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Reason(s) for non-compliance: • The Lead Agency does not require pre-service or orientation training on prevention and control of infectious diseases (including immunizations) for licensed centers, licensed family child care providers, or license-exempt in-home providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1a) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers for compliance with pre-service or orientation training requirements related to the prevention and control of infectious diseases (including immunizations), as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) Overall Target Completion Date: 03/31/2025 Action Step Number Action Step Description Target Completion Date 1 OSSE has implemented pre-service and orientation training for caregivers, teachers and directors on the health and safety topics listed at § 98.41(a)(1)(i) through (xi), including the prevention and control of infectious diseases, including immunization through its child care licensing regulations (5A DCMR § 176.1). (Ongoing) 01/02/2025 2 OSSE has implemented pre-service and orientation training for licensed exempt caregivers on the health and safety topics listed at § 98.41(a)(1)(i) through (xi), including the prevention and control of infectious diseases, including immunization through its in-home caregiver policy. (Ongoing) 01/02/2025 3 OSSE will amend its child development facility licensing regulations to clarify requirements for all children to be immunized and compliance with grace periods and religious and medical exemptions to immunization. 03/31/2025 4 OSSE will continue to partner with the District Department of Health to track immunization compliance. (Ongoing) 01/02/2025 5 OSSE will continue to ensure that children experiencing homelessness and children in foster care are provided a 60-day grace period for completion of immunization requirements, with 01/02/2025 support from child development facilities. (Ongoing) 6 OSSE will continue to coordinate with the Departments of Human Services and Health and child development facilities to provide referrals and support to help families of children receiving services during a grace period comply with immunization and other health and safety requirements. (Ongoing) 01/02/2025