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139 | P a g e FFY 2025–2027 CCDF State Plan

(4) Infant Sleep Position. The Program shall provide a safe sleep environment in accordance with American Academy of Pediatrics (AAP), Consumer Product Safety Commission (CPSC) and American Society for Testing and Materials (ASTM) recommendations as listed in these standards for all infants. Program Staff shall place an infant to sleep on the infant’s back in a crib unless the Program has been provided a physician’s written statement authorizing another sleep position for that particular infant that includes how the infant shall be placed to sleep and a time frame that the instructions are to be followed. When an infant can easily turn over from back to front and back again, Staff shall continue to put the infant to sleep initially on the infant’s back but allow the infant to roll over into his or her preferred position and not re-position the infant. Sleepers, sleep sacks and wearable blankets that fit according to the commercial manufacturer’s guidelines and will not slide up around the infant’s face may be used when necessary for the comfort of the sleeping infant. Swaddling shall not be used unless the Program has been provided a physician’s written statement authorizing its use for a particular infant that includes instructions and a time frame for swaddling the infant.

(5) Objects in Cribs. Staff shall not place objects or allow objects to be placed in or on the crib with an infant such as but not limited to toys, pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, or other soft items. Staff shall not attach objects or allow objects to be attached to a crib with a sleeping infant, such as, but not limited to, crib gyms, toys, mirrors and mobiles

v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N/A vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following standards are applicable to school-age children in all CCDF-eligible out-of-school programs and are found in Health & Safety Standards for License-Exempt Providers Receiving Subsidy. Out- of-school programs includes (1) day camps and (2) government-owned and operated providers. P. Staff Training (1) Prior to assignment to children or tasks, all Employees (i.e., volunteers, students-in-training, independent contractors, etc.) and Provisional Employees must receive initial program orientation.

(2) The initial program orientation must include the following subjects: (a) The program's policies and procedures; (b) The portions of these standards dealing with the care, health and safety of children; (h) Reducing the risk of Sudden Unexpected Infant Death (SUID), which includes Sudden Infant Death Syndrome (SIDS);

(3) Health & Safety Orientation training. Each staff member with direct care