5.3 Health and Safety Standards for CCDF Providers

Lead Agencies must have health and safety standards for providers serving children receiving CCDF assistance relating to the required health and safety topics as appropriate to the provider setting and age of the children served. This requirement is applicable to all child care programs receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only exception to this requirement is for relative providers, as defined by CCDF. Lead Agencies have the option of exempting certain relatives from any or all CCDF health and safety requirements. Exemptions for relative providers’ standards requirements will be addressed in question 5.8.1. Describe the following health and safety standards for programs serving children receiving CCDF assistance on the following topics (note that monitoring and enforcement will be addressed in subsection 5.5): 5.3.1 Prevention and control of infectious diseases (including immunizations) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention and control of infectious diseases for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facility’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Children in care must be observed on a daily basis for signs of communicable disease. Any child, child care personnel, or other person in the child care facility suspected of having a communicable disease must be removed from the program or placed in an isolation area until removed. Such person may not return without medical authorization, or until the signs and symptoms of the disease are no longer present. If the local health department official or primary health care provider suspects that a child or child care personnel are contributing to the transmission of the illness, are not adequately immunized when there is an outbreak of a vaccine-preventable disease, or the circulating pathogen poses an increased risk to the individual, the child or child care personnel must not return until the health department or primary health care provider determines the risk of transmission is no longer present. Each facility must have a designated isolation area for a child who becomes ill while in care. Such space must be adequately ventilated, cooled, heated, and equipped with a bed, mat, or cot, and materials that can be cleaned and sanitized or disinfected easily. Linens are to be changed after each use and used linens must be kept in a closed container in the isolation area until cleaned. Disposable items must be kept in a closed container in the isolation area until thrown away. The isolated child must be within sight and hearing of child care personnel at all times. The child must be carefully observed at all times for worsening conditions. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and must follow the health department’s direction. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the home’s exposure plan regarding standard precautions before beginning to work and annually thereafter. The operator shall have a designated isolation area for a child who becomes ill. The child’s condition shall be closely observed. Any child who is suspected of having a communicable disease or who has a fever of 101 degrees Fahrenheit or higher, in conjunction with any of the signs and symptoms listed above shall be placed in the isolation area. Linens and disposable items shall be changed after each use. The condition shall be reported to the custodial parent or legal guardian and the child shall be removed from the home. Such children shall not return to the home without medical authorization, or until the signs and symptoms of the disease are no longer present. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and follow the health department’s direction. A child who has been placed in an isolation area due to illness must be within sight and hearing of child care personnel. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and follow the health department’s direction. 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: Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facility’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Children in care must be observed on a daily basis for signs of communicable disease. Any child, child care personnel, or other person in the child care facility suspected of having a communicable disease must be removed from the program or placed in an isolation area until removed. Such person may not return without medical authorization, or until the signs and symptoms of the disease are no longer present. If the local health department official or primary health care provider suspects that a child or child care personnel are contributing to the transmission of the illness, are not adequately immunized when there is an outbreak of a vaccine-preventable disease, or the circulating pathogen poses an increased risk to the individual, the child or child care personnel must not return until the health department or primary health care provider determines the risk of transmission is no longer present. Each facility must have a designated isolation area for a child who becomes ill while in care. Such space must be adequately ventilated, cooled, heated, and equipped with a bed, mat, or cot, and materials that can be cleaned and sanitized or disinfected easily. Linens are to be changed after each use and used linens must be kept in a closed container in the isolation area until cleaned. Disposable items must be kept in a closed container in the isolation area until thrown away. The isolated child must be within sight and hearing of child care personnel at all times. The child must be carefully observed at all times for worsening conditions. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and must follow the health department’s direction. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the home’s exposure plan regarding standard precautions before beginning to work and annually thereafter. The operator shall have a designated isolation area for a child who becomes ill. The child’s condition shall be closely observed. Any child who is suspected of having a communicable disease or who has a fever of 101 degrees Fahrenheit or higher, in conjunction with any of the signs and symptoms listed above shall be placed in the isolation area. Linens and disposable items shall be changed after each use. The condition shall be reported to the custodial parent or legal guardian and the child shall be removed from the home. Such children shall not return to the home without medical authorization, or until the signs and symptoms of the disease are no longer present. A child who has been placed in an isolation area due to illness must be within sight and hearing of child care personnel. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and follow the health department’s direction. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the home’s exposure plan regarding standard precautions before beginning to work and annually thereafter. The operator shall have a designated isolation area for a child who becomes ill. The child’s condition shall be closely observed. Any child who is suspected of having a communicable disease or who has a fever of 101 degrees Fahrenheit or higher, in conjunction with any of the signs and symptoms listed above shall be placed in the isolation area. Linens and disposable items shall be changed after each use. The condition shall be reported to the custodial parent or legal guardian and the child shall be removed from the home. Such children shall not return to the home without medical authorization, or until the signs and symptoms of the disease are no longer present. A child who has been placed in an isolation area due to illness must be within sight and hearing of child care personnel. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and follow the health department’s direction. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Children in care must be observed on a daily basis for signs of communicable disease. Any child, child care personnel or other person in the school-age child care program suspected of having a communicable disease must be removed from the program or placed in an isolation area until removed. Such person may not return without medical authorization, or until the signs and symptoms of the disease are no longer present. Each school-age child care program must have a designated isolation area for a child who becomes ill while in care. Such space must be adequately ventilated, cooled, heated, and equipped with a bed, mat, or cot, and materials that can be cleaned and sanitized or disinfected easily. Linens are to be changed after each use, and used linens must be kept in a closed container in the isolation area until cleaned. Disposable items must be kept in a closed container in the isolation area until thrown away. The isolated child must be within sight and hearing of child care personnel at all times. The child must be carefully observed at all times for worsening conditions. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease in accordance with Chapter 64D-3, F.A.C., Communicable Disease Control, and must follow the health department’s direction. 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: The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, or the Religious Exemption from Immunization form, DH681.ck or tap here to enter text. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, or the Religious Exemption form Immunization form, DH681. 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: The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, or the Religious Exemption from Immunization form, DH681. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, or the Religious Exemption from Immunization form, DH681. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, or the Religious Exemption from Immunization form, DH681. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: School-aged children attending public or non-public schools are not required to have immunization records on file at the school-age child care program since these records are on file at the school where the child is enrolled. 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: All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturer’s recommendations, do not restrict the infant’s arms, and will not slide up around the infant’s face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the child’s physician. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards, other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All personnel that care for infants must follow safe sleep practices as recommended by the AAP as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. When napping or sleeping, young infants who are not capable of rolling over on their own shall be positioned on their back and on a firm surface to reduce the risk of Sudden Infant Death Syndrome (SIDS), unless an alternative position is authorized in writing by a physician. Sleep sacks that fit according to manufacturer’s recommendations, do not restrict the infant’s arms, and will not slide up around the infant’s face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the child’s physician. All child care personnel who work in a home that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abuse head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the home. 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: All personnel that care for infants must follow safe sleep practices as recommended by the AAP as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturer’s recommendations, do not restrict the infant’s arms, and will not slide up around the infant’s face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the child’s physician. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards, other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All personnel that care for infants must follow safe sleep practices as recommended by the AAP as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. When napping or sleeping, young infants who are not capable of rolling over on their own shall be positioned on their back and on a firm surface to reduce the risk of SIDS, unless an alternative position is authorized in writing by a physician. Sleep sacks that fit according to manufacturer’s recommendations, do not restrict the infant’s arms, and will not slide up around the infant’s face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the child’s physician. All child care personnel who work in a home that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abuse head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the home. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All personnel that care for infants must follow safe sleep practices as recommended by the AAP as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. When napping or sleeping, young infants who are not capable of rolling over on their own shall be positioned on their back and on a firm surface to reduce the risk of SIDS, unless an alternative position is authorized in writing by a physician. Sleep sacks that fit according to manufacturer’s recommendations, do not restrict the infant’s arms, and will not slide up around the infant’s face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the child’s physician. All child care personnel who work in a home that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abuse head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the home. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 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: The child care provider must never administer a medication that is prescribed for one child to another child. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, child’s name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturer’s label and maintained at the appropriate temperature. All medication must have child resistant caps, if applicable, and must either be stored in a locked area or must be out of any child’s reach. If medication is stored in the food preparation area, it must be stored in a manner to prevent contamination of food, food contact surfaces, or medication. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The child care personnel must never administer a medication that is prescribed for one child to another child. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, and posted with stored medication. Prescription and non-prescription medication brought to the home by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name of the physician and/or pharmacy and contact information, child’s name, name of the medication, and medication directions. All prescription and non-prescription medication shall be dispensed according to written directions on the prescription label or printed manufacturer’s label and maintained at the appropriate temperature. All medicine must have child resistant caps, if applicable, and shall either be stored in a locked area or must be inaccessible and out of a child’s reach. Medication which has expired or is no longer being administered shall be returned to the custodial parent or legal guardian or discarded if the child is no longer enrolled in care at the home. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. 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: The child care provider must never administer a medication that is prescribed for one child to another child. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, child’s name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturer’s label and maintained at the appropriate temperature. All medication must have child resistant caps, if applicable, and must either be stored in a locked area or must be out of any child’s reach. If medication is stored in the food preparation area, it must be stored in a manner to prevent contamination of food, food contact surfaces, or medication. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The child care personnel must never administer a medication that is prescribed for one child to another child. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, and posted with stored medication. Prescription and non-prescription medication brought to the home by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name of the physician and/or pharmacy and contact information, child’s name, name of the medication, and medication directions. All prescription and non-prescription medication shall be dispensed according to written directions on the prescription label or printed manufacturer’s label and maintained at the appropriate temperature. All medicine must have child resistant caps, if applicable, and shall either be stored in a locked area or must be inaccessible and out of a child’s reach. Medication which has expired or is no longer being administered shall be returned to the custodial parent or legal guardian or discarded if the child is no longer enrolled in care at the home. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The child care personnel must never administer a medication that is prescribed for one child to another child. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, and posted with stored medication. Prescription and non-prescription medication brought to the home by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name of the physician and/or pharmacy and contact information, child’s name, name of the medication, and medication directions. All prescription and non-prescription medication shall be dispensed according to written directions on the prescription label or printed manufacturer’s label and maintained at the appropriate temperature. All medicine must have child resistant caps, if applicable, and shall either be stored in a locked area or must be inaccessible and out of a child’s reach. Medication which has expired or is no longer being administered shall be returned to the custodial parent or legal guardian or discarded if the child is no longer enrolled in care at the home. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The child care provider must never administer a medication that is prescribed for one child to another child. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. Prescription and non-prescription medication brought to the school-age child care program by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, child’s name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturer’s label and maintained at the appropriate temperature. The facility must maintain a record for each child receiving medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the medicine. All medicine must have child resistant caps, if applicable, and must either be stored in a locked area or must be out of any child’s reach. If medication is stored in the food preparation area, it must be stored in a manner to prevent contamination of food, food contact surfaces, or medication. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded if the child is no longer enrolled in the program. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. 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: The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the child’s name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non-prescription medications that are used on an ￿as needed￿ basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. The facility must maintain a record for each child receiving any medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name and signature of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the dosage. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The operator must have written authorization from the custodial parent or legal guardian to dispense prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and must contain the child’s name; the name of the medication to be dispensed; and the date, time and amount of dosage to be given. This record shall be initialed or signed by the child care personnel who gave the medication. Prescription and non-prescription medications that are used on an ￿as needed￿ basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. In the event of an emergency, non-prescription medication that is not brought in by the custodial parent or legal guardian can be dispensed only if the operator has written authorization from the custodial parent or legal guardian to do so. Any medication dispensed under these conditions must be documented in the child’s file and the custodial parent or legal guardian must be notified on the day of occurrence. The operator must maintain a record for each child receiving medications that documents the full name of the child, the name of medication, the date and time the medication was dispensed, the amount and dosage, and the name of the person who dispensed the medication. The record shall be maintained for a minimum of 12 months after the last day the child received the dosage. 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: The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the child’s name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non-prescription medications that are used on an ￿as needed￿ basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. The facility must maintain a record for each child receiving any medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name and signature of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the dosage. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The operator must have written authorization from the custodial parent or legal guardian to dispense prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and must contain the child’s name; the name of the medication to be dispensed; and the date, time and amount of dosage to be given. This record shall be initialed or signed by the child care personnel who gave the medication. Prescription and non-prescription medications that are used on an ￿as needed￿ basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. In the event of an emergency, non-prescription medication that is not brought in by the custodial parent or legal guardian can be dispensed only if the operator has written authorization from the custodial parent or legal guardian to do so. Any medication dispensed under these conditions must be documented in the child’s file and the custodial parent or legal guardian must be notified on the day of occurrence. The operator must maintain a record for each child receiving medications that documents the full name of the child, the name of medication, the date and time the medication was dispensed, the amount and dosage, and the name of the person who dispensed the medication. The record shall be maintained for a minimum of 12 months after the last day the child received the dosage. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The operator must have written authorization from the custodial parent or legal guardian to dispense prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and must contain the child’s name; the name of the medication to be dispensed; and the date, time and amount of dosage to be given. This record shall be initialed or signed by the child care personnel who gave the medication. Prescription and non-prescription medications that are used on an ￿as needed￿ basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. In the event of an emergency, non-prescription medication that is not brought in by the custodial parent or legal guardian can be dispensed only if the operator has written authorization from the custodial parent or legal guardian to do so. Any medication dispensed under these conditions must be documented in the child’s file and the custodial parent or legal guardian must be notified on the day of occurrence. The operator must maintain a record for each child receiving medications that documents the full name of the child, the name of medication, the date and time the medication was dispensed, the amount and dosage, and the name of the person who dispensed the medication. The record shall be maintained for a minimum of 12 months after the last day the child received the dosage. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The school-age child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the child’s name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non-prescription medications that are used on an ￿as needed￿ basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. 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: Any child who has or is at an increased risk for a chronic physical, developmental or behavioral or condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the child’s file and readily accessible for those caring for the child. Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the child’s emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction. If a special diet is required for a child by a physician, a copy of the physician’s order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the child’s file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the child’s file for as long as the child is in care. Special food restrictions must be shared with child care personnel and must be posted in an easily seen location that is not readily visible by parents or non- child care personnel. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Any child who has or is at an increased risk for a chronic physical, developmental or behavioral condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the child’s file and readily accessible for those caring for the child. Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the child’s emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction. If a special diet is required for a child by a physician, a copy of the physician’s order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the child’s file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the child’s file for as long as the child is in care. Special food restrictions must be shared with child care personnel and must be posted in an easily seen location that is not readily visible by parents or non-child care personnel. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. 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: Any child who has or is at an increased risk for a chronic physical, developmental or behavioral condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the child’s file and readily accessible for those caring for the child. Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the child’s emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction. If a special diet is required for a child by a physician, a copy of the physician’s order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the child’s file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the child’s file for as long as the child is in care. Special food restrictions must be shared with child care personnel and must be posted in an easily seen location that is not readily visible by parents or non- child care personnel. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Any child who has or is at an increased risk for a chronic physical, developmental or behavioral condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the child’s file and readily accessible for those caring for the child. Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the child’s emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction. If a special diet is required for a child by a physician, a copy of the physician’s order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the child’s file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the child’s file for as long as the child is in care. Special food restrictions must be shared with child care personnel and must be posted in an easily seen location that is not readily visible by parents or non-child care personnel. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Any child who has or is at an increased risk for a chronic physical, developmental or behavioral condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the child’s file and readily accessible for those caring for the child. Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the child’s emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction. If a special diet is required for a child by a physician, a copy of the physician’s order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the child’s file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the child’s file for as long as the child is in care. Special food restrictions must be shared with child care personnel and must be posted in an easily seen location that is not readily visible by parents or non-child care personnel. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Any child who has or is at an increased risk for a chronic physical, developmental or behavioral condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the child’s file and readily accessible for those caring for the child. Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the child’s emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction. If a special diet is required for a child by a physician, a copy of the physician’s order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the child’s file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the child’s file for as long as the child is in care. Special food restrictions must be shared with child care personnel and must be posted in an easily seen location that is not readily visible by parents or non- child care personnel. Any known allergies to medication or special restrictions must also be documented, maintained in the child’s file, shared with child care personnel and posted with the child’s stored medication. b. Provide the standards, appropriate to the provider setting and age of children, that address the response to emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. 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: Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. 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: All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. It is the responsibility of the director/operator to ensure all areas and equipment of the facility are free from fire hazards, such as lint build up in heating and air vents, filters, exhaust fans, ceiling fans, and dryer vents. This includes grease build-up in ovens, stoves and food equipment. The facility must provide current written approval from the local governing body to verify compliance with building requirements, which include construction of a new building; renovation of an older building; or after a natural disaster to properly evaluate and where necessary, remediate or avoid sites where’s children’s health could be compromised. The written approval must include assessments of: 1. Potential air, soil, and water contamination on facility site and outdoor play areas; 2. Potential toxic or hazardous materials in building construction, such as lead and asbestos; and 3. Potential safety hazards in the community surrounding the site. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, or sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling. Pest control must not take place while rooms are occupied by children. Child care providers must adopt an integrated pest management program to ensure long-term, environmentally sound pest suppression through a range of practices including pest exclusion, sanitation and clutter control, and elimination of conditions that are conducive to pest infestations. All accessible electrical outlets must be ￿tamper-resistant electrical outlets￿ that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have ￿tamper-resistant electrical outlets,￿ outlets shall have safety covers. Guardrails or protective barriers, such as baby gates, must be provided at open sides of stairs, ramps, and other walking surfaces from which there is more than a 30-inch vertical distance to fall. All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturer’s recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a child’s reach at all times. Firearms and weapons, as defined in section 790.001, F.S., are prohibited within any building or upon any person located on the premises, excluding federal, state or local law enforcement officers. Narcotics, alcohol, or other impairing drugs/paraphernalia must not be present on the premises or in vehicles used by child care facility. The outdoor play area must be clean and free from litter, nails, glass and other hazards. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures. Children must not come into contact with any surface or equipment which poses a burn risk. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Each child care facility must provide and maintain bathroom facilities that are easily accessible, and at a height usable by the children. Platforms may be used if they are safely constructed and have an impervious surface that can be easily cleaned and sanitized. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition following a routine schedule of cleaning, sanitizing and disinfecting. These items must be cleaned and sanitized or disinfected immediately or prior to another child’s use if exposed to bodily fluids, such as saliva. Facilities must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings and play areas. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All areas of the home including the indoor and outdoor play areas shall be in good repair, clean and free from litter, nails, glass, and other hazards. Guardrails or protective barriers, such as baby gates, should be provided at open sides of stairs, ramps, and other walking surfaces from which there is more than a 30 -inch vertical distance to fall. All accessible electrical outlets must be ￿tamper-resistant electrical outlets￿ that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have ￿tamper- resistant electrical outlets,￿ outlets shall have safety covers. Animals, pets or fowl must be properly vaccinated, if vaccinations are available for the type of animal, pet or fowl; and be free from disease. Animals that are poisonous, aggressive, venomous, or pose a potential threat of harm to children in care are prohibited. Custodial parents or legal guardian must be informed in writing of all animals on the premises of the home. All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a child’s reach. All potentially harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials must be labeled and used according to manufacturer’s recommendation. Narcotics, alcohol, or other impairing drugs/paraphernalia must be kept inaccessible to children at all times. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling. All operators shall inform custodial parents or legal guardians in writing, if someone living in the home smokes, including e-cigarettes and vaping. Pursuant to Chapter 386.204, F.S., while children are in care, smoking is prohibited, within the home and in vehicles when transporting children. Tobacco and other smoking equipment/materials must be kept inaccessible to children at all times. Smoking is prohibited in all outdoor areas used by the children in care, including on field trips, while children are in care. All parts of the home, both indoors and outdoors; including the furnishings, equipment, toys and plumbing shall be kept clean, and sanitary, free from hazards, in an orderly condition and in good repair at all times. Provider should monitor the Consumer Product Safety Commission (CPSC) recommendations for use of equipment. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition. The program must follow a routine schedule of cleaning, sanitizing and disinfecting toys, equipment, and furnishings. These items must be cleaned and sanitized or disinfected immediately or prior to another child’s use if exposed to bodily fluids, such as saliva. Homes must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings, and play areas. The home must have proper ventilation, and the temperature must be maintained between 65 and 82 degrees Fahrenheit. The operator shall provide and maintain toilet and bath facilities that are easily accessible and at a height usable by the children. Platforms or stools are acceptable when they are safely constructed, with impervious surfaces, and can be easily cleaned and sanitized or disinfected. 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: All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. It is the responsibility of the director/operator to ensure all areas and equipment of the facility are free from fire hazards, such as lint build up in heating and air vents, filters, exhaust fans, ceiling fans, and dryer vents. This includes grease build-up in ovens, stoves and food equipment. The facility must provide current written approval from the local governing body to verify compliance with building requirements, which include construction of a new building; renovation of an older building; or after a natural disaster to properly evaluate and where necessary, remediate or avoid sites where’s children’s health could be compromised. The written approval must include assessments of: 1. Potential air, soil, and water contamination on facility site and outdoor play areas; 2. Potential toxic or hazardous materials in building construction, such as lead and asbestos; and 3. Potential safety hazards in the community surrounding the site. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, or sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling. Pest control must not take place while rooms are occupied by children. Child care providers must adopt an integrated pest management program to ensure long-term, environmentally sound pest suppression through a range of practices including pest exclusion, sanitation and clutter control, and elimination of conditions that are conducive to pest infestations. All accessible electrical outlets must be ￿tamper-resistant electrical outlets￿ that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have ￿tamper-resistant electrical outlets,￿ outlets shall have safety covers. Guardrails or protective barriers, such as baby gates, must be provided at open sides of stairs, ramps, and other walking surfaces from which there is more than a 30-inch vertical distance to fall. All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturer’s recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a child’s reach at all times. Firearms and weapons, as defined in section 790.001, F.S., are prohibited within any building or upon any person located on the premises, excluding federal, state or local law enforcement officers. Narcotics, alcohol, or other impairing drugs/paraphernalia must not be present on the premises or in vehicles used by child care facility. The outdoor play area must be clean and free from litter, nails, glass and other hazards. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures. Children must not come into contact with any surface or equipment which poses a burn risk. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Each child care facility must provide and maintain bathroom facilities that are easily accessible, and at a height usable by the children. Platforms may be used if they are safely constructed and have an impervious surface that can be easily cleaned and sanitized. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition following a routine schedule of cleaning, sanitizing and disinfecting. These items must be cleaned and sanitized or disinfected immediately or prior to another child’s use if exposed to bodily fluids, such as saliva. Facilities must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings and play areas. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All areas of the home including the indoor and outdoor play areas shall be in good repair, clean and free from litter, nails, glass, and other hazards. Guardrails or protective barriers, such as baby gates, should be provided at open sides of stairs, ramps, and other walking surfaces from which there is more than a 30 -inch vertical distance to fall. All accessible electrical outlets must be ￿tamper-resistant electrical outlets￿ that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have ￿tamper- resistant electrical outlets,￿ outlets shall have safety covers. Animals, pets or fowl must be properly vaccinated, if vaccinations are available for the type of animal, pet or fowl; and be free from disease. Animals that are poisonous, aggressive, venomous, or pose a potential threat of harm to children in care are prohibited. Custodial parents or legal guardian must be informed in writing of all animals on the premises of the home. All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a child’s reach. All potentially harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials must be labeled and used according to manufacturer’s recommendation. Narcotics, alcohol, or other impairing drugs/paraphernalia must be kept inaccessible to children at all times. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling. All operators shall inform custodial parents or legal guardians in writing, if someone living in the home smokes, including e-cigarettes and vaping. Pursuant to Chapter 386.204, F.S., while children are in care, smoking is prohibited, within the home and in vehicles when transporting children. Tobacco and other smoking equipment/materials must be kept inaccessible to children at all times. Smoking is prohibited in all outdoor areas used by the children in care, including on field trips, while children are in care. All parts of the home, both indoors and outdoors; including the furnishings, equipment, toys and plumbing shall be kept clean, and sanitary, free from hazards, in an orderly condition and in good repair at all times. Provider should monitor the CPSC recommendations for use of equipment. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition. The program must follow a routine schedule of cleaning, sanitizing and disinfecting toys, equipment, and furnishings. These items must be cleaned and sanitized or disinfected immediately or prior to another child’s use if exposed to bodily fluids, such as saliva. Homes must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings, and play areas. The home must have proper ventilation, and the temperature must be maintained between 65 and 82 degrees Fahrenheit. The operator shall provide and maintain toilet and bath facilities that are easily accessible and at a height usable by the children. Platforms or stools are acceptable when they are safely constructed, with impervious surfaces, and can be easily cleaned and sanitized or disinfected. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All areas of the home including the indoor and outdoor play areas shall be in good repair, clean and free from litter, nails, glass, and other hazards. Guardrails or protective barriers, such as baby gates, should be provided at open sides of stairs, ramps, and other walking surfaces from which there is more than a 30 -inch vertical distance to fall. All accessible electrical outlets must be ￿tamper-resistant electrical outlets￿ that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have ￿tamper- resistant electrical outlets,￿ outlets shall have safety covers. Animals, pets or fowl must be properly vaccinated, if vaccinations are available for the type of animal, pet or fowl; and be free from disease. Animals that are poisonous, aggressive, venomous, or pose a potential threat of harm to children in care are prohibited. Custodial parents or legal guardian must be informed in writing of all animals on the premises of the home. All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a child’s reach. All potentially harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials must be labeled and used according to manufacturer’s recommendation. Narcotics, alcohol, or other impairing drugs/paraphernalia must be kept inaccessible to children at all times. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling. All operators shall inform custodial parents or legal guardians in writing, if someone living in the home smokes, including e-cigarettes and vaping. Pursuant to Chapter 386.204, F.S., while children are in care, smoking is prohibited, within the home and in vehicles when transporting children. Tobacco and other smoking equipment/materials must be kept inaccessible to children at all times. Smoking is prohibited in all outdoor areas used by the children in care, including on field trips, while children are in care. All parts of the home, both indoors and outdoors; including the furnishings, equipment, toys and plumbing shall be kept clean, and sanitary, free from hazards, in an orderly condition and in good repair at all times. Provider should monitor the CPSC recommendations for use of equipment. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition. The program must follow a routine schedule of cleaning, sanitizing and disinfecting toys, equipment, and furnishings. These items must be cleaned and sanitized or disinfected immediately or prior to another child’s use if exposed to bodily fluids, such as saliva. Homes must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings, and play areas. The home must have proper ventilation, and the temperature must be maintained between 65 and 82 degrees Fahrenheit. The operator shall provide and maintain toilet and bath facilities that are easily accessible and at a height usable by the children. Platforms or stools are acceptable when they are safely constructed, with impervious surfaces, and can be easily cleaned and sanitized or disinfected. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All school-age program facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. It is the responsibility of the director/operator to ensure all areas and equipment of the facility are free from fire hazards, such as lint build up in heating and air vents, filters, exhaust fans, ceiling fans, and dryer vents. This includes grease build-up in ovens, stoves and food equipment. The facility must provide current written approval from the local governing body to verify compliance with building requirements, which include construction of a new building; renovation of an older building; or after a natural disaster to properly evaluate and where necessary, remediate or avoid sites where’s children’s health could be compromised. The written approval must include assessments of: 1. Potential air, soil, and water contamination on facility site and outdoor play areas; 2. Potential toxic or hazardous materials in building construction, such as lead and asbestos; and 3. Potential safety hazards in the community surrounding the site. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, or sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling. Pest control must not take place while rooms are occupied by children. Child care providers must adopt an integrated pest management program to ensure long-term, environmentally sound pest suppression through a range of practices including pest exclusion, sanitation and clutter control, and elimination of conditions that are conducive to pest infestations. All accessible electrical outlets must be ￿tamper-resistant electrical outlets￿ that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have ￿tamper-resistant electrical outlets,￿ outlets shall have safety covers. All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturer’s recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a child’s reach at all times. Firearms and weapons, as defined in section 790.001, F.S., are prohibited within any building or upon any person located on the premises, excluding federal, state or local law enforcement officers. Narcotics, alcohol, or other impairing drugs/paraphernalia must not be present on the premises or in vehicles used by school-age child care facility. The outdoor play area must be clean and free from litter, nails, glass and other hazards. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures. Children must not come into contact with any surface or equipment which poses a burn risk. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Each school-age child care facility must provide and maintain bathroom facilities that are easily accessible, and at a height usable by the children. Platforms may be used if they are safely constructed and have an impervious surface that can be easily cleaned and sanitized. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition following a routine schedule of cleaning, sanitizing and disinfecting. These items must be cleaned and sanitized or disinfected immediately or prior to another child’s use if exposed to bodily fluids, such as saliva. Facilities must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings and play areas. 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: If a facility uses a swimming pool on site or during a field trip that is more than three feet deep or uses beach or lake areas for water activities, the following requirements must be met: There must be at least one certified lifeguard present and on duty. If the lifeguard is hired by the facility, this person is considered child care personnel and can also serve as the additional adult to meet the additional adult required for supervision on a field trip. If the certified lifeguard is hired by the pool/beach/lake area this person is not considered child care personnel and does not count toward the staff-to-child ratio. The following minimum staff-to-child ratios must apply while children are swimming or wading: Infant (Birth up to 1 year) 1:1,Toddler (1 year up to 3 years) 1:1, Preschooler (3 years up to 5 years) 1:4, School-Age Children (5 years and up) 1:10, Mixed Age Groups Ratio shall be based on age of the youngest child present. Constant and active supervision must be maintained when any child is in or around water. An adult should remain in direct physical contact with an infant at all times during swimming or water activities. During water activities, children ages 1 year up to five years must be within an arm’s reach and in the sight of the supervising adult at all times. Providers must ensure that all pools have drain covers that are in compliance with the Virginia Graeme Baker Pool and Spa Safety Act. Each swimming pool more than six feet in width, length, or diameter must be provided with a ring buoy and rope, a rescue tube, or a throwing line and a shepherd’s hook that will not conduct electricity. This equipment must be long enough to reach the center of the pool, kept in good repair, and stored safely and conveniently for immediate access. Child care personnel must be instructed on the proper use of this equipment and documentation of instruction must be maintained in the child care personnel file. The facility’s outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds, and fish ponds. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Constant and active supervision is required when any child is in or around water, including bathing and swimming activities. An adult should remain in direct physical contact with an infant at all times during swimming or water play. During wading and/or water play activities at a swimming pool on site or during a field trip that is more than three feet deep, or at beach or lake areas, children ages 1 year up to 5 years must be within an arm’s reach and in the sight of the supervising adult at all times. The following minimum staff-to-child ratios must apply while children are swimming or wading: Infant (Birth up to 1 year) 1:1,Toddler (1 year up to 3 years) 1:1, Preschooler (3 years up to 5 years) 1:4, School-Age Children (5 years and up) 1:10, Mixed Age Groups Ratio shall be based on age of the youngest child present. Outdoor play areas must be free from unsecured bodies of water. All water hazards must be inaccessible to children and enclosed with a fence that is 4 to 6 feet high or higher and the bottom or base of the fence must remain at ground level. All in-ground swimming pools and above-ground swimming pools more than one-foot deep shall have either a fence or barrier on all four sides, at a minimum of four feet in height, separating the home from the swimming pool, or a pool alarm that is operable at all times when children are in care. The fence or barrier shall not have any gaps or openings that would allow a young child to crawl under, squeeze through, or climb up the barrier. All spas and hot tubs must meet the same barrier requirements for in-ground and above-ground swimming pools, or spas and hot tubs may be covered with a safety cover that meet the requirements of Section 515.25(1), F.S. at all times when children are in care. The exterior wall of the home with an ingress and egress does not constitute a fence or barrier. All doors or gates in the fence or barrier shall be locked at all times when children are in care and when the pool is not being used by the children in care. In addition to the fence, barrier or pool alarm, child care personnel shall ensure that all exterior doors leading to the pool, spa, or hot tub area remain locked at all times while children are in care. Barriers may be temporary in nature but must be sturdy and meet all the above requirements and be in place during all times when children are in care. The wall of an above-ground swimming pool may be used as its barrier; however, such structure must be at least four feet in height. Any ladder or steps that are the means of access to an above-ground pool must be removed at all times while children are in care and when the pool is not being used by the children in care. If a home has a swimming pool and/or spa, it shall be maintained by using chlorine or other suitable chemicals. Water in swimming pools or spas must be maintained at all times to ensure visibility to the bottom. Wading pools, including inflatable water slides with landing area where water collects, are prohibited. If the home uses a swimming pool that exceeds three feet in depth at the family day care home site, one person who has completed and maintains a current certification from a basic water safety course offered by the American Red Cross, YMCA, or other organization, must be present when children have access to the swimming area. If the home uses swimming pools not at the family day care home site or takes the children to water areas such as a beach or lake for swimming activities: The operator must provide one person with a certified lifeguard certificate or equivalent who must be present when children are in the swimming area, unless a certified lifeguard is on duty. Providers must ensure that all pools and spas have drain covers that are in compliance with the Virginia Graeme Baker Pool and Spa Safety Act. Each swimming pool more than six feet in width, length, or diameter must be provided with a ring buoy and rope, a rescue tube, or a throwing line and a shepherd’s hook that will not conduct electricity. This equipment must be long enough to reach the center of the pool, kept in good repair, and stored safely and conveniently for immediate access. Child care personnel must be instructed on the proper use of this equipment and documentation of instruction must be maintained in the child care personnel file. 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: If a facility uses a swimming pool on site or during a field trip that is more than three feet deep or uses beach or lake areas for water activities, the following requirements must be met: There must be at least one certified lifeguard present and on duty. If the lifeguard is hired by the facility, this person is considered child care personnel and can also serve as the additional adult to meet the additional adult required for supervision on a field trip. If the certified lifeguard is hired by the pool/beach/lake area this person is not considered child care personnel and does not count toward the staff-to-child ratio. The following minimum staff-to-child ratios must apply while children are swimming or wading: Infant (Birth up to 1 year) 1:1,Toddler (1 year up to 3 years) 1:1, Preschooler (3 years up to 5 years) 1:4, School-Age Children (5 years and up) 1:10, Mixed Age Groups Ratio shall be based on age of the youngest child present. Constant and active supervision must be maintained when any child is in or around water. An adult should remain in direct physical contact with an infant at all times during swimming or water activities. During water activities, children ages 1 year up to five years must be within an arm’s reach and in the sight of the supervising adult at all times. Providers must ensure that all pools have drain covers that are in compliance with the Virginia Graeme Baker Pool and Spa Safety Act. Each swimming pool more than six feet in width, length, or diameter must be provided with a ring buoy and rope, a rescue tube, or a throwing line and a shepherd’s hook that will not conduct electricity. This equipment must be long enough to reach the center of the pool, kept in good repair, and stored safely and conveniently for immediate access. Child care personnel must be instructed on the proper use of this equipment and documentation of instruction must be maintained in the child care personnel file. The facility’s outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds, and fish ponds. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Constant and active supervision is required when any child is in or around water, including bathing and swimming activities. An adult should remain in direct physical contact with an infant at all times during swimming or water play. During wading and/or water play activities at a swimming pool on site or during a field trip that is more than three feet deep, or at beach or lake areas, children ages 1 year up to 5 years must be within an arm’s reach and in the sight of the supervising adult at all times. The following minimum staff-to-child ratios must apply while children are swimming or wading: Infant (Birth up to 1 year) 1:1,Toddler (1 year up to 3 years) 1:1, Preschooler (3 years up to 5 years) 1:4, School-Age Children (5 years and up) 1:10, Mixed Age Groups Ratio shall be based on age of the youngest child present. Outdoor play areas must be free from unsecured bodies of water. All water hazards must be inaccessible to children and enclosed with a fence that is 4 to 6 feet high or higher and the bottom or base of the fence must remain at ground level. All in-ground swimming pools and above- ground swimming pools more than one-foot deep shall have either a fence or barrier on all four sides, at a minimum of four feet in height, separating the home from the swimming pool, or a pool alarm that is operable at all times when children are in care. The fence or barrier shall not have any gaps or openings that would allow a young child to crawl under, squeeze through, or climb up the barrier. All spas and hot tubs must meet the same barrier requirements for in- ground and above-ground swimming pools, or spas and hot tubs may be covered with a safety cover that meet the requirements of Section 515.25(1), F.S. at all times when children are in care. The exterior wall of the home with an ingress and egress does not constitute a fence or barrier. All doors or gates in the fence or barrier shall be locked at all times when children are in care and when the pool is not being used by the children in care. In addition to the fence, barrier or pool alarm, child care personnel shall ensure that all exterior doors leading to the pool, spa, or hot tub area remain locked at all times while children are in care. Barriers may be temporary in nature but must be sturdy and meet all the above requirements and be in place during all times when children are in care. The wall of an above-ground swimming pool may be used as its barrier; however, such structure must be at least four feet in height. Any ladder or steps that are the means of access to an above-ground pool must be removed at all times while children are in care and when the pool is not being used by the children in care. If a home has a swimming pool and/or spa, it shall be maintained by using chlorine or other suitable chemicals. Water in swimming pools or spas must be maintained at all times to ensure visibility to the bottom. Wading pools, including inflatable water slides with landing area where water collects, are prohibited. If the home uses a swimming pool that exceeds three feet in depth at the family day care home site, one person who has completed and maintains a current certification from a basic water safety course offered by the American Red Cross, YMCA, or other organization, must be present when children have access to the swimming area. If the home uses swimming pools not at the family day care home site or takes the children to water areas such as a beach or lake for swimming activities: The operator must provide one person with a certified lifeguard certificate or equivalent who must be present when children are in the swimming area, unless a certified lifeguard is on duty. Providers must ensure that all pools and spas have drain covers that are in compliance with the Virginia Graeme Baker Pool and Spa Safety Act. Each swimming pool more than six feet in width, length, or diameter must be provided with a ring buoy and rope, a rescue tube, or a throwing line and a shepherd’s hook that will not conduct electricity. This equipment must be long enough to reach the center of the pool, kept in good repair, and stored safely and conveniently for immediate access. Child care personnel must be instructed on the proper use of this equipment and documentation of instruction must be maintained in the child care personnel file. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Constant and active supervision is required when any child is in or around water, including bathing and swimming activities. An adult should remain in direct physical contact with an infant at all times during swimming or water play. During wading and/or water play activities at a swimming pool on site or during a field trip that is more than three feet deep, or at beach or lake areas, children ages 1 year up to 5 years must be within an arm’s reach and in the sight of the supervising adult at all times. The following minimum staff-to-child ratios must apply while children are swimming or wading: Infant (Birth up to 1 year) 1:1,Toddler (1 year up to 3 years) 1:1, Preschooler (3 years up to 5 years) 1:4, School-Age Children (5 years and up) 1:10, Mixed Age Groups Ratio shall be based on age of the youngest child present. Outdoor play areas must be free from unsecured bodies of water. All water hazards must be inaccessible to children and enclosed with a fence that is 4 to 6 feet high or higher and the bottom or base of the fence must remain at ground level. All in-ground swimming pools and above-ground swimming pools more than one-foot deep shall have either a fence or barrier on all four sides, at a minimum of four feet in height, separating the home from the swimming pool, or a pool alarm that is operable at all times when children are in care. The fence or barrier shall not have any gaps or openings that would allow a young child to crawl under, squeeze through, or climb up the barrier. All spas and hot tubs must meet the same barrier requirements for in-ground and above-ground swimming pools, or spas and hot tubs may be covered with a safety cover that meet the requirements of Section 515.25(1), F.S. at all times when children are in care. The exterior wall of the home with an ingress and egress does not constitute a fence or barrier. All doors or gates in the fence or barrier shall be locked at all times when children are in care and when the pool is not being used by the children in care. In addition to the fence, barrier or pool alarm, child care personnel shall ensure that all exterior doors leading to the pool, spa, or hot tub area remain locked at all times while children are in care. Barriers may be temporary in nature but must be sturdy and meet all the above requirements and be in place during all times when children are in care. The wall of an above-ground swimming pool may be used as its barrier; however, such structure must be at least four feet in height. Any ladder or steps that are the means of access to an above-ground pool must be removed at all times while children are in care and when the pool is not being used by the children in care. If a home has a swimming pool and/or spa, it shall be maintained by using chlorine or other suitable chemicals. Water in swimming pools or spas must be maintained at all times to ensure visibility to the bottom. Wading pools, including inflatable water slides with landing area where water collects, are prohibited. If the home uses a swimming pool that exceeds three feet in depth at the family day care home site, one person who has completed and maintains a current certification from a basic water safety course offered by the American Red Cross, YMCA, or other organization, must be present when children have access to the swimming area. If the home uses swimming pools not at the family day care home site or takes the children to water areas such as a beach or lake for swimming activities: The operator must provide one person with a certified lifeguard certificate or equivalent who must be present when children are in the swimming area, unless a certified lifeguard is on duty. Providers must ensure that all pools and spas have drain covers that are in compliance with the Virginia Graeme Baker Pool and Spa Safety Act. Each swimming pool more than six feet in width, length, or diameter must be provided with a ring buoy and rope, a rescue tube, or a throwing line and a shepherd’s hook that will not conduct electricity. This equipment must be long enough to reach the center of the pool, kept in good repair, and stored safely and conveniently for immediate access. Child care personnel must be instructed on the proper use of this equipment and documentation of instruction must be maintained in the child care personnel file. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: If a school-age child care program uses a swimming pool that exceeds 3 feet in depth or uses beach or lake areas for water activities, the following requirement must be met: 1. A certified lifeguard must be on duty and present when any children are in the swimming area. 2. Providers must ensure that all pools used have a current permit with the local health department that confirms compliance with the Virginia Graeme Baker Pool and Spa Safety Act. 3. Each swimming pool more than six feet in width, length, or diameter must be provided with a ring buoy and rope, a rescue tube, or a throwing line and a shepherd’s hook that will not conduct electricity. This equipment must be long enough to reach the center of the pool, kept in good repair, and stored safely and conveniently for immediate access. Child care personnel must be instructed on the proper use of this equipment and documentation of instruction must be maintained in the child care personnel file. 4. A staff-to-child ratio of 1:10 must be maintained while school-age children are in the water. The facility’s outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds and fish ponds. 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: The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 ½ inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or buildup to prevent inside and outside access by children or animals. All equipment, fences, and objects on the facility’s premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All homes in which the property borders a public road/street or laned road/street with public access with a speed limit of 25 miles per hour or greater, including those providing evening care, must maintain safe and adequate fencing or walls a minimum of four feet in height around the outdoor play area. Fencing, including gates, must be continuous, and shall not have opening or gaps larger than 3 1/2 inches that would allow children to exit the outdoor play area. The bottom or base of the fence must remain at ground level and free from erosion or buildup to prevent inside or outside access by children or animals. 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: The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 ½ inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or buildup to prevent inside and outside access by children or animals. All equipment, fences, and objects on the facility’s premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All homes in which the property borders a public road/street or laned road/street with public access with a speed limit of 25 miles per hour or greater, including those providing evening care, must maintain safe and adequate fencing or walls a minimum of four feet in height around the outdoor play area. Fencing, including gates, must be continuous, and shall not have opening or gaps larger than 3 1/2 inches that would allow children to exit the outdoor play area. The bottom or base of the fence must remain at ground level and free from erosion or buildup to prevent inside or outside access by children or animals. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All homes in which the property borders a public road/street or laned road/street with public access with a speed limit of 25 miles per hour or greater, including those providing evening care, must maintain safe and adequate fencing or walls a minimum of four feet in height around the outdoor play area. Fencing, including gates, must be continuous, and shall not have opening or gaps larger than 3 1/2 inches that would allow children to exit the outdoor play area. The bottom or base of the fence must remain at ground level and free from erosion or buildup to prevent inside or outside access by children or animals. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The school-age child care program may operate without a fence if all of the following provisions are met: 1. In addition to the established staff-to-child ratios, for the purpose of safety, an additional child care personnel is present at all times during outdoor activities, to assist in providing direct supervision; 2. The outdoor play area if bordered by a road or street open to travel by the public shall have a posted or unposted speed limit of no more than 25 miles per hour, or where the posted or unposted speed limit is no greater than 35 miles per hour and the playground is a minimum of 30 feet from the edge of the road; and 3. The licensing authority has provided written authorization to the program to operate without a fence. 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: All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. All programs that care for infants must have a written policy and procedure to identify and prevent shaken baby syndrome and abusive head trauma. The policy and procedures must require completion of the safe sleep training by child care personnel. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All child care personnel who work in a home that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the home. All programs that care for infants must have a written policy and procedure to identify and prevent shaken baby syndrome and abusive head trauma. The policy and procedures must require completion of the safe sleep training by child care personnel. 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: All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. All programs that care for infants must have a written policy and procedure to identify and prevent shaken baby syndrome and abusive head trauma. The policy and procedures must require completion of the safe sleep training by child care personnel. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All child care personnel who work in a home that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the home. All programs that care for infants must have a written policy and procedure to identify and prevent shaken baby syndrome and abusive head trauma. The policy and procedures must require completion of the safe sleep training by child care personnel. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All child care personnel who work in a home that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the home. All programs that care for infants must have a written policy and procedure to identify and prevent shaken baby syndrome and abusive head trauma. The policy and procedures must require completion of the safe sleep training by child care personnel. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 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: The child care facility shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. The following discipline techniques shall be prohibited in the child care facility: 1. The use of corporal punishment, including but not limited to: Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; Exposing a child to extreme temperatures; Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a child’s head. 2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised. 3. Binding, tying or restricting movement, or taping the mouth; 4. Using or withholding food or beverages as a punishment; 5. Toilet learning/training methods that punish, demean, or humiliate a child; 6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child; 7. Any abuse or maltreatment of a child; 8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or child’s family; 9. Placing a child in a crib/portable crib for a time-out or for disciplinary reasons. A copy of the current disciplinary and expulsion policies must be available for review by the parents or legal guardian and the licensing authority. Providers must have a comprehensive discipline policy that includes developmentally appropriate social and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide children’s appropriate behavioral development. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the child’s physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Operators shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. All home operators, employees, substitutes, and volunteers must comply with the home’s written disciplinary and expulsion policies. The following discipline techniques shall be prohibited in the home: 1. The use of corporal punishment, including but not limited to: Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; Exposing a child to extreme temperatures; Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a child’s head. 2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised. 3. Binding, tying or restricting movement, or taping the mouth; 4. Using or withholding food or beverages as a punishment; 5. Toilet learning/training methods that punish, demean, or humiliate a child; 6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child; 7. Any abuse or maltreatment of a child; 8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or child’s family; 9. Placing a child in a crib/portable crib for a time-out or for disciplinary reasons. A copy of the written disciplinary and expulsion policies must be available for review by the parents or legal guardian and the licensing authority. Providers must have a comprehensive discipline policy that includes developmentally appropriate social and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide children’s appropriate behavioral development. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the child’s physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. 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: The child care facility shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. The following discipline techniques shall be prohibited in the child care facility: 1. The use of corporal punishment, including but not limited to: Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; Exposing a child to extreme temperatures; Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a child’s head. 2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised. 3. Binding, tying or restricting movement, or taping the mouth; 4. Using or withholding food or beverages as a punishment; 5. Toilet learning/training methods that punish, demean, or humiliate a child; 6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child; 7. Any abuse or maltreatment of a child; 8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or child’s family; 9. Placing a child in a crib/portable crib for a time-out or for disciplinary reasons. A copy of the current disciplinary and expulsion policies must be available for review by the parents or legal guardian and the licensing authority. Providers must have a comprehensive discipline policy that includes developmentally appropriate social and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide children’s appropriate behavioral development. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the child’s physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Operators shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. All home operators, employees, substitutes, and volunteers must comply with the home’s written disciplinary and expulsion policies. The following discipline techniques shall be prohibited in the home: 1. The use of corporal punishment, including but not limited to: Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; Exposing a child to extreme temperatures; Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a child’s head. 2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised. 3. Binding, tying or restricting movement, or taping the mouth; 4. Using or withholding food or beverages as a punishment; 5. Toilet learning/training methods that punish, demean, or humiliate a child; 6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child; 7. Any abuse or maltreatment of a child; 8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or child’s family; 9. Placing a child in a crib/portable crib for a time-out or for disciplinary reasons. A copy of the written disciplinary and expulsion policies must be available for review by the parents or legal guardian and the licensing authority. Providers must have a comprehensive discipline policy that includes developmentally appropriate social and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide children’s appropriate behavioral development. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the child’s physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Operators shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. All home operators, employees, substitutes, and volunteers must comply with the home’s written disciplinary and expulsion policies. The following discipline techniques shall be prohibited in the home: 1. The use of corporal punishment, including but not limited to: Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; Exposing a child to extreme temperatures; Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a child’s head. 2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised. 3. Binding, tying or restricting movement, or taping the mouth; 4. Using or withholding food or beverages as a punishment; 5. Toilet learning/training methods that punish, demean, or humiliate a child; 6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child; 7. Any abuse or maltreatment of a child; 8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or child’s family; 9. Placing a child in a crib/portable crib for a time-out or for disciplinary reasons. A copy of the written disciplinary and expulsion policies must be available for review by the parents or legal guardian and the licensing authority. Providers must have a comprehensive discipline policy that includes developmentally appropriate social and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide children’s appropriate behavioral development. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the child’s physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Each school-age child care program must have a written discipline policy in accordance with Section 402.305(12), F.S. Such policies must include standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. The child care personnel must comply with the school-age child care program’s written disciplinary and expulsion policies. The following discipline techniques shall be prohibited in the facility: 1. The use of corporal punishment, including but not limited to: Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; Exposing a child to extreme temperatures; Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a child’s head. 2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised. 3. Binding, tying or restricting movement, or taping the mouth; 4. Using or withholding food or beverages as a punishment; 5. Toilet learning/training methods that punish, demean, or humiliate a child; 6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child; 7. Any abuse or maltreatment of a child; 8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or child’s family. A copy of the current disciplinary and expulsion policies must be available to parents/guardian and the licensing authority to review. Providers must have a comprehensive discipline policy that includes developmentally appropriate social and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide children’s appropriate behavioral development. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the child’s physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturer’s recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a child’s reach at all times. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a child’s reach. All potentially harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials must be labeled and used according to manufacturer’s recommendation. 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: All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturer’s recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a child’s reach at all times. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a child’s reach. All potentially harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials must be labeled and used according to manufacturer’s recommendation. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a child’s reach. All potentially harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials must be labeled and used according to manufacturer’s recommendation. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturer’s recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a child’s reach at all times. b. Provide the standards, appropriate to the provider setting and age of children, that address the disposal of bio contaminants for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facility’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the facility’s annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. Soiled or wet disposable diapers must be disposed of in a plastic lined, securely covered container that is not accessible to the children. Soiled cloth diapers must be emptied of feces in the toilet and soiled or wet cloth diapers shall be placed in a securely covered container that is not accessible to the children. The containers must be emptied, cleaned, and sanitized or disinfected, at least, daily. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the home’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the home’s annual refresher education for the exposure plan, and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. Soiled items shall immediately be placed in plastic lined, securely covered containers that are not accessible to children. The container shall be emptied, cleaned and sanitized or disinfected daily. Children’s wet or soiled clothing and crib sheets shall be changed. 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: Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facility’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the facility’s annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. Soiled or wet disposable diapers must be disposed of in a plastic lined, securely covered container that is not accessible to the children. Soiled cloth diapers must be emptied of feces in the toilet and soiled or wet cloth diapers shall be placed in a securely covered container that is not accessible to the children. The containers must be emptied, cleaned, and sanitized or disinfected, at least, daily. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the home’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the home’s annual refresher education for the exposure plan, and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. Soiled items shall immediately be placed in plastic lined, securely covered containers that are not accessible to children. The container shall be emptied, cleaned and sanitized or disinfected daily. Children’s wet or soiled clothing and crib sheets shall be changed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the home’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the home’s annual refresher education for the exposure plan, and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. Soiled items shall immediately be placed in plastic lined, securely covered containers that are not accessible to children. The container shall be emptied, cleaned and sanitized or disinfected daily. Children’s wet or soiled clothing and crib sheets shall be changed. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the CDC, to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facility’s exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the facility’s annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. 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: The driver of any vehicle used by a child care program to provide transportation must have the following: A valid Florida driver’s license; An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric CPR procedures. A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the child care facility. The log must be retained on file at the facility for a minimum of 12 months and available for review by the licensing authority. The log must include: Each child’s name, date and time of departure, time of arrival at the destination, the signature of the driver (or in the case of traveling on foot, the signature of the child care personnel), and the signature of a second child care personnel or person(s) authorized by the parent to verify the transportation log and that all children have left the vehicle (if applicable). Prior to transporting children by vehicle, the transportation log must be recorded with each child’s name, the date and time of departure, and initialed by the child care personnel verifying that all children were accounted for and that the log is complete. Upon arrival at the destination, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle interior to ensure that no child is left in the vehicle; and 3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. Ensure that a second child care personnel conducts a second visual sweep, signs and dates the transportation log verifying that all children were accounted for, and that the log is complete. If the provider contracts with an outside entity to provide transportation, then the provider must assign a child care personnel to perform the duties of the driver outlined above in numbers 1-3. Upon arrival at the destination by vehicle, a second and different child care personnel must: 1. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 2. Sign, date and record the transportation log immediately, verifying that all children were accounted for, and that the log is complete. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the child care facility. When transporting children with chronic medical conditions (such as asthma, diabetes or seizures), their emergency care plans and supplies or medication must be in the possession of child care personnel and inaccessible to the children. A designated child care personnel in the vehicle or on the field trip must be trained to recognize and respond appropriately to a medical emergency. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. The maximum number of individuals transported in a vehicle may not exceed the manufacturer’s designated seating capacity or the number of factory installed seat belts. All child care facilities must comply with the insurance requirements found in Section 316.615(4), F.S. The interior of vehicles, when being used to transport children, must be maintained at a temperature comfortable to children (between 65- and 82-degrees Fahrenheit). All vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicle’s ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturer’s instructions and a copy of such instructions must be maintained in the vehicle and/or on file with the program. Child safety restraint must be replaced if they have been recalled, are past the manufacturer’s ￿date of use￿ expiration date, or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturer’s criteria for replacement of restraints after a crash. Children aged birth to one year old must be secured in a rear-facing car safety seat. Children aged one through 3 years, such restraint device must be a separate carrier or a vehicle built-in child seat. Children aged 4 years, a separate carrier, a vehicle built-in child seat, or a child booster seat must be used with appropriate seat belt. Children aged 5 years and older must be in seat belts. When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures’ instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the child’s needs. Manufacturers’ specifications must be followed to assure that safety requirements are met. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The driver of any vehicle used by a child care program to provide transportation must have the following: A valid Florida driver’s license including the proper endorsement; and an annual physical examination which grants medical approval to drive, and a valid certificate(s) of course completion for first aid training and pediatric CPR procedures. A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the home. The log must be retained for a minimum of 12 months. The log must include each child’s name, date, time of departure, time of arrival and the signature of the driver verifying all children were accounted for during the visual sweep. Prior to transporting children, the transportation log must be recorded, and dated immediately, verifying that all children were accounted for and that the log is complete. Upon arrival at the destination, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. If the provider contracts/agrees with an outside entity/person to provide transportation, then the provider must perform the duties of the driver outlined above in numbers 1-3. For a Large family Child Care Home, in addition to the transportation log requirements above, the home employee or person(s) authorized by the large family child care home operator must: Conduct a second physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and sign, date and record the transportation log immediately, verifying that all children were accounted for, and that the log is complete. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the home. When transporting children with chronic medical conditions (such as asthma, diabetes or seizures), their emergency care plans and supplies or medication must be in the possession of child care personnel and inaccessible to the children. A designated child care personnel in the vehicle or on the field trip must be trained to recognize and respond appropriately to a medical emergency. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. The maximum number of individuals transported in a vehicle may not exceed the manufacturer’s designated seating capacity or the number of factory- installed seat belts that are operational. All home operators must maintain documentation of current insurance coverage on all vehicles used to transport children in care. Smoking, including e-cigarettes and vaping, is prohibited in all vehicles while being used to transport children. Emergency medical consent forms or copies of the consent forms signed by the custodial parent or legal guardian and emergency contact numbers must be in the vehicle during transport of children, including field trips. The interior of vehicles, when being used to transport children, should be maintained at a temperature comfortable to children (between 65- and 82- degrees Fahrenheit). When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures’ instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the child’s needs. Manufacturers’ specifications must be followed to assure that safety requirements are met. All vehicles used by large family child care homes to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicle’s ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturer’s instructions and a copy of such instructions must be maintained (in the vehicle and/or on file). Car safety seats must be replaced if they have been recalled, are past the manufacturer’s ￿date of use￿ expiration date or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturer’s criteria for replacement of seats after a crash. Children aged birth to one year old must be secured in a rear-facing car safety seat. Children aged one through 3 years, such restraint device must be a separate carrier or a vehicle built-in child seat. Children aged 4 years, a separate carrier, a vehicle built-in child seat, or a child booster seat must be used with appropriate seat belt. Children aged 5 years and older must be in seat belts. 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: The driver of any vehicle used by a child care program to provide transportation must have the following: A valid Florida driver’s license; An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric CPR procedures. A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the child care facility. The log must be retained on file at the facility for a minimum of 12 months and available for review by the licensing authority. The log must include: Each child’s name, date and time of departure, time of arrival at the destination, the signature of the driver (or in the case of traveling on foot, the signature of the child care personnel), and the signature of a second child care personnel or person(s) authorized by the parent to verify the transportation log and that all children have left the vehicle (if applicable). Prior to transporting children by vehicle, the transportation log must be recorded with each child’s name, the date and time of departure, and initialed by the child care personnel verifying that all children were accounted for and that the log is complete. Upon arrival at the destination, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle interior to ensure that no child is left in the vehicle; and 3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. Ensure that a second child care personnel conducts a second visual sweep, signs and dates the transportation log verifying that all children were accounted for, and that the log is complete. If the provider contracts with an outside entity to provide transportation, then the provider must assign a child care personnel to perform the duties of the driver outlined above in numbers 1-3. Upon arrival at the destination by vehicle, a second and different child care personnel must: 1. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 2. Sign, date and record the transportation log immediately, verifying that all children were accounted for, and that the log is complete. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the child care facility. When transporting children with chronic medical conditions (such as asthma, diabetes or seizures), their emergency care plans and supplies or medication must be in the possession of child care personnel and inaccessible to the children. A designated child care personnel in the vehicle or on the field trip must be trained to recognize and respond appropriately to a medical emergency. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. The maximum number of individuals transported in a vehicle may not exceed the manufacturer’s designated seating capacity or the number of factory installed seat belts. All child care facilities must comply with the insurance requirements found in Section 316.615(4), F.S. The interior of vehicles, when being used to transport children, must be maintained at a temperature comfortable to children (between 65- and 82-degrees Fahrenheit). all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicle’s ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturer’s instructions and a copy of such instructions must be maintained in the vehicle and/or on file with the program. Child safety restraint must be replaced if they have been recalled, are past the manufacturer’s ￿date of use￿ expiration date, or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturer’s criteria for replacement of restraints after a crash. Children aged birth to one year old must be secured in a rear-facing car safety seat. Children aged one through 3 years, such restraint device must be a separate carrier or a vehicle built-in child seat. Children aged 4 years, a separate carrier, a vehicle built-in child seat, or a child booster seat must be used with appropriate seat belt. Children aged 5 years and older must be in seat belts. When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures’ instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the child’s needs. Manufacturers’ specifications must be followed to assure that safety requirements are met. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The driver of any vehicle used by a child care program to provide transportation must have the following: A valid Florida driver’s license including the proper endorsement; and an annual physical examination which grants medical approval to drive, and a valid certificate(s) of course completion for first aid training and pediatric CPR procedures. A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the home. The log must be retained for a minimum of 12 months. The log must include each child’s name, date, time of departure, time of arrival and the signature of the driver verifying all children were accounted for during the visual sweep. Prior to transporting children, the transportation log must be recorded, and dated immediately, verifying that all children were accounted for and that the log is complete. Upon arrival at the destination, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. If the provider contracts/agrees with an outside entity/person to provide transportation, then the provider must perform the duties of the driver outlined above in numbers 1-3. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the home. When transporting children with chronic medical conditions (such as asthma, diabetes or seizures), their emergency care plans and supplies or medication must be in the possession of child care personnel and inaccessible to the children. A designated child care personnel in the vehicle or on the field trip must be trained to recognize and respond appropriately to a medical emergency. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. The maximum number of individuals transported in a vehicle may not exceed the manufacturer’s designated seating capacity or the number of factory- installed seat belts that are operational. All home operators must maintain documentation of current insurance coverage on all vehicles used to transport children in care. Smoking, including e-cigarettes and vaping, is prohibited in all vehicles while being used to transport children. Emergency medical consent forms or copies of the consent forms signed by the custodial parent or legal guardian and emergency contact numbers must be in the vehicle during transport of children, including field trips. The interior of vehicles, when being used to transport children, should be maintained at a temperature comfortable to children (between 65- and 82- degrees Fahrenheit). When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures’ instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the child’s needs. Manufacturers’ specifications must be followed to assure that safety requirements are met. Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturer’s instructions and a copy of such instructions must be maintained (in the vehicle and/or on file). Car safety seats must be replaced if they have been recalled, are past the manufacturer’s ￿date of use￿ expiration date or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturer’s criteria for replacement of seats after a crash. Children aged birth to one year old must be secured in a rear-facing car safety seat. Children aged one through 3 years, such restraint device must be a separate carrier or a vehicle built-in child seat. Children aged 4 years, a separate carrier, a vehicle built-in child seat, or a child booster seat must be used with appropriate seat belt. Children aged 5 years and older must be in seat belts. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The driver of any vehicle used by a child care program to provide transportation must have the following: A valid Florida driver’s license including the proper endorsement; and an annual physical examination which grants medical approval to drive, and a valid certificate(s) of course completion for first aid training and pediatric CPR procedures. A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the home. The log must be retained for a minimum of 12 months. The log must include each child’s name, date, time of departure, time of arrival and the signature of the driver verifying all children were accounted for during the visual sweep. Prior to transporting children, the transportation log must be recorded, and dated immediately, verifying that all children were accounted for and that the log is complete. Upon arrival at the destination, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. If the provider contracts/agrees with an outside entity/person to provide transportation, then the provider must perform the duties of the driver outlined above in numbers 1-3. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the home. When transporting children with chronic medical conditions (such as asthma, diabetes or seizures), their emergency care plans and supplies or medication must be in the possession of child care personnel and inaccessible to the children. A designated child care personnel in the vehicle or on the field trip must be trained to recognize and respond appropriately to a medical emergency. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. The maximum number of individuals transported in a vehicle may not exceed the manufacturer’s designated seating capacity or the number of factory- installed seat belts that are operational. All home operators must maintain documentation of current insurance coverage on all vehicles used to transport children in care. Smoking, including e-cigarettes and vaping, is prohibited in all vehicles while being used to transport children. Emergency medical consent forms or copies of the consent forms signed by the custodial parent or legal guardian and emergency contact numbers must be in the vehicle during transport of children, including field trips. The interior of vehicles, when being used to transport children, should be maintained at a temperature comfortable to children (between 65- and 82- degrees Fahrenheit). When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures’ instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the child’s needs. Manufacturers’ specifications must be followed to assure that safety requirements are met. Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturer’s instructions and a copy of such instructions must be maintained (in the vehicle and/or on file). Car safety seats must be replaced if they have been recalled, are past the manufacturer’s ￿date of use￿ expiration date or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturer’s criteria for replacement of seats after a crash. Children aged birth to one year old must be secured in a rear-facing car safety seat. Children aged one through 3 years, such restraint device must be a separate carrier or a vehicle built-in child seat. Children aged 4 years, a separate carrier, a vehicle built-in child seat, or a child booster seat must be used with appropriate seat belt. Children aged 5 years and older must be in seat belts. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The driver of any vehicle used by a school- age child care program to provide transportation must have the following: A valid Florida driver’s license; An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric CPR procedures. A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the child care facility. The log must be retained on file at the facility for a minimum of 12 months and available for review by the licensing authority. The log must include: Each child’s name, date and time of departure, time of arrival at the destination, the signature of the driver (or in the case of traveling on foot, the signature of the child care personnel), and the signature of a second child care personnel or person(s) authorized by the parent to verify the transportation log and that all children have left the vehicle (if applicable). Prior to transporting children by vehicle, the transportation log must be recorded with each child’s name, the date and time of departure, and initialed by the child care personnel verifying that all children were accounted for and that the log is complete. Upon arrival at the destination, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle interior to ensure that no child is left in the vehicle; and 3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. Ensure that a second child care personnel conducts a second visual sweep, signs and dates the transportation log verifying that all children were accounted for, and that the log is complete. If the provider contracts with an outside entity to provide transportation, then the provider must assign a child care personnel to perform the duties of the driver outlined above in numbers 1-3. Upon arrival at the destination by vehicle, a second and different child care personnel must: 1. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 2. Sign, date and record the transportation log immediately, verifying that all children were accounted for, and that the log is complete. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the child care facility. When transporting children with chronic medical conditions (such as asthma, diabetes or seizures), their emergency care plans and supplies or medication must be in the possession of child care personnel and inaccessible to the children. A designated child care personnel in the vehicle or on the field trip must be trained to recognize and respond appropriately to a medical emergency. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. The maximum number of individuals transported in a vehicle may not exceed the manufacturer’s designated seating capacity or the number of factory installed seat belts. All child care facilities must comply with the insurance requirements found in Section 316.615(4), F.S. The interior of vehicles, when being used to transport children, must be maintained at a temperature comfortable to children (between 65- and 82-degrees Fahrenheit). all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicle’s ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturer’s instructions and a copy of such instructions must be maintained in the vehicle and/or on file with the program. Child safety restraint must be replaced if they have been recalled, are past the manufacturer’s ￿date of use￿ expiration date, or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturer’s criteria for replacement of restraints after a crash. All children under age 5 must be in a car seat or booster seat. All children age 5 and older must be in seat belts. When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures’ instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the child’s needs. Manufacturers’ specifications must be followed to assure that safety requirements are met. 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: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. 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: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. 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: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 0-25, 3 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 26-50, 4 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 51-75, 5 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 76-100, 6 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is 101 or more, 7 of the minimum number of personnel must have pediatric CPR certification. CPR courses must include on-site, instructor- based skill assessments by a certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the facility and available for review by the licensing authority. ii. All CCDF-eligible licensed family child care homes. Provide the standard: : All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. Large family child care home employees hired on or after March 14, 2021 must have current first aid training and pediatric CPR certification within 90 days of hire date at the home. Prior to licensure and caring for children, operators and substitutes must have certificate(s) of course completion for pediatric CPR procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. 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: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 0-25, 3 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 26-50, 4 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 51-75, 5 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is between 76- 100, 6 of the minimum number of personnel must have pediatric CPR certification. When the total number of child care personnel in direct supervision of children to meet staff to child operating ratios is 101 or more, 7 of the minimum number of personnel must have pediatric CPR certification. CPR courses must include on-site, instructor- based skill assessments by a certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the facility and available for review by the licensing authority. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. Prior to licensure and caring for children, operators and substitutes must have certificate(s) of course completion for pediatric CPR procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. Prior to licensure and caring for children, operators and substitutes must have certificate(s) of course completion for pediatric CPR procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All SR child care personnel must complete training in pediatric First Aid and CPR within 90 days of initial employment. The Safety Practices in the SR Program course meets this requirement. At all times in each classroom/room/designated space, or outdoor area occupied by children, at least one of the child care personnel assigned to provide direct supervision to that specific group must have current first aid training and pediatric PR) certification. Documentation of first aid training and pediatric CPR certification must be kept on file and available for licensing to review. CPR courses must include on-site, instructor-based skill assessments by a certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the facility and available for review by the licensing authority. 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: All personnel must complete preservice training within 90 days of initial employment in a SR Program that includes identifying and reporting child abuse and neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All personnel must complete preservice training within 90 days of initial employment in a SR Program that includes identifying and reporting child abuse and 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: All personnel must complete preservice training within 90 days of initial employment in a SR Program that includes identifying and reporting child abuse and neglect. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All personnel must complete preservice training within 90 days of initial employment in a SR Program that includes identifying and reporting child abuse and neglect. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All personnel must complete preservice training within 90 days of initial employment in a SR Program that includes identifying and reporting child abuse and neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All personnel must complete preservice training within 90 days of initial employment in a SR Program that includes identifying and reporting child abuse and neglect. b. Provide your standards, appropriate to the provider setting and age of children, that address the reporting of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: All personnel must annually sign a statement of compliance with child abuse and neglect reporting requirements set in s. 39.201, F.S., regarding the duties of mandatory reporters for child abuse and neglect. The requirements in s.39.201(a) through (d), F.S., covers who is a reporter, and the rest of that section covers provisions/procedures that comply with the Child Abuse Prevention and Treatment Act. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All personnel must annually sign a statement of compliance with child abuse and neglect reporting requirements set in s. 39.201, F.S., regarding the duties of mandatory reporters for child abuse and neglect. The requirements in s.39.201(a) through (d), F.S., covers who is a reporter, and the rest of that section covers provisions/procedures that comply with the Child Abuse Prevention and Treatment Act. 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: All personnel must annually sign a statement of compliance with child abuse and neglect reporting requirements set in s. 39.201, F.S., regarding the duties of mandatory reporters for child abuse and neglect. The requirements in s.39.201(a) through (d), F.S., covers who is a reporter, and the rest of that section covers provisions/procedures that comply with the Child Abuse Prevention and Treatment Act. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All personnel must annually sign a statement of compliance with child abuse and neglect reporting requirements set in s. 39.201, F.S., regarding the duties of mandatory reporters for child abuse and neglect. The requirements in s.39.201(a) through (d), F.S., covers who is a reporter, and the rest of that section covers provisions/procedures that comply with the Child Abuse Prevention and Treatment Act. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All personnel must annually sign a statement of compliance with child abuse and neglect reporting requirements set in s. 39.201, F.S., regarding the duties of mandatory reporters for child abuse and neglect. The requirements in s.39.201(a) through (d), F.S., covers who is a reporter, and the rest of that section covers provisions/procedures that comply with the Child Abuse Prevention and Treatment Act. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All personnel must annually sign a statement of compliance with child abuse and neglect reporting requirements set in s. 39.201, F.S., regarding the duties of mandatory reporters for child abuse and neglect. The requirements in s.39.201(a) through (d), F.S., covers who is a reporter, and the rest of that section covers provisions/procedures that comply with the Child Abuse Prevention and Treatment Act. 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: Licensed and license-exempt programs serving children that receive CCDF funds that choose not to prepare and provide food to children in care must arrange with parents/guardians to provide nutritious food for their children. In the event the parent does not provide nutritious meals/snacks for the child, the program must provide nutritious food items to complete the child's meal. The programs who choose to prepare and provide must adhere to specific minimum standards set for food preparation, food storage, food hygiene, food handling and nutrition. This standard section also sets program requirements and procedures for the preparation, storage, and use of breastmilk, infant formula, and infant food and proper dishwashing and sanitization of all food equipment and surfaces. The standards for family day care homes and in-home care related to food and nutrition vary from those set for child care centers to address and accommodate the unique setting and environment of home care. ii. Access to physical activity. Describe: Licensed and license-exempt programs serving children that receive CCDF funds must have a written, comprehensive, and coordinated plan of daily activities that meets the needs of and is appropriate to the age and development of children in care. The plan must include activities that promote the social skills and intellectual development of children; limit/prohibit electronic media time according to the age of children in care; include quiet and active play, both indoors and outdoors; and include meals, snack, and nap times (as appropriate for the age and times children are in care). In addition, programs must ensure infants in care are provided opportunities for active play outside of cribs, as well as outdoor time each day that weather permits. Programs are not permitted to withhold active play as a form of discipline or consequence for misbehavior. The plan of activities must be developmentally appropriate to the ages and needs of children in care. iii. Caring for children with special needs. Describe: CCDF providers must make reasonable accommodations to the environment, planned activities, and schedule so that children with special needs may participate. They must also include in their emergency preparedness plans how they will care for children with special needs during times of emergencies. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: