program 3. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not Applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not Applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter 2 Requirements B. Child Care Program 3. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. b. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of child maltreatment and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter D. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (8) Infants/toddlers shall be handled gently. Staff shall support each infant's head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant's/toddler's mouth, face, or head, etc. Chapter D. Child Care Program 3. Preschool/School-age Children - Daily Program a. Learning/growth activities (7) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter D. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/ bizarre posture. (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that is inappropriate, offensive, threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter 2. Regulations E. Care of the Children 2. Infants and children shall be handled gently. The licensee and each caregiver shall support each infant's head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant's or child's mouth, face or head, etc. 4. Daily Program s. Infants shall be handled gently. The licensee and each caregiver shall support each infant's head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant's mouth, face or head, etc. 10. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of the children. b. The following disciplinary practices are prohibited: (1) Corporal or physical punishment is prohibited, including, but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; or ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre postures; (2) Verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that is inappropriate, offensive, threatens, humiliates, or frightens a child; (3) Discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) Physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited; (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head, etc.; (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter 2 Requirements B. Child Care Program 3. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter 2 Requirements B. Child Care Program 3. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter B. Child Care Program 2. Infant/Toddler Daily Program a. Learning/growth activities (6) Infants/toddlers shall be handled gently. Staff shall support each infant’s head while lifting and holding the infant. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms’ pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering an infant’s/toddler’s mouth, face, or head, etc. Chapter B. Child Care Program 3. Preschool/School-age Children- Daily Program (5) Children shall be handled gently. Rough or harsh handling is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head or face; etc. Chapter B. Child Care Program 4. Disciplinary Practices a. Discipline shall be appropriate to the age and developmental level of each child. b. Disciplinary practices, including but not limited to the following, are prohibited: (1) The use of corporal or physical punishment is prohibited, including but not limited to: spanking; shaking; slapping; kicking; pushing; biting; pinching; hitting; thumping; hair pulling; ear pulling; excessive physical exercise, excessive rest, or strenuous/bizarre posture; (2) The use of verbal abuse is prohibited, including but not limited to: yelling; shouting; name calling; shaming; making derogatory remarks about a child or a child's family; using language that threatens, humiliates, or frightens a child; (3) The use of discipline associated with food, naps, or bathroom procedures is prohibited, including but not limited to: withholding food as punishment; use of food such as hot sauce, lemon juice, vinegar, etc., or soap, as punishment; punishment for lapses in toilet training; punishment for not sleeping during nap/rest time; (4) The use of physical restraint as punishment is prohibited; (5) Punishment administered by another child is prohibited. (6) Rough or harsh handling of children, whether associated with discipline or not, is prohibited, including but not limited to: shaking; lifting or jerking by one or both arms; pushing; pulling; forcing or restricting movement; lifting or moving by grasping clothing; covering a child's head; etc. (7) Physical activity/outdoor time taken away as punishment is prohibited. 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [ ] Evacuation ii. [ ] Relocation iii. [ ] Shelter-in-place iv. [ ] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [ ] Training [ ] Practice drills vii. [ ] Communication with families viii. [x] Reunification with families ix. [ ] Continuity of operations x. Accommodation of [x] Infants [ ] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: Evacuation. Currently, there are no evacuation procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On February 22, 2022, the lead agency received a Preliminary Notice of Possible Non- Compliance letter notifying the lead agency that evacuation procedures were not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Relocation. Currently, there are no relocation procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On February 22, 2022, the lead agency received a Preliminary Notice of Possible Non-Compliance letter notifying the lead agency that relocation procedures were not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Shelter-in-place. Currently, there are no shelter-in-place procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On February 22, 2022, the lead agency received a Preliminary Notice of Possible Non-Compliance letter notifying the lead agency that shelter-in-place procedures were not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Lock down. Currently, there are no lock down procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On February 22, 2022, the lead agency received a Preliminary Notice of Possible Non-Compliance letter notifying the lead agency that lock down procedures were not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Volunteer emergency preparedness-Training. Currently, there are no volunteer emergency preparedness training procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On May 9, 2024, the lead agency received a Preliminary Notice of Possible Non- Compliance letter notifying the lead agency that volunteer emergency preparedness training procedures were not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Volunteer emergency preparedness-Practice drills. Currently, there are no volunteer emergency preparedness practice drills procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On May 9, 2024, the lead agency received a Preliminary Notice of Possible Non- Compliance letter notifying the lead agency that volunteer emergency preparedness practice drills procedures were not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. Communication with Families. Currently, the lead agency does not list communication with families on the inspection checklists for licensed and license-exempt providers. On May 9, 2024, the lead agency received a Preliminary Notice of Possible Non-Compliance letter notifying the lead agency about the noncompliance. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Continuity of operations. Currently, there are no continuity of operations procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On February 22, 2022, the lead agency received a Preliminary Notice of Possible Non-Compliance letter notifying the lead agency that continuity of operations procedures was not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. Accommodation of Toddlers. Currently, there are no accommodation of toddlers' procedures for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. On February 22, 2022, the lead agency received a Preliminary Notice of Possible Non-Compliance letter notifying the lead agency that accommodation of toddlers' procedures was not included for licensed day care centers, licensed family daycare homes/group day homes, out of school time facilities, and legal exempt providers. The Lead Agency certifies that additional time is needed to come into compliance with the requirement noted in the letter. 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES C. Facilities k. Hazard prevention (11) Bio contaminants shall be: a. If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. b. If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. l. The center shall be clean. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth, or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle a. Mops used to clean up body fluids should be: i. cleaned; ii. rinsed with a disinfecting solution; iii. wrung as dry as possible; iv. and hung to dry completely. b. Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, the area should be cleaned and sanitized. (5) Contaminated Clothing a. Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. b. If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children and shall be disposed of daily. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES C. The Home 2. Indoor area a. Injury prevention (4) All poisons, cleaning supplies, flammable and other dangerous substances (including but not limited to anything that states, ￿Keep out of Reach of Children￿) shall be kept under lock and key or combination lock when not in use. (19) Bio contaminants: (a) If stored inside of the facility, the item must be disposed of in a covered, plastic lined receptacle, and stored in a locked area. The receptacle must be labeled as bio contaminants; (b) If stored outside of the facility, the item must be disposed of in a leakproof plastic bag that can be sealed and placed in a covered receptacle; b. Cleanliness and health (7) Disposable diapers shall be placed in a covered, plastic-lined trash container inaccessible to children. (8) Reusable (cloth) diapers shall be rinsed in the toilet, placed in a plastic bag, and stored out of reach of children. (9) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (10) The licensee and each caregiver shall wash his/her hands with soap and warm running water after diapering each child, after assisting with toileting, and after contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (11) The licensee and each caregiver shall use single-use disposable gloves for diapering. Clean gloves shall be used for diapering each child. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. (12) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Caregivers shall wear gloves unless the fluid can be easily contained by the material (e.g., paper towel or cloth) that is being used to clean up. Caregivers shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Caregivers’ hands must be washed with soap and water after cleaning up spills. Caregivers shall clean and disinfect any surfaces, such as counter tops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. . (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) hung to dry completely (b) Rugs and carpets. Contaminated carpet/rugs should be blotted as soon as possible to prevent the contaminants from penetrating the surface to lower layers. Next, the area should be cleaned and sanitized. (c) Contaminated clothing items may be sent home in a sealed, plastic bag which is labeled with the child’s name and stored inaccessible to the children. (d) If the home chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. 3. Outdoor Area (3) All poisons shall be kept in a locked area (lock and key or combination lock). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program II. REQUIREMENTS A. Facilities 4. Indoor Area h. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (9) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptable. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. 2. Preschool/School-age Children - Daily Program (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. (2) Face and hand washing (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program II. REQUIREMENTS A. Facilities 4. Indoor Area h. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (9) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptable. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. 2. Preschool/School-age Children - Daily Program (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. (2) Face and hand washing (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. b. Provide the standards, appropriate to the provider setting and age of children, that address the disposal of bio contaminants for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES C. Facilities k. Hazard prevention (11) Bio contaminants shall be: a. If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. b. If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. l. The center shall be clean. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth, or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle a. Mops used to clean up body fluids should be: i. cleaned; ii. rinsed with a disinfecting solution; iii. wrung as dry as possible; iv. and hung to dry completely. b. Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, the area should be cleaned and sanitized. (5) Contaminated Clothing a. Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. b. If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children and shall be disposed of daily. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES C. The Home 2. Indoor area a. Injury prevention (4) All poisons, cleaning supplies, flammable and other dangerous substances (including but not limited to anything that states, ￿Keep out of Reach of Children￿) shall be kept under lock and key or combination lock when not in use. (19) Bio contaminants: (a) If stored inside of the facility, the item must be disposed of in a covered, plastic lined receptacle, and stored in a locked area. The receptacle must be labeled as bio contaminants; (b) If stored outside of the facility, the item must be disposed of in a leakproof plastic bag that can be sealed and placed in a covered receptacle; b. Cleanliness and health (7) Disposable diapers shall be placed in a covered, plastic-lined trash container inaccessible to children. (8) Reusable (cloth) diapers shall be rinsed in the toilet, placed in a plastic bag, and stored out of reach of children. (9) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (10) The licensee and each caregiver shall wash his/her hands with soap and warm running water after diapering each child, after assisting with toileting, and after contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. (11) The licensee and each caregiver shall use single-use disposable gloves for diapering. Clean gloves shall be used for diapering each child. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. (12) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Caregivers shall wear gloves unless the fluid can be easily contained by the material (e.g., paper towel or cloth) that is being used to clean up. Caregivers shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Caregivers’ hands must be washed with soap and water after cleaning up spills. Caregivers shall clean and disinfect any surfaces, such as counter tops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. . (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) hung to dry completely (b) Rugs and carpets. Contaminated carpet/rugs should be blotted as soon as possible to prevent the contaminants from penetrating the surface to lower layers. Next, the area should be cleaned and sanitized. (c) Contaminated clothing items may be sent home in a sealed, plastic bag which is labeled with the child’s name and stored inaccessible to the children. (d) If the home chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. 3. Outdoor Area (3) All poisons shall be kept in a locked area (lock and key or combination lock). HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program II. REQUIREMENTS A. Facilities 4. Indoor Area h. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (9) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptable. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. 2. Preschool/School-age Children - Daily Program (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. (2) Face and hand washing (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program II. REQUIREMENTS A. Facilities 4. Indoor Area h. Hazard prevention (1) The facility shall be free from apparent hazardous conditions. (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. (9) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptable. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. 2. Preschool/School-age Children - Daily Program (2) Staff shall use universal precautions when diapering/toileting or being exposed to blood, fecal material, or urine. (2) Face and hand washing (b) Each staff person shall wash his/her hands with soap and running water before food preparation or service, after assisting with toileting, and after any contact with bodily fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program A. Facilities 4. Indoor Area k. Hazard prevention (2) All flammable, poisonous and other hazardous substances and materials shall be kept under lock and key or combination lock. All containers shall be labeled with the name of the substance or material it contains. 11) Bio contaminants: (a) If stored inside the facility, must be disposed of in a covered, plastic lined receptacle stored in a locked area. The container must be labeled as bio contaminants. (b) If stored outside the facility, must be disposed in a leak proof plastic bag that can be sealed and placed in a covered receptacle. (3) Spills of body fluids, including blood, feces, nasal and eye discharges, saliva, urine, and vomit shall be cleaned up immediately. Staff shall wear gloves. Staff shall be careful not to get any of the fluid in their eyes, nose, mouth or any open sores. Staff hands must be washed with soap and water after cleaning up spills. (4) Staff shall clean and disinfect any surfaces, such as countertops and floors, on which body fluids have been spilled. Contaminated materials shall be discarded in a plastic bag that has been securely sealed and placed in the appropriate bio contaminant receptacle. (a) Mops used to clean up body fluids should be: (i) cleaned; (ii) rinsed with a disinfecting solution; (iii) wrung as dry as possible; (iv) and hung to dry completely. (b) Contaminated rugs and carpets should be blotted as soon as possible to prevent the contaminants from penetrating through the surface to lower layers. Next, they are to be cleaned and sanitized. (5) Contaminated Clothing (a) Contaminated clothing items may be sent home in a sealed, plastic bag that is labeled with the child’s name and stored in an area that is not accessible to children. (b) If the center chooses to wash the contaminated items, the items must be washed separately from non-contaminated items. B. Child Care Program 2. Infant/Toddler Daily Program b. Diapering/toileting (7) Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. (8) Each staff person shall wash his/her hands with soap and warm running water before and immediately after diapering each child and after contact with bodily fluids, even if gloves are used. (9) Each staff person shall use single-use disposable gloves for diapering each child. Clean gloves shall be used for each diaper change. Used gloves shall be disposed of in a covered, plastic-lined container, inaccessible to children, and shall be disposed of daily. Each staff person shall wash his/her hands with soap and warm running water after diapering each child. Individual disposable paper towels shall be used for hand drying (10) Wet or soiled diapers shall be placed in a covered, plastic-lined, container, inaccessible to children, and shall be disposed of daily. (11) Individual, disposable wipes and gloves shall be used at each diaper change. Soiled wipes shall be placed in a covered, plastic-lined container, kept out of the reach of children, and disposed of properly. 5.3.9 Precautions in transporting children health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address precautions in transporting children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Care Licensing and Performance Standards for Day Care Centers and Nighttime Centers Regulations and Procedures Chapter E. Transportation 1. Transportation Provided by the Center a. IF THE CENTER PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE CENTER, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE CENTER PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE CENTER AND THAT THE LICENSEE ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The center shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the center. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away from-the-center activities. C. Transportation checklists (1) Checklists, on the required form, shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the center. (See Appendix N., page 92, for required forms.) (2) The center shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the center for the current year plus at least two (2) additional years. (See Section H., 5., page 54, for requirements regarding records to be kept in the center.) d. When the center provides transportation to and from the home or another designated location, the center shall be responsible for picking the child up at the designated location and delivering the child to the care of the designated person. e. Supervision of children in center vehicles. (1) In addition to the driver, staff shall be provided to meet required staff-child ratios for children younger than lawful school age. (See definition, page 9) (See Section D., 1., a., on page 22, for required ratios.) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) A staff person shall accompany each child younger than 2½ years of age from the vehicle to the care of the designated person. (7) A staff person shall visually supervise each child 2½ years of age and older from the vehicle to the care of a designated person. (8) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. f. Safety precautions in all vehicles used and operated by the center in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check, on the required form, (See Appendix O, page 95, for required form.) shall be done annually and signed and dated by a certified mechanic, on all vehicles regularly used by the center to transport children. (2) A copy of the safety check, on the required form, shall be on file in the center. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. (See Appendix O, page 95, for required form.) Chapter E. Transportation 2. Transportation provided by the Parent(s)/Guardian(s) or Other Designated Person(s) a. Each child being transported by parent(s)/guardian(s) or other designated person(s) shall be accompanied into and out of the center by the parent, guardian, or other person. b. The center shall require the parent(s)/guardian(s) or other person(s) designated by the parent(s)/guardian(s) to sign (signature required, initials not acceptable) each child in/out at each arrival/departure to the center, indicating the time of arrival/departure. (See Appendix J., page 87, for sample form.) An exception to the written signature will allow the use of Biometric ID for parent(s)/guardians(s). This Biometric ID system will measure some unique aspects of the individual such as but not limited to fingerprint and/or iris recognition. c. If any child walks to the center from school or another designated location, or is transported to/from the center by school bus, center staff shall sign (signature required, initials not acceptable) each child in upon arrival, indicating time of arrival. d. The center shall require written authorization from a child's parent(s)/guardian(s) to release a child to any person other than the parent(s)/guardian(s) or persons designated on the child's preadmission form. (See required Child's Preadmission Record, Appendix G., page 83.) e. The center shall require unfamiliar authorized persons to show photographic identification when releasing a child. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter C. Transportation 4. Transportation Provided by the Facility a. IF THE FACILITY PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE FACILITY, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE FACILITY PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE FACILITY AND THAT THE FACILITY ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The facility shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the facility. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away-from-the-facility activities. c. Transportation checklists (1) Checklists shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the facility. (2) The facility shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the facility for the current year plus two (2) additional years. d. When the facility provides transportation to and from the home or another designated location, the facility shall be responsible for picking the child up at the designated location and delivering the child to the care of the designated person. e. Supervision of children in facility vehicles. (1) In addition to the driver, staff shall be provided to meet required staff: child ratios for children younger than lawful school age (see pages 15-16) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) A staff person shall accompany each child younger than 2½ years of age from the vehicle to the care of the designated person. (7) A staff person shall visually supervise each child 2½ years of age and older from the vehicle to the care of a designated person. (8) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. Chapter C. Transportation 2. Transportation Provided by Parent(s)/Guardian(s) or Other Designated Person(s) a. Each child being transported by parent(s)/guardian(s) or other designated person(s) shall be accompanied into and out of the facility by the parent, guardian, or other person. b. The facility shall require the parent(s)/guardian(s) or other person(s) designated by the parent(s)/guardian(s) to sign (signature required, initials not acceptable) each child in/out at each arrival/departure to the facility, indicating the time of arrival/departure. An exception to the written signature will allow the use of the Biometric ID for parent(s)/guardian(s). The Biometric ID System will measure some unique aspect of the individual such as but not limited to fingerprint and/or eyes-iris recognition. c. If any child walks to the facility from school or another designated location, or is transported to/from the facility by school bus, facility staff shall sign (signature required, initials not acceptable) each child in upon arrival, indicating time of arrival. d. The facility shall require written authorization from a child's parent(s)/guardian(s) to release a child to any person other than the parent(s)/guardian(s) or persons designated on the child's preadmission form. e. The facility shall require unfamiliar authorized persons to show photographic identification when releasing a child. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter C. The Home 4. Transportation If the licensee provides activities away from the home, a written statement, signed by each child's parent(s)/guardian(s), shall be on file in the home prior to the child's participation is such activities. The statement shall indicate that the parent(s)/guardian(s) has/have been informed the Department of Human Resources does not inspect activities provided away from the home and that the licensee assumes full responsibility for such activities. a. The licensee shall be responsible for children whom they transport during the hours of care. b. When the licensee provides transportation to and from the home or another designated location, the licensee shall be responsible for picking the child up at the designated location and delivering the child to the care of the designated person. c. A transportation checklist shall be used any time children are transported, walking or by vehicle, to account for each child at every location. (See Appendix L, page 83, for required form.) d. The licensee shall not transport any child in a vehicle without the written consent of the child’s parent(s)/guardian(s). e. No child shall be left in a vehicle without adult supervision. f. The driver of the vehicle shall have a valid driver's license. g. Doors of the vehicle shall be locked at all times when the vehicle is moving. h. All passengers and the driver shall be secured in a seat belt or a child passenger restraint system: (1) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (2) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (3) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (4) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (5) Each child six (6) years of age and older shall be secured in an individual seat belt, as prescribed by law, which is properly anchored to the vehicle. i. Children shall not be transported in the front seat of any vehicle with a passenger side air bag. j. Vehicle safety check (1) A safety check, on the required form, (See Appendix M, page 86), shall be done annually and signed and dated by a certified mechanic, on all vehicles regularly used by the home to transport children. (2) A copy of the safety check, on the required form, shall be on file in the home. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter C. Transportation 4. Transportation Provided by the Facility a. IF THE FACILITY PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE FACILITY, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE FACILITY PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE FACILITY AND THAT THE FACILITY ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The facility shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the facility. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away-from-the-facility activities. c. Transportation checklists (1) Checklists shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the facility. (2) The facility shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the facility for the current year plus two (2) additional years. d. When the facility provides transportation to and from the home or another designated location, the facility shall be responsible for picking the child up at the designated location and delivering the child to the care of the designated person. e. Supervision of children in facility vehicles. (1) In addition to the driver, staff shall be provided to meet required staff: child ratios for children younger than lawful school age (see pages 15-16) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) A staff person shall accompany each child younger than 2½ years of age from the vehicle to the care of the designated person. (7) A staff person shall visually supervise each child 2½ years of age and older from the vehicle to the care of a designated person. (8) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. Chapter C. Transportation 2. Transportation Provided by Parent(s)/Guardian(s) or Other Designated Person(s) a. Each child being transported by parent(s)/guardian(s) or other designated person(s) shall be accompanied into and out of the facility by the parent, guardian, or other person. b. The facility shall require the parent(s)/guardian(s) or other person(s) designated by the parent(s)/guardian(s) to sign (signature required, initials not acceptable) each child in/out at each arrival/departure to the facility, indicating the time of arrival/departure. An exception to the written signature will allow the use of the Biometric ID for parent(s)/guardian(s). The Biometric ID System will measure some unique aspect of the individual such as but not limited to fingerprint and/or eyes-iris recognition. c. If any child walks to the facility from school or another designated location, or is transported to/from the facility by school bus, facility staff shall sign (signature required, initials not acceptable) each child in upon arrival, indicating time of arrival. d. The facility shall require written authorization from a child's parent(s)/guardian(s) to release a child to any person other than the parent(s)/guardian(s) or persons designated on the child's preadmission form. e. The facility shall require unfamiliar authorized persons to show photographic identification when releasing a child. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter C. Transportation 4. Transportation Provided by the Facility a. IF THE FACILITY PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE FACILITY, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE FACILITY PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE FACILITY AND THAT THE FACILITY ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The facility shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the facility. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away-from-the-facility activities. c. Transportation checklists (1) Checklists shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the facility. (2) The facility shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the facility for the current year plus two (2) additional years. d. When the facility provides transportation to and from the home or another designated location, the facility shall be responsible for picking the child up at the designated location and delivering the child to the care of the designated person. e. Supervision of children in facility vehicles. (1) In addition to the driver, staff shall be provided to meet required staff: child ratios for children younger than lawful school age (see pages 15-16) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) A staff person shall accompany each child younger than 2½ years of age from the vehicle to the care of the designated person. (7) A staff person shall visually supervise each child 2½ years of age and older from the vehicle to the care of a designated person. (8) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. Chapter C. Transportation 2. Transportation Provided by Parent(s)/Guardian(s) or Other Designated Person(s) a. Each child being transported by parent(s)/guardian(s) or other designated person(s) shall be accompanied into and out of the facility by the parent, guardian, or other person. b. The facility shall require the parent(s)/guardian(s) or other person(s) designated by the parent(s)/guardian(s) to sign (signature required, initials not acceptable) each child in/out at each arrival/departure to the facility, indicating the time of arrival/departure. An exception to the written signature will allow the use of the Biometric ID for parent(s)/guardian(s). The Biometric ID System will measure some unique aspect of the individual such as but not limited to fingerprint and/or eyes-iris recognition. c. If any child walks to the facility from school or another designated location, or is transported to/from the facility by school bus, facility staff shall sign (signature required, initials not acceptable) each child in upon arrival, indicating time of arrival. d. The facility shall require written authorization from a child's parent(s)/guardian(s) to release a child to any person other than the parent(s)/guardian(s) or persons designated on the child's preadmission form. e. The facility shall require unfamiliar authorized persons to show photographic identification when releasing a child. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter C. Transportation 1. Transportation Provided by the Facility. a. IF THE FACILITY PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE FACILITY, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE FACILITY PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE FACILITY AND THAT THE FACILITY ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The facility shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the facility. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away-from-the-facility activities. c. Transportation checklists (1) Checklists shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the facility. (2) The facility shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the facility for the current year plus two additional years. d. Supervision of children in facility vehicles. (1) In addition to the driver, staff shall be provided to meet required staff: child ratios for children younger than lawful school age (see page 15) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. e. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; and ventilation and heating system. (3) All vehicles used to transport children shall be operated and maintained in full compliance with all applicable state and federal laws, rules, and regulations. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter C. Transportation 1. Transportation Provided by the Facility. a. IF THE FACILITY PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE FACILITY, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE FACILITY PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE FACILITY AND THAT THE FACILITY ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The facility shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the facility. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away-from-the-facility activities. c. Transportation checklists (1) Checklists shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the facility. (2) The facility shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the facility for the current year plus two additional years. d. Supervision of children in facility vehicles. (1) In addition to the driver, staff shall be provided to meet required staff: child ratios for children younger than lawful school age (see page 15) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. e. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; and ventilation and heating system. (3) All vehicles used to transport children shall be operated and maintained in full compliance with all applicable state and federal laws, rules, and regulations. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter C. Transportation 4. Transportation Provided by the Facility a. IF THE FACILITY PROVIDES TRANSPORTATION OR ANY ACTIVITIES AWAY FROM THE FACILITY, A WRITTEN STATEMENT, SIGNED BY EACH CHILD'S PARENT(S)/GUARDIAN(S), SHALL BE ON FILE IN THE FACILITY PRIOR TO THE CHILD'S PARTICIPATION IN SUCH ACTIVITIES. THE STATEMENT SHALL INDICATE THAT THE PARENT(S)/GUARDIAN(S) HAS/HAVE BEEN INFORMED THAT THE DEPARTMENT OF HUMAN RESOURCES DOES NOT INSPECT ACTIVITIES PROVIDED AWAY FROM THE FACILITY AND THAT THE FACILITY ASSUMES FULL RESPONSIBILITY FOR SUCH ACTIVITIES. b. The facility shall be responsible for each child who is using transportation contracted for, arranged by, or provided by the facility. For purposes of these regulations, transportation includes the use of vehicles as well as walking to and from away-from-the-facility activities. c. Transportation checklists (1) Checklists shall be used to account for the loading and unloading of each child from the vehicle at every location. Checklists shall also be used to account for each child during activities that include walking to and from the facility. (2) The facility shall designate the staff person responsible for completing the checklist. The designated staff person shall sign (initials are not acceptable) the checklist when it has been completed. (3) The driver of the vehicle shall sign (initials are not acceptable) the completed checklist at each location, indicating he or she has checked each seat in the vehicle at each location to verify that no child is left on the vehicle. (4) Completed checklists shall be kept on file in the facility for the current year plus two (2) additional years. d. When the facility provides transportation to and from the home or another designated location, the facility shall be responsible for picking the child up at the designated location and delivering the child to the care of the designated person. e. Supervision of children in facility vehicles. (1) In addition to the driver, staff shall be provided to meet required staff: child ratios for children younger than lawful school age (see pages 15-16) NOTE: The driver of the vehicle shall not be counted in the required staff-child ratio when children younger than lawful school age are transported. (2) For children of lawful school age and older, fewer than fifteen (15) children may be transported with only the driver of the vehicle, provided the driver meets child care worker qualifications. (3) If fifteen (15) or more children of lawful school age are transported, at least one (1) staff person in addition to the driver shall be required. (4) If thirty (30) or more children of lawful school age are transported, at least two (2) staff persons in addition to the driver shall be required. (5) No child shall be left in a vehicle without adult supervision at any time. (6) A staff person shall accompany each child younger than 2½ years of age from the vehicle to the care of the designated person. (7) A staff person shall visually supervise each child 2½ years of age and older from the vehicle to the care of a designated person. (8) The driver shall check each seat of the vehicle at each location to verify that no child is left on the vehicle. f. Safety precautions in all vehicles used and operated by the facility in transporting children. (1) Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. (2) Doors shall be locked at all times when the vehicle is moving. (3) Children shall not be transported in the front seat of any vehicle with a passenger side air bag. (4) The driver of the vehicle and all passengers shall be secured in a passenger restraint system at all times when the vehicle is moving. (5) Each child shall be properly secured using an aftermarket or integrated child passenger restraint system meeting applicable state and federal motor vehicle safety standards. Each child passenger restraint system shall be appropriate for the age and size of the child. (a) Each child younger than one (1) year of age or weighing less than twenty (20) pounds shall be secured in an infant only or a convertible seat used in a rear facing position which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (b) Each child younger than five (5) years of age or weighing less than 40 pounds shall be properly secured in a convertible seat in the forward facing position or in a forward facing seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (c) Each child younger than six (6) years of age shall be properly secured in a booster seat which is properly anchored to the vehicle, installed and used according to the manufacturer's instructions and maintained in good condition. (d) Each child six (6) years of age and older, the driver, and each adult passenger shall be secured in an individual seat belt, which is properly anchored to the vehicle. g. Vehicle safety check (1) A safety check shall be done annually and signed and dated by a mechanic, on all vehicles regularly used by the facility to transport children. (2) A copy of the safety check shall be on file in the facility. The safety check shall show that the following items are operating in a safe condition: brakes; tires; lights (head, signal, brake, tail); windshield wipers; steering; and exhaust system; ventilation and heating system; and passenger restraint systems. Chapter C. Transportation 2. Transportation Provided by Parent(s)/Guardian(s) or Other Designated Person(s) a. Each child being transported by parent(s)/guardian(s) or other designated person(s) shall be accompanied into and out of the facility by the parent, guardian, or other person. b. The facility shall require the parent(s)/guardian(s) or other person(s) designated by the parent(s)/guardian(s) to sign (signature required, initials not acceptable) each child in/out at each arrival/departure to the facility, indicating the time of arrival/departure. An exception to the written signature will allow the use of the Biometric ID for parent(s)/guardian(s). The Biometric ID System will measure some unique aspect of the individual such as but not limited to fingerprint and/or eyes-iris recognition. c. If any child walks to the facility from school or another designated location, or is transported to/from the facility by school bus, facility staff shall sign (signature required, initials not acceptable) each child in upon arrival, indicating time of arrival. d. The facility shall require written authorization from a child's parent(s)/guardian(s) to release a child to any person other than the parent(s)/guardian(s) or persons designated on the child's preadmission form. e. The facility shall require unfamiliar authorized persons to show photographic identification when releasing a child. 5.3.10 Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address pediatric first aid for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The lead agency received a Preliminary Notice of Possible Non-Compliance letter on February 22, 2022, notifying the lead agency of a non-compliance related to pediatric first aid training for licensed day care centers, licensed group day care homes, licensed family day care homes, out of school time facilities, and legal exempt providers. The lead agency needs additional time to meet the requirement for addressing pediatric (or age-appropriate) first aid training for all staff. Currently, the lead agency’s performance standards require first aid but not specifically pediatric (or age-appropriate) first aid for all staff. CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter C Facilities. 6. Swimming and Wading at the Center b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR). A copy of each certificate or certification shall be on file in the center Chapter C Facilities. 6. Swimming and Wading at the Center. c Wading structures less than two (2) feet in depth: 1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates or Certifications shall be on file in the center. Chapter D Childcare Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (9) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate shall be present during all hours of operation. Chapter D Childcare Program. 6 Health Information. a Illness and Injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two (2) staff members with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate shall be in the center during hours of operation. A copy of the Certificates or Certifications shall be on file in the center. Chapter F Staff. 1. Qualifications of Staff g. The director, teachers, aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required areas: (10) First aide and CPR and; Chapter F Staff. 2. Records on Staff (6) In addition to (1) through (5) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR), if there is a pool at the center. A copy of each certificate or certification shall be on file in the center. (See Section C., 6., page 19, for additional information). (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) shall be on file for at least two (2) staff present at the center during hours of operation. (See Section D., 1., b., (9), page 23. Chapter F Staff. 2 Records on Staff b. Additional records to be maintained during employment (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and updated First Aid Certificate. Chapter F Staff. 4. In-Service Training for Staff g. Thereafter, the director, teachers aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required areas: (10) First aide and CPR and; HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The lead agency received a Preliminary Notice of Possible Non-Compliance letter on February 22, 2022, notifying the lead agency of a non-compliance related to pediatric first aid training for licensed day care centers, licensed group day care homes, licensed family day care homes, out of school time facilities, and legal exempt providers. The lead agency needs additional time to meet the requirement for addressing pediatric (or age-appropriate) first aid training for all staff. Currently, the lead agency’s performance standards require first aid but not specifically pediatric (or age-appropriate) first aid for all staff. CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter D Licensee, Members of the Household, Caregivers and Substitutes 3. Qualifications c. Prior to initial licensing, the applicant/licensee shall submit to the Department a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate. d. The licensee shall submit an updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and an updated First Aid Certificate to the Department when these certifications and/or certificates expire. k. The applicant/licensee shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; Thereafter, the licensee shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; Chapter D Licensee, Members of the Household, Caregivers and Substitutes 5. Substitutes The licensee shall have at least one (1) substitute. Another licensed child care provider shall not be a substitute. Substitutes shall care for the children in the licensee's home. d. For each substitute, the following information shall be on file in the home: (8) Documentation of a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate; e. Substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (10) First Aid and CPR; f. Thereafter, the substitute shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (10) First Aid and CPR; Chapter F Administration. 3. Records to be kept by the licensee d. Written verification of training for the applicant/licensee, including: (1) written documentation of a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate; e. The following information shall be kept in an individual file in the home for each assistant caregiver and each substitute: (9) written verification of training, including: (a) written documentation of a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate; Chapter H Group Day Care Homes In addition to the preceding regulations (except for Section G., Nighttime Care), homes offering group day care for at least seven (7) but no more than twelve (12) children, shall meet the following regulations: 8. Assistant Caregiver Training a. The Assistant Caregiver shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; (b) Thereafter, the Assistant Caregiver shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The lead agency received a Preliminary Notice of Possible Non-Compliance letter on February 22, 2022, notifying the lead agency of a non-compliance related to pediatric first aid training for licensed day care centers, licensed group day care homes, licensed family day care homes, out of school time facilities, and legal exempt providers. The lead agency needs additional time to meet the requirement for addressing pediatric (or age-appropriate) first aid training for all staff. Currently, the lead agency’s performance standards require first aid but not specifically pediatric (or age-appropriate) first aid for all staff. HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. HEALTH and SAFETY GUIDELINESREQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilites. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. Chapter A Facilites. 6. Swimming and Wading at the Facility c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1. Staffing. b. Staff Coverage shall be determined by the following: (3) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation. Chapter B Child Care Program. 4. Health Information. a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two (2) staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility Chapter D Staff. 1. Qualifications of Staff. a. Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall include but need not be limited to: (2) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve(12) required areas: (j) First aid and CPR; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The lead agency received a Preliminary Notice of Possible Non-Compliance letter on February 22, 2022, notifying the lead agency of a non-compliance related to pediatric first aid training for licensed day care centers, licensed group day care homes, licensed family day care homes, out of school time facilities, and legal exempt providers. The lead agency needs additional time to meet the requirement for addressing pediatric (or age- appropriate) first aid training for all staff. Currently, the lead agency’s performance standards require first aid but not specifically pediatric (or age- appropriate) first aid for all staff. HEALTH and SAFETY GUIDELINESREQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilites. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. Chapter A Facilites. 6. Swimming and Wading at the Facility c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1. Staffing. b. Staff Coverage shall be determined by the following: (3) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation. Chapter B Child Care Program. 4. Health Information. a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two (2) staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility Chapter D Staff. 1. Qualifications of Staff. a. Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall include but need not be limited to: (2) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve(12) required areas: (j) First aid and CPR; HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. b. Provide the standards, appropriate to the provider setting and age of children, that address pediatric cardiopulmonary resuscitation for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR DAY CARE CENTERS AND NIGHTTIME CENTERS REGULATIONS AND PROCEDURES Chapter C Facilities. 6. Swimming and Wading at the Center b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR). A copy of each certificate or certification shall be on file in the center Chapter C Facilities. 6. Swimming and Wading at the Center. c Wading structures less than two (2) feet in depth: 1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates or Certifications shall be on file in the center. Chapter D Childcare Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (9) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate shall be present during all hours of operation. Chapter D Childcare Program. 6 Health Information. a Illness and Injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two (2) staff members with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate shall be in the center during hours of operation. A copy of the Certificates or Certifications shall be on file in the center. Chapter F Staff. 1. Qualifications of Staff g. The director, teachers, aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required areas: (10) First aide and CPR and; Chapter F Staff. 2. Records on Staff (6) In addition to (1) through (5) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR), if there is a pool at the center. A copy of each certificate or certification shall be on file in the center. (See Section C., 6., page 19, for additional information). (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) shall be on file for at least two (2) staff present at the center during hours of operation. (See Section D., 1., b., (9), page 23. Chapter F Staff. 2 Records on Staff b. Additional records to be maintained during employment (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and updated First Aid Certificate. Chapter F Staff. 4. In-Service Training for Staff g. Thereafter, the director, teachers aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required areas: (10) First aide and CPR and; HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES Chapter D Licensee, Members of the Household, Caregivers and Substitutes 3. Qualifications c. Prior to initial licensing, the applicant/licensee shall submit to the Department a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate. d. The licensee shall submit an updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and an updated First Aid Certificate to the Department when these certifications and/or certificates expire. k. The applicant/licensee shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; Thereafter, the licensee shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; Chapter D Licensee, Members of the Household, Caregivers and Substitutes 5. Substitutes The licensee shall have at least one (1) substitute. Another licensed child care provider shall not be a substitute. Substitutes shall care for the children in the licensee's home. d. For each substitute, the following information shall be on file in the home: (8) Documentation of a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate; e. Substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (10) First Aid and CPR; f. Thereafter, the substitute shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (10) First Aid and CPR; Chapter F Administration. 3. Records to be kept by the licensee d. Written verification of training for the applicant/licensee, including: (1) written documentation of a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate; e. The following information shall be kept in an individual file in the home for each assistant caregiver and each substitute: (9) written verification of training, including: (a) written documentation of a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certification (CPR) and a current First Aid Certificate; Chapter H Group Day Care Homes In addition to the preceding regulations (except for Section G., Nighttime Care), homes offering group day care for at least seven (7) but no more than twelve (12) children, shall meet the following regulations: 8. Assistant Caregiver Training a. The Assistant Caregiver shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; (b) Thereafter, the Assistant Caregiver shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (10) First aid and CPR; HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. HEALTH and SAFETY GUIDELINESREQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilites. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. Chapter A Facilites. 6. Swimming and Wading at the Facility c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1. Staffing. b. Staff Coverage shall be determined by the following: (3) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation. Chapter B Child Care Program. 4. Health Information. a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two (2) staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility Chapter D Staff. 1. Qualifications of Staff. a. Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall include but need not be limited to: (2) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve(12) required areas: (j) First aid and CPR; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: HEALTH and SAFETY GUIDELINESREQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program Chapter A Facilites. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. Chapter A Facilites. 6. Swimming and Wading at the Facility c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1. Staffing. b. Staff Coverage shall be determined by the following: (3) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation. Chapter B Child Care Program. 4. Health Information. a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two (2) staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility Chapter D Staff. 1. Qualifications of Staff. a. Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall include but need not be limited to: (2) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve(12) required areas: (j) First aid and CPR; HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter A Facilities. 6. Swimming and Wading at the Facility b. Pools two (2) feet or more in depth: (1) A lifeguard shall be at poolside at all times the pool is in use. Each lifeguard shall have a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR). A copy of each certificate shall be on file in the facility. c. Wading structures less than two (2) feet in depth: (1) There shall be at least one (1) staff person with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, present at each wading structure at all times children are in the wading area. A copy of the CPR and First Aid Certificates shall be on file in the facility. Chapter B Child Care Program. 1 Staffing. b. Staff Coverage shall be determined by the following: (7) At least two (2) staff who are at least 18 years of age, who meet child care worker qualifications and have a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present during all hours of operation Chapter B Child Care Program. 5. Health Information a. Illness and injury (5) Infant-child Cardiopulmonary Resuscitation (CPR) and First Aid. At least two staff persons with a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate shall be in the facility during hours of operation. A copy of the Certificates shall be on file in the facility. Chapter D Staff. 1 Qualifications of Staff a. Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (10) First aid and CPR; Chapter D Staff. 2 Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall be filed in alphabetical order. Records shall contain originals or clear copies of required information. Inactive files shall be maintained separately from active files. Records shall include but need not be limited to: (4) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (j) First aid and CPR; 6) In addition to (1) through (4) above, the following specialized records shall be maintained if applicable to the staff person's specific responsibilities: (c) Written documentation of a current American Red Cross Lifeguard Training Certificate, a current First Aid Certificate, and a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR), if there is a pool at the facility. A copy of each certificate shall be on file in the facility. (d) Written documentation of a current First Aid Certificate and a current Infant- Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) shall be on file for at least one (1) staff person present at the facility during hours of operation. Chapter D Staff. 2 Records on Staff b. Additional records to be maintained during employment. (4) Written documentation of updated Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and updated First Aid Certificate. Chapter F Nighttime Facilities. 2. Child Care Program a. Staffing (3) At least two (2) staff person who are at least 18 years of age, who meets child care worker qualifications and has a current Infant-Child (Pediatric) Cardiopulmonary Resuscitation Certificate (CPR) and a current First Aid Certificate, shall be present in the facility during all hours of operation. Copies of the certificates shall be kept on file in the facility. 5.3.11 Identification and reporting of child abuse and neglect health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Care Licensing and Performance Standards for Day Care and Nighttime Centers Regulations and Procedures. F. Staff Qualifications of Staff 1. Qualifications of Staff it states g. The director, teachers, aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required areas: (9) Recognition and reporting of child abuse and neglect. 4. In-Service Training for Staff g. Thereafter, the director, teachers aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required areas: 9) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child Care Licensing and Performance Standards for Family Day Care Homes/Family Nighttime Homes and Group Day Care Homes/Group Nighttime Homes Regulations and Procedures. 3. Qualifications, k. The applicant/licensee shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: 9) Recognition and reporting of child abuse and neglect. Thereafter, the licensee shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Under the section Substitutes it states Substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, the substitute shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Under the section Assistant Caregiver Training, it states The Assistant Caregiver shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, the Assistant Caregiver shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Out of School Time Facilities Participating in the Child Care Subsidy Program. The requirement can be found under the section Qualifications of Staff. It states Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Out of School Time Facilities Participating in the Child Care Subsidy Program. The requirement can be found under the section Qualifications of Staff. It states Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. b. Provide your standards, appropriate to the provider setting and age of children, that address the reporting of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: In the Performance Standards for Day Care Centers and Nighttime Centers Regulations and Procedures, under the section Reports to the Department. It states Child Abuse/Neglect reports (1) Each staff person is required by law (Code of Alabama 1975) to report known or suspected child abuse or neglect (see definition, Section A., 6, page 7) to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information. (4) The licensee and all staff persons, employees, and volunteers shall cooperate with Department personnel on any child abuse or neglect investigation, including providing information to the Department’s representatives and allowing access to children and records. F. Staff Qualifications of Staff 1. Qualifications of Staff it states g. The director, teachers, aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required areas: (9) Recognition and reporting of child abuse and neglect. 4. In-Service Training for Staff g. Thereafter, the director, teachers aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required areas: 9) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Reports to the Department it states Child Abuse/Neglect reports (1) Each staff person is required by law to report known or suspected child abuse or neglect to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information (see page 43 for Title 26, Chapter 14, Reporting of Child Abuse or Neglect). Under section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The requirements are defined in the Child Care Licensing and Performance Standards for Family Day Care Homes/Family Nighttime Homes and Group Day Care Homes/Group Nighttime Homes Regulations and Procedures. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information. cd. The licensee, household members, and all caregivers shall cooperate with the Department personnel on any child abuse or neglect investigation, including providing information to workers and allowing access to children and records. 3. Qualifications, k. The applicant/licensee shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: 9) Recognition and reporting of child abuse and neglect. Thereafter, the licensee shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Under the section Substitutes it states Substitutes shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, the substitute shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Under the section Assistant Caregiver Training, it states The Assistant Caregiver shall have at least one (1) hour of preservice training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, the Assistant Caregiver shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (9) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Reports to the Department it states Child Abuse/Neglect reports (1) Each staff person is required by law to report known or suspected child abuse or neglect to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information (see page 43 for Title 26, Chapter 14, Reporting of Child Abuse or Neglect). Under section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. iii. All CCDF-eligible licensed in-home care. Provide the standard: Not applicable [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Reports to the Department it states Child Abuse/Neglect reports (1) Each staff person is required by law to report known or suspected child abuse or neglect to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information (see page 43 for Title 26, Chapter 14, Reporting of Child Abuse or Neglect). Under section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Out of School Time Facilities Participating in the Child Care Subsidy Program. The requirement can be found under the section Reports to the Department it states Child Abuse/Neglect reports (1) Each staff person is required by law to report known or suspected child abuse or neglect to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information (see page 43 for Title 26, Chapter 14, Reporting of Child Abuse or Neglect). Under section Qualifications of Staff. It states Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: not applicable vi. All CCDF-eligible license-exempt in-home care. Provide the standard: not applicable vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Out of School Time Facilities Participating in the Child Care Subsidy Program. The requirement can be found under the section Reports to the Department it states Child Abuse/Neglect reports (1) Each staff person is required by law to report known or suspected child abuse or neglect to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information (see page 43 for Title 26, Chapter 14, Reporting of Child Abuse or Neglect). Under section Qualifications of Staff. It states Within ninety (90) days after employment, child care workers/teachers shall have at least one (1) hour preservice/ongoing training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. The requirement is defined in Health and Safety Guidelines-Requirements and Procedures for Facilities Participating in the Child Care Subsidy Program under the section Reports to the Department it states Child Abuse/Neglect reports (1) Each staff person is required by law to report known or suspected child abuse or neglect to the County Department of Human Resources or the local chief of police, or county sheriff. The report shall be made immediately by telephone or direct oral communication, followed by a written report, containing all known information (see page 43 for Title 26, Chapter 14, Reporting of Child Abuse or Neglect). Under section Qualifications of Staff it states Child care workers/teachers who have primary responsibility for the care of a group of children shall be at least 18 years of age and shall have a high school diploma or general education diploma (G.E.D.). Within ninety (90) days after employment, child care workers/ teachers shall have at least one (1) hour of preservice training from an outside source in each of the following twelve (12) required areas: (9) Recognition and reporting of child abuse and neglect. Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (i) Recognition and reporting of child abuse and neglect. c. Confirm if child care providers must comply with the Lead Agency’s procedures for reporting child abuse and neglect as required by the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i): [x] Yes, confirmed. [ ] No. If no, describe: 5.3.12 Additional optional standards In addition to the required health and safety standards, does the Lead Agency require providers to comply with the following optional standards? [ ] Yes. [x] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: ii. Access to physical activity. Describe: iii. Caring for children with special needs. Describe: iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: