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: No child or staff shall be admitted who has a contagious or infectious disease. Possible symptoms of contagious or infectious diseases would include: fever over 101, diarrhea, vomiting, and rashes. The parent or legal guardian shall be notified as soon as possible when a child has any symptom that requires exclusion from the facility. The child shall be separated from other children and closely monitored until the parent arrives to pick the child up. Section 1100, Health for all License types in Arkansas. Child Care Centers: https://dese.ade.arkansas.gov/Files/2020-CCC- Clean-Copy_20230506115600.pdf ii. All CCDF-eligible licensed family child care homes. Provide the standard: No child or staff shall be admitted who has a contagious or infectious disease. Possible symptoms of contagious or infectious diseases would include: fever over 101, diarrhea, vomiting, and rashes. The parent or legal guardian shall be notified as soon as possible when a child has any symptom that requires exclusion from the facility. The child shall be separated from other children and closely monitored until the parent arrives to pick the child up. Licensed Family Home: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf iii. All CCDF-eligible licensed in-home care. Provide the standard: No child or staff shall be admitted who has a contagious or infectious disease. Possible symptoms of contagious or infectious diseases would include: fever over 101, diarrhea, vomiting, and rashes. The parent or legal guardian shall be notified as soon as possible when a child has any symptom that requires exclusion from the facility. The child shall be separated from other children and closely monitored until the parent arrives to pick the child up. Licensed Family Home: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf Registered Family Home: https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: No child or staff shall be admitted who has a contagious or infectious disease. Possible symptoms of contagious or infectious diseases would include: fever over 101, diarrhea, vomiting, and rashes. The parent or legal guardian shall be notified as soon as possible when a child has any symptom that requires exclusion from the facility. The child shall be separated from other children and closely monitored until the parent arrives to pick the child up. Out of School Time: https://dese.ade.arkansas.gov/Files/2020-OST-Clean- Copy_20230506120357.pdf 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: Within fifteen (15) days of enrollment of a child, the child care facility shall verify that the child has been immunized as required by the Arkansas Department of Health (ADH) and the Department of Human Services (DHS) or the child cannot remain in care (Arkansas Code § 20-78-206 as amended by Act 870 of 1997-- a current immunization schedule is provided as an insert in this publication. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf ii. All CCDF-eligible licensed family child care homes. Provide the standard: Within fifteen (15) days of enrollment of a child, the child care facility shall verify that the child has been immunized as required by the Arkansas Department of Health (ADH) and the Department of Human Services (DHS) or the child cannot remain in care (Arkansas Code § 20-78-206 as amended by Act 870 of 1997-- a current immunization schedule is provided as an insert in this publication. Licensed Family Home: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean- Copy_20230506115827.pdf iii. All CCDF-eligible licensed in-home care. Provide the standard: Within fifteen (15) days of enrollment of a child, the child care facility shall verify that the child has been immunized as required by the Arkansas Department of Health (ADH) and the Department of Human Services (DHS) or the child cannot remain in care (Arkansas Code § 20-78-206 as amended by Act 870 of 1997-- a current immunization schedule is provided as an insert in this publication. Registered Family Home: https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Within fifteen (15) days of enrollment of a child, the child care facility shall verify that the child has been immunized as required by the Arkansas Department of Health (ADH) and the Department of Human Services (DHS) or the child cannot remain in care (Arkansas Code § 20-78- 206 as amended by Act 870 of 1997-- a current immunization schedule is provided as an insert in this publication. Home: https://dese.ade.arkansas.gov/Files/2020- OST-Clean-Copy_20230506120357.pdf 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: Sleeping infants and toddlers shall be visually monitored at all times and physically checked regularly for breathing. 43 2. Infants and toddlers shall be placed in age appropriate cribs, cots, or mats meeting Consumer Product Safety Commission (CPSC) standards, for when they fall asleep. (Note: Also, any items used in the crib must be used according to manufacturer guidelines, regardless if the child is sleeping or not, in accordance with 1001.1.) 3. Infants (children twelve (12) months of age and below) shall be placed flat on their backs to sleep, in accordance with American Academy of Pediatrics guidelines, to lessen the risk of suffocation and Sudden Infant Death Syndrome (SIDS). (If a child rolls over on his or her own, the facility is not required to reposition the child.) If there is a medical reason a child cannot sleep on his or her back, then a signed statement from the child’s physician must be in the file stating the reason, the sleep position indicated, and the time frame this is required. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean- Copy_20230506115600.pdf ii. All CCDF-eligible licensed family child care homes. Provide the standard: Infants (children twelve (12) months and below) shall be placed flat on their backs to sleep to lessen the risk of suffocation and Sudden Infant Death Syndrome (SIDS). (If a child rolls over on his or her own, the facility is not required to reposition the child.) If there is a medical reason a child cannot sleep on his or her back, then a signed statement from the child’s physician must be in the file stating that a different sleep position is indicated. https://dese.ade.arkansas.gov/Files/2020- CCFH-Clean-Copy_20230506115827.pdf iii. All CCDF-eligible licensed in-home care. Provide the standard: Infants (children twelve (12) months and below) shall be placed flat on their backs to sleep to lessen the risk of suffocation and Sudden Infant Death Syndrome (SIDS). (If a child rolls over on his or her own, the facility is not required to reposition the child.) If there is a medical reason a child cannot sleep on his or her back, then a signed statement from the child’s physician must be in the file stating that a different sleep position is indicated. 2020-RCCFH-Clean- Copy_https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf.pdf (arkansas.gov) [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: NA 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: Medication shall be given to children only with signed parental permission which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the child's name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. Children with special health care needs (ex. asthma, seizures, diabetes.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but at least yearly. The facility shall share information with families regarding medical homes for children. Medication shall be returned to the parent or disposed of properly when a child withdraws from the program or when the medication is out of date. Medicine shall be stored at the proper temperature, separately from food at all times. Medicine shall be kept out of the reach of the children when dispensing and shall be stored in a locked area at all other times. The staff person who administers the medication shall initial the permission slip and record the date, time, and dosage administered. The facility shall follow any health or medical care plans and medical documentation as provided by the child's physician, parent, or guardian. All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. H. Administering medication https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf ii. All CCDF-eligible licensed family child care homes. Provide the standard: Medication shall be given to children only with signed parental permission which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the child's name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. Children with special health care needs (ex. asthma, seizures, diabetes.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but at least yearly. The facility shall share information with families regarding medical homes for children. Medication shall be returned to the parent or disposed of properly when a child withdraws from the program or when the medication is out of date. Medicine shall be stored at the proper temperature, separately from food at all times. Medicine shall be kept out of the reach of the children when dispensing and shall be stored in a locked area at all other times. The staff person who administers the medication shall initial the permission slip and record the date, time, and dosage administered. The facility shall follow any health or medical care plans and medical documentation as provided by the child's physician, parent, or guardian. All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. H. Administering medication https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf iii. All CCDF-eligible licensed in-home care. Provide the standard: Medication shall be given to children only with signed parental permission which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the child's name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. Children with special health care needs (ex. asthma, seizures, diabetes.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but at least yearly. The facility shall share information with families regarding medical homes for children. Medication shall be returned to the parent or disposed of properly when a child withdraws from the program or when the medication is out of date. Medicine shall be stored at the proper temperature, separately from food at all times. Medicine shall be kept out of the reach of the children when dispensing and shall be stored in a locked area at all other times. The staff person who administers the medication shall initial the permission slip and record the date, time, and dosage administered. The facility shall follow any health or medical care plans and medical documentation as provided by the child's physician, parent, or guardian. All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. H. Administering medication https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Medication shall be given to children only with signed parental permission which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the child's name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. Children with special health care needs (ex. asthma, seizures, diabetes.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but at least yearly. The facility shall share information with families regarding medical homes for children. Medication shall be returned to the parent or disposed of properly when a child withdraws from the program or when the medication is out of date. Medicine shall be stored at the proper temperature, separately from food at all times. Medicine shall be kept out of the reach of the children when dispensing and shall be stored in a locked area at all other times. The staff person who administers the medication shall initial the permission slip and record the date, time, and dosage administered. The facility shall follow any health or medical care plans and medical documentation as provided by the child's physician, parent, or guardian. All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. H. Administering medication https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 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: Medication shall be given to children only with signed parental permission which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the child's name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf ii. All CCDF-eligible licensed family child care homes. Provide the standard: All medicines shall be given to a child only with the written permission of the child’s parent(s) or guardian which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf iii. All CCDF-eligible licensed in-home care. Provide the standard: All medicines shall be given to a child only with the written permission of the child’s parent(s) or guardian which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf [ ]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Medication shall be given to participants only with signed parental permission which includes date, type, drug name, time, and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the participant’s name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. The staff person who administers the medication shall initial the permission slip and record the date, time, and dosage the medication was administered. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 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: https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 600Children's Records #1c. Name, address, and telephone of child’s physician or emergency care facility; 600Children's Records #1d Written permission of parent or guardian authorizing emergency medical care and transportation of child for emergency treatment (This authorization shall accompany children anytime they are transported); 600Children's Records #1g Pertinent medical history on the child; 701 Nutrition Requirements #2 Breakfast, lunch, snacks, and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix C) Menus for all food service shall be posted. (See Division website.) If sack lunches are utilized, the facility shall ensure that they also meet these requirements. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 701 Nutrition Requirements #5 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 702 Infant and Toddler Nutrition Requirements #1 The routine use of food, bottles, and formula shall be agreed upon by the caregiver and parent. Instructions regarding special needs for food, bottles, and formula, such as food allergies, shall be obtained in writing from the parent and followed by the caregiver. (See Appendix D). 1101 General Health Requirements #4 Any child who is injured shall have immediate attention. Parents shall be notified of all injuries. Injuries that require the attention of medical personnel shall be reported to the parent immediately and to the Licensing Unit within one (1) business day. 1101 General Health Requirements #7 Children with special health care needs(ex. asthma, seizures, diabetes, etc.)who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.)shall have a care plan. Care plan shall have clearly stated parameters, directions, and symptoms of giving the medications. Care plans shall be updated as needed, but at least yearly. 1201 Safety Requirements #15 Rescue medications such as inhalers or EpiPens shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by a staff member). ii. All CCDF-eligible licensed family child care homes. Provide the standard: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 603 Children's Records #3a,b,c Medical Records shall include: a. The name, address, and telephone number of the child’s physician or emergency medical care facility; b. Pertinent past medical history on the child and any change in health; c. Child’s unusual food needs such as special formulas, diabetic diet, or food allergies; 701 Nutrition Requirements #4 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 701 Nutrition Requirements #6 Breakfast, if served, lunch and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix A) If sack lunches are utilized, the home shall ensure that these also meet U.S. Department of Agriculture guidelines by supplementing the lunches if necessary. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 1101 General health Requirements #3 The facility shall follow any health or medical care plans or medical documentation as provided by the child’s physician, parent, or guardian. 1104 Medication Requirements #6 Rescue medications such as inhalers or EpiPens shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by the caregiver). 1104 Medication Requirements #8 Children with special health care needs (ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but as least yearly. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. O. Prevention and response to food sensitivities and allergic reactions https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 603 Children's Records #3 Providers shall maintain pertinent medical history on the child 1104 Medication Requirements #8 Children with special health care needs (ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but as least yearly. 1100 Health 1104 Medication Requirements 6. Rescue medications such as inhalers or EpiPens shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by the caregiver). [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. Prevention and response to food sensitivities and allergic reactions https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 307 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. a. Introduction (eight (8) clock hours): • Proper supervision of participants • Behavioral guidance practices • Shaken baby syndrome, which includes prevention (Carter’s Law, Act 1208) • Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers • Mandated reporter training • Administering medication • Caring for participants with special needs or care plans. • Transportation and car seat safety • Policies regarding release of participants to authorized individuals • Prevention and control of infectious diseases • Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic • Nutrition and physical activities • Prevention and response to food sensitivities and allergic reactions • Basic child development • The handling and storage of hazardous materials and the appropriate disposal of bio-contaminants #600 Participants' Records #1c. Name, address, and telephone of child’s physician or emergency care facility. 600Participants' Records #1d Written permission of parent or guardian authorizing emergency medical care and transportation of child for emergency treatment (This authorization shall accompany children anytime they are transported); 600 Participants' Records #1g Pertinent medical history on the participant. 701 Nutrition Requirements #2 Breakfast, lunch, snacks, and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix C) Menus for all food service shall be posted. (See Division website.) If sack lunches are utilized, the facility shall ensure that they also meet these requirements. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 701 Nutrition Requirements #5 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 1101 General Health Requirements #9 Participants with special health care needs (ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but at least yearly. 1201 Safety Requirements #14 Rescue medications such as inhalers or EpiPen’s shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by a staff member.) 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. O. Prevention and response to food sensitivities and allergic reactions https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 600Children's Records #1c. Name, address, and telephone of child’s physician or emergency care facility; 600Children's Records #1d Written permission of parent or guardian authorizing emergency medical care and transportation of child for emergency treatment (This authorization shall accompany children anytime they are transported); 600Children's Records #1g Pertinent medical history on the child; 701 Nutrition Requirements #2 Breakfast, lunch, snacks, and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix C) Menus for all food service shall be posted. (See Division website.) If sack lunches are utilized, the facility shall ensure that they also meet these requirements. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 701 Nutrition Requirements #5 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 702 Infant and Toddler Nutrition Requirements #1 The routine use of food, bottles, and formula shall be agreed upon by the caregiver and parent. Instructions regarding special needs for food, bottles, and formula, such as food allergies, shall be obtained in writing from the parent and followed by the caregiver. (See Appendix D). 1101 General Health Requirements #4 Any child who is injured shall have immediate attention. Parents shall be notified of all injuries. Injuries that require the attention of medical personnel shall be reported to the parent immediately and to the Licensing Unit within one (1) business day. 1101 General Health Requirements #7 Children with special health care needs(ex. asthma, seizures, diabetes, etc.)who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.)shall have a care plan. Care plan shall have clearly stated parameters, directions, and symptoms of giving the medications. Care plans shall be updated as needed, but at least yearly. 1201 Safety Requirements #15 Rescue medications such as inhalers or EpiPens shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by a staff member). ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. O. Prevention and response to food sensitivities and allergic reactions https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 603 Children's Records #3a,b,c Medical Records shall include: a. The name, address, and telephone number of the child’s physician or emergency medical care facility; b. Pertinent past medical history on the child and any change in health; c. Child’s unusual food needs such as special formulas, diabetic diet, or food allergies; 701 Nutrition Requirements #4 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 701 Nutrition Requirements #6 Breakfast, if served, lunch and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix A) If sack lunches are utilized, the home shall ensure that these also meet U.S. Department of Agriculture guidelines by supplementing the lunches if necessary. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 1101 General health Requirements #3 The facility shall follow any health or medical care plans or medical documentation as provided by the child’s physician, parent, or guardian. 1104 Medication Requirements #6 Rescue medications such as inhalers or EpiPens shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by the caregiver). 1104 Medication Requirements #8 Children with special health care needs (ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but as least yearly. iii. All CCDF-eligible licensed in-home care. Provide the standard:: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. O. Prevention and response to food sensitivities and allergic reactions https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 603 Children's Records #3a,b,c Medical Records shall include: a. The name, address, and telephone number of the child’s physician or emergency medical care facility; b. Pertinent past medical history on the child and any change in health; c. Child’s unusual food needs such as special formulas, diabetic diet, or food allergies; 701 Nutrition Requirements #4 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 701 Nutrition Requirements #6 Breakfast, if served, lunch and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix A) If sack lunches are utilized, the home shall ensure that these also meet U.S. Department of Agriculture guidelines by supplementing the lunches if necessary. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 1101 General health Requirements #3 The facility shall follow any health or medical care plans or medical documentation as provided by the child’s physician, parent, or guardian. 1104 Medication Requirements #6 Rescue medications such as inhalers or EpiPens shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by the caregiver). 1104 Medication Requirements #8 Children with special health care needs (ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but as least yearly. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 307 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. a. Introduction (eight (8) clock hours): • Proper supervision of participants • Behavioral guidance practices • Shaken baby syndrome, which includes prevention (Carter’s Law, Act 1208) • Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers • Mandated reporter training • Administering medication • Caring for participants with special needs or care plans. • Transportation and car seat safety • Policies regarding release of participants to authorized individuals • Prevention and control of infectious diseases • Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic • Nutrition and physical activities • Prevention and response to food sensitivities and allergic reactions • Basic child development • The handling and storage of hazardous materials and the appropriate disposal of bio-contaminants #600 Participants' Records #1c. Name, address, and telephone of child’s physician or emergency care facility; 600Participants' Records #1d Written permission of parent or guardian authorizing emergency medical care and transportation of child for emergency treatment (This authorization shall accompany children anytime they are transported); 600 Participants' Records #1g Pertinent medical history on the participant; 701 Nutrition Requirements #2 Breakfast, lunch, snacks, and evening meals shall each meet current U.S. Department of Agriculture guidelines, including portion size. (See Appendix C) Menus for all food service shall be posted. (See Division website.) If sack lunches are utilized, the facility shall ensure that they also meet these requirements. Milk shall be served to each child during the day. Exceptions may be made for children who suffer allergies to milk. 701 Nutrition Requirements #5 Food shall be served on individual plates, bowls, or other dishes that can be sanitized or discarded. 1101 General Health Requirements #9 Participants with special health care needs (ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications or medications to be given on an emergent basis (Benadryl, EpiPen, rescue asthma medication, etc.) shall have a care plan. Care plans shall have clearly stated parameters, directions, and symptoms for giving the medications. Care plans shall be updated as needed, but at least yearly. 1201 Safety Requirements #14 Rescue medications such as inhalers or EpiPen’s shall be inaccessible to children (kept in a cabinet with a child proof type safety latch or carried by a staff member.) 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: https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf Minimum Licensing required providers to have yearly inspections to assist in preventing hazardous event. In addition, providers are prohibited from allowing hazardous materials to be in reach of children. See: 101 Related Laws and Requirements #4 b Environmental Protection Agency (EPA) regulations to ensure that any renovation or repair work on a home, child care facility, or school that was constructed prior to 1978 shall be completed by a contractor that is certified by the EPA, when the repairs or renovations consist of any or all of the following: the repair or renovation disturbs six (6) or more square feet of the interior, the repair or renovation disturbs twenty feet (20’) or more square feet of the exterior, or the repair or renovation involves removing a window; 602 Facility Records #1 g. Verification of annual fire department approval; h. Verification of annual health department approval; i. Verification of zoning approval (maintained as part of permanent record); j. Verification of annual approval by the Boiler Inspector Division of the Department of Labor; m. Plans and procedures of Emergency Preparedness; 801 Building Requirements #1 Childcare centers shall comply with the Minimum Requirements of the currently adopted Arkansas Fire Prevention Code as administered by local fire department or by the State Fire Marshal, who has final authority. Written verification of annual approval shall be maintained on file. 801 Building Requirements #2 State Health Department requirements shall be met. Written verification of annual approval shall be maintained on file. 801 Building Requirements #3 Department of Labor, Boiler Inspection Division requirements shall be met. All water heaters and any other boilers in licensed child care settings shall be inspected on an annual basis and upon installation. Verification that initial inspection has been scheduled and annual approval shall be maintained on file. Inspection, or proof of attempt to set up initial inspection, shall be completed within six (6) months of licensure. Scheduling and completion of annual inspections will be the responsibility of the Department of Labor, however, the facility is responsible for cooperating and keeping documentation of such inspection on file for review. 801 Building Requirements #4 All space used by a center shall be kept clean and free of hazardous or potentially hazardous objects. (These objects include, but are not limited to, poisonous substances, firearms, explosives, broken toys or equipment, or other objects that could be harmful or dangerous, if they are determined to be accessible to children.) 801 Building Requirements #8 Glass doors shall be clearly marked. 801 Building Requirements #9 When windows and doors are used for ventilation, they shall be screened and shall not present a safety hazard. 801 Building Requirements #10 Floor furnaces, gas heaters, electric heaters, hot radiators, water heaters, air conditioners, and electric fans shall have guards and shall not present a safety hazard. Portable fuel fired heaters shall not be used. 801 Building Requirements #11 It is recommended that if natural gas or propane is used, the facility’s heating systems be inspected and cleaned if necessary, before each heating season by a qualified Heating, Ventilation, and Air Conditioning (HVAC) technician. 801 Building Requirements #12 Carbon monoxide detectors shall be placed in facilities according to manufacturer’s recommendations if one (1) of the following situations applies: a. Facilities using wood, propane, natural gas, or any other product as a heat source that can produce carbon monoxide indoors or in an attached garage; or b. Any situations where carbon monoxide detectors are required by state or local law. 801 Building Requirements #13 Floors, ceilings, and walls shall be in good repair and kept clean. Paints used at the facility shall be lead free. 801 Building Requirements #14 A child care center shall have an operable telephone on site all hours children are in care. The Licensee shall provide the phone number to the Licensing Unit and to the parents. (This phone may be a cell phone if the phone stays operable, stays at the facility during all hours of care, and is the phone number provided to the Licensing Unit and the parents.) 801 Building Requirements #15 The following structures shall not be used as child care centers: a. Manufactured homes constructed prior to June 1976; b. Manufactured homes constructed with metal roofs and outside walls; c. Single- wide manufactured homes; and d. Portable storage type buildings. 801 Building Requirements #16 Double-wide manufactured homes may be considered provided they are tied down in accordance with the manufacturer's tie down specifications manual. Any new applicant for a child care center that requests the use of a manufactured home shall obtain an inspection at the applicant's expense from the Arkansas Manufactured Home Commission. 801 Building Requirements #17 Manufactured homes currently licensed as child care facilities shall be tied down as recommended by the Arkansas Manufactured Home Commission. 801 Building Requirements #18 Portable classroom buildings are not considered manufactured homes but do require Fire Department approval. Portable classroom buildings installed after November 1, 2002, shall have Fire Department approval prior to purchase and installation. 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1201 Safety Requirements #1 Within thirty (30) days of licensure and within thirty (30) days of any change or modification of the floor plan, the facility shall file a copy of their floor plan with the local Office of Emergency Management including the following (§ 20-78-228 Act 1159 of 2013): a. A schematic drawing of the facility and property used by the child care facility including the configuration of rooms, spaces, and other physical features of the building; b. The location or locations where children enrolled in child care spend time regularly; c. The escape routes approved by the local fire department for the child care facility; d. The licensed capacity and ages of children per room at the facility; e. The contact information for at least two (2) emergency contacts for the facility; and f. An aerial view of the child care facility and property used by the child care facility shall be included with the floor plan if available. 1201 Safety Requirements #2 The facility shall have a written plan detailing the procedures to follow in the event of emergencies (fires, floods, tornadoes, utility disruptions, bomb threats, etc.) (Act 801 of 2009.) The plan and procedures are required for emergencies that could cause structural damage to the facility or pose a health or safety hazard to the children and staff. The Arkansas Department of Emergency Management may identify additional threats that are covered by the plan and procedures. This plan shall include provisions for ￿sheltering in place￿ or ￿lock down￿, in the event of situations that warrant these measures. 1201 Safety Requirements #5 The facility shall maintain, on site, a current copy of the Arkansas Comprehensive Emergency Management Plan issued by the Arkansas Division of Emergency Management. This plan shall be reviewed by the facility Director and signed and dated, indicating that they have reviewed the current plan and agree to comply with the provisions of the plan. ii. All CCDF-eligible licensed family child care homes. Provide the standard: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf Minimum Licensing required providers to have yearly inspections to assist in preventing hazardous event. In addition, providers are prohibited from allowing hazardous materials to be in reach of children. See: 101 Related Laws and Requirements #4 b Environmental Protection Agency (EPA) regulations to ensure that any renovation or repair work on a home, child care facility, or school that was constructed prior to 1978 shall be completed by a contractor that is certified by the EPA, when the repairs or renovations consist of any or all of the following: the repair or renovation disturbs six (6) or more square feet of the interior, the repair or renovation disturbs twenty feet (20’) or more square feet of the exterior, or the repair or renovation involves removing a window; 602 Home Records #3 e. Verification of annual fire department approval, if applicable; f. Verification of annual health department approval, if applicable; g. Verification of zoning approval, if applicable (part of permanent record); h. Verification of annual approval by the Boiler Inspector Division of the Department of Labor; k. Plans and procedures of Emergency Preparedness; 700 Nutrition Requirements #1 A home licensed for eleven (11) or more children, if food is prepared for the children in the Home, shall provide a current verification of approval by the Arkansas Department of Health, Sanitation Services. 801 Building Requirements #1 The home’s building, grounds, and equipment shall be clean, kept in good repair, and maintained as needed to protect the health and safety of the children. If the home has sustained structural damage the caregiver shall immediately notify the Child Care Licensing Specialist. 801 Building Requirements #2 Department of Labor, Boiler Inspection Division requirements shall be met. All water heaters and any other boilers in licensed child care settings shall be inspected on an annual basis and upon installation. Verification that initial inspection has been scheduled and annual approval shall be maintained on file. Inspection, or proof of attempt to set up initial inspection, shall be completed within six (6) months of licensure. Scheduling and completion of annual inspections will be the responsibility of the Department of Labor, however, the facility is responsible for cooperating and keeping documentation of such inspection on file for review. 801 Building Requirements #4 All space used by a center shall be kept clean and free of hazardous or potentially hazardous objects. (These objects include, but are not limited to, poisonous substances, firearms, explosives, broken toys or equipment, or other objects that could be harmful or dangerous, if they are determined to be accessible to children.) 801 Building Requirements #7 It is recommended that if natural gas or propane is used, the facility’s heating systems be inspected and cleaned if necessary, before each heating season by a qualified Heating, Ventilation, and Air Conditioning (HVAC) technician. 801 Building Requirements #8 Carbon monoxide detectors shall be placed in homes according to manufacturer’s recommendations if either of the following situations applies: a. The home uses wood, propane, natural gas, or any other products as a source of heat that can produce carbon monoxide indoors or in an attached garage; or b. Situations where carbon monoxide detectors are required by state or local law. 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1201 Safety Requirements #1 Within thirty (30) days of licensure and within thirty (30) days of any change or modification of the floor plan, the facility shall file a copy of their floor plan with the local Office of Emergency Management including the following (§ 20-78-228 Act 1159 of 2013): a. A schematic drawing of the facility and property used by the child care facility including the configuration of rooms, spaces, and other physical features of the building; b. The location or locations where children enrolled in child care spend time regularly; c. The escape routes approved by the local fire department for the child care facility; d. The licensed capacity and ages of children per room at the facility; e. The contact information for at least two (2) emergency contacts for the facility; and f. An aerial view of the child care facility and property used by the child care facility shall be included with the floor plan if available. 1201 Safety Requirements #2 The Child Care Family Home shall have a written plan detailing the procedures to follow in the event of emergencies (fires, floods, tornadoes, utility disruptions, bomb threats, etc.) (Act 801 of 2009.) The plan and procedures are required for emergencies that could cause structural damage to the facility or pose a health or safety hazard to the children and staff. The Arkansas Department of Emergency Management may identify additional threats that are covered by the plan and procedures. This plan shall include provisions for ￿sheltering in place￿ or ￿lock down￿, in the event of situations that warrant these measures. 1201 Safety Requirements #5 The home shall maintain, on site, a current copy of the Arkansas Comprehensive Emergency Management Plan issued by the Arkansas Division of Emergency Management. This plan shall be reviewed by the facility Director and signed and dated, indicating that they have reviewed the current plan and agree to comply with the provisions of the plan. iii. All CCDF-eligible licensed in-home care. Provide the standard: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf Minimum Licensing required providers to have yearly inspections to assist in preventing hazardous event. In addition, providers are prohibited from allowing hazardous materials to be in reach of children. See: 101 Related Laws and Requirements #4 b Environmental Protection Agency (EPA) regulations to ensure that any renovation or repair work on a home, child care facility, or school that was constructed prior to 1978 shall be completed by a contractor that is certified by the EPA, when the repairs or renovations consist of any or all of the following: the repair or renovation disturbs six (6) or more square feet of the interior, the repair or renovation disturbs twenty feet (20’) or more square feet of the exterior, or the repair or renovation involves removing a window; 602 Home Records #3 e. Verification of annual fire department approval, if applicable; f. Verification of annual health department approval, if applicable; g. Verification of zoning approval, if applicable (part of permanent record); h. Verification of annual approval by the Boiler Inspector Division of the Department of Labor; k. Plans and procedures of Emergency Preparedness; 700 Nutrition Requirements #1 A home licensed for eleven (11) or more children, if food is prepared for the children in the Home, shall provide a current verification of approval by the Arkansas Department of Health, Sanitation Services. 801 Building Requirements #1 The home’s building, grounds, and equipment shall be clean, kept in good repair, and maintained as needed to protect the health and safety of the children. If the home has sustained structural damage the caregiver shall immediately notify the Child Care Licensing Specialist. 801 Building Requirements #2 Department of Labor, Boiler Inspection Division requirements shall be met. All water heaters and any other boilers in licensed child care settings shall be inspected on an annual basis and upon installation. Verification that initial inspection has been scheduled and annual approval shall be maintained on file. Inspection, or proof of attempt to set up initial inspection, shall be completed within six (6) months of licensure. Scheduling and completion of annual inspections will be the responsibility of the Department of Labor, however, the facility is responsible for cooperating and keeping documentation of such inspection on file for review. 801 Building Requirements #4 All space used by a center shall be kept clean and free of hazardous or potentially hazardous objects. (These objects include, but are not limited to, poisonous substances, firearms, explosives, broken toys or equipment, or other objects that could be harmful or dangerous, if they are determined to be accessible to children.) 801 Building Requirements #7 It is recommended that if natural gas or propane is used, the facility’s heating systems be inspected and cleaned if necessary, before each heating season by a qualified Heating, Ventilation, and Air Conditioning (HVAC) technician. 801 Building Requirements #8 Carbon monoxide detectors shall be placed in homes according to manufacturer’s recommendations if either of the following situations applies: a. The home uses wood, propane, natural gas, or any other products as a source of heat that can produce carbon monoxide indoors or in an attached garage; or b. Situations where carbon monoxide detectors are required by state or local law. 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1201 Safety Requirements #1 Within thirty (30) days of licensure and within thirty (30) days of any change or modification of the floor plan, the facility shall file a copy of their floor plan with the local Office of Emergency Management including the following (§ 20-78-228 Act 1159 of 2013): a. A schematic drawing of the facility and property used by the child care facility including the configuration of rooms, spaces, and other physical features of the building; b. The location or locations where children enrolled in child care spend time regularly; c. The escape routes approved by the local fire department for the child care facility; d. The licensed capacity and ages of children per room at the facility; e. The contact information for at least two (2) emergency contacts for the facility; and f. An aerial view of the child care facility and property used by the child care facility shall be included with the floor plan if available. 1201 Safety Requirements #2 The Child Care Family Home shall have a written plan detailing the procedures to follow in the event of emergencies (fires, floods, tornadoes, utility disruptions, bomb threats, etc.) (Act 801 of 2009.) The plan and procedures are required for emergencies that could cause structural damage to the facility or pose a health or safety hazard to the children and staff. The Arkansas Department of Emergency Management may identify additional threats that are covered by the plan and procedures. This plan shall include provisions for ￿sheltering in place￿ or ￿lock down￿, in the event of situations that warrant these measures. 1201 Safety Requirements #5 The home shall maintain, on site, a current copy of the Arkansas Comprehensive Emergency Management Plan issued by the Arkansas Division of Emergency Management. This plan shall be reviewed by the facility Director and signed and dated, indicating that they have reviewed the current plan and agree to comply with the provisions of the plan. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Minimum Licensing required providers to have yearly inspections to assist in preventing hazardous event. In addition, providers are prohibited from allowing hazardous materials to be in reach of children. See: https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 101 Related Laws and Requirements #3 b Environmental Protection Agency (EPA) regulations to ensure that any renovation or repair work on a home, child care facility, or school that was constructed prior to 1978 shall be completed by a contractor that is certified by the EPA, when the repairs or renovations consist of any or all of the following: the repair or renovation disturbs six (6) or more square feet of the interior, the repair or renovation disturbs twenty feet (20’) or more square feet of the exterior, or the repair or renovation involves removing a window; 602 Facility Records #1 g. Verification of annual fire department approval; h. Verification of annual health department approval; i. Verification of zoning approval (maintained as part of permanent record); j. Verification of annual approval by the Boiler Inspector Division of the Department of Labor; m. Plans and procedures of Emergency Preparedness; 801 Building Requirements #1 Child care centers shall comply with the Minimum Requirements of the currently adopted Arkansas Fire Prevention Code as administered by local fire department or by the State Fire Marshal, who has final authority. Written verification of annual approval shall be maintained on file. 801 Building Requirements #2 State Health Department requirements shall be met. Written verification of annual approval shall be maintained on file. 801 Building Requirements #3 Department of Labor, Boiler Inspection Division requirements shall be met. All water heaters and any other boilers in licensed child care settings shall be inspected on an annual basis and upon installation. Verification that initial inspection has been scheduled and annual approval shall be maintained on file. Inspection, or proof of attempt to set up initial inspection, shall be completed within six (6) months of licensure. Scheduling and completion of annual inspections will be the responsibility of the Department of Labor, however, the facility is responsible for cooperating and keeping documentation of such inspection on file for review. 801 Building Requirements #4 All space used by the OST Program shall be kept clean and free of hazardous or potentially hazardous objects. (These objects include, but are not limited to, poisonous substances, firearms, explosives, broken toys and equipment, or other objects that could be harmful or dangerous, if they are determined to be accessible to participants.) 801 Building Requirements #8 All parts of the OST Facility used by the participants shall be well heated, air conditioned, lighted, ventilated, and maintained at a comfortable temperature. Glass doors shall be clearly marked. When windows and doors are used for ventilation, they shall be screened and shall not present a safety hazard. 801 Building Requirements #9 Floor furnaces, gas heaters, electric heaters, hot radiators, water heaters, air conditioners, and electric fans shall have guards and shall not present a safety hazard. Portable fuel fired heaters shall not be used. 801 Building Requirements #10 It is recommended that if natural gas or propane is used, the facility’s heating systems be inspected and cleaned if necessary, before each heating season by a qualified Heating, Ventilation, and Air Conditioning (HVAC) technician. 801 Building Requirements #11 Carbon monoxide detectors shall be placed in facilities according to manufacturer’s recommendations if one (1) of the following situations applies: a. Facilities using wood, propane, natural gas, or any other product as a heat source that can produce carbon monoxide indoors or in an attached garage; or b. Any situations where carbon monoxide detectors are required by state or local law. 801 Building Requirements #12 Floors, ceilings, and walls shall be in good repair and kept clean. Paints used at the facility shall be lead free. 801 Building Requirements #14 The following structures shall not be used as OST Facilities: a. Manufactured homes constructed prior to June 1976; b. Manufactured homes constructed with metal roofs and outside walls; c. Single- wide manufactured homes; and d. Portable storage type buildings. 801 Building Requirements #15 Double-wide manufactured homes may be considered provided they are tied down in accordance with the manufacturer's tie down specifications manual. Any new applicant for an OST Facility that requests the use of a manufactured home shall obtain an inspection at the applicant's expense from the Arkansas Manufactured Home Commission. 801 Building Requirements #16 Manufactured homes currently licensed as child care facilities shall be tied down as recommended by the Arkansas Manufactured Home Commission. 801 Building Requirements #17 Portable classroom buildings are not considered manufactured homes but do require Fire Department approval. Portable classroom buildings installed after November 1, 2002, shall have Fire Department approval prior to purchase and installation. 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1201 Safety Requirements #1 Within thirty (30) days of licensure and within thirty (30) days of any change or modification of the floor plan, the facility shall file a copy of their floor plan with the local Office of Emergency Management including the following (§ 20-78-228 Act 1159 of 2013): a. A schematic drawing of the facility and property used by the child care facility including the configuration of rooms, spaces, and other physical features of the building; b. The location or locations where children enrolled in child care spend time regularly; c. The escape routes approved by the local fire department for the child care facility; d. The licensed capacity and ages of children per room at the facility; e. The contact information for at least two (2) emergency contacts for the facility; and f. An aerial view of the child care facility and property used by the child care facility shall be included with the floor plan if available. 1201 Safety Requirements #2 The Out-of-School Time (OST) Facility shall have a written plan detailing the procedures to follow in the event of emergencies (fires, floods, tornadoes, utility disruptions, bomb threats, etc.) (Act 801 of 2009). The plan and procedures are required for emergencies that could cause structural damage to the facility, be identified as a threat by the Arkansas Department of Emergency Management or pose a health or safety hazard to the participants and staff. This plan shall include provisions for ￿sheltering in place￿ or ￿lock down￿, in the event of situations that warrant these measures. 1201 Safety Requirements #5 The facility shall maintain, on site, a current copy of the Arkansas Comprehensive Emergency Management Plan issued by the Arkansas Division of Emergency Management. This plan shall be reviewed by the facility Director and signed and dated, indicating that they have reviewed the current plan and agree to comply with the provisions of the plan. 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: https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1203 Swimming Pools #1 Swimming pools and natural pools of water may be used for water play for children age three (3) and up if the following requirements are met: a. Health Department approval where applicable; b. Written parental permission; and c. One (1) person present at all times who has current certification in Red Cross Life Saving or Y.M.C.A. aquatic instruction. 1203 Swimming Pools #2 Adult supervision of the children shall be provided at all times, with grouping based on the following staff to child ratio: (Unless children are participating in an authorized swimming instruction program.) a. Kindergarten and up 1:8 b. Five (5) years 1:5 c. d. Four (4) years Three (3) years 1:3 1:2. 1203 Swimming Pools #4 Lifeguards, swimming instructors, or any other swimming pool staff may be counted in the ratio when the facility’s children are the only occupants of the pool and these persons have completed criminal and child maltreatment background checks and have a current health card. Swimming Pools #5 Swimming pools located within the play area of the center shall be enclosed. The enclosure shall consist of a locked gate and a fence that is at least four feet (4') high. ii. All CCDF-eligible licensed family child care homes. Provide the standard: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1201 Safety Requirements #20 Tanks, ponds, swimming pools, open wells, drainage ditches, and sewage drainpipes shall be fenced if located within the play area. 1201 Safety Requirements #21 Home swimming pools shall not be used by children in care unless permission is obtained from Child Care Licensing through an alternative compliance request. This request must include written approval from the Arkansas Department of Health for the use of the pool by children in care. (Home swimming pools used by children in care are considered semiprivate pools by the Department of Health and approval for these pools require inspection during the construction phase. Obtaining approval for existing pools is usually not possible.) 1201 Safety Requirements #22 Wading pools shall not be used. iii. All CCDF-eligible licensed in-home care. Provide the standard: https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1201 Safety Requirements #20 Tanks, ponds, swimming pools, open wells, drainage ditches, and sewage drainpipes shall be fenced if located within the play area. 1201 Safety Requirements #21 Home swimming pools shall not be used by children in care unless permission is obtained from Child Care Licensing through an alternative compliance request. This request must include written approval from the Arkansas Department of Health for the use of the pool by children in care. (Home swimming pools used by children in care are considered semiprivate pools by the Department of Health and approval for these pools require inspection during the construction phase. Obtaining approval for existing pools is usually not possible.) 1201 Safety Requirements #22 Wading pools shall not be used. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: https://dese.ade.arkansas.gov/Files/2020- OST-Clean-Copy_20230506120357.pdf 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1202 Swimming Pools #1 Swimming pools and natural pools of water may be used for water play for children age three (3) and up if the following requirements are met: a. Health Department approval where applicable; b. Written parental permission; and c. One (1) person present at all times who has current certification in Red Cross Life Saving or Y.M.C.A. aquatic instruction. 1202 Swimming Pools #2 Adult supervision of the children shall be provided at all times, with grouping based on the following staff to child ratio: (Unless children are participating in an authorized swimming instruction program.) a. Kindergarten and up 1:8 b. Five (5) years 1:5 c. d. Four (4) years Three (3) years 1:3 1:2. 1202 Swimming Pools #3 Lifeguards, swimming instructors, or any other swimming pool staff may be counted in the ratio when the Out-of-School Time (OST) Facilities’ participants are the only occupants of the pool and these persons have completed criminal and child maltreatment background checks and have a current health card. 1202 Swimming Pools #4 Swimming pools located within the play area of the OST Facility shall be enclosed. The enclosure shall consist of a locked gate and a fence that is at least four feet (4') high. 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 101 Related Laws and Requirements #8 The following standards are the minimum licensing requirements which shall be met by persons or organizations which operate a child care facility. In recommending a license be issued, DCCECE works in coordination with the local and state Health Departments, Fire Departments, City Planning or Zoning Departments, and the Boiler Division of the Department of Labor. Persons considering opening or expanding a child care facility shall immediately contact these individual departments for inspection and information on their separate rules. A prospective Licensee should request clarification regarding the codes or covenants enforced by these departments as some may prevent the operation of a child care facility at a particular location, may limit the number of children in care, or may impose additional safety requirements. 602 Record Requirements #3 The facility shall maintain daily attendance records on all children as follows: a. Children shall be signed in and out daily by a parent or guardian, or designee. Electronic sign in and out systems will meet this requirement; and b. The record shall include the date and time of arrival and departure. 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #4 The Division works in coordination with local and state Health Departments, Fire Departments, City Planning or Zoning departments, and the Boiler Division of the Department of Labor. Persons considering opening or expanding a family home shall immediately contact these individual departments for inspections and information on their separate rules. It is recommended that a prospective Licensee request clarification regarding the codes or covenants enforced by these departments as some may prevent the operation of a Child Care Family Home at a particular location, may limit the number of children in care, or may impose additional safety requirements. 601 Home Records #3 Home records that are required to be kept are as follows: a. Attendance records on all children to include the date and time of arrival and departure and daily parental signatures on the sign in and out forms; 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #4 The Division works in coordination with local and state Health Departments, Fire Departments, City Planning or Zoning departments, and the Boiler Division of the Department of Labor. Persons considering opening or expanding a family home shall immediately contact these individual departments for inspections and information on their separate rules. It is recommended that a prospective Licensee request clarification regarding the codes or covenants enforced by these departments as some may prevent the operation of a Child Care Family Home at a particular location, may limit the number of children in care, or may impose additional safety requirements. 601 Home Records #3 Home records that are required to be kept are as follows: a. Attendance records on all children to include the date and time of arrival and departure and daily parental signatures on the sign in and out forms; 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Vehicles used for transportation shall be in compliance with all OEC requirements. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 101 Related Laws and Requirements #7 The following standards are the minimum licensing requirements which shall be met by persons or organizations which operate an OST Facility. In recommending a license be issued, DCCECE works in coordination with the local and state Health Departments, Fire Departments, City Planning or Zoning Departments, and the Boiler Division of the Department of Labor. Persons considering opening or expanding an OST Facility shall immediately contact these individual departments for inspection and information on their separate rules. A prospective Licensee should request clarification regarding the codes or covenants enforced by these departments as some may prevent the operation of an OST Facility at a particular location, may limit the number of participants in care, or may impose additional safety requirements. 601 Record Requirements #3 The facility shall maintain daily attendance records on all participants as follows: a. Participants shall be signed in and out daily by a parent, guardian, or designee. Electronic sign in and out systems will satisfy this requirement; and b. The record shall include the date and time of arrival and departure. 901 Layout and Design #4 The play area or outdoor learning area shall be fenced or otherwise enclosed and provide at least seventy-five (75) square feet per child present on the playground at any time. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 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: https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 306 Professional Development #5 The Director, Assistant Director or Site Supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. If the facility serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc.) 306 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 25 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 401 Program Requirements for all ages #12 The facility shall distribute materials developed or approved by the Department of Health on prevention of Shaken Baby Syndrome to all parents of infants, upon enrollment. Written documentation of receipt of this information by each parent, with a signature, shall be placed in the child’s file. (Carter’s Law, Act 1208 of 2013) 604 Children's Records #1n Documentation of distribution of Shaken Baby Syndrome information to all parents of infants in accordance with Carter's Law. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 306 Professional Development #5 The Director, Assistant Director or Site Supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. If the facility serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc.) 303 Caregiver Qualification and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); 401 Program Requirements #14 The caregiver shall distribute materials developed or approved by the Department of Health on prevention of Shaken Baby Syndrome to all parents of infants, upon enrollment. (Carter’s Law, Act 1208) 603 Children's Records #5 Documentation of distribution of Shaken Baby Syndrome information to all parents of infants in accordance with Carter's Law. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 306 Professional Development #5 The Director, Assistant Director or Site Supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. If the facility serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc.) 303 Caregiver Qualification and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); 401 Program Requirements #14 The caregiver shall distribute materials developed or approved by the Department of Health on prevention of Shaken Baby Syndrome to all parents of infants, upon enrollment. (Carter’s Law, Act 1208) 603 Children's Records #5 Documentation of distribution of Shaken Baby Syndrome information to all parents of infants in accordance with Carter's Law. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 307 Professional Development #5 The director, assistant director or site supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. a. The curriculum shall conform with current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction, as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; EMS Safety Services, Inc.)4. 307 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. a. Introduction (eight (8) clock hours): • Proper supervision of participants • Behavioral guidance practices • Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208) • Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers • Mandated reporter training • Administering medication • Caring for participants with special needs or care plans. • Transportation and car seat safety • Policies regarding release of participants to authorized individuals • Prevention and control of infectious diseases • Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic • Nutrition and physical activities • Prevention and response to food sensitivities and allergic reactions • Basic child development • The handling and storage of hazardous materials and the appropriate disposal of bio-contaminants See Division Website for a list of courses that The Division maintains contracts for which meet the above requirements. b. All staff shall have fifteen (15) hours of job specific training each calendar year, including child development training, for the ages of participants they work with. This shall be training focused on their job responsibilities. 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 101 Related Laws and Requirements #5 Reporting Requirements Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1- 800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 109 Child Maltreatment Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a child care facility b. Staff members and applicants for employment in a child care facility c. All volunteers, therapists, and student observers, who have routine contact with children d. Administrative staff and members of the Board of Directors who have supervisory or disciplinary control over children or who have routine contact with children At application and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or participating in center activities and every two (2) years thereafter At application and when changes occur with administrative staff or Board members, and every two (2) years thereafter. 109 Child Maltreatment Checks #2 If a complaint of child maltreatment is filed against any owner, operator, staff, or other person in a child care center, the Child Care Licensing Specialist shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the center during hours of care until the allegations have been determined true or unsubstantiated. (Pending the evaluation of risk to children by the Child Care Licensing Unit, the person(s) alleged shall not be left alone with children.) 109 Child Maltreatment Checks #4 The statewide Child Maltreatment Hotline and the Child Care Licensing Central Office number shall be posted in a conspicuous place in the child care facility. The Hotline number is 1-800-482-5964 and the Licensing Central Office number is (501) 682-8590 or toll-free 1-800-445-3316. 306 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 25 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 501 Behavior Guidance Requirements #2. Physical punishment shall not be administered to children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #5 Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 108 Child Maltreatment Record Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective owners, household members who are ten (10) years of age or older, and employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a Licensed Home b. All household members who are ten (10) years of age or older c. Staff members and applicants for employment in a Licensed Home d. Volunteers, therapists, and student observers who have access to children in the home e. Other persons who have supervisory or disciplinary control over children, or have routine contact with children at application and every two (2) years thereafter at application; upon residency and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or being present in the home and every two (2) years thereafter Prior to providing services or participating in home activities and every two (2) years thereafter 108 Child Maltreatment Checks #2 The Division has the authority to review and consider each true (founded) report of child maltreatment received from the Central Registry. The Division shall retain the authority to: a. Deny an application; b. Require corrective action; and c. Take appropriate adverse action against the licensee. 108 Child Maltreatment Checks #3 All caregiver(s) are mandated reporters under the Child Maltreatment Act. The caregiver(s) shall call the Child Maltreatment Hot Line number at 1-800-482-5964 when there is a reason to believe that a child has been abused or neglected. (AR Code Annotated § 1212- 501 et seq. These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. It is recommended that the Licensee call Child Care Licensing for guidance if there is any question about whether the Hotline should be called regarding any situation where potential child maltreatment is involved. 108 Child Maltreatment Checks #4 If a complaint of child maltreatment is filed against any employee or persons in the home, the Child Care Licensing Unit shall evaluate the risk to children and determine the suitability of persons to supervise, be left alone with children, or remain in the home during hours of care until the allegations have been determined true or unsubstantiated. 201 Administrative Procedures 7 The facility shall provide a written procedure for reporting a person suspected of child maltreatment. This procedure shall be followed, and a call made to the Hotline whenever there is a suspicion of child maltreatment (1-800-482-5964). These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. 303 Caregiver Qualifications and Responsibilities 1. All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours): a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying, fussy, infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location, and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 501 Behavior Guidance Requirements #2. Physical punishment shall not be administered to children. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #5 Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 108 Child Maltreatment Record Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective owners, household members who are ten (10) years of age or older, and employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a Licensed Home b. All household members who are ten (10) years of age or older c. Staff members and applicants for employment in a Licensed Home d. Volunteers, therapists, and student observers who have access to children in the home e. Other persons who have supervisory or disciplinary control over children, or have routine contact with children at application and every two (2) years thereafter at application; upon residency and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or being present in the home and every two (2) years thereafter Prior to providing services or participating in home activities and every two (2) years thereafter 108 Child Maltreatment Checks #2 The Division has the authority to review and consider each true (founded) report of child maltreatment received from the Central Registry. The Division shall retain the authority to: a. Deny an application; b. Require corrective action; and c. Take appropriate adverse action against the licensee. 108 Child Maltreatment Checks #3 All caregiver(s) are mandated reporters under the Child Maltreatment Act. The caregiver(s) shall call the Child Maltreatment Hot Line number at 1-800-482-5964 when there is a reason to believe that a child has been abused or neglected. (AR Code Annotated § 1212-501 et seq. These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. It is recommended that the Licensee call Child Care Licensing for guidance if there is any question about whether the Hotline should be called regarding any situation where potential child maltreatment is involved. 108 Child Maltreatment Checks #4 If a complaint of child maltreatment is filed against any employee or persons in the home, the Child Care Licensing Unit shall evaluate the risk to children and determine the suitability of persons to supervise, be left alone with children, or remain in the home during hours of care until the allegations have been determined true or unsubstantiated. 201 Administrative Procedures 7 The facility shall provide a written procedure for reporting a person suspected of child maltreatment. This procedure shall be followed, and a call made to the Hotline whenever there is a suspicion of child maltreatment (1-800-482-5964). These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) g. Mandated reporter training; 501 Behavior Guidance Requirements #2. Physical punishment shall not be administered to children. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #5 Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 109 Child Maltreatment Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a child care facility b. Staff members and applicants for employment in a child care facility c. All volunteers, therapists, and student observers, who have routine contact with children d. Administrative staff and members of the Board of Directors who have supervisory or disciplinary control over children or who have routine contact with children At application and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or participating in center activities and every two (2) years thereafter At application and when changes occur with administrative staff or Board members, and every two (2) years thereafter. 109 Child Maltreatment Checks #2 If a complaint of child maltreatment is filed against any owner, operator, staff, or other person in a child care center, the Child Care Licensing Specialist shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the center during hours of care until the allegations have been determined true or unsubstantiated. (Pending the evaluation of risk to children by the Child Care Licensing Unit, the person(s) alleged shall not be left alone with children.) 109 Child Maltreatment Checks #4 The statewide Child Maltreatment Hotline and the Child Care Licensing Central Office number shall be posted in a conspicuous place in the child care facility. The Hotline number is 1-800-482-5964 and the Licensing Central Office number is (501) 682-8590 or toll-free 1-800-445-3316. 307 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 25 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 501 Behavior Guidance Requirements #2. Physical punishment shall not be administered to children. 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. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 801 Building Requirements #2 State Health Department requirements shall be met. Written verification of annual approval shall be maintained on file. 801 Building Requirements #4 All space used by a center shall be kept clean and free of hazardous or potentially hazardous objects. (These objects include, but are not limited to, poisonous substances, firearms, explosives, broken toys or equipment, or other objects that could be harmful or dangerous, if they are determined to be accessible to children.) 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1101 Health Requirement #6 Medication shall be given to children only with signed parental permission which includes date, type, drug name, time and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the child's name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. 1101 Health Requirement #9 Medication shall be returned to the parent or disposed of properly when a child withdraws from the program or when the medication is out of date. 1101 Health Requirement #10 Medicine shall be stored at the proper temperature, separately from food at all times. 1101 Health Requirement #12 Medicine shall be kept out of the reach of the children when dispensing and shall be stored in a locked area at all other times. 1101 Health Requirement #16 It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions such as wet or soiled diapers, fecal matter, etc. Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) 1201 Safety Requirements #2 The facility shall have a written plan detailing the procedures to follow in the event of emergencies (fires, floods, tornadoes, utility disruptions, bomb threats, etc.) (Act 801 of 2009.) The plan and procedures are required for emergencies that could cause structural damage to the facility or pose a health or safety hazard to the children and staff. The Arkansas Department of Emergency Management may identify additional threats that are covered by the plan and procedures. This plan shall include provisions for ￿sheltering in place￿ or ￿lock down￿, in the event of situations that warrant these measures. 1201 Safety Requirements #14 All medications and poisonous substances shall be kept in separately locked areas. 1201 Safety Requirements #16 All detergents and cleaning supplies shall be kept out of the reach of children. (This does not include hand soap in children’s or staff bathrooms.) 1201 Safety Requirements #18 All bags belonging to children shall be checked on arrival to eliminate possible hazards. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 701 Nutrition Requirements #2 All Licensed Homes shall meet the following requirements: a. All food shall be safe and stored properly to prevent spoiling; b. The home shall have a refrigerator with thermometer visible and the temperature shall be maintained at forty-one (41) degrees or below. (Freezer thermometer shall be maintained at zero (0) degrees or below); c. Food shall not be stored under sinks; d. Food shall be stored in original container or in a closed container; e. Chemical and toxins shall not be stored in food storage area; and f. All medicines shall be stored separately from food at all times. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 902 General Hazards #2 Equipment that has been determined by the Division to be unsafe for the children shall be removed from the play area or enclosed by a fence or other suitable barrier so the children will not have access to it. 1101 General Health Requirements #5 All garbage, soiled diapers, and trash shall be removed from the home daily and grounds at least once a week. 1101 General Health Requirements #7 Water, sewage disposal, and toilet facilities shall be safe and sanitary. The Health Department may be consulted for its recommendation. 1102 Children’s Health #11 It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions such as wet or soiled diapers, fecal matter, etc. Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) 1104 Medication Requirements # 4. Medicines shall be kept in a locked area. Medicine shall be kept out of the reach of the children when dispensing. 1104 Medication Requirements #5. Medicine shall be stored at the proper temperature, separately from food at all times. 1104 Medication Requirements #7. Medication shall be returned to the parent or disposed of properly when a child withdraws from care or when the medication is out of date. 1201 Safety Requirements #15. Dangerous equipment or objects shall be stored away from areas used by the children. 1201 Safety Requirements #16. All detergents and cleaning supplies shall be kept out of the reach of children. (This does not include hand soap in children’s or staff bathrooms). Supplies used for children’s activities shall be carefully supervised. 1201 Safety Requirements #17. All poisonous substances shall be kept in a locked area. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 701 Nutrition Requirements #2 All Licensed Homes shall meet the following requirements: a. All food shall be safe and stored properly to prevent spoiling; b. The home shall have a refrigerator with thermometer visible and the temperature shall be maintained at forty-one (41) degrees or below. (Freezer thermometer shall be maintained at zero (0) degrees or below); c. Food shall not be stored under sinks; d. Food shall be stored in original container or in a closed container; e. Chemical and toxins shall not be stored in food storage area; and f. All medicines shall be stored separately from food at all times. 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 902 General Hazards #2 Equipment that has been determined by the Division to be unsafe for the children shall be removed from the play area or enclosed by a fence or other suitable barrier so the children will not have access to it. 1101 General Health Requirements #5 All garbage, soiled diapers, and trash shall be removed from the home daily and grounds at least once a week. 1101 General Health Requirements #7 Water, sewage disposal, and toilet facilities shall be safe and sanitary. The Health Department may be consulted for its recommendation. 1102 Children’s Health #11 It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions such as wet or soiled diapers, fecal matter, etc. Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) 1104 Medication Requirements # 4. Medicines shall be kept in a locked area. Medicine shall be kept out of the reach of the children when dispensing. 1104 Medication Requirements #5. Medicine shall be stored at the proper temperature, separately from food at all times. 1104 Medication Requirements #7. Medication shall be returned to the parent or disposed of properly when a child withdraws from care or when the medication is out of date. 1201 Safety Requirements #15. Dangerous equipment or objects shall be stored away from areas used by the children. 1201 Safety Requirements #16. All detergents and cleaning supplies shall be kept out of the reach of children. (This does not include hand soap in children’s or staff bathrooms). Supplies used for children’s activities shall be carefully supervised. 1201 Safety Requirements #17. All poisonous substances shall be kept in a locked area. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 801 Building Requirements #2 State Health Department requirements shall be met. Written verification of annual approval shall be maintained on file. 801 Building Requirements #4 All space used by the OST Program shall be kept clean and free of hazardous or potentially hazardous objects. (These objects include, but are not limited to, poisonous substances, firearms, explosives, broken toys and equipment, or other objects that could be harmful or dangerous, if they are determined to be accessible to participants.) 902 General Hazards #1 The area shall be free of hazards or potentially hazardous objects. 1101 Health Requirement #7If the policy of an OST Program authorizes staff to administer prescription medications, staff shall do so only as directed by the participant’s physician. 1101 Health Requirement #8 Medication shall be given to participants only with signed parental permission which includes date, type, drug name, time, and dosage, length of time to give medication, and what the medication is being given for. It shall be in the original container with a child resistant cap, not have an expired date, and be labeled with the participant’s name. (Aspirin substitutes, such as ibuprofen and acetaminophen, may be provided by the facility if parental permission has been granted. These medications shall be in the original container.) Staff shall not dispense medications in dosages that exceed the recommendations stated on the medication bottle. 1101 Health Requirement #12 Medication shall be returned to the parent or disposed of properly when a child withdraws from the program or when the medication is out of date. 1101 Health Requirement #13 Medicine shall be stored at the proper temperature, separately from food at all times. 1101 Health Requirement #15 Medicine shall be kept out of the reach of the participants when dispensing and shall be stored in a locked area at all other times. 1101 Health Requirement #18 Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions, such as wet or soiled diapers, fecal matter, etc. 1201 Safety Requirements #2 The Out-of-School Time (OST) Facility shall have a written plan detailing the procedures to follow in the event of emergencies (fires, floods, tornadoes, utility disruptions, bomb threats, etc.) (Act 801 of 2009). The plan and procedures are required for emergencies that could cause structural damage to the facility, be identified as a threat by the Arkansas Department of Emergency Management or pose a health or safety hazard to the participants and staff. This plan shall include provisions for ￿sheltering in place￿ or ￿lock down￿, in the event of situations that warrant these measures. 1201 Safety Requirements #13 All medications and poisonous substances shall be kept in separately locked areas. 1201 Safety Requirements #165 All detergents and cleaning supplies shall be kept out of the reach of participants. (This does not include hand soap in children’s or staff bathrooms.) 1201 Safety Requirements #17 All bags belonging to participants shall be checked on arrival to eliminate possible hazards. 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 1101 Health Requirement #16 It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions such as wet or soiled diapers, fecal matter, etc. Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) 1102 Hand Washing #4 Caregiver’s and children’s hands shall be washed with soap before meals and snacks, after toileting, after each diaper change, and as needed. The use of hand sanitizer shall not be a replacement for soap and running water. 1107 Diaper Changing #5 Soiled cloth diapers or clothing shall not be rinsed. If a child's own diapers are used, they shall be sanitarily bagged to be taken home daily. Center Book. 1107 diaper changing #6 Diaper covers or plastic pants shall be handled in the same manner as cloth diapers. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 1101 General Health Requirements #5. All garbage, soiled diapers, and trash shall be removed from the home daily and grounds at least once a week. 1101 General Health Requirements #11. It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions such as wet or soiled diapers, fecal matter, etc. Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) 1102 Hand Washing #4 Caregiver’s and children’s hands shall be washed with soap before meals and snacks, after toileting, after each diaper change, and as needed. The use of hand sanitizer shall not be a replacement for soap and running water. 1103 Toilet Arrangements #6. Caregiver’s and children’s hands shall be washed with liquid soap before meals, after toileting, after each diaper change, and as needed. The use of hand sanitizer shall not be a replacement for soap and running water. 1103 Toilet Arrangements #9. Soiled or wet diapers shall be removed, disposed of properly, and replaced with clean, dry diapers. The caregiver shall ensure that children are properly cleaned and dried. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 1101 General Health Requirements #5. All garbage, soiled diapers, and trash shall be removed from the home daily and grounds at least once a week. 1101 General Health Requirements #11. It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions such as wet or soiled diapers, fecal matter, etc. Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) 1102 Hand Washing #4 Caregiver’s and children’s hands shall be washed with soap before meals and snacks, after toileting, after each diaper change, and as needed. The use of hand sanitizer shall not be a replacement for soap and running water. 1103 Toilet Arrangements #6. Caregiver’s and children’s hands shall be washed with liquid soap before meals, after toileting, after each diaper change, and as needed. The use of hand sanitizer shall not be a replacement for soap and running water. 1103 Toilet Arrangements #9. Soiled or wet diapers shall be removed, disposed of properly, and replaced with clean, dry diapers. The caregiver shall ensure that children are properly cleaned and dried. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 1101 Health Requirement #18 Universal precautions shall be used when handling items contaminated by blood. These items shall be disposed of separately and by using rubber gloves that shall be properly disposed of after each use. (Note: hands must be washed even after gloves are used.) It is recommended that universal precautions be used when handling and disposing of materials containing bodily secretions, such as wet or soiled diapers, fecal matter, etc. 1102 Hand Washing #4 Caregiver’s and children’s hands shall be washed with soap before meals and snacks, after toileting, after each diaper change, and as needed. The use of hand sanitizer shall not be a replacement for soap and running water. 1105 Diaper Changing #5 Soiled cloth diapers or clothing shall not be rinsed. If a child's own diapers are used, they shall be sanitarily bagged to be taken home daily. Center Book. 1105 diaper changing #6 Diaper covers or plastic pants shall be handled in the same manner as cloth diapers. 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 1301 Transportation Requirements # 1. The requirements in this section apply to all transportation provided by the Licensee, including transportation provided by any person on behalf of the Licensee, regardless of whether the person is employed by the Licensee. Periodic transportation, such as a parent requesting that their child be picked up at school due to the parent’s work schedule or other conflicts, is also covered by these requirements, whether a fee is charged for this service or not. # 2. When children are transported, emergency contact information shall be maintained on the vehicle at all times. #3. Staff transporting children shall meet the following requirements: a. Be at least twenty-one (21) years of age or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the staff’s record; c. Successfully completed the training course in Driver Safety that is offered or approved by the Division prior to transporting children (Verification of the completed course in Driver Safety shall be maintained on site in the staff’s record); and d. At least one (1) adult on the vehicle shall be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. # 4. The vehicle(s) used for the transportation of children shall be in compliance with Arkansas state laws on transportation of children. #5. Vehicles shall be licensed and maintained in proper working condition including air conditioning and heating systems. #6. Commercial insurance coverage shall be maintained for any vehicle used for transportation by the facility. Verification of commercial insurance coverage shall be provided to the Licensing Specialist prior to transportation of children. Required coverage amounts to be maintained are: a. Minimum coverage of $100,000 Combined Single Limit (CSL); b. Minimum coverage of $100,000 for both Uninsured Motorist (UM) and Under Insured Motorist (UIM); and c. Minimum coverage of $5,000 Personal Injury Protection (PIP) for each passenger (based on the number of passengers the vehicle is manufactured to transport). Exception: State institutions, political subdivisions, or other entities entitled to immunity from liability under § 21-9-301, are not required to meet this requirement to be licensed. (Act 23 of 2015) #7. Driver may be counted in staff to child ratio but shall not be the only adult when more than twelve (12) children over three (3) years of age and older are transported. #8. For transporting children kindergarten and above only, a ratio of 1:18 shall be maintained. The driver may be counted in the staff to child ratio. #9. Any child who is less than six (6) years old or weighs less than sixty pounds (60 lbs.) shall be restrained in a child passenger safety seat. Any child who is at least six (6) years or weights at least sixty pounds (60 lbs.) must be restrained by a safety belt. (Act 470 of 2001). Conventional school busses are exempt from this requirement except for the transportation of infants and toddlers. (See #1302.2) Child passenger safety seats shall be used in accordance with manufacturer’s guidelines. # 10. There shall be a seating space and an individual, appropriate restraint system provided for each child transported. #11. Rosters listing the date, the names, and the ages or dates, of birth of all children being transported as well as the name of the driver and any other staff member on the vehicle shall be maintained. These rosters shall be used to check children on and off the vehicle 53 when they are picked up and dropped off at home, school, etc. and when they arrive at and leave the facility. Transportation rosters shall be kept by the facility and available for review for one (1) year. #12. To ensure that no children are left on the vehicle, the driver or a staff member must walk through the vehicle and physically inspect each seat before leaving the vehicle. The driver or the staff member, who conducted the walk-through inspection, must sign the transportation roster to verify that all children have exited the vehicle. #13. To ensure that children have safely arrived in the appropriate classroom, the transportation roster shall be reviewed by the Director or designee and compared with classroom attendance records. The Director or designee shall sign off on the transportation roster to verify that all children have safely transitioned from the vehicle to the classroom. #14. Any vehicles designed or used to transport more than seven (7) passengers and one (1) driver must have approved child safety alarm devices installed. These devices must be properly maintained in working order at all times. Vehicles in service at licensed facilities prior to July 1, 2005, shall have the alarm installed by a qualified technician or mechanic no later than December 31, 2005. On or after July 1, 2005, all vehicles at newly licensed facilities and newly acquired vehicles at existing facilities shall have a child safety alarm installed before placing the vehicle in service. The Child Care Licensing Unit shall maintain a list of approved alarm systems. Clarification ￿ • The alarm system shall be installed so that the driver must walk to the very back of the vehicle to reach the switch that deactivates the alarm. Alarm switches installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. • The alarm system may be installed by any certified technician or mechanic employed by a recognized electronics or automotive business in accordance with the device manufacturer’s recommendations. • The time delay from activation of the alarm until the alarm sounds shall be no longer than one (1) minute. Any of the following three (3) options are acceptable to meet the intent of Act 1979 when children are being delivered at the facility. Other options must be approved by the Licensing Unit. Options 1. Unload all of the children, walk through the vehicle to ensure that no children remain on board, and deactivate the alarm. (This option will only work if you are able to unload all children in less than one (1) minute.) 2. Upon arrival, have one (1) staff member immediately walk through the vehicle to deactivate the alarm system. That staff member will remain near the alarm switch 54 at the back of the vehicle until all children have been unloaded to ensure that no child is left on board. (This option will require at least two (2) staff members, one (1) to supervise the children and one (1) to remain inside the vehicle.) 3. Upon arrival, deactivate the alarm and unload the children. Immediately after unloading, start the vehicle and move it to a different location for final parking. (This will reactivate the alarm and require a final walk through.) 1302 Infant and Toddler Transportation Requirements #1. In a vehicle transporting infants and toddlers, the driver may be counted in the staff to child ratio but shall not be the only adult. A ratio of one (1) adult for each of the three (3) infants and toddlers shall be maintained. #2. Infants and toddlers shall not be transported on school buses that are not equipped to accommodate required safety seats. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 1301 Transportation Requirements #1. The requirement in this section apply to all transportation provided by the Licensee, including transportation provided by any person on behalf of the Licensee, regardless of whether the person is employed by the Licensee. The requirements in this section are not limited to routinely scheduled transportation. Periodic transportation, such as a parent requesting that their child be picked up at school due to the parent’s work schedule or other conflicts, is also covered by these requirements, whether a fee is charged for this service or not. #2. When children are transported, emergency contact information shall be maintained on the vehicle at all times. #3. Caregivers transporting children shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the employee’s record; c. Successfully completed the training course in Driver Safety that is offered, or approved, by the Division prior to transporting children. Verification of the completed course in Driver Safety shall be maintained in the employee’s record; and d. Be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. #4. The vehicle(s) used for the transportation of children shall be in compliance with Arkansas state laws on transportation of children. #5. Vehicles shall be licensed and maintained in proper working condition including air conditioning and heating systems. #6. Commercial insurance coverage shall be maintained for any vehicle used for transportation by the facility. Verification of commercial insurance coverage shall be provided to the Licensing Specialist prior to transportation of children. Required coverage amounts to be maintained are: a. Minimum coverage of $100,000 Combined Single Limit (CSL); b. Minimum coverage of $100,000 for both Uninsured Motorist (UM) and Under Insured Motorist (UIM); and c. Minimum coverage of $5,000 Personal Injury Protection (PIP) for each passenger (based on the number of passengers the vehicle is manufactured to transport). #7. The driver may be counted in the staff to child ratio but shall not be the only adult present when more than ten (10) children age three (3) and above are transported. #8. Any child transported in a passenger automobile, van or pick-up truck, who is less than six (6) years old or weighs less than sixty (60) pounds, shall be restrained in a child passenger safety seat. Any child who is at least six (6) years old, or weighs at least sixty (60) pounds, must be restrained by a safety belt or any other approved safety devices. (Act 470 of 2001) Child passenger safety seats shall be used in accordance with manufacturer’s guidelines. #9. The loading and unloading of children from vehicles shall be conducted in a safe manner. #10. There shall be a seating space and an individual, appropriate restraint system provided for each child being transported.#11. Rosters listing the date, names, and ages or date of birth of all children being transported as well as the name of the driver and any other staff member on the vehicle shall be maintained. These rosters shall be used to check children on and off the vehicle when they are picked up and dropped off at home, school, etc. and when they arrive at and leave the Licensed Home. Transportation rosters shall be kept by the facility and available for review for one (1) year. #12. To ensure that no children are left on the vehicle, the driver or a staff member must walk through the vehicle and physically check each seat before leaving the vehicle. The transportation roster must be signed by the driver or staff who conducts the walkthrough inspection, documenting that all children have exited the vehicle. #13. To ensure that children have safely arrived in the home classroom, the transportation roster shall be reviewed by the Licensee and compared with attendance records. The Licensee shall sign off on the transportation roster to verify that all children have safely transitioned from the vehicle to the home. #14. Any vehicles designed or used to transport more than seven (7) passengers and one (1) driver must have approved child safety alarm devices installed. These devices must be properly maintained in working order at all times. Vehicles in service at licensed facilities prior to July 1, 2005, shall have the alarm installed by a qualified technician or mechanic no later than December 31, 2005. On or after July 1, 2005, all vehicles at newly licensed facilities and newly acquired vehicles at existing facilities shall have a child safety alarm installed before placing the vehicle in service. The Child Care Licensing Unit shall maintain a list of approved alarm systems. Clarification • The alarm system shall be installed so that the driver must walk to the very back of the vehicle to reach the switch that deactivates the alarm. Alarm switches installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. • The alarm systems may be installed by any certified technician or mechanic employed by a recognized electronics or automotive business in accordance with the device manufacturer’s recommendations. • The time delay from activation of the alarm until the alarm sounds shall be no longer than one (1) minute. Any of the following three (3) options are acceptable to meet the intent of Act 1979 when children are being delivered at the facility. Other options must be approved by the Licensing Unit. Options: 1. Unload all of the children, walk through the vehicle to ensure that no children remain on board, and deactivate the alarm. (This option will only work if you are able to unload all children in less than one (1) minute.) 2. Upon arrival, have one (1) staff member immediately walk through the vehicle to deactivate the alarm system. That staff member will remain near the alarm switch at the back of the vehicle until all children have been unloaded to ensure that no child is left on board. (This option will require at least two (2) staff members, one (1) to supervise the children and one (1) to remain inside the vehicle.) 3. Upon arrival, deactivate the alarm and unload the children. Immediately after unloading, start the vehicle and move it to a different location for final parking. (This will reactivate the alarm and require a final walk through.) 1302 Infant and Toddler Transportation Requirements #1. A vehicle transporting children under the age of thirty-six (36) months shall maintain a ratio of one (1) adult to three (3) children. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 1301 Transportation Requirements #1. The requirement in this section apply to all transportation provided by the Licensee, including transportation provided by any person on behalf of the Licensee, regardless of whether the person is employed by the Licensee. The requirements in this section are not limited to routinely scheduled transportation. Periodic transportation, such as a parent requesting that their child be picked up at school due to the parent’s work schedule or other conflicts, is also covered by these requirements, whether a fee is charged for this service or not. #2. When children are transported, emergency contact information shall be maintained on the vehicle at all times. #3. Caregivers transporting children shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the employee’s record; c. Successfully completed the training course in Driver Safety that is offered, or approved, by the Division prior to transporting children. Verification of the completed course in Driver Safety shall be maintained in the employee’s record; and d. Be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. #4. The vehicle(s) used for the transportation of children shall be in compliance with Arkansas state laws on transportation of children. #5. Vehicles shall be licensed and maintained in proper working condition including air conditioning and heating systems. #6. Commercial insurance coverage shall be maintained for any vehicle used for transportation by the facility. Verification of commercial insurance coverage shall be provided to the Licensing Specialist prior to transportation of children. Required coverage amounts to be maintained are: a. Minimum coverage of $100,000 Combined Single Limit (CSL); b. Minimum coverage of $100,000 for both Uninsured Motorist (UM) and Under Insured Motorist (UIM); and c. Minimum coverage of $5,000 Personal Injury Protection (PIP) for each passenger (based on the number of passengers the vehicle is manufactured to transport). #7. The driver may be counted in the staff to child ratio but shall not be the only adult present when more than ten (10) children age three (3) and above are transported. #8. Any child transported in a passenger automobile, van or pick-up truck, who is less than six (6) years old or weighs less than sixty (60) pounds, shall be restrained in a child passenger safety seat. Any child who is at least six (6) years old, or weighs at least sixty (60) pounds, must be restrained by a safety belt or any other approved safety devices. (Act 470 of 2001) Child passenger safety seats shall be used in accordance with manufacturer’s guidelines. #9. The loading and unloading of children from vehicles shall be conducted in a safe manner. #10. There shall be a seating space and an individual, appropriate restraint system provided for each child being transported.#11. Rosters listing the date, names, and ages or date of birth of all children being transported as well as the name of the driver and any other staff member on the vehicle shall be maintained. These rosters shall be used to check children on and off the vehicle when they are picked up and dropped off at home, school, etc. and when they arrive at and leave the Licensed Home. Transportation rosters shall be kept by the facility and available for review for one (1) year. #12. To ensure that no children are left on the vehicle, the driver or a staff member must walk through the vehicle and physically check each seat before leaving the vehicle. The transportation roster must be signed by the driver or staff who conducts the walkthrough inspection, documenting that all children have exited the vehicle. #13. To ensure that children have safely arrived in the home classroom, the transportation roster shall be reviewed by the Licensee and compared with attendance records. The Licensee shall sign off on the transportation roster to verify that all children have safely transitioned from the vehicle to the home. #14. Any vehicles designed or used to transport more than seven (7) passengers and one (1) driver must have approved child safety alarm devices installed. These devices must be properly maintained in working order at all times. Vehicles in service at licensed facilities prior to July 1, 2005, shall have the alarm installed by a qualified technician or mechanic no later than December 31, 2005. On or after July 1, 2005, all vehicles at newly licensed facilities and newly acquired vehicles at existing facilities shall have a child safety alarm installed before placing the vehicle in service. The Child Care Licensing Unit shall maintain a list of approved alarm systems. Clarification • The alarm system shall be installed so that the driver must walk to the very back of the vehicle to reach the switch that deactivates the alarm. Alarm switches installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. • The alarm systems may be installed by any certified technician or mechanic employed by a recognized electronics or automotive business in accordance with the device manufacturer’s recommendations. • The time delay from activation of the alarm until the alarm sounds shall be no longer than one (1) minute. Any of the following three (3) options are acceptable to meet the intent of Act 1979 when children are being delivered at the facility. Other options must be approved by the Licensing Unit. Options: 1. Unload all of the children, walk through the vehicle to ensure that no children remain on board, and deactivate the alarm. (This option will only work if you are able to unload all children in less than one (1) minute.) 2. Upon arrival, have one (1) staff member immediately walk through the vehicle to deactivate the alarm system. That staff member will remain near the alarm switch at the back of the vehicle until all children have been unloaded to ensure that no child is left on board. (This option will require at least two (2) staff members, one (1) to supervise the children and one (1) to remain inside the vehicle.) 3. Upon arrival, deactivate the alarm and unload the children. Immediately after unloading, start the vehicle and move it to a different location for final parking. (This will reactivate the alarm and require a final walk through.) 1302 Infant and Toddler Transportation Requirements #1. A vehicle transporting children under the age of thirty-six (36) months shall maintain a ratio of one (1) adult to three (3) children. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 1301 Transportation Requirements 1. The requirements in this section apply to all transportation provided by the Licensee, including transportation provided by any person on behalf of the Licensee, regardless of whether the person is employed by the Licensee. Periodic transportation, such as a parent requesting that their child be picked up at school due to the parent’s work schedule or other conflicts, is also covered by these requirements, whether a fee is charged for this service or not. 2. When participants are transported, emergency contact information shall be maintained on the vehicle at all times. 3. Staff transporting participants shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the staff’s record; and c. successfully completed the training course in Driver Safety that is offered or approved by the Division prior to transporting participants. Verification of the completed course in Driver Safety (when available) shall be maintained on site in the staff’s record. d. At least one (1) adult on the vehicle shall be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. 4. The vehicle(s) used for the transportation of participants shall be in compliance 51 with Arkansas State laws on transportation of participants. 5. Vehicles shall be licensed and maintained in proper working condition including air conditioning and heating systems. 6. Commercial insurance coverage shall be maintained for any vehicle used for transportation by the facility. Verification of commercial insurance coverage shall be provided to the Licensing Specialist prior to transportation of participants. Required coverage amounts to be maintained are: a. Minimum coverage of $100,000 Combined Single Limit (CSL); b. Minimum coverage of $100,000 for both Uninsured Motorist (UM) and Under Insured Motorist (UIM); and c. Minimum coverage of $5,000 Personal Injury Protection (PIP) for each passenger (based on the number of passengers the vehicle is manufactured to transport). (Act 23 of 2015) Exception: State institutions, political subdivisions or other entities entitled to immunity from liability under § 21-9-301, are not required to meet this requirement in order to be licensed. licensed. 7. During routine transporting of participants to and from an Out-of-School Time (OST) Program, a ratio of 1:18 does not need to be maintained as long as there is one (1) additional adult present in the vehicle besides the driver. When transporting participants for non-routine purposes (ex. field trip) a ratio of 1:18 needs to be maintained at all times. The driver may be counted in staff to participant ratio. 8. Any participant who is less than six (6) years old or weighs less than sixty pounds (60 lbs.) shall be restrained in a child passenger safety seat. Any participant who is at least six (6) years or weighs at least sixty pounds (60 lbs.) must be restrained by a safety belt. (Act 470 of 2001). Conventional school busses are exempt from this requirement except for the transportation of infants and toddlers. (See#1302.2) Child passenger safety seats shall be used in accordance with manufacturer’s guidelines. 9. There shall be a seating space and an individual, appropriate restraint system provided for each participant transported. 10. Rosters listing the date, the names, and ages or dates of birth of all participants being transported as well as the name of the driver and any other staff member on the vehicle shall be maintained. These rosters shall be used to check participants on and off the vehicle when they are picked up and dropped off at home, school, etc. and when they arrive at and leave the facility. Transportation rosters shall be kept by the facility and available for review for one (1) year. 11. To ensure that no participants are left on the vehicle, the driver or a staff member must walk through the vehicle and physically inspect each seat before leaving the vehicle. The driver or the staff member who conducted the walk- through inspection must sign the transportation roster to verify that all participants have exited the vehicle. 12. To ensure that participants have safely arrived in the appropriate program space, the 52 transportation roster shall be reviewed by the Director or designee and compared with attendance records. The Director or designee shall sign off on the transportation roster to verify that all participants have safely transitioned from the vehicle to the program. 13. Any vehicles designed or used to transport more than seven (7) passengers and one (1) driver must have approved child safety alarm devices installed. These devices must be properly maintained in working order at all times. Vehicles in service at licensed facilities prior to July 1, 2005 shall have the alarm installed by a qualified technician or mechanic no later than December 31, 2005. On or after July 1, 2005 all vehicles at newly licensed facilities and newly acquired vehicles at existing facilities shall have a child safety alarm installed before placing the vehicle in service. The Child Care Licensing Unit shall maintain a list of approved alarm systems. Clarification ￿ • The alarm system shall be installed so that the driver must walk to the very back of the vehicle to reach the switch that deactivates the alarm. Alarm switches installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. • The alarm system may be installed by any certified technician or mechanic employed by a recognized electronics or automotive business in accordance with the device's manufacturer’s recommendations. • The time delay from activation of the alarm until the alarm sounds shall be no longer than one (1) minute. Any of the following three (3) options are acceptable to meet the intent of Act 1979 when participants are being delivered at the facility. Other options must be approved by the Licensing Unit. Options 1. Unload all of the participants, walk through the vehicle to ensure that no participants remain on board, and deactivate the alarm. (This option will only work if you are able to unload all participants in less than one (1) minute.) 2. Upon arrival, have one (1) staff member immediately walk through the vehicle to deactivate the alarm system. That staff member will remain near the alarm switch at the back of the vehicle until all participants have been unloaded to ensure that no participant is left on board. (This option will require at least two (2) staff members, one (1) to supervise the participants and one (1) to remain inside the vehicle.) 3. Upon arrival, deactivate the alarm and unload the participants. Immediately after unloading, start the vehicle and move it to a different location for final parking. (This will reactivate the alarm and require a final walk through.) 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: CCDF Program Participants: All unsupervised direct care staff must be certified in pediatric first aid and cardiopulmonary resuscitation (CPR). https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 306 Professional Development #5 The Director, Assistant Director or Site Supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. If the facility serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, 1101General Health Requirements #11 A first aid supply shall be kept out of reach of the children. A first aid kit containing medications shall be locked. This kit shall include the following: a. Adhesive Band-Aids (various sizes); b. Sterile gauze squares; c. Adhesive tape; d. Roll of gauze bandages; e. Antiseptic; f. Thermometer; g. Scissors; h. Disposable gloves; and i. Tweezers. 1301 Transportation Requirements #3d At least one (1) adult on the vehicle shall be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CCDF Program Participants: All unsupervised direct care staff must be certified in pediatric first aid and cardiopulmonary resuscitation (CPR). https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 303 Caregiver Qualifications and Responsibilities #8. At least one (1) caregiver who has a current certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization shall be on site at all times. If the home serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction, as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc. 1301 Transportation Requirements # 3. Caregivers transporting children shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the employee’s record; c. Successfully completed the training course in Driver Safety that is offered, or approved, by the Division prior to transporting children. Verification of the completed course in Driver Safety shall be maintained in the employee’s record; and d. Be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. iii. All CCDF-eligible licensed in-home care. Provide the standard: CCDF Program Participants: All unsupervised direct care staff must be certified in pediatric first aid and cardiopulmonary resuscitation (CPR). https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 303 Caregiver Qualifications and Responsibilities #8. At least one (1) caregiver who has a current certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization shall be on site at all times. If the home serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction, as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc. 1301 Transportation Requirements # 3. Caregivers transporting children shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the employee’s record; c. Successfully completed the training course in Driver Safety that is offered, or approved, by the Division prior to transporting children. Verification of the completed course in Driver Safety shall be maintained in the employee’s record; and d. Be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: https://dese.ade.arkansas.gov/Files/2020- OST-Clean-Copy_20230506120357.pdf 302 Director #2d The program director shall have completed the following training: First Aid certification. 307 Professional Development #5 The director, assistant director or site supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. a. The curriculum shall conform with current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction, as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; EMS Safety Services, Inc.) 1101 General Health Requirements #14 A first aid supply shall be kept out of reach of the participant. A first aid kit containing medications shall be locked. This kit shall include the following: a. Adhesive Band-Aids (various sizes); b. Sterile gauze squares; c. Adhesive tape; d. Roll of gauze bandages; e. Antiseptic; f. Thermometer; g. Scissors; h. Disposable gloves; and i. Tweezers. 1301 Transportation Requirements #3d Staff transporting participants shall meet the following requirements: d. At least one (1) adult on the vehicle shall be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. 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: CCDF Program Participants: All unsupervised direct care staff must be certified in pediatric first aid and cardiopulmonary resuscitation (CPR). https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 306 Professional Development #5 The Director, Assistant Director or Site Supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. If the facility serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, 1301 Transportation Requirements #3d At least one (1) adult on the vehicle shall be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CCDF Program Participants: All unsupervised direct care staff must be certified in pediatric first aid and cardiopulmonary resuscitation (CPR). Family Care Homes: At least 1 caregiver who has a current certificate of successful completion of first aid and CPR from an approved organization shall be on site at all times. If the home serves infants/toddlers, this training shall include infant and child CPR. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean- Copy_20230506115827.pdf 303 Caregiver Qualifications and Responsibilities #8. At least one (1) caregiver who has a current certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization shall be on site at all times. If the home serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction, as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc. 1301 Transportation Requirements # 3. Caregivers transporting children shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the employee’s record; c. Successfully completed the training course in Driver Safety that is offered, or approved, by the Division prior to transporting children. Verification of the completed course in Driver Safety shall be maintained in the employee’s record; and d. Be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. iii. All CCDF-eligible licensed in-home care. Provide the standard: CCDF Program Participants: All unsupervised direct care staff must be certified in pediatric first aid and cardiopulmonary resuscitation (CPR). Family Care Homes: At least 1 caregiver who has a current certificate of successful completion of first aid and CPR from an approved organization shall be on site at all times. If the home serves infants/toddlers, this training shall include infant and child CPR. https://dese.ade.arkansas.gov/Files/2020-RCCFH-Clean- Copy_20230506120624.pdf 303 Caregiver Qualifications and Responsibilities #8. At least one (1) caregiver who has a current certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization shall be on site at all times. If the home serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction, as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, Inc. 1301 Transportation Requirements # 3. Caregivers transporting children shall meet the following requirements: a. Be at least twenty-one (21) years old or the minimum age required by the Licensee’s commercial auto insurance; b. Hold a current valid driver’s license or commercial driver’s license as required by state law, and a readable copy shall be maintained in the employee’s record; c. Successfully completed the training course in Driver Safety that is offered, or approved, by the Division prior to transporting children. Verification of the completed course in Driver Safety shall be maintained in the employee’s record; and d. Be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The director, assistant director or site supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 307 Professional Development #5 The Director, Assistant Director or Site Supervisor, and fifty percent (50%) of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and Cardiopulmonary Resuscitation (CPR) from an approved organization. If the facility serves infants and toddlers, this training shall include infant and child CPR. (Infant and child CPR may be included in the basic course or in a separate course.) a. The curriculum shall conform to current American Heart Association or American Red Cross guidelines; b. The curriculum shall require hands on, skill-based instruction as well as practical testing. Training and certification that is provided solely online will not be accepted; and c. The instructor shall be qualified and authorized to teach the curriculum and shall be certified by a nationally recognized organization. (Including but not limited to: Health and Safety Institute; Emergency Medical Services (EMS) Safety Services, 1301 Transportation Requirements #3d At least one (1) adult on the vehicle shall be certified in Cardiopulmonary Resuscitation (CPR) and First Aid. 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: https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 101 Related Laws and Requirements #5 Reporting Requirements Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1- 800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 109 Child Maltreatment Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a child care facility b. Staff members and applicants for employment in a child care facility c. All volunteers, therapists, and student observers, who have routine contact with children d. Administrative staff and members of the Board of Directors who have supervisory or disciplinary control over children or who have routine contact with children At application and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or participating in center activities and every two (2) years thereafter At application and when changes occur with administrative staff or Board members, and every two (2) years thereafter. 109 Child Maltreatment Checks #2 If a complaint of child maltreatment is filed against any owner, operator, staff, or other person in a child care center, the Child Care Licensing Specialist shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the center during hours of care until the allegations have been determined true or unsubstantiated. (Pending the evaluation of risk to children by the Child Care Licensing Unit, the person(s) alleged shall not be left alone with children.) 109 Child Maltreatment Checks #4 The statewide Child Maltreatment Hotline and the Child Care Licensing Central Office number shall be posted in a conspicuous place in the child care facility. The Hotline number is 1-800-482-5964 and the Licensing Central Office number is (501) 682-8590 or toll-free 1-800-445-3316. 306 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 25 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #5. Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-4825964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (or licensed home) that has been communicated to the person in the course of their professional duties. 108 Child Maltreatment Record Checks #3. All caregiver(s) are mandated reporters under the Child Maltreatment Act. The caregiver(s) shall call the Child Maltreatment Hot Line number at 1-800-482-5964 when there is a reason to believe that a child has been abused or neglected. (AR Code Annotated § 1212- 501 et seq. These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. It is recommended that the Licensee call Child Care Licensing for guidance if there is any question about whether the Hotline should be called regarding any situation where potential child maltreatment is involved. 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. g. Mandated reporter training; 1105 Phone Numbers Required #1. The following phone numbers shall be available in the immediate area of the telephone: a. Ambulance service or emergency medical services; b. Police or sheriff’s department; c. Fire department; d. Poison Control Center: 1-800-376-4766; e. Child Abuse Hotline Number: 1-800- 482-5964; f. The physicians named by the parents; g. Child Care Licensing Unit Central Office Number: 501-682-2350 or toll free 1-800-445-3316; and h. Home and business numbers of the parents. iii. All CCDF-eligible licensed in-home care. Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCFH-Clean-Copy_20230506115827.pdf 101 Related Laws and Requirements #5. Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-4825964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (or licensed home) that has been communicated to the person in the course of their professional duties. 108 Child Maltreatment Record Checks #3. All caregiver(s) are mandated reporters under the Child Maltreatment Act. The caregiver(s) shall call the Child Maltreatment Hot Line number at 1-800-482-5964 when there is a reason to believe that a child has been abused or neglected. (AR Code Annotated § 1212- 501 et seq. These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. It is recommended that the Licensee call Child Care Licensing for guidance if there is any question about whether the Hotline should be called regarding any situation where potential child maltreatment is involved. 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. g. Mandated reporter training; 1105 Phone Numbers Required #1. The following phone numbers shall be available in the immediate area of the telephone: a. Ambulance service or emergency medical services; b. Police or sheriff’s department; c. Fire department; d. Poison Control Center: 1-800-376-4766; e. Child Abuse Hotline Number: 1-800- 482-5964; f. The physicians named by the parents; g. Child Care Licensing Unit Central Office Number: 501-682-2350 or toll free 1-800-445-3316; and h. Home and business numbers of the parents. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 101 Related Laws and Requirements #5 Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 109 Child Maltreatment Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a child care facility b. Staff members and applicants for employment in a child care facility c. All volunteers, therapists, and student observers, who have routine contact with children d. Administrative staff and members of the Board of Directors who have supervisory or disciplinary control over children or who have routine contact with children At application and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or participating in center activities and every two (2) years thereafter At application and when changes occur with administrative staff or Board members, and every two (2) years thereafter. 109 Child Maltreatment Checks #2 If a complaint of child maltreatment is filed against any owner, operator, staff, or other person in a child care center, the Child Care Licensing Specialist shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the center during hours of care until the allegations have been determined true or unsubstantiated. (Pending the evaluation of risk to children by the Child Care Licensing Unit, the person(s) alleged shall not be left alone with children.) 109 Child Maltreatment Checks #4 The statewide Child Maltreatment Hotline and the Child Care Licensing Central Office number shall be posted in a conspicuous place in the child care facility. The Hotline number is 1-800-482-5964 and the Licensing Central Office number is (501) 682-8590 or toll-free 1-800-445-3316. 307 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-CCC-Clean-Copy_20230506115600.pdf 101 Related Laws and Requirements #5 Reporting Requirements Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1- 800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 109 Child Maltreatment Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a child care facility b. Staff members and applicants for employment in a child care facility c. All volunteers, therapists, and student observers, who have routine contact with children d. Administrative staff and members of the Board of Directors who have supervisory or disciplinary control over children or who have routine contact with children At application and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or participating in center activities and every two (2) years thereafter At application and when changes occur with administrative staff or Board members, and every two (2) years thereafter. 109 Child Maltreatment Checks #2 If a complaint of child maltreatment is filed against any owner, operator, staff, or other person in a child care center, the Child Care Licensing Specialist shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the center during hours of care until the allegations have been determined true or unsubstantiated. (Pending the evaluation of risk to children by the Child Care Licensing Unit, the person(s) alleged shall not be left alone with children.) 109 Child Maltreatment Checks #4 The statewide Child Maltreatment Hotline and the Child Care Licensing Central Office number shall be posted in a conspicuous place in the child care facility. The Hotline number is 1-800-482-5964 and the Licensing Central Office ii. All CCDF-eligible licensed family child care homes. Provide the standard: 101 Related Laws and Requirements #5. Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-4825964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (or licensed home) that has been communicated to the person in the course of their professional duties. 108 Child Maltreatment Record Checks #3. All caregiver(s) are mandated reporters under the Child Maltreatment Act. The caregiver(s) shall call the Child Maltreatment Hot Line number at 1-800-482-5964 when there is a reason to believe that a child has been abused or neglected. (AR Code Annotated § 1212- 501 et seq. These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. It is recommended that the Licensee call Child Care Licensing for guidance if there is any question about whether the Hotline should be called regarding any situation where potential child maltreatment is involved. 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. g. Mandated reporter training; 1105 Phone Numbers Required #1. The following phone numbers shall be available in the immediate area of the telephone: a. Ambulance service or emergency medical services; b. Police or sheriff’s department; c. Fire department; d. Poison Control Center: 1-800-376-4766; e. Child Abuse Hotline Number: 1-800- 482-5964; f. The physicians named by the parents; g. Child Care Licensing Unit Central Office Number: 501-682-2350 or toll free 1-800-445-3316; and h. Home and business numbers of the parents. iii. All CCDF-eligible licensed in-home care. Provide the standard: 101 Related Laws and Requirements #5. Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-4825964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (or licensed home) that has been communicated to the person in the course of their professional duties. 108 Child Maltreatment Record Checks #3. All caregiver(s) are mandated reporters under the Child Maltreatment Act. The caregiver(s) shall call the Child Maltreatment Hot Line number at 1-800-482-5964 when there is a reason to believe that a child has been abused or neglected. (AR Code Annotated § 1212- 501 et seq. These reports of child maltreatment shall include all allegations made to the Licensee by parents, staff members, or the general public. It is recommended that the Licensee call Child Care Licensing for guidance if there is any question about whether the Hotline should be called regarding any situation where potential child maltreatment is involved. 303 Caregiver Qualifications and Responsibilities #7 All caregivers, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. g. Mandated reporter training; 1105 Phone Numbers Required #1. The following phone numbers shall be available in the immediate area of the telephone: a. Ambulance service or emergency medical services; b. Police or sheriff’s department; c. Fire department; d. Poison Control Center: 1-800-376-4766; e. Child Abuse Hotline Number: 1-800- 482-5964; f. The physicians named by the parents; g. Child Care Licensing Unit Central Office Number: 501-682-2350 or toll free 1-800-445-3316; and h. Home and business numbers of the parents. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. https://dese.ade.arkansas.gov/Files/2020-OST-Clean-Copy_20230506120357.pdf 101 Related Laws and Requirements #5 Owners, operators, staff, therapists, and volunteers are mandated reporters of suspected child maltreatment and are required to call the Child Maltreatment Hotline at 1-800-482-5964, if they have reason to suspect child maltreatment. Additionally, these same individuals are required by Act 530 of 2019, to 6 notify law enforcement if they have a good faith belief that there is a serious and imminent threat to the health or safety of a student, employee, or the public, based on a threat made by an individual regarding violence in, or targeted at, a school (child care center) that has been communicated to the person in the course of their professional duties. 109 Child Maltreatment Checks #1 The following persons shall be required to have their background reviewed through an Arkansas Child Maltreatment Central Registry Check. Prospective employees who have not lived in the State of Arkansas during the preceding five (5) years will be subject to current federal guidelines regarding conducting a child maltreatment background check in any states where they resided during the past five (5) years. a. Each applicant to own or operate a child care facility b. Staff members and applicants for employment in a child care facility c. All volunteers, therapists, and student observers, who have routine contact with children d. Administrative staff and members of the Board of Directors who have supervisory or disciplinary control over children or who have routine contact with children At application and every two (2) years thereafter Prior to employment and every two (2) years thereafter Prior to providing services or participating in center activities and every two (2) years thereafter At application and when changes occur with administrative staff or Board members, and every two (2) years thereafter. 109 Child Maltreatment Checks #2 If a complaint of child maltreatment is filed against any owner, operator, staff, or other person in a child care center, the Child Care Licensing Specialist shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the center during hours of care until the allegations have been determined true or unsubstantiated. (Pending the evaluation of risk to children by the Child Care Licensing Unit, the person(s) alleged shall not be left alone with children.) 109 Child Maltreatment Checks #4 The statewide Child Maltreatment Hotline and the Child Care Licensing Central Office number shall be posted in a conspicuous place in the child care facility. The Hotline number is 1-800-482-5964 and the Licensing Central Office number is (501) 682-8590 or toll-free 1-800-445-3316. 307 Professional Development #4 All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 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: