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: CDEC, Division of Early Learning Licensing and Administration, includes in the child care licensing standards requirements on the prevention and control of infectious disease (including immunizations). These requirements include Immunization training requirements for staff and CDEC-approved child care health consultants responsible for the collection, review, and maintenance of child immunization records. Standard precautions training requirement for all staff. Parents must provide documentation of school- required immunization status or certificate of medical or nonmedical exemption for children at the time of enrollment. The procedure concerning admission and registration of children including whether non-immunized or under-immunized children are enrolled in the program. Staff members must be current for all immunizations required by their employer, physical premises, and health and safety requirements. In addition, Child Care Centers must document compliance with the CDPHE rules and regulations governing the health and sanitation of child care facilities. The "Rules And Regulations Governing The Health And Sanitation Of Child Care Facilities In The State Of Colorado" 6 CCR 1010-7 can be found at 6 CCR 1010-7 . These rules govern the minimum health and sanitation requirements for the operation and maintenance of child care facilities to protect the health of children and staff in these facilities. Content Covered in this set of the rules include: Premises, Facility, Sanitary Facilities and Controls, Interior Design, Disease Prevention, Food Service, Infant and Toddler Programs and as Applicable to Older Children, Care of Animals, Toxic Materials Management, and,Compliance Procedures. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration, includes in the family child care home licensing standards requirements on the prevention and control of infectious disease (including immunizations). These requirements include Immunization training requirements for staff responsible for the collection, review, and maintenance of child immunization records. Standard precautions training requirement for all staff. Parents must provide documentation of school-required immunization status or certificate of medical or nonmedical exemption for children at the time of enrollment. The procedure concerning admission and registration of children including whether non-immunized or under-immunized children are enrolled in the program. Staff members must be current for all immunizations required by their employer, physical premises, and health and safety requirements. 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: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements include Immunization training requirements for Qualified Exempt Child Care Providers on the prevention and control of infectious disease (including immunizations). Qualified Exempt non-relative providers are notified of their training requirements and implement the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider) and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements include Immunization training requirements for Qualified Exempt Child Care Providers on the prevention and control of infectious disease (including immunizations). Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider, and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration, include in the school-age child care licensing standards requirements on the prevention and control of infectious disease (including immunizations). These requirements include Immunization training requirements for staff responsible for the collection, review, and maintenance of child immunization records. Standard precautions training requirement for all staff. Parents must provide documentation of school-required immunization status or certificate of medical or nonmedical exemption for children at the time of enrollment. The procedure concerning admission and registration of children including whether non-immunized or under-immunized children are enrolled in the program. Staff members must be current for all immunizations required by their employer, physical premises, and health and safety requirements. In addition, School-Age Child Care Centers must document compliance with the CDPHE rules and regulations governing the health and sanitation of child care facilities. The "Rules And Regulations Governing The Health And Sanitation Of Child Care Facilities In The State Of Colorado" 6 CCR 1010-7 can be found chrome- extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.sos.state.co.us/CCR/ GenerateRulePdf.do?ruleVersionId=6576&,fileName=6%20CCR%201010-7. These rules govern the minimum health and sanitation requirements for the operation and maintenance of child care facilities in order to protect the health of children and staff in these facilities. Content Covered in this set of the rule include, Premises, Facility, Sanitary Facilities and Controls, Interior Design, Disease Prevention, Food Service, Infant and Toddler Programs and as Applicable to Older Children, Care of Animals, Toxic Materials Management, and Compliance Procedures. 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: CDEC, Division of Early Learning Licensing and Administration, includes in the child care licensing standards Immunization requirements at the time of admission the parent(s)/guardian(s) must provide for each child entering the center documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the CDPHE certificate of immunization or on an ￿approved alternate'' CCR 6 CCR 1009-2. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes in the family child care licensing standards Immunization. At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the CDPHE certificate of immunization or on an ￿approved alternate￿ Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section CCR 1402-1. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Counties shall obtain verification immunization record to the county, indicating that the children are age-appropriately immunized or have a religious or medical exemption (see sections 25-4902 and 25-4-908, C.R.S., for exemption requirements) for children who receive child care from Qualified Exempt child care providers not related to the child(ren), where care is provided outside of the child’s home, and the child(ren) are not school age at application and re- determination. 3.125 (T) 8 CCR 1403-1. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Counties shall obtain verification immunization records to the county, indicating that the children are age-appropriately immunized or have a religious or medical exemption (see sections 25-4902 and 25-4-908, C.R.S., for exemption requirements) for children who receive child care from Qualified Exempt child care providers not related to the child(ren), where care is provided outside of the child’s home, and the child(ren) are not school age at application and re- determination. 3.125 (T) 8 CCR 1403-1. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration, includes in the school-age child care licensing standards Immunization requirements. Specifically, at the time of enrollment, the parent(s)/ guardian(s) must provide for each child entering Documentation of school- required immunization status or Certificate of Medical or Nonmedical Exemption, required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the CDPHE Certificate of Immunization or on an ￿approved alternate '' Certificate of Immunization, defined in Colorado Department of Public Health and Environment regulation at 6 CCR. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements within the child care licensing standards for the prevention of sudden infant death syndrome and the use of safe sleep practices. Included safe sleep standards: Staff working with infants less than twelve (12) months old must complete a Department- approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development. Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development. The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for establishing safe sleep environments for infants includes how staff will supervise and physically check on infants who are sleeping. Standards for Safe Sleep Environments for Infants: 1. Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement. 2. In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals. a. Mattresses for cribs and futons must have a properly fitted, clean sheet. 3. Approved sleeping equipment must be firm and mattresses must fit snugly ensuring no more than two fingers are able to be inserted between the mattress and the side of the approved sleeping equipment. 4. Toys, including mobiles and other types of play equipment that are designed to be attached to any part of sleeping equipment, must be kept away from sleeping infants and out of sleep environments, including hanging toys. Blankets and other items must not be hung from or draped over the sides or any part of sleeping equipment. 5. All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to broken or loose slats, torn mattress, chipping paint or loose screws. 6. Drop side and stacking cribs are prohibited. 7. Bassinets and playpens are prohibited in child care centers. 8. Other sleep equipment not manufactured for commercial use is prohibited. 9. An infant must be placed on their back for sleeping. 10. Alternative sleep positions for infants must only be allowed with a health care plan completed and signed by the child’s physician. 11. Swaddling of infants must only be allowed with a health care plan completed and signed by the child’s health care provider. 12. Each infant up to twelve (12) months of age who uses a pacifier must have the pacifier offered when being put down to sleep unless the parent(s)/guardian(s) direct(s) otherwise. 13. Infant sound monitors must be used in separate sleeping rooms for infants unless qualified staff remain in the room with sleeping infants at all times. When monitors are used, the following conditions must be met: a. The sound monitoring equipment is able to pick up the sounds of all sleeping infants; b. The receiver of the sound monitoring equipment is actively monitored by staff at all times; c. All sleeping infants must be physically observed at least every ten (10) minutes by a staff member; d. Sound monitoring equipment must be regularly checked to ensure it is working correctly; and e. The monitor must be out of reach of children. 14. Separate sleep rooms are prohibited in new construction, change of governing body, and change of capacity in child care centers. 15. Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep. 16. Cribs must be used for sleeping, not extended play nor confinement. 17. If music is played in the infant sleep area, the music must not be played at a loud volume that would prevent infants from being heard by staff. Music equipment must not be placed under a crib or within three (3) feet of the sleeping infant. 18. Supervised tummy time must be offered to infants one (1) month of age or older at least four (4) times per day for full day programs for short periods (3-5 minutes) and increase the amount of time as the infant shows they enjoy the activity. If the infant falls asleep during tummy time, immediately place him/her on their back in approved sleeping equipment. 19. When staff place infants in approved sleeping equipment for sleep, they must check to ensure that the temperature in the room is comfortable for a lightly clothed adult, check the infants to ensure that they are comfortably clothed (not overheated or sweaty), and that bibs, necklaces, and garments with ties or hoods are removed. a. Clothing sacks or other clothing designed for sleep must be worn in lieu of blankets if needed for additional warmth. Clothing must not restrict the movement of the child’s arms or legs. 20. Infants must not be placed to sleep in the same crib or futon as another infant or child at the same time. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements within the licensed family child care homes licensing standards for the prevention of sudden infant death syndrome and the use of safe sleep practices. Included in safe-sleep requirements: Staff working with infants less than 12 months old must complete a Department-approved safe sleep training prior to working with infants less than 12 months old. The procedure for establishing safe sleep environments for infants includes how staff will supervise and physically check on infants who are sleeping. Standards also outline equipment requirements; bedding and materials requirements, pacifier requirements; sleep position requirements; infant monitors and sleeping room requirements; room temperature requirements; and supervised tummy time requirements. Included safe sleep standards: Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually. Safe sleep environments for infants in compliance with rule section 2.329(H), Safe Sleep Environments for Infants 1. Each infant up to twelve (12) months of age must be provided with an individual crib or futon approved for infants or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022), and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours. Approved sleep equipment must provide each infant with sufficient space for the infant’s length, size, and movement. a. Other sleep equipment not manufactured for commercial use is prohibited. 2. Soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other sleep/rest equipment that meets the CPSC standards incorporated by referenced in rule 2.329(A). Soft bedding means, but is not limited to; any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals. a. Mattresses for cribs and futons must have a properly fitted, clean sheet. 3. Infants must be placed on their back for sleeping. Infants who by their own ability roll onto their stomach do not need to be returned to their back. 4. Alternative sleep positions for infants must only be allowed with a health care plan completed and signed by the child’s physician. 5. Swaddling of infants must only be allowed with a health care plan completed and signed by the child’s physician. 6. Each infant up to twelve (12) months of age who uses a pacifier must have the pacifier offered when being put down to sleep, unless the parent directs otherwise. 7. All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to: broken or loose slats, torn mattress, chipping paint, and loose screws. 8. Approved sleeping mattresses meeting Consumer Product Safety Commission (CPSC) standards incorporated by referenced in rule section 2.329(A). must be firm and must fit snugly ensuring no more than two adult fingers are able to be inserted between the mattress and the side of the CPSC compliant sleeping equipment, incorporated by reference in rule section 2.329(A). 9. Toys, including mobiles and other types of play equipment that are designed to be attached to any part of sleeping equipment must be kept away from sleeping infants and out of sleep environments, including hanging toys. Blankets and other items must not be hung from or draped over the sides or any part of sleeping equipment. 10. Drop side and stacking cribs are prohibited. 11. Infant sound monitors must be used when infants are sleeping in a separate room out of the direct supervision of the primary caregiver. When in use, infant sound monitors must meet the following conditions: a. The sound monitoring equipment must be able to pick up the sounds of all sleeping infants; b. The receiver of the sound monitoring equipment must be actively monitored by the primary provider or staff member at all times; c. All sleeping infants must be physically observed at least every ten (10) minutes by the primary provider or a staff member; d. Sound monitoring equipment must be regularly checked to ensure it is working correctly; and e. The monitor must be out of reach of children. 12. Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep equipment meeting Consumer Product Safety Commission (CPSC) standards, incorporated by reference in rule section 2.329(A), and placed on their back to sleep unless being held by the provider, while being transported, or on a field trip. 13. Cribs must be used for sleeping, not extended play or confinement. 14. If music is played in the infant sleep area, the music must not be played at a loud volume that would prevent infants from being heard by the primary provider, applicant 2, equally qualified provider, or staff member provider. Music equipment must not be placed under a crib or within three (3) feet of the sleeping infant. 15. Supervised tummy time must be offered to infants one (1) month of age or older at least four (4) times per day, for full-day family child care homes. The tummy time must be for short periods of three-five (3-5) minutes, increasing the amount of time as the infant shows they enjoy the activity. If the infant falls asleep during tummy time, immediately place the infant on their back in CPSC compliant sleeping equipment, incorporated by reference in rule section 2.329(A). 16. When the primary provider, applicant 2, equally qualified provider, or staff member places infants in approved sleeping equipment for sleep, they must check to ensure that the temperature in the room is comfortable for a lightly clothed adult, check the infants to ensure that they are comfortably clothed (not overheated or sweaty), and that bibs, necklaces, and garments with ties or hoods are removed. a. Clothing sacks or other clothing designed for sleep must be worn in lieu of blankets if needed for additional warmth. Sleep sacks or clothing that swaddles the infant, restricts movement of the child’s arms or legs, that are too big for the infant, weighted, or not used in the manner the manufacturer intends are prohibited. 17. Infants must not sleep in the same crib or futon as another infant. A child must never sleep with an adult in a bed, on a couch, or in any other setting or manner. 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: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include infant safe sleep practices training which includes the prevention of sudden infant death syndrome. Safety standards observed and discussed during inspection visits for non-relative providers include sleep position, bedding and materials requirements, and supervision during sleep. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider, and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include infant safe sleep practices training which includes the prevention of sudden infant death syndrome. Safety standards observed and discussed during inspection visits for non-relative providers include sleep position, bedding and materials requirements, and supervision during sleep. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: This standard does not apply to eligible out-of-school programs. These programs are licensed for children over the age of five. Safe sleep requirements apply to all infants under 12 months of age. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for the administration of medication, consistent with standards for parental consent, within the child care licensing standards. Administration of medication requirements include training for all staff on medication administration policy. The procedure for storing and administering children's medication and delegation of medication administration in compliance with sections 12-255-101 through 12- 255-136, C.R.S., of the ￿Nurse and Nurse Aide Practice Act￿. At least one staff member with the current CDEC-approved medication administration training and delegation must be on duty at all times. Child care health consultant monthly consultation requirements and delegation requirements for staff administering medications. Medication records, health statements, health care plans, and location, storage, and access to medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures. Medication records, health statements, health care plans, and location, storage, and access to medications. All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited. Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation. When away from the classroom, staff assigned to supervise the child must carry the emergency medication. Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care. The written order by the person with prescriptive authority shall include: Child's name; Licensed prescribing practitioner name, telephone number, and signature; Date authorized; Name of medication and dosage; Time of day medication is to be given; Route of medication; Length of time the medication is to be given; Reason for medication (unless this information needs to remain confidential); Side effects or reactions to watch for; and Special instructions. Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures this includes administration of medication and permission from parents to administer medications. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for the administration of medication, consistent with standards for parental consent, within the family child care home licensing standards. Administration of medication requirements includes training for all staff on medication administration policy. The procedure for storing and administering children's medication and delegation of medication administration in compliance with sections 12-255-101 through 12-255-136, C.R.S., of the ￿Nurse and Nurse Aide Practice Act￿. Any applicable medications, supplies, and or medical equipment must be available to the primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members prior to the child’s first day of care. The primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented. Any applicable medications, supplies, and or medical equipment must be available to the primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members prior to the child’s first day of care. The primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department- approved child care health consultant; supervision of the plan and interventions must be documented. Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed. Children are not allowed to bring medications to the family child care home unless accompanied by a responsible adult. Any routine unexpired medication, prescription or non- prescription (over-the-counter), may be administered to a) child by a primary provider, applicant 2, or staff member with the Department-approved medication administration training. Home remedies, homeopathics, vitamins, and supplements must not be administered to children while in care at the family child care home. Any routine unexpired medication, prescription or non-prescription (over-the-counter), may be administered to a) child by a primary provider, applicant 2, or staff member with the Department-approved medication administration training. Home remedies, homeopathics, vitamins, and supplements must not be administered to children while in care at the family child care home. If the routine medication involves the administration of unit dose epinephrine, the administration must be accompanied by a written individual health care plan by the prescribing health care provider that identifies the factors for determining the need for the administration of the medication, and is limited to emergency situations only. If the routine medication involves the administration of a inhaled medication, the administration must be accompanied by a written health care plan by the prescribing health care provider that identifies the factors for determining the need for the administration of the medication. If applicable, the primary provider must have a written policy on the storage and access of inhalers and epinephrine carried by school-age children (five (5) years to eighteen (18) years). The policy must include a written contract with the parent(s) or guardian(s) and child acknowledgement assigning levels of responsibility of each individual. This contract includes orders for the medication from their health care provider, along with confirmation from the health care provider that the student has been instructed and is capable of self-administration of the prescribed medications. All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication. If refrigeration of medication is required, it must be stored in a locked, leak- proof container in a designated area of the refrigerator separated from food. The primary provider must have specific policies regarding controlled medications. Controlled medications must be counted, locked, and access to these medications must be limited. All personal medications, vitamins, and supplements of the primary provider, applicant 2, staff members, or any residents of the home must be locked and inaccessible to children. When away from the family child care home, the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication carry emergency medications. A written medication log must be kept for each child. This log is a part of the child's record. The log must contain the following: Child's name and birthdate; Time medication is supposed to be given according to the written medication authorization; Name of the medication, dosage, and route; Time medication is actually administered to the child; Special instructions; Name or initials of the individual giving the medication; and Notation if the medication was not given, and the reason. The primary provider must secure the services of a registered nurse, physician or Department-approved child care health consultant (CCHC) prior to the first day of care of the enrollment of a child with special health care needs that require delegation beyond routine medications, so the primary provider, applicant 2, equally qualified provider, qualified substitute, and or staff members can receive training, delegation, and supervision by the registered nurse, physician, or Department-approved CCHC as indicated by the child’s individualized health care plan. 3. For a child with special health care needs requiring intervention and or medication, the primary provider must obtain written instructions for providing services from the child's parent or guardian, and the child’s health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the primary provider, applicant 2, equally qualified provider, qualified substitute, and or staff members when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care. For an enrolled child with a newly identified special health care need, the primary provider must obtain written instructions for providing services from the child's parent(s) or guardian(s) and the health care provider. If the child with special health care needs does not have an existing individualized health care plan, the individualized health care plan must be completed within thirty (30) calendar days of the child's identified need. For a life-threatening health care need, the health care plan and any associated medication(s) must be available prior to the child’s re-admittance to the family child care home. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by CDEC, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include medication administration training which is consistent with standards for parental consent. Safety standards observed and discussed during inspection visits for non-relative providers include storage of medication, inaccessibility to children, instructions from health care providers, and parental consent. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider, and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by CDEC, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include medication administration training which is consistent with standards for parental consent. Safety standards observed and discussed during inspection visits for non-relative providers include storage of medication, inaccessibility to children, instructions from health care providers, and parental consent. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for the administration of medication, consistent with standards for parental consent, within the school-age child care licensing standards. Administration of medication requirements includes training for all staff on medication administration policy. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. The procedure for storing and administering children's medication and delegation of medication administration in compliance with sections 12-255-101 through 12- 255-136, C.R.S., of the ￿Nurse and Nurse Aide Practice Act￿. At least one staff member with the current CDEC-approved medication administration training and delegation must be on duty at all times. Child care health consultant monthly consultation requirements and delegation requirements for staff administering medications. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Medication records, health statements, health care plans, and location, storage, and access to medications. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: a. A complete health history for each child, including any communicable diseases; chronic illnesses or injuries; known drug reactions and allergies; current medications; any special diets needed; and the name address and phone number for the child’s health care provider and dentist. Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. All staff members and Child Care Health Consultants must be aware of which children have asthma and severe allergies, and which of those may administer their own inhaler or auto injectors. Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All medications, except those medications specified in the Department’s approved medication administration training as emergency medications, must be kept in an area inaccessible to children, but available to staff trained in administering medication. If refrigeration is required, the medication must be stored in either a separate refrigerator or a leak proof container in a designated area of a food storage refrigerator, separate from food and inaccessible to children. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the centers policies. Access to these medications must be limited (see sections 27-80-210 and 12-280-134(3), C.R.S.). Emergency medications must be stored in accordance with the Child Care Health Consultant’s recommendation. Emergency medications are not required to be stored in a locked area. Emergency medications may be stored in an area easily accessible and identifiable to staff but out of reach of children. When away from the classroom, staff must carry emergency medications in a bag on their person. A written medication log must be kept for each child. This log is part of the child’s records. The log must contain the following: Child’s name; Name of the medication, dosage, and route; Time medication is to be given; Special instructions; Name and initials of the individuals giving the medication; and Notation if the medication was not given and the reason. All staff members and Child Care Health Consultants must be aware of which children have asthma and severe allergies, and which of those may administer their own inhaler or auto injectors. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for the administration of medication, consistent with standards for parental consent, within the child care center licensing standards. These standards include written parental consent to administer medication authorized on at least an annual basis. The center must have a written policy on the storage and access of inhalers and epinephrine carried by school-age children. The policy must include a written contract with the parent(s)/guardian(s) and child acknowledgment. For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care. For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child' parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care. For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care. An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A health history, including any health care plans, which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, any necessary health procedures or special diets, and immunization record. If the routine medication involves the administration of unit dose epinephrine, the administration must be accompanied by a written individual health care plan by the prescribing health care provider that identifies the factors for determining the need for the administration of the medication, and is limited to emergency situations only. If the routine medication involves the administration of a inhaled medication, the administration must be accompanied by a written health care plan by the prescribing health care provider that identifies the factors for determining the need for the administration of the medication. following: Child's name and birthdate; Time medication is supposed to be given according to the written medication authorization; Name of the medication, dosage, and route; Time medication is actually administered to the child; Special instructions; Name or initials of the individual giving the medication; and Notation if the medication was not given, and the reason. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for the administration of medication, consistent with standards for parental consent, within the family child care home licensing standards. These standards include written parental consent to administer medication authorized on at least an annual basis. The center must have a written policy on the storage and access of inhalers and epinephrine carried by school-age children. The policy must include a written contract with the parent(s) /guardian(s) and child acknowledgment. At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Health information, including any known allergies, medication being taken and possible side effects, special dietary requirements, and chronic health conditions. Medication can be administered only with a current written order of a health care provider with prescriptive authority, and written parental consent. If applicable, the primary provider must have a written policy on the storage and access of inhalers and epinephrine carried by school-age children (five (5) years to eighteen (18) years). The policy must include a written contract with the parent(s) or guardian(s) and child acknowledgement assigning levels of responsibility of each individual. This contract includes orders for the medication from their health care provider, along with confirmation from the health care provider that the student has been instructed and is capable of self-administration of the prescribed medications. A written medication log must be kept for each child. This log is a part of the child's record. The log must contain the following: Child's name and birthdate; Time medication is supposed to be given according to the written medication authorization; Name of the medication, dosage, and route; Time medication is actually administered to the child; Special instructions; Name or initials of the individual giving the medication; and Notation if the medication was not given, and the reason. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. 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: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1The assigned training requirements for Qualified Exempt Child Care Providers include medication administration training which is consistent with standards for parental consent. Safety standards observed and discussed during inspection visits for non-relative providers include storage of medication, inaccessibility to children, instructions from health care provider, and review of parental consent through an authorization form on file. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include medication administration training which is consistent with standards for parental consent. Safety standards observed and discussed during inspection visits for non-relative providers include storage of medication, inaccessibility to children, instructions from health care provider, and review of parental consent through an authorization form on file. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for the administration of medication, consistent with standards for parental consent, within the school-age child care licensing standards. These standards include written parental consent to administer medication authorized on at least an annual basis. The center must have a written policy on the storage and access of inhalers and epinephrine carried by school-age children. The policy must include a written contract with the parent(s)/guardian(s) and child acknowledgment. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: a. A complete health history for each child, including any communicable diseases; chronic illnesses or injuries; known drug reactions and allergies; current medications; any special diets needed; and the name address and phone number for the child’s health care provider and dentist. Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. All staff members and Child Care Health Consultants must be aware of which children have asthma and severe allergies, and which of those may administer their own inhaler or auto injectors. The center may, with written parental consent and authorization of the prescribing health care provider, permit children who have asthma to carry their own inhalers or children who are at risk of anaphylaxis to carry their own epinephrine, and use them as directed. The center must have a specific written policy on the storage and access of inhalers and epinephrine for children who are permitted to carry or self-administer these medications. The policy must include a contract with the parent(s)/guardian(s), and child acknowledgement, assigning levels of responsibility of each individual. This contract must accompany orders for the medication from the health care provider, along with confirmation from Child Care Health Consultant that the student has been instructed and is capable of self-administration of the prescribed medications. The center may, with written parental consent and authorization of the prescribing health care provider, permit children who have asthma to carry their own inhalers or children who are at risk of anaphylaxis to carry their own epinephrine, and use them as directed. The center must have a specific written policy on the storage and access of inhalers and epinephrine for children who are permitted to carry or self- administer these medications. The policy must include a contract with the parent(s)/guardian(s), and child acknowledgement, assigning levels of responsibility of each individual. This contract must accompany orders for the medication from the health care provider, along with confirmation from Child Care Health Consultant that the student has been instructed and is capable of self-administration of the prescribed medications. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for the prevention of emergencies due to food and allergic reactions in the child care licensing standards. These requirements include: Training for staff on food and allergic reactions, children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard. Admission procedures for children with severe allergies, Identify specific interventions required for individualized health care plans for children with asthma or allergies. At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times. Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing emergency medications must complete the Department-approved medication administration training: severe allergy or asthma. After completing the training, staff must receive delegation from their Department Approved child care health consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan.Children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard. An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A health history, including any health care plans, which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, any necessary health procedures or special diets, and immunization record. If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions,and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers, this includes the staff members center's policies and procedures for prevention of and response to emergencies due to food and allergic reactions health and safety. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111 ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for the prevention of emergencies due to food and allergic reactions in the family child child care home licensing standards. These requirements include: Written policies and procedures regarding children’s allergies Children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard,admission procedures for children with severe allergies, individualized health care plans identifying specific interventions required for children with asthma or allergies, and staff members must be familiar with the names, ages, and any special needs or health concerns of the children. The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Meals, snacks, and parental notification of menus, and how children with food allergies or special diets are accommodated; Meals, snacks, and parental notification of menus, and how children with food allergies or special diets are accommodated. Health admission information, including health care plans, chronic medical conditions, allergies, and immunization history, shall be provided to the family child care provider prior to the first day the child attends the family child care home; At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Health information, including any known allergies, medication being taken and possible side effects, special dietary requirements, and chronic health conditions; If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s) and/or guardian(s), defining the interventions needed to care for a child who has an identified health condition or developmental concerns, including, but not limited to: seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. All parents must have access to menus and must be notified of meals being served. All substitutions must be compliant with dietary restrictions and or food allergies. All substitutions must be documented. Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed; Storing, administering, recording and disposing children’s medicines in compliance with the Department-approved medication administration course. A complete health history including communicable diseases, chronic illnesses or injuries, immunization history, known drug reactions or allergies, medication records, special diet needs, and health care plans as required in rule section 2.512; The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency number this includes the policies and procedures for prevention of and response to emergencies due to food and allergic reactions health and safety. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111 iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by CDEC, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include allergic reactions to food in both the medication administration training and Standard Precautions training. Safety standards observed and discussed during inspection visits for non-relative providers include food safety and sanitation, and a review of any allergies for children in care. Qualified Exempt Child Care Providers must directly supervise children at all times while in care. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by CDEC, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include allergic reactions to food in both the medication administration training and Standard Precautions training. Safety standards observed and discussed during inspection visits for non-relative providers include food safety and sanitation, and a review of any allergies for children in care. Qualified Exempt Child Care Providers must directly supervise children at all times while in care. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for the prevention of emergencies due to food and allergic reactions in the school-age child care licensing standards. These requirements include: Children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard, admission procedures for children with severe allergies, individualized health care plans identifying specific interventions required for children with asthma or allergies, and staff members must be familiar with the names, ages, and any special needs or health concerns of the children. These standards include: At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times. Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions: a. Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. Staff may be trained and delegated in the administration of a single rescue medication or rescue medical intervention by the center’s Child Care Health Consultant. Such training and delegation must qualify the staff member to provide a rescue medication or treatment for a specific child based on instructions from the child’s individualized health care plan. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. 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: At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times. A health history, including any health care plans, which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, any necessary health procedures or special diets, and immunization record. If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions,and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented. Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing emergency medications must complete the Department-approved medication administration training: severe allergy or asthma. After completing the training, staff must receive delegation from their Department Approved child care health consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing emergency medications must complete the Department-approved medication administration training: severe allergy or asthma. After completing the training, staff must receive delegation from their Department-approved child care health consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. All medications, except those medications specified in the Department-approved medication administration training as emergency medications are required to be locked. Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation. An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. All medications, except those medications specified in the Department-approved medication administration training as emergency medications, this report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within twenty-four (24) hours of the incident. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for response to emergencies due to food and allergic reactions in the family child care home licensing standards. These standards include department-approved medication administration training and the appropriate location, storage, and access to medications. At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Health information, including any known allergies, medication being taken and possible side effects, special dietary requirements, and chronic health conditions; If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s) and/or guardian(s), defining the interventions needed to care for a child who has an identified health condition or developmental concerns, including, but not limited to: seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Prior to working with children, the primary provider, applicant 2, equally qualified provider, andqualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;The provider, applicant 2, equally qualified providers, qualified substitutes, and any staff responsible for administering medications must have current Department-approved medication administration training; current Department-approved CPR certification; current Department-approved first aid certification; and the Department-approved standard precautions training prior to administering medication. Storing, administering, recording and disposing children’s medicines in compliance with the Department-approved medication administration course. All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication. An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within twenty-four (24) hours of the incident. iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by CDEC, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include allergic reactions to food in both the medication administration training and Standard Precautions training. Safety standards observed and discussed during inspection visits for non-relative providers include food safety and sanitation, and a review of any allergies for children in care. At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Health information, including any known allergies, medication being taken and possible side effects, special dietary requirements, and chronic health conditions. All medications, except those medications specified in the Department-approved medication administration training as emergency medications are required to be locked. Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department- approved child care health consultant’s recommendation. An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given, must be reported to CDEC within 24 hours of an incident. All medications, except those medications specified in the Department-approved medication administration training as emergency medications, Qualified Exempt Child Care Providers must directly supervise children at all times while in care. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by CDEC, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include allergic reactions to food in both the medication administration training and Standard Precautions training. Safety standards observed and discussed during inspection visits for non-relative providers include food safety and sanitation, and a review of any allergies for children in care. At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Health information, including any known allergies, medication being taken and possible side effects, special dietary requirements, and chronic health conditions. All medications, except those medications specified in the Department-approved medication administration training as emergency medications are required to be locked. Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department- approved child care health consultant’s recommendation. An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given, must be reported to CDEC within 24 hours of an incident. All medications, except those medications specified in the Department-approved medication administration training as emergency medications, Qualified Exempt Child Care Providers must directly supervise children at all times while in care. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for response to emergencies due to food and allergic reactions in the school-age child care licensing standards. These standards include: At least one (1) staff member with the current Department- approved medication administration training and delegation must be on duty at all times. Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions: a. Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. Staff may be trained and delegated in the administration of a single rescue medication or rescue medical intervention by the center’s Child Care Health Consultant. Such training and delegation must qualify the staff member to provide a rescue medication or treatment for a specific child based on instructions from the child’s individualized health care plan. All medications, except those medications specified in the Department’s approved medication administration training as emergency medications, must be kept in an area inaccessible to children, but available to staff trained in administering medication. Emergency medications must be stored in accordance with the Child Care Health Consultant’s recommendation. Emergency medications are not required to be stored in a locked area. Emergency medications may be stored in an area easily accessible and identifiable to staff but out of reach of children. When away from the classroom, staff must carry emergency medications in a bag on their person. An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within twenty-four (24) hours of the incident. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include protection for electrical outlets accessible to children, proper storage and disposal of hazardous materials, and protection from hazardous equipment, materials and environmental hazards.CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. This training is developed and facilitated by the program for staff to identify program specific environmental hazards. Staff must be retrained if there are changes to the building and physical premises. Buildings must be kept in good repair and maintained in a safe condition. In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for child care. Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.All heating units, gas or electric, must be installed and maintained per the manufacturer’s specifications with safety devices to prevent fire, explosions, and other hazards. No open-flame gas or oil stoves, unscreened fireplaces, hot plates, or unvented heaters can be used for heating purposes. All heating elements, including hot water pipes, must be insulated or installed in such a way that children cannot come in contact with them.Combustible materials must not be stored in hallways, stairways, boiler rooms, mechanical rooms, or electrical equipment rooms.Window blind cords must be secured out of children's reach to prevent strangulation. Items labeled ￿keep out of reach of children￿ must be inaccessible to children. Staples must be inaccessible to children less than three (3) years of age. Thumb tacks must not be used in areas accessible to children less than three (3) years of age. Glitter must not be used with children under three (3) years of age. Loose plastic bags must be stored in areas inaccessible to children.Sharp tools and instruments must be stored in areas inaccessible to children.Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age. Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 1⁄2) inches or greater than nine (9) inches to prevent entrapment. Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Closets, attics, basements, cellars, and furnace rooms must be kept free from accumulation of extraneous materials such as furnishings, newspapers, and magazines. Kitchens, including all hazardous items, must be inaccessible to children at all times. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the family child care home licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include protection for electrical outlets accessible to children, proper storage and disposal of hazardous materials, and protection from hazardous equipment, materials and environmental hazards. CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.: This training is developed and facilitated by the primary provider for applicant 2, equally qualified providers, qualified substitutes, and all staff members to identify specific environmental hazards at the family child care home. Applicant 2, equally qualified providers, qualified substitutes, and all staff members must be retrained if there are changes to the building and physical premises.The premises of the family child care home must be kept safe and free from hazards to health at all times. Fire hazards such as defective electrical or gas appliances and electric cords, dangerous or defective heating or cooking equipment, or exposed wiring, must be repaired by a qualified repair and/or service company or removed from the family child care home.All stairways must be free from hazards, and open-sided portions that are located more than thirty (30) inches above the floor or grade below must be equipped with banisters or handrails within reach of children. The slats on all railings must be no wider than four (4) inches apart or modified to prevent entrapment.Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on the stairs. Because of the risk of serious physical injury to a child, providers, employees, substitutes, volunteers, and visitors must never step over a gate while holding a child or lift a child over a gate. All adult exercise equipment must be inaccessible to children.Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.The family child care home must be equipped with adequate light, heat, ventilation, and plumbing for safe and comfortable occupancy. The heating unit must be capable of maintaining a draft-free temperature of a minimum of sixty-eight (68) degrees Fahrenheit at floor level in all rooms used for child care.. All rooms must be kept in a clean and sanitary condition and be free of any evidence of pest or rodent infestation.Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as ￿keep out of reach of children.￿In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards. Extension cords must not be used in place of permanent wiring and must be used in accordance with the manufacturer’s specifications. Extension cords must be plugged directly into a wall outlet. Space heaters must be plugged directly into a wall outlet. Window blind cords and coverings must be secured out of children's reach or otherwise made safe to prevent strangulation. During child care hours, fans that pose a safety hazard to children ( fans that can be pulled onto the child, and those where the child can stick fingers in the blades) must be inaccessible to children.All unvented gas or electric heating units, must be installed and maintained with safety devices to prevent fire, explosions, and other hazards. Open-flame gas or oil stoves,unscreened fireplaces, hot plates, and unvented heaters must not be used. All heating units must be used and maintained in accordance with the manufacturer’s specifications. Space heaters must have a heating element that does not exceed 212 degrees Fahrenheit and be equipped with a tip-over safety switch.. Any cooking stoves with controls within reach of a child shall have a safety guard. Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.Furnaces and hot water heaters must be maintained in accordance with the manufacturer specifications and inaccessible to children. All family child care homes must have smoke alarms installed in every bedroom licensed for care, in the immediate vicinity outside every bedroom, in every area used as a sleeping room, and at least one on each floor of the house. Smoke alarms must not be older than the manufacturer directs. For family child care homes licensed after March 1, 2024, smoke alarms must be interconnected so that when one (1) alarm is activated all are activated. There must be a carbon monoxide detector in working condition installed in the area of the family child care home as recommended by the manufacturer and in the hallway outside the licensed bedrooms or area where children sleep. The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A- 10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible. Fire extinguishers must be replaced at least every six (6) years.All play equipment must be designed to guard against entrapment and strangulation. Swing sets and other outdoor play equipment must be correctly assembled, well maintained, and securely stabilized or anchoredAll outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal. Gas grills with propane tanks must be inaccessible or have a safety on/off knob. The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers. The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿General Rules for Child Care Facilities,￿ ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency numbers including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training annual requirements for Qualified Exempt Child Care Providers include injury prevention and playground safety for homes and transportation. Safety standards observed and discussed during inspection visits for non-relative providers include hazardous items, materials and substances in the home, storage of hazardous items, materials and substances, outdoor play areas, water hazards, electrical hazards and handling of storage of hazardous materials and the appropriate disposal of biological contaminants. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training annual requirements for Qualified Exempt Child Care Providers include injury prevention and playground safety for homes and transportation. Safety standards observed and discussed during inspection visits for non-relative providers include hazardous items, materials and substances in the home, storage of hazardous items, materials and substances, outdoor play areas, water hazards, electrical hazards and handling of storage of hazardous materials and the appropriate disposal of biological contaminants. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration, includes requirements for building and physical premises safety in the school-age child care licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include protection for electrical outlets accessible to children, proper storage and disposal of hazardous materials, and protection from hazardous equipment, materials and environmental hazards.CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete a building and physical premises safety training prior to working with children. The training must include: 1. Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and 2. Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Buildings must be kept in good repair and maintained in a safe condition. Volatile substances, such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children. Combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children. Closets, attics, basements, cellars, furnace rooms, and exit routes must be kept free from accumulation of extraneous materials. All heating units, gas or electric, must be installed and maintained with safety devices to prevent fire, explosions, and other hazards. No open-flame gas or oil stoves, unscreened fireplaces, hot plates, or unvented heaters can be used for heating purposes. All heating elements, including hot water pipes, must be insulated or installed in such a way that children cannot come in contact with them. Nothing flammable or combustible can be stored within three (3) feet of a hot water heater or furnace. Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards. Extension cords cannot be used in place of permanent wiring. Corridors, halls, stairs, and porches must be adequately lighted. Operable battery- powered lights must be provided in locations readily accessible to staff in the event of electric power failure. The outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high- risk areas. These areas must be monitored to reduce the possibility of injury and accidents. Outdoor play areas provided by the center must not have equipment that exceeds six (6) feet in height for any surface area intended for children’s play unless equipped with a protective barrier to prevent children from falling. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. 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: CDEC, Division of Early Learning Licensing and Administration, includes requirements for building and physical premises and the protection from bodies of water in the child care licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include fencing requirements for swimming pools, permanent wading pools, and above ground pools, childproofing grates on decorative ponds, and lifeguard and other safety requirements for the use of pools. CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. This training is developed and facilitated by the program for staff to identify program specific environmental hazards. Staff must be retrained if there are changes to the building and physical premises. All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents. WATER ACTIVITIES: There shall be a swimming supervisor who, as a minimum, holds a current Red Cross life guard training certificate or equivalent, such as a YMCA or Boy Scout aquatics instructor's certificate. If the child care facility is offering swimming instruction, the swimming supervisor must also hold a Red Cross water safety instructor certificate or equivalent. At any time the swimming area is open, there shall be at the swimming area a staff member who holds at least a current life guard training certificate or equivalent for each thirty (30) campers in the water. There shall be at least one (1) staff member for each ten (10) children in the water. The lifeguard does not count in the staff to child ratio for supervision of children. C. The swimming area shall be off limits when appropriate numbers of qualified staff members are not present. If the child care facility uses a pool for which the child care facility is not responsible, the child care facility need not provide a lifeguard if there is a qualified lifeguard provided by the pool. If the pool does not provide a qualified lifeguard, staff members meeting qualifications stated in rule section 2.605(A)-. must be provided by the child care facility. There shall be at least one (1) staff lookout counselor at the pool for each ten (10) children in the water. Swimming area rules and emergency procedures shall be posted in a visible location at the swimming area. The swimming pool or swimming area shall meet the standards of the Colorado Department o Public Health and Environment (CDPHE), defined in Colorado Department of Public Health and Environment regulation 5 CCR 1003-5 (December 15, 2020), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours. If a child needs to be excluded the camp must consult a doctor or medical facility as to the child’s treatment . If children are permitted to swim in a lake or pond, swimming areas shall be clearly designated. Before children are permitted to swim in deep water, swimming skills must be tested by properly trained staff members. There shall be a system known to child and lookout staff for checking the children when children are in the water. The following equipment must be available for use at the pool side or the lake shore in which swimming is permitted: 1. A rescue tube; 2. Reach pole; and 3. Backboard. Where the size of the body of water makes it impossible to reach victims by reach pole, rescue tube or other rescue device, a rescue boat must be available at all times. If a child care facility has shoreline activities such as wading, fishing, ecology or nature studies, the child care facility shall have a written policy which defines qualifications of persons accompanying the group and safety factors to be followed. Staff members shall be acquainted with the policy.BOATING, CANOEING, SAILING, AND KAYAKING ON FLATWATER: A. The boating supervisor shall hold, at a minimum: 1. A current Red Cross life guard training certificate or equivalent; 2. Boy Scout certificate; 3. Basic small craft instructor, small craft safety, or paddle safety certificate for the type of craft which is to be supervised; or 4. Documentation of experience indicating knowledge and skill in teaching and supervision specific to the watercraft activities to be conducted.The boating supervisor, or staff member equally qualified who has been trained by the boating supervisor, must be on site during the activity. Other staff members shall have appropriate experience and training for the type of craft to be utilized. Whenever children are on the water they shall be wearing a United States Coast Guard approved personal flotation device appropriate to the weight of the child. There shall be a minimum of two (2) lookout staff members at the shoreline and/or on the water at any time when children are on the water in boating, canoeing, kayaking or sailing activities. Hazards such as the size of the lake, the skill of the children, the conditions of the water, and the temperature of the water, shall be taken into account by the supervisor of the activity when determining the number and location of lookout staff necessary with the children, but there shall never be fewer staff with the children than those required in rule section 2.412 of the Rules Regulating Children’s Resident Camps; rule section 2.509 of the Rules Regulating School Age Child Care; and rule section 2.217 of the Rules Regulating Child Care Centers . Except for kayaking, there shall be a staff member in any boat which holds one or more children under seven years old. At no time shall the occupancy of the craft exceed the capacity established for the craft by the manufacturer. There shall be a warning device, such as a loud whistle, air horn, or other audible signal device, which can be heard by persons on the water that indicates the need for children and staff to return to the shore. Where the size and depth of the body of water indicates, there shall be a rescue boat in close proximity to where the activity takes place. This rescue boat shall be in good repair and shall contain appropriate equipment, such as a rescue tube, reach pole, extra oar, or paddle. Water crafts shall not enter a swimming area when swimmers are in the water. BOATING, CANOEING, TUBING, AND KAYAKING ON CLASS I OR II MOVING WATER:The boating supervisor shall hold, at a minimum: 1. Current Red Cross life guard training certificate or equivalent; 2. Boy Scout certificate; 3. Basic small craft instructor certificate for the type of craft which is to be supervised; or 4. Documentation of experience indicating knowledge and skill in teaching and supervision specific to the watercraft activities to be conducted. The boating supervisor must be on site during the activity.Children shall only canoe, tube, or kayak on Class II or less water. Supervising staff must be experienced and knowledgeable about the river being used, including the height and speed of the river. The child care facility must have a written policy on evaluating the safety of the river. Supervising staff must be trained on the policy. Each child shall wear a Unites States Coast Guard approved personal flotation device whenever they are on the moving water. The supervisor of this activity shall be trained in Red Cross standard First Aid and safety, and Cardiopulmonary Resuscitation (CPR). The supervisor shall be familiar with rescue techniques with canoes, kayaks, and tubes on moving water and shall train children in these techniques. Rescue equipment appropriate to the activity shall be available, such as rope throw bag and rescue tubes. WHITE WATER RAFTING ON CLASS III AND IV RIVERS (CLASSES OF RIVERS ARE THOSE AS DEFINED BY THE INTERNATIONAL SCALE OF RIVER DIFFICULTY): If the child care facility operates white water rafting, the child care facility must have an active River Outfitter license from the Colorado Parks and Wildlife. If a child care facility provides a white water rafting experience by purchase from a river outfitter, the license of the river outfitter must be active. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises and the protection from bodies of water in the family child care home licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include fencing requirements for swimming pools, permanent wading pools, and above ground pools, childproofing grates on decorative ponds, and lifeguard and other safety requirements for the use of pools. CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.: This training is developed and facilitated by the primary provider for applicant 2, equally qualified providers, qualified substitutes, and all staff members to identify specific environmental hazards at the family child care home. Applicant 2, equally qualified providers, qualified substitutes, and all staff members must be retrained if there are changes to the building and physical premises. Children must be directly and actively supervised near standing water including, but not limited to, fountains, buckets, wading pools, and animal troughs.Swimming pools, permanent wading pools, and above ground pools located on the property of the family child care home must be enclosed with a five foot (5’) fence and a locked gate. With written permission of the parent(s) or guardian(s), children in care may be permitted to use the permanent pool in the presence of an adult who holds a current Red Cross basic lifeguarding certificate or equivalent, and is actively responsible for lifeguarding protection. Water used by children in play areas, including wading pools, must be drained and equipment must be cleaned and disinfected at the end of each day. All hot tubs must have bolted and securely locked covers. All children in care are prohibited from using hot tubs. Decorative ponds in the designated play area must have childproofing grates to prevent risk of drowning when there is no fence. When a child is bathing, the bath water must be between ninety (90) and one hundred and twenty (120) degrees. Children under five (5) years of age must not be left unattended while being bathed. For children over five (5) years of age, primary providers or staff members must periodically check on the child and be able to hear children at all times while bathing. The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers. The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿General Rules for Child Care Facilities,￿ ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency numbers including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include injury prevention and playground safety for homes and transportation. Safety standards observed and discussed during inspection visits for non-relative providers include hazardous items, materials and substances in the home, storage of hazardous items, materials and substances, outdoor play areas, and water hazards. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include injury prevention and playground safety for homes and transportation. Safety standards observed and discussed during inspection visits for non-relative providers include hazardous items, materials and substances in the home, storage of hazardous items, materials and substances, outdoor play areas, and water hazards. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises and the protection from bodies of water in the school-age child care licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include fencing requirements for swimming pools, permanent wading pools, and above ground pools, childproofing grates on decorative ponds, and lifeguard and other safety requirements for the use of pools.CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete a building and physical premises safety training prior to working with children. The training must include: 1. Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and 2. Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. The outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents. WATER ACTIVITIES: There shall be a swimming supervisor who, as a minimum, holds a current Red Cross life guard training certificate or equivalent, such as a YMCA or Boy Scout aquatics instructor's certificate. If the child care facility is offering swimming instruction, the swimming supervisor must also hold a Red Cross water safety instructor certificate or equivalent. At any time the swimming area is open, there shall be at the swimming area a staff member who holds at least a current life guard training certificate or equivalent for each thirty (30) campers in the water. There shall be at least one (1) staff member for each ten (10) children in the water. The lifeguard does not count in the staff to child ratio for supervision of children. C. The swimming area shall be off limits when appropriate numbers of qualified staff members are not present.If the child care facility uses a pool for which the child care facility is not responsible, the child care facility need not provide a lifeguard if there is a qualified lifeguard provided by the pool. If the pool does not provide a qualified lifeguard, staff members meeting qualifications stated in rule section 2.605(A)-. must be provided by the child care facility. There shall be at least one (1) staff lookout counselor at the pool for each ten (10) children in the water. Swimming area rules and emergency procedures shall be posted in a visible location at the swimming area. The swimming pool or swimming area shall meet the standards of the Colorado Department o Public Health and Environment (CDPHE), defined in Colorado Department of Public Health and Environment regulation 5 CCR 1003-5 (December 15, 2020), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours. If a child needs to be excluded the camp must consult a doctor or medical facility as to the child’s treatment . If children are permitted to swim in a lake or pond, swimming areas shall be clearly designated. Before children are permitted to swim in deep water, swimming skills must be tested by properly trained staff members. There shall be a system known to child and lookout staff for checking the children when children are in the water. The following equipment must be available for use at the pool side or the lake shore in which swimming is permitted: 1. A rescue tube; 2. Reach pole; and 3. Backboard. Where the size of the body of water makes it impossible to reach victims by reach pole, rescue tube or other rescue device, a rescue boat must be available at all times. If a child care facility has shoreline activities such as wading, fishing, ecology or nature studies, the child care facility shall have a written policy which defines qualifications of persons accompanying the group and safety factors to be followed. Staff members shall be acquainted with the policy.BOATING, CANOEING, SAILING, AND KAYAKING ON FLATWATER:A. The boating supervisor shall hold, at a minimum: 1. A current Red Cross life guard training certificate or equivalent; 2. Boy Scout certificate; 3. Basic small craft instructor, small craft safety, or paddle safety certificate for the type of craft which is to be supervised; or 4. Documentation of experience indicating knowledge and skill in teaching and supervision specific to the watercraft activities to be conducted.The boating supervisor, or staff member equally qualified who has been trained by the boating supervisor, must be on site during the activity. Other staff members shall have appropriate experience and training for the type of craft to be utilized. Whenever children are on the water they shall be wearing a United States Coast Guard approved personal flotation device appropriate to the weight of the child. There shall be a minimum of two (2) lookout staff members at the shoreline and/or on the water at any time when children are on the water in boating, canoeing, kayaking or sailing activities. Hazards such as the size of the lake, the skill of the children, the conditions of the water, and the temperature of the water, shall be taken into account by the supervisor of the activity when determining the number and location of lookout staff necessary with the children, but there shall never be fewer staff with the children than those required in rule section 2.412 of the Rules Regulating Children’s Resident Camps; rule section 2.509 of the Rules Regulating School Age Child Care; and rule section 2.217 of the Rules Regulating Child Care Centers . Except for kayaking, there shall be a staff member in any boat which holds one or more children under seven years old. At no time shall the occupancy of the craft exceed the capacity established for the craft by the manufacturer. There shall be a warning device, such as a loud whistle, air horn, or other audible signal device, which can be heard by persons on the water that indicates the need for children and staff to return to the shore. Where the size and depth of the body of water indicates, there shall be a rescue boat in close proximity to where the activity takes place. This rescue boat shall be in good repair and shall contain appropriate equipment, such as a rescue tube, reach pole, extra oar, or paddle. Water crafts shall not enter a swimming area when swimmers are in the water. BOATING, CANOEING, TUBING, AND KAYAKING ON CLASS I OR II MOVING WATER:The boating supervisor shall hold, at a minimum: 1. Current Red Cross life guard training certificate or equivalent; 2. Boy Scout certificate; 3. Basic small craft instructor certificate for the type of craft which is to be supervised; or 4. Documentation of experience indicating knowledge and skill in teaching and supervision specific to the watercraft activities to be conducted. The boating supervisor must be on site during the activity.Children shall only canoe, tube, or kayak on Class II or less water. Supervising staff must be experienced and knowledgeable about the river being used, including the height and speed of the river. The child care facility must have a written policy on evaluating the safety of the river. Supervising staff must be trained on the policy. Each child shall wear a United States Coast Guard approved personal flotation device whenever they are on the moving water. The supervisor of this activity shall be trained in Red Cross standard First Aid and safety, and Cardiopulmonary Resuscitation (CPR). The supervisor shall be familiar with rescue techniques with canoes, kayaks, and tubes on moving water and shall train children in these techniques. Rescue equipment appropriate to the activity shall be available, such as rope throw bag and rescue tubes. WHITE WATER RAFTING ON CLASS III AND IV RIVERS (CLASSES OF RIVERS ARE THOSE AS DEFINED BY THE INTERNATIONAL SCALE OF RIVER DIFFICULTY):If the child care facility operates white water rafting, the child care facility must have an active River Outfitter license from the Colorado Parks and Wildlife. If a child care facility provides a white water rafting experience by purchase from a river outfitter, the license of the river outfitter must be active. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises and the protection from vehicular traffic in the child care licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include proper evacuation of vehicles, requirements for fencing or natural barriers, and proper supervision of children. CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. This training is developed and facilitated by the program for staff to identify program specific environmental hazards. Staff must be retrained if there are changes to the building and physical premises The procedure for transporting children, if applicable, including transportation arrangements and parental permission for excursions and related activities; The center must be able to provide emergency transportation to a health care facility at all times.Transportation Provided by the Center: The center is responsible for any children it transports. The center must obtain written permission from the parent(s)/guardian(s) for any transportation of their child(ren) while in care. 3. The number of staff members who accompany children when being transported in the vehicle must meet the child care staff ratio found at rule section 2.217. The driver of the vehicle is considered a staff member. Children must not be permitted to ride in the front seat of a vehicle and must remain seated while the vehicle is in motion. All children must be secured in a child restraint system that is appropriate for the age and development of that child that meets the requirements of the Colorado child passenger safety laws at sections 42-4-236 and 42-4-237, C.R.S. Children must be loaded and unloaded out of the path of moving vehicles. Children must not be permitted to stand or sit on the floor of a moving vehicle, and their arms, legs, and heads must remain inside the vehicle at all times. Children must not be left unattended in the vehicle. Transportation arrangements for school-age children must be by agreement between the center and the children's parents, i.e., whether the child can walk, ride a bicycle, or travel in a car. The center must monitor the children to be sure they arrive at the center when expected and follow up on their whereabouts if they are late. Written permission from parents or guardians for their children to attend community functions after school hours must include agreements regarding transportation. Prior to a field trip or other excursion, the center must obtain information on liability insurance from parents and staff who transport children in their own cars and verify that all drivers have valid driver's licenses. Attendance must be verified as children enter and exit the vehicle to ensure all children are accounted for. Requirements for Vehicles: Any vehicle used for the transportation of children to and from the center or during center activities must meet the following requirements: a. The vehicle must be enclosed and have working door locks;The seats of the vehicle must be constructed and installed according to the vehicle manufacturer's specifications; c. The vehicle must be kept in satisfactory condition to ensure the safety of occupants.; d. Seating must be comfortable with a seat of at least ten (10) inches wide for each child; e. The provider must not transport more children than any vehicle is able to safely accommodate when child restraint systems and seat belts are properly installed in the vehicle. Two (2) or more children must never be restrained in one (1) seat belt or child restraint system; and f. Modifications to vehicles including, but not limited to, the addition of seats and seat belts must be completed by the manufacturer or an authorized representative of the manufacturer. Documentation of such modifications must be available for review.Any child transported must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws at sections 42-4-236 and 42-4-237, C.R.S., that requires: a. Children under the age of one (1) years and weighing less than twenty pounds, must ride the back seat of the vehicle, in a rear-facing child restraint system, according to the vehicle and child restraint systems manufacturer’s instructions. b. Children ages one (1) to four (4) years and who weigh twenty (20) to forty (40) pounds must be properly restrained in a rear- facing or forward-facing child restraint system, according to the vehicle and the child restraint systems manufacturer’s instructions. c. Children who are under eight (8) years of age and who are being transported, shall be properly restrained in a child restraint system, according to the vehicle and child restraint system manufacturer's instructions. d. Children who are at least eight (8) years of age but less than sixteen (16) years of age who are being transported, shall be properly restrained in a safety belt or child restraint system according to the vehicle and child restraint system manufacturer's instructions. (1) Children who meet the requirements to be restrained in a safety belt must be instructed and monitored to keep the seat belt properly fastened and adjusted. e. Two or more children must never be restrained in one (1) seat belt or child restraint system. In vehicles with a manufacturer's established capacity of sixteen (16) or more passengers, seat belts for passengers are not required. C. Requirements for Drivers of Vehicles: All drivers of vehicles transporting children must operate the vehicle in a safe and appropriate manner. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. In each vehicle used to transport children, drivers must have access to a First Aid kit. The driver must ensure that all doors are secured at all times when the vehicle is moving. The driver must make a good faith effort to ensure that each child is properly belted throughout the trip. The driver must not eat, smoke, or use a cellular device while driving. The required staff to child ratio must be maintained at all times. All drivers must be at least twenty (20) years of age. Drivers must complete a minimum of four (4) hours of Department-approved driver training. The Department’s approval will be based on the review of a training curriculum that includes at a minimum: behind the wheel training; participant transport attendance procedures including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedure; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and vehicle evacuation. Transporting Infants and Toddlers: Children must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws at sections 42-4-236 and 42-4- 237, C.R.S., applicable Federal Motor Vehicle Safety Standards pursuant to Colorado law. There must be at least one (1) adult, in addition to the driver, for each five (5) or fewer infants/toddlers being transported. Each adult must have a current Department-approved First Aid and Safety certificate that includes CPR for all ages of children. An adult must accompany each child to and from the vehicle. Infants and toddlers must not be transported in the front seat of a vehicle. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises and protection from vehicular traffic in the family child care home licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include: Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include proper evacuation of vehicles, requirements for fencing or natural barriers, and proper supervision of children. CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.: This training is developed and facilitated by the primary provider for applicant 2, equally qualified providers, qualified substitutes, and all staff members to identify specific environmental hazards at the family child care home. Applicant 2, equally qualified providers, qualified substitutes, and all staff members must be retrained if there are changes to the building and physical premises.Routine field trips and excursions, such as daily transportation provided by the family child care home to and/or from care, require annual authorization by written or electronic methods, which must include departure and arrival times to and from the family child care home; and pick up and drop off times and locations.Transportation availability, vehicle restraint requirements, and seating capacities;If 911 is not available, the provider must have a plan for accessing emergency transportation at all times.The entire premises are subject to inspection for licensing and safety purposes including, but not limited to, the entire residence and where care is to be provided, the grounds surrounding the residence, the basement, the attic , the storage shed, garage or carport, and any vehicles used for transportation of children in care.The driver of a vehicle used to transport children must follow required state laws, including possession of a current valid Colorado driver’s license, current automobile insurance, and meet the requirements of Colorado child passenger safety laws at sections 42-4-236 and 42-4-237, C.R.S. At least one (1) adult in the vehicle transporting children must have current Department-approved first aid certificate and Department-approved CPR certificate. and for all ages of children. A first aid kit must be available in the vehicle. Any child transported must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws in sections 42-4-236 and 42-4-237, C.R.S., that require: 1. Children under the age of one (1) years and weighing less than twenty pounds, must ride the back seat of the vehicle, in a rear-facing child restraint system, according to the manufacturer’s instructions. 2. Children ages one (1) to four (4) years and who weigh twenty (20) to forty (40) pounds must be properly restrained in a rear-facing or forward-facing child restraint system, according to the manufacturer’s instructions. 3. Children who are under eight (8) years of age and who are being transported, shall be properly restrained in a child restraint system, according to manufacturer's instructions. 4. Children who are at least eight (8) years of age but less than sixteen(16) years of age who are being transported, shall be properly restrained in a safety belt or child restraint system according to manufacturer's instructions. When any vehicle is used by the family child care home to transport children in care, the following requirements must be met: 1. Two (2) or more children must never be restrained in one (1) seat belt or child restraint system; 2. It is the responsibility of the driver transporting children to ensure that children are provided with, and that they properly use, a child restraint system or safety belt system; 3. Children who meet the requirements to be restrained in a safety belt must be instructed and monitored to keep the seat belt properly fastened and adjusted; 4. Children, who are appropriately placed in a safety belt system according to state law, must be properly secured by the safety belt system. The shoulder belt must never be placed behind the back or under the arm. The lap belt must be secured low and tight across the upper thighs; 5. Children under thirteen (13) years of age must never be transported in the front seat of a vehicle; 6. Children must never be left alone in a vehicle; 7. Children must be loaded and unloaded safely and out of the path of moving vehicles; 8. The total number of passengers being transported shall never exceed the vehicle manufacturer’s specifications; 9. The provider cannot transport more children than any vehicle can safely accommodate with child restraint systems and seat belts that are properly installed in the vehicle; 10. The seats of the vehicle must be constructed and installed according to the manufacturer's specifications; 11. Modifications to vehicles including, but not limited to, the addition of seats and seat belts must be completed by the manufacturer or an authorized representative of the manufacturer. Documentation of such modifications must be available for review by the Department; 12. The vehicle must be enclosed and have door locks in proper working order; 13. The vehicle must be kept in satisfactory condition to assure the safety of occupants. Vehicle tires, brakes, and lights must meet safety standards set by the Colorado Department of Revenue, Motor Vehicle Division (section 42-4-236, C.R.S.); and 14. At a large family child care home, there must be at least one (1) adult supervisor, in addition to the driver, when nine (9) to twelve (12) children are being transported in the vehicle. The primary provider must obtain written permission from the parent or guardian for transportation of the child. If the family child care home provides transportation to and from care, the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member must supervise the child between the vehicle and the child's home or another home authorized by the child's parent(s) or guardian(s) until the child is safely in the care of another adult. If the family child care home provides transportation to and or from care, children remaining at the family child care home must be supervised by the primary provider, applicant 2, an equally qualified provider, qualified substitute, or staff member. Agreement must be made annually between the provider and parents or guardians on transportation arrangements for school age children (e.g. walking, riding a bicycle, bus, or traveling in a vehicle) to and from the family child care home. It is the provider's responsibility to ensure the child arrives to the destination at agreed upon time. The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers. The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿General Rules for Child Care Facilities,￿ ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency numbers including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include transportation. Safety standards observed and discussed during inspection visits for non-relative providers include transporting children and vehicular hazards. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements for Qualified Exempt Child Care Providers include transportation. Safety standards observed and discussed during inspection visits for non-relative providers include transporting children and vehicular hazards. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration, includes requirements for building and physical premises and the protection from vehicular traffic in the school-age child care licensing standards in training requirements. All staff members must complete building and physical premises safety training prior to working with children. The training must include: Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. The standards include proper evacuation of vehicles, requirements for fencing or natural barriers, and proper supervision of children. CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete a building and physical premises safety training prior to working with children. The training must include: 1. Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and 2. Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. The procedure for transporting children, if applicable, including transportation arrangements and parental permission for excursions and related activities. The center must be able to provide emergency transportation to a health care facility at all times either via program vehicle or the emergency medical services system. Transportation Provided by the Center 1. The center is responsible for any children it transports. 2. The center must obtain written permission from parents/guardians for any transportation of their child during child care hours. 3. The number of staff members who accompany children when being transported in the vehicle must meet the child care staff ratio found at rule section 2.509. The driver of the center vehicle is considered a staff member. 4. Children must not be permitted to ride in the front seat of a vehicle unless they are secured in a seat belt that is safe and free from hazard. 5. Children must be loaded and unloaded out of the path of moving vehicles. 6Children must remain seated while the vehicle is in motion. Children must not be permitted to stand or sit on the floor of a moving vehicle, and their arms, legs, and heads must remain inside the vehicle at all times. 7. Transportation arrangements for school- age children must be by agreement between the center and the children’s parents/guardians, i.e., whether the children can walk, ride a bicycle or travel in a car. The center must monitor the children to ensure they arrive at the center when expected and follow up on their whereabouts if they are late. Written permission from parents or guardians for their children to attend community functions after school hours must include agreements regarding transportation. 8. Prior to a field trip or other excursion, the center must obtain information on liability insurance from parents/guardians and staff who transport children in their own cars and verify that all drivers have valid driver’s licenses. Any vehicle the center uses for transporting children to and from the center or during program activities must meet the following requirements: a. The vehicle must be enclosed and have door locks; b. The seats of the vehicle must be constructed and installed according to the vehicle manufacturer’s specifications; c. The vehicle must be kept in satisfactory condition to assure the safety of occupants; and d. Modifications to vehicles including, but not limited to, the addition of seats and seat belts must be completed by the manufacturer or an authorized representative of the manufacturer. Documentation of such modifications must be available for review. 2. Any child transported by the center must be properly restrained in a child restraint system that meets the requirements of Colorado child passenger safety laws at sections 42-4- 236 and 42-4-237, C.R.S., that requires: a. Children who are under eight (8) years of age and who are being transported, shall be properly restrained in a child restraint system, according to the vehicle and child restraint system manufacturer’s instructions. b. Children who are at least eight (8) years of age but less than fifteen (15) years of age who are being transported, shall be properly restrained in a safety belt or child restraint system according to the vehicle and child restraint system manufacturer’s instructions. (1) Children who meet the requirements to be restrained in a safety belt must be instructed and monitored to keep the seat belt properly fastened and adjusted. c. Two (2) or more children must never be restrained in one (1) seat belt or child restraint system. 3. In vehicles with a manufacturer’s established capacity of sixteen (16) or more passengers, seat belts for passengers are not required.C. Requirements for Drivers of Vehicles 1. All drivers of vehicles transporting children must operate the vehicle in a safe and appropriate manner. 2. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved First Aid and safety certificate that includes Cardiopulmonary Resuscitation (CPR) for all ages of children. 3. In each vehicle used to transport children, drivers must have access to a First Aid kit. 4. The driver must ensure that all doors are secured at all times when the vehicle is moving. 5. The driver must make a good faith effort to ensure that each child is properly belted throughout the trip. 6. The driver must not eat or use a cellular or other mobile device while driving. 7. The required staff to child ratio must be maintained at all times. 8. All drivers must be at least twenty (20) years of age. 9. Drivers must complete a minimum of (4) four hours of driver training prior to transporting children. The driver training curriculum may be developed and administered by the center and must include at a minimum: behind the wheel training; participant transport attendance procedures, including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedures; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and vehicle evacuation. 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: CDEC, Division of Early Learning Licensing and Administration includes the prevention of shaken baby syndrome and abusive head trauma in child care licensing standards. The standards included are: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development. Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others. Children must not be subjected to physical or emotional harm, humiliation, or threats. The director must not use, or permit a staff person or child to use, corporal punishment as defined in section 22-1-140, C.R.S, including but not limited to pinching, shaking, spanking, punching, biting, kicking, rough handling, hair pulling, or any humiliating or frightening method of guidance. Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually. The procedure for reporting of child abuse, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see rule section 2.126, of the General Rules for Child Care Facilities). Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire. All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes the prevention of shaken baby syndrome, and abusive head trauma in family child care home licensing standards. The standards included are: The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Behavior guidance and discipline appropriate to the age and development of the child, including positive instruction and supporting positive behavior. Policies shall include how the provider will: Promote warm and responsive positive child, provider, staff (if applicable) and family relationships; Create and maintain a socially and emotionally respectful early learning and care environment; Implement strategies supporting positive behavior, pro-social peer interaction, and overall social and emotional competence in young children; and Provide individualized social emotional intervention supports for children who need them, including methods for understanding child behavior, and developing, adopting and implementing a team-based positive behavior support plan with the intent to reduce challenging behavior and prevent suspensions and expulsions. Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being. Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed. Appropriate guidance including at the time of admission, the primary provider must discuss with the parent(s) or guardian(s) the family child care home's guidance expectations and consequences of a child’s behavior. Guidance used at the family child care home must be developmentally appropriate to the age of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others. Children must not be subjected to physical or emotional harm or humiliation. The primary provider must not use, or permit anyone else to use, corporal punishment as defined in section 22-1-140, C.R.S., including but not limited to pinching, shaking, spanking, punching, biting, kicking, rough handling, hair pulling, or any humiliating or frightening method of guidance. The primary provider, applicant 2, equally qualified provider, or qualified substitutes are responsible for and shall supervise all guidance used within the family child care home. The primary, applicant 2, equally qualified provide, or qualified substitutes must not allow one child to punish another child. Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and includes the prevention of maltreatment, recognition, reporting of child abuse and neglect, preventing Shaken Baby Syndrome and preventing abusive head trauma for children of all ages in care. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and includes the prevention of maltreatment, recognition, reporting of child abuse and neglect, preventing Shaken Baby Syndrome and preventing abusive head trauma for children of all ages in care. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prevention of Shaken Baby Syndrome and abusive head trauma prevention apply to all providers working with children under the age of three and do not apply to school-aged child care centers. 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: CDEC, Division of Early Learning Licensing and Administration includes the prevention of child maltreatment in the general and child care licensing standards. These requirements include annual training about child maltreatment, and abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. The standards included are: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others. Children must not be subjected to physical or emotional harm, humiliation, or threats. The director must not use, or permit a staff person or child to use, corporal punishment as defined in section 22-1-140, C.R.S, including but not limited to pinching, shaking, spanking, punching, biting, kicking, rough handling, hair pulling, or any humiliating or frightening method of guidance. Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually. The procedure for reporting of child abuse, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see rule section 2.126, of the General Rules for Child Care Facilities). Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire. All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes the prevention of child maltreatment in the general and family child care home licensing standards. These requirements include annual training about child maltreatment, and abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. The standards included are: The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Behavior guidance and discipline appropriate to the age and development of the child, including positive instruction and supporting positive behavior. Policies shall include how the provider will: Promote warm and responsive positive child, provider, staff (if applicable) and family relationships; Create and maintain a socially and emotionally respectful early learning and care environment; Implement strategies supporting positive behavior, pro-social peer interaction, and overall social and emotional competence in young children; and Provide individualized social emotional intervention supports for children who need them, including methods for understanding child behavior, and developing, adopting and implementing a team-based positive behavior support plan with the intent to reduce challenging behavior and prevent suspensions and expulsions. Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being. Appropriate guidance including at the time of admission, the primary provider must discuss with the parent(s) or guardian(s) the family child care home's guidance expectations and consequences of a child’s behavior. Guidance used at the family child care home must be developmentally appropriate to the age of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others. Children must not be subjected to physical or emotional harm or humiliation. The primary provider must not use, or permit anyone else to use, corporal punishment as defined in section 22-1-140, C.R.S., including but not limited to pinching, shaking, spanking, punching, biting, kicking, rough handling, hair pulling, or any humiliating or frightening method of guidance. The primary provider, applicant 2, equally qualified provider, or qualified substitutes are responsible for and shall supervise all guidance used within the family child care home. The primary, applicant 2, equally qualified provide, or qualified substitutes must not allow one child to punish another child. Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and includes the prevention of maltreatment, recognition, reporting of child abuse and neglect, preventing Shaken Baby Syndrome and preventing abusive head trauma for children ages 0-13 years of age. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self- assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and includes the prevention of maltreatment, recognition, reporting of child abuse and neglect, preventing Shaken Baby Syndrome and preventing abusive head trauma for children ages 0-13 years of age. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes the prevention of child maltreatment in the general and school-age care licensing standards. These requirements include annual training about child maltreatment, and abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. The standars included are: At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures. Policies must address or include the each of the following: The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see section 2.126 of the General Rules for Child Care Facilities). All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements. Guidance must be appropriate and constructive or educational in nature and may include such measures as diversion, separation of the child from situation, talking with the child about the situation, or praise for appropriate behavior. Children must not be subjected to physical or emotional harm or humiliation. The director must not use, or permit a staff member or child to use, corporal punishment as defined in section 22-1-140, C.R.S., including but not limited to pinching, shaking, spanking, punching, biting, kicking, rough handling, hair pulling, or any humiliating or frightening method of guidance. Authority for guidance must not be delegated to other children, and the center must not sanction one child punishing another child. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. This training is developed and facilitated by the program for staff to identify program specific environmental hazards. Staff must be retrained if there are changes to the building and physical premises. Buildings must be kept in good repair and maintained in a safe condition. In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for child care. Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.All heating units, gas or electric, must be installed and maintained per the manufacturer’s specifications with safety devices to prevent fire, explosions, and other hazards. No open-flame gas or oil stoves, unscreened fireplaces, hot plates, or unvented heaters can be used for heating purposes. All heating elements, including hot water pipes, must be insulated or installed in such a way that children cannot come in contact with them.Combustible materials must not be stored in hallways, stairways, boiler rooms, mechanical rooms, or electrical equipment rooms.Window blind cords must be secured out of children's reach to prevent strangulation. Items labeled ￿keep out of reach of children￿ must be inaccessible to children. Staples must be inaccessible to children less than three (3) years of age. Thumb tacks must not be used in areas accessible to children less than three (3) years of age. Glitter must not be used with children under three (3) years of age. Loose plastic bags must be stored in areas inaccessible to children.Sharp tools and instruments must be stored in areas inaccessible to children.Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age. Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 1⁄2) inches or greater than nine (9) inches to prevent entrapment. Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Closets, attics, basements, cellars, and furnace rooms must be kept free from accumulation of extraneous materials such as furnishings, newspapers, and magazines. Kitchens, including all hazardous items, must be inaccessible to children at all times. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.: This training is developed and facilitated by the primary provider for applicant 2, equally qualified providers, qualified substitutes, and all staff members to identify specific environmental hazards at the family child care home. Applicant 2, equally qualified providers, qualified substitutes, and all staff members must be retrained if there are changes to the building and physical premises.The premises of the family child care home must be kept safe and free from hazards to health at all times. Fire hazards such as defective electrical or gas appliances and electric cords, dangerous or defective heating or cooking equipment, or exposed wiring, must be repaired by a qualified repair and/or service company or removed from the family child care home.All stairways must be free from hazards, and open-sided portions that are located more than thirty (30) inches above the floor or grade below must be equipped with banisters or handrails within reach of children. The slats on all railings must be no wider than four (4) inches apart or modified to prevent entrapment.Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on the stairs. Because of the risk of serious physical injury to a child, providers, employees, substitutes, volunteers, and visitors must never step over a gate while holding a child or lift a child over a gate. All adult exercise equipment must be inaccessible to children.Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.The family child care home must be equipped with adequate light, heat, ventilation, and plumbing for safe and comfortable occupancy. The heating unit must be capable of maintaining a draft-free temperature of a minimum of sixty-eight (68) degrees Fahrenheit at floor level in all rooms used for child care.. All rooms must be kept in a clean and sanitary condition and be free of any evidence of pest or rodent infestation.Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as ￿keep out of reach of children.￿In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards. Extension cords must not be used in place of permanent wiring and must be used in accordance with the manufacturer’s specifications. Extension cords must be plugged directly into a wall outlet. Space heaters must be plugged directly into a wall outlet. Window blind cords and coverings must be secured out of children's reach or otherwise made safe to prevent strangulation. During child care hours, fans that pose a safety hazard to children ( fans that can be pulled onto the child, and those where the child can stick fingers in the blades) must be inaccessible to children.All unvented gas or electric heating units, must be installed and maintained with safety devices to prevent fire, explosions, and other hazards. Open-flame gas or oil stoves,unscreened fireplaces, hot plates, and unvented heaters must not be used. All heating units must be used and maintained in accordance with the manufacturer’s specifications. Space heaters must have a heating element that does not exceed 212 degrees Fahrenheit and be equipped with a tip-over safety switch.. Any cooking stoves with controls within reach of a child shall have a safety guard. Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.Furnaces and hot water heaters must be maintained in accordance with the manufacturer specifications and inaccessible to children. All family child care homes must have smoke alarms installed in every bedroom licensed for care, in the immediate vicinity outside every bedroom, in every area used as a sleeping room, and at least one on each floor of the house. Smoke alarms must not be older than the manufacturer directs. For family child care homes licensed after March 1, 2024, smoke alarms must be interconnected so that when one (1) alarm is activated all are activated. There must be a carbon monoxide detector in working condition installed in the area of the family child care home as recommended by the manufacturer and in the hallway outside the licensed bedrooms or area where children sleep. The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A- 10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible. Fire extinguishers must be replaced at least every six (6) years.All play equipment must be designed to guard against entrapment and strangulation. Swing sets and other outdoor play equipment must be correctly assembled, well maintained, and securely stabilized or anchoredAll outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal. Gas grills with propane tanks must be inaccessible or have a safety on/off knob. The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers. The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿General Rules for Child Care Facilities,￿ ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency numbers including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements include the handling and storage of hazardous materials. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements include the handling and storage of hazardous materials. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete a building and physical premises safety training prior to working with children. The training must include: 1. Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and 2. Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Buildings must be kept in good repair and maintained in a safe condition. Volatile substances, such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children. Combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children. Closets, attics, basements, cellars, furnace rooms, and exit routes must be kept free from accumulation of extraneous materials. All heating units, gas or electric, must be installed and maintained with safety devices to prevent fire, explosions, and other hazards. No open-flame gas or oil stoves, unscreened fireplaces, hot plates, or unvented heaters can be used for heating purposes. All heating elements, including hot water pipes, must be insulated or installed in such a way that children cannot come in contact with them. Nothing flammable or combustible can be stored within three (3) feet of a hot water heater or furnace. Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards. Extension cords cannot be used in place of permanent wiring. Corridors, halls, stairs, and porches must be adequately lighted. Operable battery- powered lights must be provided in locations readily accessible to staff in the event of electric power failure. The outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high- risk areas. These areas must be monitored to reduce the possibility of injury and accidents. Outdoor play areas provided by the center must not have equipment that exceeds six (6) feet in height for any surface area intended for children’s play unless equipped with a protective barrier to prevent children from falling. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. This training is developed and facilitated by the program for staff to identify program specific environmental hazards. Staff must be retrained if there are changes to the building and physical premises. Buildings must be kept in good repair and maintained in a safe condition. In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for child care. Items labeled ￿keep out of reach of children￿ must be inaccessible to children. All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.: This training is developed and facilitated by the primary provider for applicant 2, equally qualified providers, qualified substitutes, and all staff members to identify specific environmental hazards at the family child care home. Applicant 2, equally qualified providers, qualified substitutes, and all staff members must be retrained if there are changes to the building and physical premises. The premises of the family child care home must be kept safe and free from hazards to health at all times. All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as ￿keep out of reach of children. All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children. The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers. The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿General Rules for Child Care Facilities,￿ ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency numbers including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and include the handling, storage and appropriate disposal of bio contaminates. During annual inspections the handling, storage and appropriate disposal of bio contaminants is observed. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and include the handling, storage and appropriate disposal of bio contaminates. During annual inspections the handling, storage and appropriate disposal of bio contaminants is observed. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete a building and physical premises safety training prior to working with children. The training must include: 1. Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and 2. Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Buildings must be kept in good repair and maintained in a safe condition. Volatile substances, such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. 