health-and-safety-prevention-of-shaken-baby-syndrome-abusive-head-trauma-and-child-maltreatment TRAUMA, AND CHILD MALTREATMENT

Reason(s) for non-compliance: • The Lead Agency has not established a standard for the prevention of shaken baby syndrome and abusive head trauma for licensed centers, licensed family child care providers, licensed-exempt centers, license-exempt family child care providers, license- exempt in-home care, or out-of-school programs, as required by 98.41(a)(1)(vi). (Plan Questions 5.3.6ai, 5.3.6aii, 5.3.6av, 5.3.6avi, and 5.3.6avii) • 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 centers or license-exempt family child care providers for compliance with a standard for the prevention of shaken baby syndrome and abusive head trauma, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, 5.5.2ai, and 5.5.2bi) Overall Target Completion Date: 12/31/2026 Action Step Number Action Step Description Target Completion Date 1 The lead agency is currently working on rule reform and has established an internal process to complete a first draft of new rules for all provider types. The update will establish a standard for the prevention of shaken baby syndrome and abusive head trauma for licensed family child care providers, license-exempt centers, license-exempt family child care. The new rule will require a mandatory training on the topic to be complete in the 90 day orientation period for all staff. 03/31/2025 2 As lead agency is working on draft, they will share with FSSA legal to cross reference with current regulations, Office of Child Care requirements and identity any gaps or amendments needed. 03/31/2025 3 FSSA legal team will draft rule language and review with lead agency for finalization and start the rule promulgation process. 12/31/2025 4 Lead Agency will update website, share communication with current providers of updated rules after rule promulgation and adoption of news rules are complete. 12/31/2026 5 Lead agency will update licensing internal policy and licensing checklist to ensure that this standard is being checked on all annual and renewal inspections. 12/31/2026