health-and-safety-prevention-and-response-to-emergencies-from-food-and-allergic-reactions AND ALLERGIC REACTIONS

Reason(s) for non-compliance: • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers or an annual inspection for license- exempt family child care providers for compliance with a standard for prevention and response to emergencies from food and allergic reactions, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) Overall Target Completion Date: 10/01/2024 Action Step Number Action Step Description Target Completion Date 1 All health and safety inspectors received an update Child Care Management Manual detailing the policies and procedures for observing and documenting that all licensing and subsidy participating child care providers to have documented procedures for the prevention of and response to emergencies due to food and allergic reactions, and maintenance of records of any medical conditions or allergies that could affect the care of the child and any medications the child is taking or may be allergic to. All health and safety inspections for licensed and subsidy participating child care providers include this criteria. 07/17/2024 2 Idaho Administration Code was updated to require child care providers to have documented procedures for the prevention of and response to emergencies due to food and allergic reactions (16.06.03.380.19). Additional updates require child care providers to maintain records of any medical conditions or allergies that could affect the care of the child and any medications the child is taking or may be allergic to (16.06.03.201.05). 07/01/2024 COMPREHENSIVE BACKGROUND CHECK:5 YEAR RENEWAL Reason(s) for non-compliance: • The Lead Agency does not conduct all background checks every 5 years, as required by 98.43(d)(2)(ii). (Plan Question 5.7.17) Overall Target Completion Date: 12/31/2026 Action Step Number Action Step Description Target Completion Date 1 IDHW child care program staff in partnership with the IDHW Legislative and Regulatory Affairs Office will coordinate an update to the Idaho Administrative Code (IDAPA) to require background checks after 180 days of separation from childcare employment. Rules will be promulgated for presentation to the legislature's germane committees during the 2026 Idaho Legislative Session. 07/01/2026 2 If the legislature approves the requested updates to IDAPA, and sufficient funding is available, IdahoSTARS staff will coordinate automation development associated to individual users the Idaho child care provider database (RISE). The updates will recognize when users have been separated from childcare employment for more than 180 days and flag the necessity of a new background check when new employment is gained. This is targeted for completion six months after the proposed rules would go into effect. 12/31/2026 3 The Lead Agency requires and conducts comprehensive background checks every 5 years. However it was determined that some cities in Idaho who conduct background checks as a component of their licensing programs may not. 06/30/2026 Child care staff will contact each city conducting their own background checks to determine their current areas of compliance, their challenges with meeting the requirements, and identify any areas of concern for elevation to IDHW and city leadership. 4 The Lead Agency requires and conducts comprehensive background checks every 5 years. However it was determined that some cities in Idaho who conduct background checks as a component of their licensing programs may not. Child care staff will identify any areas of concern in city processes and policies and coordinate their review with a focus on solution development with IDHW and city leadership. 12/31/2026 5 The Lead Agency requires and conducts comprehensive background checks every 5 years. However it was determined that some cities in Idaho who conduct background checks as a component of their licensing programs may not. Child care staff will identify any areas of concern in city processes and policies and coordinate their review with a focus on solution development with IDHW and city leadership. 07/01/2027