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: CDEC Division of Early Learning Licensing and Administration includes requirements that address precautions in transporting children in the child care licensing standards. These Requirements include transportation requirements, requirements for vehicles, and requirements for drivers. Training requirements for drivers and notification and authorization for children to be transported. Policies and procedures on transporting children including children’s safety related to riding in a vehicle, seating, supervision, emergency procedures on the road, transportation arrangements, and parental permission for excursions and related activities. The procedure for transporting children, if applicable, including transportation arrangements and parental permission for excursions and related activities; The center must be able to provide emergency transportation to a health care facility at all times. Transportation Provided by the Center: The center is responsible for any children it transports. The center must obtain written permission from the parent(s)/guardian(s) for any transportation of their child(ren) while in care. 3. The number of staff members who accompany children when being transported in the vehicle must meet the child care staff ratio found at rule section 2.217. The driver of the vehicle is considered a staff member. Children must not be permitted to ride in the front seat of a vehicle and must remain seated while the vehicle is in motion. All children must be secured in a child restraint system that is appropriate for the age and development of that child that meets the requirements of the Colorado child passenger safety laws at sections 42-4-236 and 42-4-237, C.R.S. Children must be loaded and unloaded out of the path of moving vehicles. Children must not be permitted to stand or sit on the floor of a moving vehicle, and their arms, legs, and heads must remain inside the vehicle at all times. Children must not be left unattended in the vehicle. Transportation arrangements for school-age children must be by agreement between the center and the children's parents, i.e., whether the child can walk, ride a bicycle, or travel in a car. The center must monitor the children to be sure they arrive at the center when expected and follow up on their whereabouts if they are late. Written permission from parents or guardians for their children to attend community functions after school hours must include agreements regarding transportation. Prior to a field trip or other excursion, the center must obtain information on liability insurance from parents and staff who transport children in their own cars and verify that all drivers have valid driver's licenses. Attendance must be verified as children enter and exit the vehicle to ensure all children are accounted for. Requirements for Vehicles: Any vehicle used for the transportation of children to and from the center or during center activities must meet the following requirements: a. The vehicle must be enclosed and have working door locks; The seats of the vehicle must be constructed and installed according to the vehicle manufacturer's specifications; c. The vehicle must be kept in satisfactory condition to ensure the safety of occupants.; d. Seating must be comfortable with a seat of at least ten (10) inches wide for each child; e. The provider must not transport more children than any vehicle is able to safely accommodate when child restraint systems and seat belts are properly installed in the vehicle. Two (2) or more children must never be restrained in one (1) seat belt or child restraint system; and f. Modifications to vehicles including, but not limited to, the addition of seats and seat belts must be completed by the manufacturer or an authorized representative of the manufacturer. Documentation of such modifications must be available for review.Any child transported must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws at sections 42-4-236 and 42-4-237, C.R.S., that requires: a. Children under the age of one (1) years and weighing less than twenty pounds, must ride the back seat of the vehicle, in a rear-facing child restraint system, according to the vehicle and child restraint systems manufacturer’s instructions. b. Children ages one (1) to four (4) years and who weigh twenty (20) to forty (40) pounds must be properly restrained in a rear- facing or forward-facing child restraint system, according to the vehicle and the child restraint systems manufacturer’s instructions. c. Children who are under eight (8) years of age and who are being transported, shall be properly restrained in a child restraint system, according to the vehicle and child restraint system manufacturer's instructions. d. Children who are at least eight (8) years of age but less than sixteen (16) years of age who are being transported, shall be properly restrained in a safety belt or child restraint system according to the vehicle and child restraint system manufacturer's instructions. (1) Children who meet the requirements to be restrained in a safety belt must be instructed and monitored to keep the seat belt properly fastened and adjusted. e. Two or more children must never be restrained in one (1) seat belt or child restraint system. In vehicles with a manufacturer's established capacity of sixteen (16) or more passengers, seat belts for passengers are not required. C. Requirements for Drivers of Vehicles: All drivers of vehicles transporting children must operate the vehicle in a safe and appropriate manner. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. In each vehicle used to transport children, drivers must have access to a First Aid kit. The driver must ensure that all doors are secured at all times when the vehicle is moving. The driver must make a good faith effort to ensure that each child is properly belted throughout the trip. The driver must not eat, smoke, or use a cellular device while driving. The required staff to child ratio must be maintained at all times. All drivers must be at least twenty (20) years of age. Drivers must complete a minimum of four (4) hours of Department-approved driver training. The Department’s approval will be based on the review of a training curriculum that includes at a minimum: behind the wheel training; participant transport attendance procedures including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedure; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and vehicle evacuation. Transporting Infants and Toddlers: Children must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws at sections 42-4-236 and 42-4- 237, C.R.S., applicable Federal Motor Vehicle Safety Standards pursuant to Colorado law. There must be at least one (1) adult, in addition to the driver, for each five (5) or fewer infants/toddlers being transported. Each adult must have a current Department-approved First Aid and Safety certificate that includes CPR for all ages of children. An adult must accompany each child to and from the vehicle. Infants and toddlers must not be transported in the front seat of a vehicle. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC Division of Early Learning Licensing and Administration includes requirements that address precautions in transporting children in the family child care home licensing standards. These Requirements include transportation requirements, requirements for vehicles, and requirements for drivers. Training requirements for drivers and notification and authorization for children to be transported. Policies and procedures on transporting children including children’s safety related to riding in a vehicle, seating, supervision, emergency procedures on the road, transportation arrangements, and parental permission for excursions and related activities. Routine field trips and excursions, such as daily transportation provided by the family child care home to and/or from care, require annual authorization by written or electronic methods, which must include departure and arrival times to and from the family child care home; and pick up and drop off times and locations.Transportation availability, vehicle restraint requirements, and seating capacities;If 911 is not available, the provider must have a plan for accessing emergency transportation at all times.The entire premises are subject to inspection for licensing and safety purposes including, but not limited to, the entire residence and where care is to be provided, the grounds surrounding the residence, the basement, the attic , the storage shed, garage or carport, and any vehicles used for transportation of children in care.The driver of a vehicle used to transport children must follow required state laws, including possession of a current valid Colorado driver’s license, current automobile insurance, and meet the requirements of Colorado child passenger safety laws at sections 42-4-236 and 42-4-237, C.R.S. At least one (1) adult in the vehicle transporting children must have current Department-approved first aid certificate and Department- approved CPR certificate. and for all ages of children. A first aid kit must be available in the vehicle. Any child transported must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws in sections 42-4-236 and 42-4-237, C.R.S., that require: 1. Children under the age of one (1) years and weighing less than twenty pounds, must ride the back seat of the vehicle, in a rear-facing child restraint system, according to the manufacturer’s instructions. 2. Children ages one (1) to four (4) years and who weigh twenty (20) to forty (40) pounds must be properly restrained in a rear-facing or forward-facing child restraint system, according to the manufacturer’s instructions. 3. Children who are under eight (8) years of age and who are being transported, shall be properly restrained in a child restraint system, according to manufacturer's instructions. 4. Children who are at least eight (8) years of age but less than sixteen(16) years of age who are being transported, shall be properly restrained in a safety belt or child restraint system according to manufacturer's instructions. When any vehicle is used by the family child care home to transport children in care, the following requirements must be met: 1. Two (2) or more children must never be restrained in one (1) seat belt or child restraint system; 2. It is the responsibility of the driver transporting children to ensure that children are provided with, and that they properly use, a child restraint system or safety belt system; 3. Children who meet the requirements to be restrained in a safety belt must be instructed and monitored to keep the seat belt properly fastened and adjusted; 4. Children, who are appropriately placed in a safety belt system according to state law, must be properly secured by the safety belt system. The shoulder belt must never be placed behind the back or under the arm. The lap belt must be secured low and tight across the upper thighs; 5. Children under thirteen (13) years of age must never be transported in the front seat of a vehicle; 6. Children must never be left alone in a vehicle; 7. Children must be loaded and unloaded safely and out of the path of moving vehicles; 8. The total number of passengers being transported shall never exceed the vehicle manufacturer’s specifications; 9. The provider cannot transport more children than any vehicle can safely accommodate with child restraint systems and seat belts that are properly installed in the vehicle; 10. The seats of the vehicle must be constructed and installed according to the manufacturer's specifications; 11. Modifications to vehicles including, but not limited to, the addition of seats and seat belts must be completed by the manufacturer or an authorized representative of the manufacturer. Documentation of such modifications must be available for review by the Department; 12. The vehicle must be enclosed and have door locks in proper working order; 13. The vehicle must be kept in satisfactory condition to assure the safety of occupants. Vehicle tires, brakes, and lights must meet safety standards set by the Colorado Department of Revenue, Motor Vehicle Division (section 42-4-236, C.R.S.); and 14. At a large family child care home, there must be at least one (1) adult supervisor, in addition to the driver, when nine (9) to twelve (12) children are being transported in the vehicle. The primary provider must obtain written permission from the parent or guardian for transportation of the child. If the family child care home provides transportation to and from care, the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member must supervise the child between the vehicle and the child's home or another home authorized by the child's parent(s) or guardian(s) until the child is safely in the care of another adult. If the family child care home provides transportation to and or from care, children remaining at the family child care home must be supervised by the primary provider, applicant 2, an equally qualified provider, qualified substitute, or staff member. Agreement must be made annually between the provider and parents or guardians on transportation arrangements for school age children (e.g. walking, riding a bicycle, bus, or traveling in a vehicle) to and from the family child care home. It is the provider's responsibility to ensure the child arrives to the destination at agreed upon time. The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers. The primary provider is responsible for ensuring that applicant 2, equally qualified providers, qualified substitutes, all staff members, and volunteers are familiar with the children in care, the ￿General Rules for Child Care Facilities,￿ ￿Rules Regulating Family Child Care Homes,￿ ￿Rules Regulating Special Activities,￿ the home’s policies, the location of children’s files, and emergency numbers including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, including reviewing transportation rules, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and include precautions for transporting children. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, including reviewing transportation rules, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and include precautions for transporting children. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements that address precautions in transporting children in the school-age child care licensing standards. These Requirements include transportation requirements, requirements for vehicles, and requirements for drivers. Training requirements for drivers and notification and authorization for children to be transported. Policies and procedures on transporting children including children’s safety related to riding in a vehicle, seating, supervision, emergency procedures on the road, transportation arrangements, and parental permission for excursions and related activities.CDEC, Division of Early Learning Licensing and Administration includes requirements for building and physical premises safety in the child care licensing standards in training requirements. All staff members must complete a building and physical premises safety training prior to working with children. The training must include: 1. Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and 2. Handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures including specific environmental and electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials. The procedure for transporting children, if applicable, including transportation arrangements and parental permission for excursions and related activities. The center must be able to provide emergency transportation to a health care facility at all times either via program vehicle or the emergency medical services system. Transportation Provided by the Center 1. The center is responsible for any children it transports. 2. The center must obtain written permission from parents/guardians for any transportation of their child during child care hours. 3. The number of staff members who accompany children when being transported in the vehicle must meet the child care staff to child ratios. 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: CDEC, Division of Early Learning Licensing and Administration, includes requirements for pediatric first aid and cardiopulmonary resuscitation (CPR) certification in the child care licensing standards as well as including requiring first aid and CPR training for all staff and requirements for fully certified staff members including those assigned to infant and toddler rooms, administering medications and an individual in the vehicle while transporting children. For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location. For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location. Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years. There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. For every fifteen (15) or fewer toddlers, there must be at least one (1) staff member in the toddler program at all times who has a current Department-approved first aid and safety certificate that includes (CPR) for all ages of children. Staff designated by the director to give medications must complete the Department- approved medication administration training and have current annual delegation or more often as determined by the Department-approved child care health consultant. Delegation must be from the center’s current Department-approved child care health consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current cardiopulmonary resuscitation (CPR) and first aid training prior to administering medication with the following exceptions: Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing emergency medications must complete the Department-approved medication administration training: severe allergy or asthma. After completing the training, staff must receive delegation from their Department-approved child care health consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing medications not covered in the approved medication administration training shall also be permitted to administer medications and/or medical treatments such as emergency seizure medication, insulin, or oxygen with individualized training and delegation from the Department-approved child care health consultant based on instructions from the child’s individualized health care plan. Staff may be trained and delegated in the administration of a single rescue medication or rescue medical intervention by the center’s Department-approved child care health consultant. Such training and delegation shall qualify the staff member to provide a rescue medication or treatment for a specific child based on instructions from the child’s individualized health care plan. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. Substitutes for infant program staff must hold a current Department- approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for pediatric first aid and cardiopulmonary resuscitation (CPR) certification in the family child care home licensing standards as well as including requiring first aid and CPR training for all staff and requirements for fully certified staff members including those assigned to infant and toddler rooms, administering medications and an individual in the vehicle while transporting children. Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age; Prior to working with children all staff members caring for children not required by rule to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module. This module must be renewed every two (2) years. The provider, applicant 2, equally qualified providers, qualified substitutes, and any staff responsible for administering medications must have current Department- approved medication administration training; current Department-approved CPR certification; current Department-approved first aid certification; and the Department-approved standard precautions training prior to administering medication. At least one (1) adult in the vehicle transporting children must have current Department-approved first aid certificate and Department-approved CPR certificate. and for all ages of children. A first aid kit must be available in the vehicle. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and include pediatric first aid and cardiopulmonary resuscitation (CPR). Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1. The assigned training requirements must be completed annually and include pediatric first aid and cardiopulmonary resuscitation (CPR). Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration, includes requirements for pediatric first aid and cardiopulmonary resuscitation (CPR) certification in the school-age child care licensing standards as well as including requiring first aid and CPR training for all staff and requirements for fully certified staff members including those administering medications and an individual in the vehicle while transporting children. Day camp staff must receive a minimum of fifteen (15) hours of pre- camp training, in addition to Department-approved First Aid and Cardiopulmonary Resuscitation (CPR) training. Pre-camp training must include all training activities that staff members participate in as a whole. Training should include, but not be limited to, familiarizing staff with the camp mission, site emergency policy and procedures, how to supervise and facilitate activities with campers, and health care policies and procedures. Policies and procedures must be in writing. Staff will be supervised and additional training may be provided if needed. Day camps must have a system in place to provide staff the essential training information for late hires. Day camp staff must receive a minimum of fifteen (15) hours of pre-camp training, in addition to Department-approved First Aid and Cardiopulmonary Resuscitation (CPR) training. Pre-camp training must include all training activities that staff members participate in as a whole. Training should include, but not be limited to, familiarizing staff with the camp mission, site emergency policy and procedures, how to supervise and facilitate activities with campers, and health care policies and procedures. Policies and procedures must be in writing. Staff will be supervised and additional training may be provided if needed. Day camps must have a system in place to provide staff the essential training information for late hires. In a day camp, all staff members who are eighteen (18) years of age and older must have current Department-approved First Aid and CPR certificates. Uncertified staff members must work with another certified staff member. All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years. Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions: Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. Staff determined by the director, in consultation with the Child Care Health Consultant, to be responsible for providing medications not covered in the approved medication administration training must also be permitted to administer medications and/or medical treatments such as emergency seizure medication, insulin, or oxygen with individualized training and delegation from the Child Care Health Consultant based on instructions from the child’s individualized health care plan. Staff may be trained and delegated in the administration of a single rescue medication or rescue medical intervention by the center’s Child Care Health Consultant. Such training and delegation must qualify the staff member to provide a rescue medication or treatment for a specific child based on instructions from the child’s individualized health care plan. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. 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: CDEC, Division of Early Learning Licensing and Administration includes requirements for pediatric first aid and cardiopulmonary resuscitation (CPR) certification in the family child care home licensing standards as well as including requiring first aid and CPR training for all staff and requirements for fully certified staff members including those assigned to infant and toddler rooms, administering medications and an individual in the vehicle while transporting children. For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location. Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years. There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department- approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. For every fifteen (15) or fewer toddlers, there must be at least one (1) staff member in the toddler program at all times who has a current Department-approved first aid and safety certificate that includes (CPR) for all ages of children. Staff designated by the director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Department-approved child care health consultant. Delegation must be from the center’s current Department-approved child care health consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current cardiopulmonary resuscitation (CPR) and first aid training prior to administering medication with the following exceptions: Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing emergency medications must complete the Department-approved medication administration training: severe allergy or asthma. After completing the training, staff must receive delegation from their Department- approved child care health consultant for those medications only. Staff must then providethose medications to children based on the instructions from the child’s individualized health care plan. Staff determined by the director, in consultation with the Department-approved child carehealth consultant, to be responsible for providing medications not covered in the approved medication administration training shall also be permitted to administer medications and/or medical treatments such as emergency seizure medication, insulin, or oxygen with individualized training and delegation from the Department-approved child care health consultant based on instructions from the child’s individualized health care plan. Staff may be trained and delegated in the administration of a single rescue medication or rescue medical intervention by the center’s Department-approved child care health consultant. Such training and delegation shall qualify the staff member to provide a rescue medication or treatment for a specific child based on instructions from the child’sindividualized health care plan. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. Substitutes for infant program staff must hold a current Department- approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children. Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures. Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for pediatric first aid and cardiopulmonary resuscitation (CPR) certification in the family child care home licensing standards as well as including requiring first aid and CPR training for all staff and requirements for fully certified staff members including those administering medications and an individual in the vehicle while transporting children. Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age; Prior to working with children all staff members caring for children not required by rule to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module. This module must be renewed every two (2) years. The provider, applicant 2, equally qualified providers, qualified substitutes, and any staff responsible for administering medications must have current Department-approved medication administration training; current Department-approved CPR certification; current Department-approved first aid certification; and the Department-approved standard precautions training prior to administering medication. At least one (1) adult in the vehicle transporting children must have current Department- approved first aid certificate and Department-approved CPR certificate. and for all ages of children. A first aid kit must be available in the vehicle. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1 The assigned training requirements must be completed annually and include pediatric cardiopulmonary resuscitation (CPR). Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1 The assigned training requirements must be completed annually and include pediatric cardiopulmonary resuscitation (CPR). Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC, Division of Early Learning Licensing and Administration includes requirements for pediatric first aid and cardiopulmonary resuscitation (CPR) certification in the school-age child care licensing standards as well as requiring first aid and CPR training for all staff and requirements for fully certified staff members including those administering medications and an individual in the vehicle while transporting children. Day camp staff must receive a minimum of fifteen (15) hours of pre-camp training, in addition to Department-approved First Aid and Cardiopulmonary Resuscitation (CPR) training. Pre-camp training must include all training activities that staff members participate in as a whole. Training should include, but not be limited to, familiarizing staff with the camp mission, site emergency policy and procedures, how to supervise and facilitate activities with campers, and health care policies and procedures. Policies and procedures must be in writing. Staff will be supervised and additional training may be provided if needed. Day camps must have a system in place to provide staff the essential training information for late hires. Day camp staff must receive a minimum of fifteen (15) hours of pre-camp training, in addition to Department-approved First Aid and Cardiopulmonary Resuscitation (CPR) training. Pre-camp training must include all training activities that staff members participate in as a whole. Training should include, but not be limited to, familiarizing staff with the camp mission, site emergency policy and procedures, how to supervise and facilitate activities with campers, and health care policies and procedures. Policies and procedures must be in writing. Staff will be supervised and additional training may be provided if needed. Day camps must have a system in place to provide staff the essential training information for late hires. In a day camp, all staff members who are eighteen (18) years of age and older must have current Department-approved First Aid and CPR certificates. Uncertified staff members must work with another certified staff member. All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years. Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions: Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan. Staff determined by the director, in consultation with the Child Care Health Consultant, to be responsible for providing medications not covered in the approved medication administration training must also be permitted to administer medications and/or medical treatments such as emergency seizure medication, insulin, or oxygen with individualized training and delegation from the Child Care Health Consultant based on instructions from the child’s individualized health care plan. Staff may be trained and delegated in the administration of a single rescue medication or rescue medical intervention by the center’s Child Care Health Consultant. Such training and delegation must qualify the staff member to provide a rescue medication or treatment for a specific child based on instructions from the child’s individualized health care plan. Once a permanent license has been issued, the licensee must annually submit to the Department a declaration of compliance with the applicable licensing rules and notice of continuing operation on the form prescribed by the Department, along with the appropriate annual fee as set forth in rule section 2.111. 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: CDEC includes in the child care licensing standards requirements for recognition and reporting of child abuse. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. General Rules defines Child Abuse ￿Child abuse,￿ and ￿child neglect￿ means the same as in the definition of ￿child abuse or neglect￿ set forth in section 19-1- 103(1), C.R.S., unless otherwise indicated. The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting of child abuse, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see rule section 2.126, of the General Rules for Child Care Facilities); Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually. All Department-approved child care health consultants must complete the Department approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years. All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years. A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.At the time of admission the facility must give the child’s parent or guardian information that explains how to report suspected child abuse or child neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC includes in the family child care home licensing standards requirements for recognition and reporting of child abuse. General Rules defines Child Abuse ￿Child abuse,￿ and ￿child neglect￿ means the same as in the definition of ￿child abuse or neglect￿ set forth in section 19-1-103(1), C.R.S., unless otherwise indicated. The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting child abuse, including the name of the county department of social/human services and phone number of where a child abuse report should be made. Prior to working with children the primary provider, applicant 2, the equally qualified provider,qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually. A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S. At the time of admission the facility must give the child’s parent or guardian information that explains how to report suspected child abuse or child neglect. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1 and 3.127 (B)(7)(c) 8 CCR 1403-1 .The assigned training requirements include reporting of child abuse and neglect that must be completed annually. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1 and 3.127 (B)(7)(c) 8 CCR 1403-1 .The assigned training requirements include reporting of child abuse and neglect that must be completed annually. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC includes in the school-age child care licensing standards requirements for recognition and reporting of child abuse. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. General Rules defines Child Abuse ￿Child abuse,￿ and ￿child neglect￿ means the same as in the definition of ￿child abuse or neglect￿ set forth in section 19-1- 103(1), C.R.S., unless otherwise indicated. The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting child abuse and/or neglect, including the name other county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect and requirements about reporting and investigating child abuse. A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S. At the time of admission the facility must give the child’s parent or guardian information that explains how to report suspected child abuse or child neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30)calendar days of employment. This training must be renewed annually and may count towards ongoing training 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: CDEC includes in the child care licensing standards requirements for recognition and reporting of child abuse. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect, and requirements about reporting and investigating child abuse. Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S. At the time of admission the facility must give the child’s parent or guardian information that explains how to report suspected child abuse or child neglect. The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting of child abuse, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually. All Department-approved child care health consultants must complete the Department approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years. A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. ii. All CCDF-eligible licensed family child care homes. Provide the standard: CDEC includes in the family child care home licensing standards requirements for recognition and reporting of child abuse. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect, and requirements about reporting and investigating child abuse. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect, and requirements about reporting and investigating child abuse. Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S. At the time of admission the facility must give the child’s parent or guardian information that explains how to report suspected child abuse or child neglect. Prior to working with children the primary provider, applicant 2, the equally qualified provider,qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1 and 3.127 (B)(7)(c) 8 CCR 1403-1. The assigned training requirements include reporting of child abuse and neglect that must be completed annually. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Qualified Exempt Child Care Providers that are providing care for a child they are not related to must complete all assigned pre-service health and safety training approved by the state department of early childhood, within three months of providing services as a Qualified Exempt child care provider. 3.127 (B)(7)(a) 8 CCR 1403-1 and 3.127 (B)(7)(c) 8 CCR 1403-1 .The assigned training requirements include reporting of child abuse and neglect that must be completed annually. Qualified Exempt non-relative providers are notified of their training requirements and implementing the content of the training through their orientation call, their health and safety inspection precall and visit, the self-assurance form (signed by provider), and their fiscal agreement (signed by provider). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CDEC includes in the school-age child care licensing standards requirements for recognition and reporting of child abuse. These requirements include annual training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. Signed statements for all staff defining child abuse and neglect, and requirements about reporting and investigating child abuse. Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S. At the time of admission the facility must give the child’s parent or guardian information that explains how to report suspected child abuse or child neglect. The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made. All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30)calendar days of employment. This training must be renewed annually and may count towards ongoing training 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? [x] Yes. [ ] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: CDEC includes in the child care licensing standards for child care, family child care homes, and school-age child care requirements for meals and snacks. The requirements are: All meals and snacks provided by the center or family child care home must meet current United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal pattern guidance and requirements. Children who are in care for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m. ii. Access to physical activity. Describe: CDEC includes in the child care licensing standards for child care, family child care homes, and school-age child care requirements for daily physical gross motor activities. The requirements include daily physical gross motor activities, with or without equipment or materials, which must be provided outdoors, or indoors during inclement weather, to children toddler age and older for no less than sixty (60) minutes total for full-day programs, for no less than thirty (30) minutes total for programs operating from three (3) to five (5) hours per day, and for no less than fifteen (15) minutes total for programs operating less than three (3) hours per day. Infants must be provided access to outdoor play at least three (3) times per week, weather permitting. iii. Caring for children with special needs. Describe: DEC includes in the child care licensing standards for child care, family child care homes, and school- age child care requirements regarding caring for children with special needs. The requirements are the admission of children who have special health care needs, disabilities, or developmental delays which includes children with social, emotional, and behavioral needs that must be in alignment with the training and ability of staff in compliance with the Americans with Disabilities Act. Services offered must show that a reasonable effort is made to accommodate the child's needs and to integrate the child with other children. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: CDEC includes in the child care licensing standards for child care, family child care homes, and school-age child care requirements regarding child development. All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, and physical development and approaches to learning). Health and safety requirements are outlined throughout the rule packages. CDEC includes within the licensing standards for child care centers and family child care homes that within ninety (90) calendar days of employment, all staff must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs.