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: A licensed child care center must be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. A center must be equipped to isolate and care for any child who becomes ill during the day. A child care center must immediately notify the child's authorized representative when the child becomes ill enough to require isolation and must be asked to remove the child from the center as soon as possible. Centers are required to report to California Department of Social Services (CDSS), within seven days of occurrence, any epidemic outbreaks, injuries, and unusual incidents that occur while care is being provided. Preventive health practices training includes instruction in the recognition, management, and prevention of infectious diseases, including immunizations. Child care centers are to practice universal health precautions and provide safe and healthful accommodations and ensure clean, and sanitary buildings and grounds outlined in Title 22, California Code of Regulations Sections: 101216(e), 101216(e)(2), 101238(a), 101223(a)(2), and 101238(a). The Healthy Schools Act requires that anyone using disinfectants at child care centers complete annual California Department of Pesticide Regulation-approved training. Online training can be found by going to California School & Child Care Integrated Pest Management. Prior to employment or licensure, all child care facility staff must provide evidence of tuberculosis clearance and be immunized against influenza, pertussis, and measles unless exempt; all staff must also obtain annual influenza vaccinations unless exempt (Health and Safety Code Section 1596.7995). Children in licensed child care centers shall be immunized from diseases, as specified by the California Department of Public Health (CDPH), prior to admission (See Health and Safety Code Section 120335; California Code of Regulations, Title 17, Section 6000, et seq.; California Code of Regulations, Title 22, Sections 101220.1). Documentation of immunization is required while a child is in care, unless the child is enrolled in public or private elementary school or is exempt based on a medical reason, and for some immunizations, based on a medical reason or personal belief (Health and Safety Code Sections 120325(c), 120338; California Code of Regulations, Title 22, Section 101220.1). ii. All CCDF-eligible licensed family child care homes. Provide the standard: A licensed family child care home must be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. A family child care home must be equipped to isolate and care for any child who becomes ill during the day. A family child care home must immediately notify the child’s authorized representative when the child becomes ill enough to require isolation and must be asked to remove the child from the home as soon as possible. Licensed providers are required to report to CDSS, within seven days of occurrence, any epidemic outbreaks, injuries, and unusual incidents that occur while care is being provided. Preventive health practices training includes instruction in the recognition, management, and prevention of infectious diseases, including immunizations. Family child care homes are to practice universal health precautions and provide safe and healthful accommodates and ensure clean, and sanitary buildings and grounds outlined in Title 22, California Code of Regulations Sections: 102416(c), 102416(c), 102417(b), 102417(b), and 102423(a)(2). Prior to employment or licensure, all child care facility staff must provide evidence of tuberculosis clearance and be immunized against influenza, pertussis, and measles unless exempt; all staff must also obtain annual influenza vaccinations unless exempt (Health and Safety Code Sections 1597.055, 1597.54, 1597.622.). Children in licensed family child care homes shall be immunized from diseases, as specified by CDPH, prior to admission (See Health and Safety Code Section 120335; California Code of Regulations, Title 17, Section 6000, et seq.; California Code of Regulations, Title 22, Section 102418). Documentation of immunization is required while a child is iii in care, unless the child is enrolled in public or private elementary school or is exempt based on a medical reason, and for some immunizations, based on a medical reason or personal belief (Health and Safety Code Sections 120325(c), 120338; California Code of Regulations, Title 22, Section 102418). All CCDF-eligible licensed in-home care. Provide the standard: N/A iii. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. iv. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A v. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education. 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: Children in licensed child care facilities shall be immunized from diseases, as specified by CPDH, prior to admission (See Health and Safety Code, Section 120335; California Code of Regulations, Title 17, Section 6000, et seq.; California Code of Regulations, Title 22, Sections 101220.1 and 102418). Documentation of immunization is required while a child is in care, unless the child is enrolled in public or private elementary school or is exempt based on a medical reason, and for some immunizations, based on a medical reason or personal belief (Health and Safety Code Sections 120325(c), 120338; California Code of Regulations, Title 22, Sections 101220.1 and 102418). ii. All CCDF-eligible licensed family child care homes. Provide the standard: Children in licensed child care facilities shall be immunized from diseases, as specified by CPDH, prior to admission (See Health and Safety Code, Section 120335; California Code of Regulations, Title 17, Section 6000, et seq.; California Code of Regulations, Title 22, Sections 101220.1 and 102418). Documentation of immunization is required while a child is in care, unless the child is enrolled in public or private elementary school or is exempt based on a medical reason, and for some immunizations, based on a medical reason or personal belief (Health and Safety Code Sections 120325(c), 120338; California Code of Regulations, Title 22, Sections 101220.1 and 102418). iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to meet the requirement. develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team, to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education. 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: Licensed child care centers are required to comply with regulations which aim to reduce the risk of sleep-related infant deaths. These practices include, but are not limited to, implementing an individual infant sleeping plan, placing infants up to 12 months of age on their backs for sleeping, not swaddling infants, directly observing sleeping infants, checking on sleeping infants every 15 minutes, and ensuring cribs are free from all loose articles and objects, including blankets, pillows, and bumper pads (California Code of Regulations, Title 22, Sections 101429, 101430, and 101439.1). ii. All CCDF-eligible licensed family child care homes. Provide the standard: Licensed family child care homes are required to comply with regulations which aim to reduce the risk of sleep-related infant deaths. These practices include, but are not limited to, implementing an individual infant sleeping plan, placing infants up to 12 months of age on their backs for sleeping, not swaddling infants, directly observing sleeping infants, checking on sleeping infants every 15 minutes, and ensuring cribs are free from all loose articles and objects, including blankets, pillows, and bumper pads (California Code of Regulations, Title 22, Section 102425). iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The California Department of Social Services (CDSS)has been meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education. 100 | P a g e 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Currently, CDSS has the following standards in place related to the administration of medication: Health and Safety Code Section 1596.797 authorizes child care centers to conduct blood glucose testing for the purposes of monitoring a child diagnosed with Diabetes. Health and Safety Code section 1596.798 allows the licensees and staff of a child day care facility to administer inhaled medication to a child if specified requirements are met. Prior to, or within 30 calendar days following the enrollment of a child, a child care center licensee must obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. During the admission process the child’s authorized representative will complete an admission agreement with the provider, which is to include information regarding basic services such as medication or other health-related needs of the child. It is during the admission process that the center works with the parents to better understand the state of the child's health and physical and emotional development, and to assess whether the child care center can meet the child's needs. Licensees and specified licensed child care facility staff obtain pediatric first aid training, which includes training on the administration of inhaled medications. Licensed child care centers and their staff may administer inhaled medication to a child if there is written authorization from the child’s parent or guardian, the licensee or staff complies with the written instructions from the child’s physician, the licensee or staff administering the inhaled medication records each administration and provides a daily record to the child’s parent or guardian, and the licensee or staff has received the required training. In a child care center, prescription medications must be administered in accordance with the label instructions as prescribed by the child’s physician and as specified in writing by the child’s authorized representative. Non-prescription medications must be administered in accordance with the product label directions on the container and as specified in writing by the child’s authorized representative. A child care center is prohibited from withholding medication from a child. As places of public accommodation, licensed child care facilities have obligations to care for children with qualifying disabilities under federal and state disability laws which include: the Americans with Disabilities Act of 1990 (ADA), Title III, The California Unruh Civil Rights Act, and The California Disabled Persons Act. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Health and Safety Code section 1596.797 authorizes family child care 101 | P a g e homes to conduct blood glucose testing for the purposes of monitoring a child diagnosed with Diabetes. Health and Safety Code section 1596.798 allows the licensees and staff of a child day care facility to administer inhaled medication to a child if specified requirements are met. Licensees and specified licensed child care facility staff obtain pediatric first aid training, which includes training on the administration of inhaled medications. Licensed family child care homes and their staff may administer inhaled medication to a child if there is written authorization from the child’s parent or guardian, the licensee or staff complies with the written instructions from the child’s physician, the licensee or staff administering the inhaled medication records each administration and provides a daily record to the child’s parent or guardian, and the licensee or staff has received the required training. A family child care home is prohibited from withholding medication from a child. As places of public accommodation, licensed child care facilities have obligations to care for children with qualifying disabilities under federal and state disability laws which include: the Americans with Disabilities Act of 1990 (ADA), Title III, The California Unruh Civil Rights Act, and The California Disabled Persons Act. License-exempt providers do not have standards or requirements regarding the administration of medication. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license- exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education (CDE). 102 | P a g e 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Licensed child care centers and their staff may administer inhaled medication to a child if there is written authorization from the child’s parent or guardian, the licensee or staff complies with the written instructions from the child’s physician, the licensee or staff administering the inhaled medication records each administration and provides a daily record to the child’s parent or guardian, and the licensee or staff has received the required training. In a child care center, prescription medications must be administered in accordance with the label instructions as prescribed by the child’s physician and as specified in writing by the child’s authorized representative. Non-prescription medications must be administered in accordance with the product label directions on the container and as specified in writing by the child’s authorized representative. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Licensed family child care homes and their staff may administer inhaled medication to a child if there is written authorization from the child’s parent or guardian, the licensee or staff complies with the written instructions from the child’s physician, the licensee or staff administering the inhaled medication records each administration and provides a daily record to the child’s parent or guardian, and the licensee or staff has received the required training. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A. iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vii. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A. viii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 103 | P a g e 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Child care center licensees are required to maintain separate, complete, and current records for each child, including dietary restrictions and allergies. Licensed facilities obtain a signed consent form from a child’s authorized representative to provide emergency medical treatment. Child care centers must meet requirements for administering appropriate medication. Food service requirements for child care centers state that a child must not be served any food to which the child’s record indicates he or she has an allergy. Food allergies are also required to be included in the feeding plan for infants in child care centers. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Family child care homes are required to maintain detailed records for each child, including an emergency information card. Licensed facilities obtain a signed consent form from a child’s authorized representative to provide emergency medical treatment. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When 104 | P a g e completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education (CDE). 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Licensed child care centers obtain a signed consent form from a child’s authorized representative to provide emergency medical treatment and must meet requirements for administering appropriate medication. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Licensed family child care homes obtain a signed consent form from a child’s authorized representative to provide emergency medical treatment and must meet requirements for administering appropriate medication. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non- from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license- exempt providers. 105 | P a g e It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 5.3.5 Building and physical premises safety, including the identification of and protection from hazards, bodies of water, and vehicular traffic health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from building and physical premises hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child care center playgrounds must be enclosed by a fence to protect children and to keep them in the outdoor activity area. Fences must be at least four feet high. The areas around and under high climbing equipment, swings, slides and other similar equipment must be cushioned with material that absorbs falls. Playground equipment must be securely anchored to the ground unless it is portable by design. Fireplaces and open-faced heaters in child care centers must be made inaccessible to children to ensure children's safety. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family child care home outdoor play areas must either be fenced, or outdoor play areas must be supervised by the licensee or caregiver. Fireplaces and open-face heaters must be screened to prevent access by children. The home must contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California 106 | P a g e received a preliminary notice of non-compliance from Office of Child Care (OCC) on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The California Department of Social Services (CDSS) has been meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education (CDE). 107 | P a g e 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: Licensed child care facilities are required to ensure the inaccessibility of pools, including swimming pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds, or similar bodies of water, through a pool cover or by surrounding the pool with a fence. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Licensed child care facilities are required to ensure the inaccessibility of pools, including swimming pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds, or similar bodies of water, through a pool cover or by surrounding the pool with a fence. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 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: 108 | P a g e i. All CCDF-eligible licensed center care. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Child care facility licensees shall post signs at the entrance to the facility that provide information on child passenger restraint systems and Vehicle Code sections 27360 and 27360.5 . (See Health and Safety Code Section 1596.95). Only drivers licensed for the type of vehicle operated shall be permitted to transport children. The manufacturer’s rated seating capacity of the vehicles shall not be exceeded. Motor vehicles used to transport children shall be maintained in a safe operating condition. All vehicle occupants shall be secured in an appropriate restraint system. Children shall not be left in parked vehicles. When transporting infants in any motor vehicle, the licensee shall secure the infants in a car seat designed for infants, which is secured in the vehicle in accordance with manufacturer’s instructions. (See California Code of Regulations, Title 22, Sections 101225, 101425, 102417(h)-(l).) ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Child care facility licensees shall post signs at the entrance to the facility that provide information on child passenger restraint systems and Vehicle Code sections 27360 and 27360.5. (See Health and Safety Code Section 1596.95). Only drivers licensed for the type of vehicle operated shall be permitted to transport children. The manufacturer’s rated seating capacity of the vehicles shall not be exceeded. Motor vehicles used to transport children shall be maintained in a safe operating condition. All vehicle occupants shall be secured in an appropriate restraint system. Children shall not be left in parked vehicles. When transporting infants in any motor vehicle, the licensee shall secure the infants in a car seat designed for infants, which is secured in the vehicle in accordance with manufacturer’s instructions. (See California Code of Regulations, Title 22, Sections 101225, 101425, 102417(h)-(l).) iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on 109 | P a g e December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 5.3.6 Prevention of shaken baby syndrome, abusive head trauma, and maltreatment health and safety standard. 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Each child day care facility licensee and employee are required to complete mandated reporter training regarding the identification and reporting of child abuse and neglect, including the dangers of shaking a child. A licensed child day care facility is prohibited from the use of corporal or unusual punishment, infliction of pain, and other actions of a punitive nature. These standards apply regardless of the age of a child in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Each child day care facility licensee and employee are required to complete mandated reporter training regarding the identification and reporting of child abuse and neglect, including the dangers of shaking a child. A licensed child day care facility is prohibited from the use of corporal or unusual punishment, infliction of pain, and other actions of a punitive nature. These standards apply regardless of the age of a child in care. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to meet the requirement. The California Department of Social Services (CDSS) has been 110 | P a g e meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education. 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: Each child day care facility licensee and employee are required to complete mandated reporter training regarding the identification and reporting of child abuse and neglect. The training includes information about child safety and maltreatment prevention, including protective factors that may help prevent abuse, the dangers of shaking a child, safe sleep practices, psychological effects of repeated exposure to domestic violence, safe and age-appropriate forms of discipline, how to promote a child’s social and emotional health, how to support positive parent-child relationships, information on recognizing risk factors that may lead to abuse, and when to call for emergency medical attention to prevent further injury or death. Licensees and employees are required to report any known or suspected abuse or neglect of a child in care. Licensees are required to ensure that each child is accorded their personal rights, including to be free from corporal or unusual punishment, infliction of pain, or any other action of a punitive nature that interferes with a child’s functions of daily living. These standards apply regardless of the age of a child in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Each 111 | P a g e child day care facility licensee and employee are required to complete mandated reporter training regarding the identification and reporting of child abuse and neglect. The training includes information about child safety and maltreatment prevention, including protective factors that may help prevent abuse, the dangers of shaking a child, safe sleep practices, psychological effects of repeated exposure to domestic violence, safe and age-appropriate forms of discipline, how to promote a child’s social and emotional health, how to support positive parent-child relationships, information on recognizing risk factors that may lead to abuse, and when to call for emergency medical attention to prevent further injury or death. Licensees and employees are required to report any known or suspected abuse or neglect of a child in care. Licensees are required to ensure that each child is accorded their personal rights, including to be free from corporal or unusual punishment, infliction of pain, or any other action of a punitive nature that interferes with a child’s functions of daily living. These standards apply regardless of the age of a child in care. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 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. ☐ Shelter-in-place iv. ☐ 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. ☐ 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 not all boxes above are checked, describe. California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. Currently the California Code of Regulations and Health and Safety Code do not address the following for licensed child care facilities: shelter-in-place, lock down, and reunification with families. The Department will need to seek regulatory and/or legislative changes to address these areas of noncompliance. 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child care centers are required to store disinfectants, cleaning solutions, poisons, and other items that could pose a danger if readily available to children in an area inaccessible to children. Title 22, California Code of Regulations Sections 101216(e)(2), 113 | P a g e 101223(a)(2), and 101238(a). ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family child care homes are required to store disinfectants, cleaning solutions, poisons, and other items that could pose a danger if readily available to children in an area inaccessible to children Title 22, California Code of Regulations Sections 102417(b), and 102423(a)(2). iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license- exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education (CDE). 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: In child care centers, solid waste is required to be stored, located, and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents; water and any disinfectants/solutions that have been used for cleaning must be disposed of safely. Child care centers must be clean, safe, and sanitary. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family 114 | P a g e child care homes must be kept clean and free from conditions which might endanger a child. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A X Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 5.3.9 Precautions in transporting children health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address precautions in transporting children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child care centers are required to state, in their plan of operation, the transportation arrangements provided by the applicant/licensee for children who do not have independent arrangements. Child care centers are required to have a disaster and mass casualty plan of action, which includes transportation arrangements in the case of an emergency. Child care centers are required to make their admission policies available to the public, including field trip provisions and transportation arrangements, if any. Transportation requirements for child care centers may be found in California Code of Regulations, Title 22, Section 101225. Transportation for infants in an infant center may be found in California Code of Regulations, Title 22, Section 101425. Child care centers are required to maintain personnel records, including driver’s license numbers if 115 | P a g e the licensee or employee is to transport children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Transportation requirements for family child care homes may be found California Code of Regulations, Title 22, Section 102417. Family child care homes are required to maintain personnel records, including driver’s license numbers if the licensee or employee is to transport children. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A ☐X Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on December 13, 2021, for this provision and needs additional develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education. 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. California Health and Safety Code Section 1596.866 requires at least one director or teacher at a child care center and each family child care home licensee to have at least 16 hours of health and safety training, which includes 116 | P a g e pediatric first aid. Additionally, Health and Safety Code Section 1596.866 (b) requires a trained individual be onsite at all times when children are present at the facility and shall be present when children are offsite for facility activities. California law does not currently require all child care facility staff to obtain CPR/First Aid training. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. California Health and Safety Code Section 1596.866 requires at least one director or teacher at a child care center and each family child care home licensee to have at least 16 hours of health and safety training, which includes pediatric first aid. Additionally, Health and Safety Code Section 1596.866 (b) requires a trained individual be onsite at all times when children are present at the facility and shall be present when children are offsite for facility activities. California law does not currently require all child care facility staff to obtain CPR/First Aid training. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The California Department of Social Services (CDSS) has been meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to meet the requirement. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from 117 | P a g e licensure and under the authority of the California Department of Education (CDE). 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. California Health and Safety Code Section 1596.866 requires at least one director or teacher at a child care center and each family child care home licensee to have at least 16 hours of health and safety training, which includes pediatric CPR. Additionally, Health and Safety Code Section 1596.866 (b) requires a trained individual by onsite at all times when children are present at the facility and shall be present when children are offsite for facility activities. California law does not currently require all child care facility staff to obtain CPR/First Aid training. ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. California Health and Safety Code Section 1596.866 requires at least one director or teacher at a child care center and each family child care home licensee to have at least 16 hours of health and safety training, which includes pediatric CPR. Additionally, Health and Safety Code Section 1596.866 (b) requires a trained individual by onsite at all times when children are present at the facility and shall be present when children are offsite for facility activities. California law does not currently require all child care facility staff to obtain CPR/First Aid training. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA 118 | P a g e on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. All child care center licensees, administrators, and employees and applicants for child care center licenses are required to complete child abuse and neglect mandated reporter training which explains how to identify and report child abuse and neglect. Per California law, staff that have limited English proficiency are exempt from the mandated reporter training if training is not made available in their primary language. However, all child care facility licensees and staff, regardless of English proficiency, are required to identify and report suspected or known instances of child abuse and neglect (Penal Code section 11164). ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. All family child care home licensees, administrators, and employees and applicants for family child care home licenses are required to complete child abuse and neglect mandated reporter training which explains how to identify and report child abuse and neglect. Per California law, staff that have limited English proficiency are exempt from the mandated reporter training if training is not made available in their primary language. However, all child care facility licensees and staff, regardless of English proficiency, are required to identify and report suspected or known instances of child abuse and neglect (Penal Code section 11164). iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time develop an implementation plan. The CDSS has been meeting regularly with the federal technical assistance (TA) team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the California Department of Public Health (CDPH). Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the California Department of Education (CDE). 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: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. The California Child Abuse and Neglect Reporting Act (the Act) includes procedures for an individual to report known and suspected instances of child abuse and neglect (Penal Code Section 11164 et seq.). A licensee, administrator, or employee of a licensed child day care facility is a mandated reporter. All persons who are mandated reporters are required to report all known or suspected cases of child abuse or neglect as specified in the Act. Per California law, staff that have limited English proficiency are exempt from the mandated reporter training if training is not made available in their primary language. However, all child care facility licensees and staff, regardless of English proficiency, are required to identify and report suspected or known instances of child abuse and neglect (Penal Code section 11164). ii. All CCDF-eligible licensed family child care homes. Provide the standard: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. The California Child Abuse and Neglect Reporting Act (the Act) includes 120 | P a g e procedures for an individual to report known and suspected instances of child abuse and neglect (Penal Code Section 11164 et seq.). A licensee, administrator, or employee of a licensed child day care facility is a mandated reporter. All persons who are mandated reporters are required to report all known or suspected cases of child abuse or neglect as specified in the Act. Per California law, staff that have limited English proficiency are exempt from the mandated reporter training if training is not made available in their primary language. However, all child care facility licensees and staff, regardless of English proficiency are required to identify and report suspected or known instances of child abuse and neglect (Penal Code section 11164). iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A iv. All CCDF-eligible license-exempt center care. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license- exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision and needs additional time develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDSS does not regulate summer camps, day camps, or similar programs as they are either exempt from licensure or under the authority of the CDPH. Afterschool programs may be licensed as child care centers or exempt from licensure and under the authority of the CDE. 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: Not applicable. 121 | P a g e 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? ☐X Yes. If yes, describe the standard(s). ☐No . If no skip to Section i. Nutrition. Describe: California Health and Safety Code Section 1596.808 requires licensed child day care facilities to provide low-fat (1 percent) or nonfat milk to children ages two and older whenever milk is served, to limit juice to not more than one serving per day of 100 percent juice, and not to provide beverages with added sweeteners. Additionally, Health and Safety Code section 1596.866(a)(2)(C)(ii) requires family day care home licensees and at least one child care center director or teacher to complete at least 1 hour of childhood nutrition training as part of the preventative health practices course. ii. Access to physical activity. Describe: Not applicable. iii. Caring for children with special needs. Describe: California Health and Safety Code Section 1596.866(a)(3) states that health and safety training may include caring for children with special needs. A child care center license application must contain the age range and the categories of children to be served, including, but not limited to, children with disabilities and/or nonambulatory children. Child care center that provides care to a child with disabilities must be able to meet the individual needs of the child. A child care center must conduct one or more personal interviews with the child’s parent or authorized representative to enable the person responsible for admissions to understand the state of the child’s health and physical and emotional development and to assess whether the center can meet the child’s needs. Prior to, or within 30 calendar days following the enrollment of a child, a child care center licensee must obtain a written medical assessment of a child, which identifies the child’s special problems and needs. Child care centers that serve children with physical disabilities must provide additional equipment, aids, and/or conveniences as needed. A child care center caring for infants must complete a needs and services plan for each infant, which includes any special exercises for infants with physical disabilities. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Not applicable.