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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 2 F. Administration 6. A copy of the Child Care Facility handbook will be made available to all parents or legal guardians at the time of enrollment. The handbook must contain, at a minimum: o. Management of communicable illnesses; 9. The Child Care Facility must maintain a Child Care Facility Staff manual that addresses the following: a. Policies and their implementation. This must include, at a minimum, policies for the following: iii. Child illness, SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 12 D. Health monitoring. The Child Care Facility must observe the Child each day at the time of arrival and throughout the Child’s stay for obvious signs of illness such as fever, diarrhea, vomiting, or skin rashes. 2. When a Child Care Facility knows or suspects that a Child has contracted a notifiable communicable disease or condition the Child Care Facility must notify the Maine Center for Disease Control and Prevention (MECDC). a. The Child Care Facility must notify the MECDC immediately by phone for Category 1 conditions, and within 48 hours for Category 2 conditions. MECDC contacts: Phone: 1-800-821-5821 (24 hours a day); FAX: 1-800-293-7534 (24 hours a day); or TTY: Maine relay 711 (24 hours a day). b. For a list of Category 1 and 2 notifiable conditions, see 10-144 CMR Chapter 258, Rules for the Control of Notifiable Conditions, Chapter 2(I). http://www.maine.gov/sos/cec/rules/10/144/144c258.doc E. Dismissal of Children due to illness. When a Child becomes ill, but does not require immediate medical help, the Child Care Facility must determine if the Child should be sent home. The Child Care Facility must notify the parent/guardian of the Child who has symptoms that require exclusion. I. Handwashing. Handwashing must be done with soap and running water. The provider must ensure that all Adults and all Children wash their hands in at least the following circumstances: 1. Immediately before and after eating snacks and meals, including washing the hands of all Infants and toddlers before all feedings; 2. After each diaper change or toileting; 3. Before and after handling food; and 4. Before and after administering Medication. SECTION 14 A. General condition of the building and surrounding premises. The facility must take immediate steps to correct any condition in the physical building or on the premises, which poses a danger to Children’s life, health or safety. 10. Toys and equipment must be kept clean and in safe working order. 13. The Child Care Facility must Clean surfaces daily in all areas where Children are present. Cleaning products must not be used in close proximity to Children and adequate ventilation must be maintained during use. L. Cribs, cots, and bedding. 3. Cribs, bassinets and play yards for Infants less than 12 months old must not include soft or loose bedding including, but not limited to: bumper pads, pillows, quilts, comforters, blankets, sleep positioning devices, bibs or stuffed toys. Appropriately fitted arms-free wearable blankets are permitted. a. Cots, mats, play yards, bassinets, and cribs used by any Infant or toddler must be Cleaned and sanitized between use by different Children, when contaminated, or at a minimum of once per week. c. Cribs, cots, beds, mats, or play yards used for sleeping must be spaced at least 2 feet apart or separated by a solid divider on one side. 4. A separate mat, bed or cot, with a blanket or sleeping bag, must be assigned to each Child under the age of five in care for longer than four hours. All bedding must be cleaned before being used by another Child. Bedding must be cleaned as needed, or at least weekly. a. Blankets, sleeping bags, bedding, cots, and mats must be stored in a manner which ensures that sleeping surfaces are not touching or must be washed and disinfected before re-use if stored in a manner that allows sleeping surfaces to touch during storage. M. Toilet facilities. Washing and toilet facilities with running water and soap must be provided. 5. Either disposable paper products, or clean, individually assigned wash cloths and towels may be used. Individually assigned washcloths and towels must be laundered daily. N. Diapering/toileting. 2. Wet or soiled disposable diapers must be placed in a lined, lidded container, separate from other trash or garbage and separate from play or food-preparation areas, or individually bagged and tied within a lidded shared garbage container. 3. Diapering must be done on a changing table or washable vinyl mat which is Cleaned after each use or which has a disposable single-use covering. 4. The changing table or mat must not be located in the kitchen or food preparation area. 5. Staff must wash their hands and the Child’s hands with soap and running water after each diaper change. 8. Potty chair receptacles must be emptied immediately after each use, rinsed, and sanitized in a sink not used for food preparation. SECTION 16 B. Handwashing. All adults and all Children must wash their hands immediately prior to preparing or consuming snacks and meals. D. Child Care Staff Member Responsibilities 1. Child Care Staff Members who are ill must not work in the food preparation area. Child Care Staff Members with open sores that cannot be covered must not handle or prepare food. G. Equipment and Utensils 1. All food preparation and eating surfaces must be Cleaned before and after use. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 2 G. Administration 4. A copy of the Provider handbook will be made available to all Parents or Legal Guardians at the time of enrollment. The handbook must contain, at a minimum: o. Management of communicable illnesses; 7. The Provider must maintain a staff manual that addresses the following: a. Policies and their implementation. This must include, at a minimum, policies for the following: iii. Child illness, SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 12 D. Health monitoring. The Provider must observe Children in care each day at the time of arrival and throughout the Child’s stay for obvious signs of illness such as fever, diarrhea, vomiting, or skin rashes. In the event of an apparent illness of a Child, the Provider must comply with the guidance in the manual described in Section 14(C)(1) below. When a Provider knows or suspects that a Child has contracted a notifiable disease or condition, the Provider must notify the Maine Center for Disease Control and Prevention (MECDC). The Provider must notify the MECDC immediately by phone for Category 1 conditions, and within 48 hours for Category 2 conditions. MECDC contacts: Phone: 1-800-821-5821 (24 hours a day); FAX: 1- 800-293-7534 (24 hours a day); or TTY: Maine relay 711 (24 hours a day). For a list of Category 1 and 2 notifiable diseases and conditions, see 10-144 CMR Chapter 258, Rules for the Control of Notifiable Conditions, Chapter 2(I). http://www.maine.gov/sos/cec/rules/10/144/144c258.doc E. Dismissal of children due to illness. When a Child becomes ill, but does not require immediate medical help, the provider must determine if the Child should be sent home. The provider must notify the Parent/Legal Guardian of the Child who has symptoms that require exclusion. I. Handwashing. Handwashing must be done with soap and running water. The provider must ensure that all Adults and all Children wash their hands in at least the following circumstances: 1. Immediately before and after eating snacks and meals, including washing the hands of all Infants and toddlers before all feedings; 2. After each diaper change or toileting; 3. Before and after handling food; and 4. Before and after administering Medication. SECTION 14 A. General condition of the building and surrounding Premises. A Provider must take immediate steps to correct any condition in the physical building or on the Premises, which poses a danger to Children’s life, health or safety. 10. Toys and equipment must be kept clean and in safe working order. 13. The provider must Clean surfaces daily in all areas where Children are present. Cleaning products must not be used in close proximity to Children and adequate ventilation must be maintained during use. L. Cribs, cots, and bedding. 3. Cribs, bassinets and play yards for Infants less than 12 months old must not include soft or loose bedding including, but not limited to: bumper pads, pillows, quilts, comforters, blankets, sleep positioning devices, bibs or stuffed toys. Appropriately fitted arms-free wearable blankets are permitted. a. Cots, mats, play yards, bassinets, and cribs used by any Infant or toddler must be Cleaned and sanitized between use by different Children, when contaminated, or at a minimum of once per week. c. Cribs, cots, beds, mats, or play yards used for sleeping must be spaced at least 2 feet apart or separated by a solid divider on one side. 4. A separate mat, bed or cot, with a blanket or sleeping bag, must be assigned to each Child under the age of five in care for longer than four hours. All bedding must be cleaned before being used by another Child. Bedding must be cleaned as needed, or at least weekly. a. Blankets, sleeping bags, bedding, cots, and mats must be stored in a manner which ensures that sleeping surfaces are not touching or must be washed and disinfected before re-use if stored in a manner that allows sleeping surfaces to touch during storage. M. Toilet facilities. Washing and toilet facilities with running water and soap must be provided. 3. Either disposable paper products, or clean, individually assigned wash cloths and towels may be used. Individually assigned washcloths and towels must be laundered daily. N. Diapering/toileting. 2. Wet or soiled disposable diapers must be placed in a lined, lidded container, separate from other trash or garbage and separate from play or food-preparation areas, or individually bagged and tied within a lidded shared garbage container. 3. Diapering must be done on a changing table or washable vinyl mat which is Cleaned after each use or which has a disposable single-use covering. 4. The changing table or mat must not be located in the kitchen or food preparation area. 5. Staff must wash their hands and the Child’s hands with soap and running water after each diaper change. 8. Potty chair receptacles must be emptied immediately after each use, rinsed, and sanitized in a sink not used for food preparation. 9. Potty chair receptacles may not be used in a food preparation area. SECTION 16 A. Handwashing. All Adults and all Children must wash their hands immediately prior to preparing or consuming snacks and meals. D. Provider Responsibilities 1. Providers or Staff Members who are ill must not work in the food preparation area. Providers or Staff Members with open sores that cannot be covered must not handle or prepare food. G. Equipment and Utensils 1. All food preparation and eating surfaces must be Cleaned before and after use. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases is defined by following proper methods of handwashing cleaning and sanitizing, and disinfecting surface areas, bedding, and toys/objects, by not attending Child Care Services when ill, and to have Children stay current on vaccinations which are nationally recommended; 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases is defined by following proper methods of handwashing cleaning and sanitizing, and disinfecting surface areas, bedding, and toys/objects, by not attending Child Care Services when ill, and to have Children stay current on vaccinations which are nationally recommended; 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases is defined by following proper methods of handwashing cleaning and sanitizing, and disinfecting surface areas, bedding, and toys/objects, by not attending Child Care Services when ill, and to have Children stay current on vaccinations which are nationally recommended; 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases is defined by following proper methods of handwashing cleaning and sanitizing, and disinfecting surface areas, bedding, and toys/objects, by not attending Child Care Services when ill, and to have Children stay current on vaccinations which are nationally recommended; 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): a. Prevention and Control of Infectious Diseases; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 12: HEALTH AND MEDICAL A. Immunization. Immunization records must be maintained to ensure proper medical treatment is determined and given in the event of a disease outbreak or public health emergency. 1. All children in care must meet the following requirements. a. The Child Care Facility must have a current record of immunization on file for each Child, which clearly documents each Child’s present immunization status based on the Department’s Day Care Immunization Standards (available at https://www.maine.gov/dhhs/mecdc/infectious- disease/immunization/documents/Daycare-Immunization-standards-revised.pdf and published August 8, 2021), within 30 days of the Child’s first admission to the Child care and updated as needed thereafter or, b. A blood test documenting immunity to measles, mumps, rubella and varicella (chickenpox), placed in the Child’s record and updated in a timely manner. c. Pursuant to P.L. 2019, Ch. 154, § 11, effective September 1, 2021, Children must be immunized as set forth herein and exemption from immunization requirements are limited to medical reasons. The Child’s physician, nurse practitioner, or physician assistant must provide documentation that immunization is medically inadvisable. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 12. HEALTH AND MEDICAL A. Immunization. Immunization records must be maintained to ensure proper medical treatment is determined and given in the event of a disease outbreak or public health emergency. 1. All Children in care must meet the following requirements: a. The Provider must have a current record of immunization on file for each child, which clearly documents each child’s present immunization status based on the Department’s Childcare Immunization Standards (available https://www.maine.gov/dhhs/mecdc/infectious- disease/immunization/documents/Daycare-Immunization-standards-revised.pdf and published on August 8, 2021 within 30 days of the child's first admission to the child care and updated as needed thereafter or, b. A blood test documenting immunity to measles, mumps, rubella and varicella (chickenpox), placed in the Child’s record and updated in a timely manner. c. No Child may be required to be immunized if religious, philosophical or medical reasons are documented. Effective September 1, 2021, exemption from immunization requirements are limited to medical reasons. The Child’s physician, nurse practitioner, or physician assistant must provide documentation that immunization is medically inadvisable. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 7. Upon request, provide documentation that the Children receiving Child Care Affordability Program subsidy are age-appropriately immunized and meet the latest recommendation for Childhood immunizations in Maine, as recommended by the Department’s Center for Disease Control (CDC). A ninety (90) calendar day grace period shall be granted while Parents are taking the necessary actions to comply with the immunization requirement. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 7. Upon request, provide documentation that the Children receiving Child Care Affordability Program subsidy are age-appropriately immunized and meet the latest recommendation for Childhood immunizations in Maine, as recommended by the Department’s Center for Disease Control (CDC). A ninety (90) calendar day grace period shall be granted while Parents are taking the necessary actions to comply with the immunization requirement. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 7. Upon request, provide documentation that the Children receiving Child Care Affordability Program subsidy are age-appropriately immunized and meet the latest recommendation for Childhood immunizations in Maine, as recommended by the Department’s Center for Disease Control (CDC). A ninety (90) calendar day grace period shall be granted while Parents are taking the necessary actions to comply with the immunization requirement. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 7. Upon request, provide documentation that the Children receiving Child Care Affordability Program subsidy are age-appropriately immunized and meet the latest recommendation for Childhood immunizations in Maine, as recommended by the Department’s Center for Disease Control (CDC). A ninety (90) calendar day grace period shall be granted while Parents are taking the necessary actions to comply with the immunization requirement. 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 2 F. Administration 9. The Child Care Facility must maintain a Child Care Facility Staff manual that addresses the following: a. Policies and their implementation. This must include, at a minimum, policies for the following: x. Safe sleep policy, SECTION 7 D. Supervision. 3. The Child Care Facility must provide direct supervision, by awake Child Care Staff Members, to Children while maintaining staff-Child ratios during napping and/or sleeping. b. Dimmed, but adequate, lighting to allow visual supervision of all Children must be maintained at all times. c. Monitors providing both video and audio may be considered as an acceptable form of supervision in an adjacent nap space. Sleeping Children must be checked in person at a minimum every 30 minutes. SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 14 L. Cribs, cots, and bedding. 1. A crib or play yard that meets Consumer Product Safety Commission (CPSC) safety standards, available at https://www.cpsc.gov/s3fs-public/5023.pdf, must be provided for each Child up to 18 months of age. d. Each crib must be equipped with a waterproof, firm, snug fitting mattress which is positioned within two finger widths on all sides of the crib frame. e. Devices of any type that restrict the movements of Children must not be used in cribs. f. Toys including mobiles and other types of play equipment that is designed to be attached to any part of the crib must not be used. Each play yard must be used with the original mattress or a replacement specified by the manufacturer. 2. Bassinets that meet CPSC safety standards may be used for infants up to five months of age, within appropriate weight limits. A Child Care Facility may not use a bassinet for an infant who can independently lift their chest off the sleep surface. 3. Cribs, bassinets and play yards for infants less than 12 months old must not include soft or loose bedding including, but not limited to: bumper pads, pillows, quilts, comforters, blankets, sleep positioning devices, bibs or stuffed toys. Appropriately fitted arms-free wearable blankets are permitted. b. All crib, bassinet, and play yard mattresses will be covered by a snugly-fitted sheet. SECTION 18 E. Napping/Resting. The facility must observe the provisions of Section 14(L) of this rule, and: 1. Infants must be placed on their backs in an approved bassinet, crib, or play yard for sleeping, unless the Child’s parent provides a physician’s recommendation. The written documentation from the physician must be in the Child’s file. 3. Bibs and garments with ties or hoods must be removed before placing an infant in the crib to sleep. 4. Swaddling of Infants and Toddlers is prohibited. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 2 G. Administration 7. The Provider must maintain a staff manual that addresses the following: a. Policies and their implementation. This must include, at a minimum, policies for the following: X. Safe sleep policy, SECTION 7 D. Supervision. 2. During napping and/or sleeping hours, the Provider or Staff Member must be awake and supervising all Children, and Child-staff ratios must be maintained. Dimmed, but adequate, lighting to allow visual supervision of all Children must be maintained at all times. 3. Monitors providing both video and audio may be considered as an acceptable form of supervision during quiet indoor activities. SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 14 L. Cribs, cots, and bedding. 1. A crib or play yard that meets Consumer Product Safety Commission (CPSC) safety standards, available at https://www.cpsc.gov/s3fs-public/5023.pdf, must be provided for each Child up to 18 months of age. d. Each crib must be equipped with a waterproof, firm, snug fitting mattress which is positioned within two finger widths on all sides of the crib frame. Each play yard must be used with the original mattress or a replacement specified by the manufacturer. e. Devices of any type that restrict the movements of Children must not be used in cribs. f. Toys including mobiles and other types of play equipment that is designed to be attached to any part of the crib must not be used. 2. Bassinets that meet CPSC safety standards may be used for Infants up to five months of age, within appropriate weight limits. A provider may not use a bassinet for an Infant who can independently lift their chest off the sleep surface. 3. Cribs, bassinets and play yards for Infants less than 12 months old must not include soft or loose bedding including, but not limited to: bumper pads, pillows, quilts, comforters, blankets, sleep positioning devices, bibs or stuffed toys. Appropriately fitted arms-free wearable blankets are permitted. b. All crib, bassinet, and play yard mattresses must be covered by a snugly fitted sheet. SECTION 18 D. Napping/Resting. The Provider must observe the provisions of Section 14 (L) of this rule, and: 1. Infants must be placed on their backs in an approved bassinet, crib, or play yard for sleeping, unless the Child’s Parent provides a physician’s recommendation. The written documentation from the physician must be in the Child’s file. 3. Bibs and garments with ties or hoods must be removed before placing an infant in the crib to sleep. 4. Swaddling of Infants and Toddlers is prohibited. 5. Sleeping Infants must be checked in person at least every 30 minutes. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Safe sleep practices implemented: Children are placed on their backs for sleeping. Cribs and/or play yards are free of objects that could cause suffocation or strangulation. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome (SIDS) and use of Safe Sleep Practices is defined as following practices to reduce the risk of SIDS: Placing a baby to sleep on his or her back on a firm mattress using a safety-approved crib; Removal of any loose bedding; and While sleeping making sure the baby’s head stays uncovered and the baby does not get overheated. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Safe sleep practices implemented: Children are placed on their backs for sleeping. Cribs and/or play yards are free of objects that could cause suffocation or strangulation. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome (SIDS) and use of Safe Sleep Practices is defined as following practices to reduce the risk of SIDS: Placing a baby to sleep on his or her back on a firm mattress using a safety-approved crib; Removal of any loose bedding; and While sleeping making sure the baby’s head stays uncovered and the baby does not get overheated. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome and use of Safe Sleep Practices; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Safe sleep practices implemented: Children are placed on their backs for sleeping. Cribs and/or play yards are free of objects that could cause suffocation or strangulation. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome (SIDS) and use of Safe Sleep Practices is defined as following practices to reduce the risk of SIDS: Placing a baby to sleep on his or her back on a firm mattress using a safety-approved crib; Removal of any loose bedding; and While sleeping making sure the baby’s head stays uncovered and the baby does not get overheated. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome and use of Safe Sleep Practices; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Safe sleep practices implemented: Children are placed on their backs for sleeping. Cribs and/or play yards are free of objects that could cause suffocation or strangulation. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome (SIDS) and use of Safe Sleep Practices is defined as following practices to reduce the risk of SIDS: Placing a baby to sleep on his or her back on a firm mattress using a safety-approved crib; Removal of any loose bedding; and While sleeping making sure the baby’s head stays uncovered and the baby does not get overheated. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): b. Prevention of Sudden Infant Death Syndrome and use of Safe Sleep Practices; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 2 F. Administration 6. A copy of the Child Care Facility handbook will be made available to all parents or legal guardians at the time of enrollment. The handbook must contain, at a minimum: p. Medication administration; SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 12 C. Health care consultation. 1. For Child Care Facilities licensed for 3-12 Children: a. The Child Care Facility must have a manual of written guidelines for the prevention and control of communicable diseases and other appropriate health practices for Child Care Facilities of this size. 2. For Child Care Facilities licensed for 13 or more Children: b. The Child Care Facility must have a written plan approved by the health care consultant which must include: iii. Policy on administration of medication including identification of Child Care Staff Members permitted to dispense medication and procedures for documentation of the administration or dispensing of medication; and H. Medication administration. A Child Care Facility may give a Child prescription medication only when the Child Care Facility has written, signed, and dated permission from a Parent. 1. The Child Care Facility must only give medication prescribed for the specified Child, according to the label instructions on the original container. 2. The Child Care Facility must not give any nonprescription medications to a Child without written permission from the parent. Telephone, text, or email permission is allowed in emergencies, if the Child Care Facility documents giving the medication and obtains written permission from the parent as soon as possible. 3. The Child Care Facility must keep a written record, noting each time a prescription and nonprescription medication is given to a Child. 4. All medications, refrigerated or non-refrigerated, must be: a. Completely inaccessible to Children, b. Stored at the proper temperature, and c. Discarded upon expiration. I. Handwashing. Handwashing must be done with soap and running water. The Child Care Facility must ensure that all adults and all Children wash their hands in at least the following circumstances: 4. Before and after administering medication. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 2 G. Administration 4. A copy of the Provider handbook will be made available to all Parents or Legal Guardians at the time of enrollment. The handbook must contain, at a minimum: p. Medication administration; SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 12 H. Medication administration. A Provider may give a Child prescription medication only when the Provider has written, signed, and dated permission from a Parent. 1. The Provider must only give Medication prescribed for the specified Child, according to the label instructions on the original container. 2. The Provider must not give any nonprescription Medications to a Child without written permission from the Parent. Telephone, text, or email permission is allowed in emergencies, if the provider documents giving the Medication and obtains written permission from the Parent as soon as possible. 3. The provider must keep a written record, noting each time a prescription and nonprescription Medication is given to a Child. 4. All Medications, refrigerated or non-refrigerated, must be: a. Completely inaccessible to Children, b. Stored at the proper temperature, and c. Discarded upon expiration. I. Handwashing. Handwashing must be done with soap and running water. The provider must ensure that all Adults and all Children wash their hands in at least the following circumstances: 4. Before and after administering Medication. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 5 D. Child records. Child records must be stored in a central location and may only be accessed by authorized Child Care Staff Members. Child records must be updated annually and maintained in an organized fashion. 1. A record must be completed at the time of admission and maintained in the Child Care Facility on each Child in care (including relatives) and must include: k. Signed authorization to dispense medication, if applicable; SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 12 H. Medication administration. A Child Care Facility may give a Child prescription medication only when the Child Care Facility has written, signed, and dated permission from a Parent. 2. The Child Care Facility must not give any nonprescription medications to a Child without written permission from the parent. Telephone, text, or email permission is allowed in emergencies, if the Child Care Facility documents giving the medication and obtains written permission from the parent as soon as possible. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 5 D. Child records. Child records must be updated annually and maintained in an organized fashion. 1. A record must be completed at the time of admission and maintained on the Premises for each Child in care (including relatives) and must include: k. Signed authorization to dispense Medication, if applicable; SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 12 H. Medication administration. A Provider may give a Child prescription medication only when the Provider has written, signed, and dated permission from a Parent. 2. The Provider must not give any nonprescription Medications to a Child without written permission from the Parent. Telephone, text, or email permission is allowed in emergencies, if the provider documents giving the Medication and obtains written permission from the Parent as soon as possible. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State- approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the-counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). Medicines are not expired, permission documented: Any over-the-counter medication must be current. Prescription medication may only be administered with written authorization from the parent/guardian and must be documented. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department- Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with parental consent is defined as Child Care Providers and staff must be aware of and follow state regulations, laws, and program policies and procedures. Directors, supervisors, and owner/operators are responsible to prepare and enforce policies for accurate medication administration procedures. They must also make sure that identified staff are well trained to administer medication to Children by following State-approved medication administration training guidelines. Medicines administered in Child Care Centers, family group homes, and Family Child Care programs should be limited to prescription or nonprescription (over-the- counter or OTC) medications. All medication administration must include parental/guardian written, documented permission, and medication logs. Medications must be ordered by a prescribing health professional for a specific Child. Orders from the prescribing health professional should specify the medical need, medication, dosage, and length of time to give medication; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department- Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): c. Administration of medication, consistent with standards for parental consent; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 5 D. Child records. Child records must be stored in a central location and may only be accessed by authorized Child Care Staff Members. Child records must be updated annually and maintained in an organized fashion. 1. A record must be completed at the time of admission and maintained in the Child Care Facility on each Child in care (including relatives) and must include: p. Known allergies and other health conditions, including related health plans as needed, SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 16 C. Allergies. Documentation regarding Children’s food allergies/food intolerance as verified by a physician must be readily accessible and reviewed by all staff responsible for food preparation and distribution. Food must be prepared according to a written plan for each Child with a food allergy or food intolerance. The plan must be reviewed and updated as the Child’s needs change or a minimum of once a year. SECTION 18 B. Promoting developmental needs. The developmental needs of Infants and Toddlers must be promoted in the following ways: 3. Infants and Toddlers must not be allowed to use toys or objects which could be swallowed or cause choking. Foods that are choking hazards due to the size, shape or texture must not be served to Infants and toddlers; C. Feeding 6. Providers must hold Infants who are not independently bottle-feeding in their arms for feeding. 7. Children who are independently bottle-feeding must be in a seated position within reach of a Provider. 8. If breast milk or formula is to be warmed, bottles must be placed in hot (not boiling) water for no longer than five minutes, after which the bottle must be shaken well, and the temperature tested before feeding. Bottles of formula or breast milk must never be warmed in a microwave oven. 9. A chair or table used for feeding Infants and Toddlers must be designed to prevent the Child from slipping or falling. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 5 D. Child records. Child records must be updated annually and maintained in an organized fashion. 1. A record must be completed at the time of admission and maintained on the Premises for each Child in care (including relatives) and must include: p. Known allergies and other health conditions, including related health plans as needed, SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 16 C. Allergies. Documentation regarding Children’s food allergies/food intolerance as verified by a physician must be readily accessible and reviewed by all Staff Members responsible for food preparation and distribution. Food must be prepared according to a written plan for each Child with a food allergy or food intolerance. The plan must be reviewed and updated as the Child’s needs change and at a minimum of once a year. SECTION 18 B. Promoting developmental needs. The developmental needs of Infants and Toddlers must be promoted in the following ways: 3. Infants and Toddlers must not be allowed to use toys or objects which could be swallowed or cause choking. Foods that are choking hazards due to the size, shape or texture must not be served to Infants and toddlers; C. Feeding 6. Providers must hold Infants who are not independently bottle-feeding in their arms for feeding. 7. Children who are independently bottle-feeding must be in a seated position within reach of a Provider. 8. If breast milk or formula is to be warmed, bottles must be placed in hot (not boiling) water for no longer than five minutes, after which the bottle must be shaken well, and the temperature tested before feeding. Bottles of formula or breast milk must never be warmed in a microwave oven. 9. A chair or table used for feeding Infants and Toddlers must be designed to prevent the Child from slipping or falling. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 5 D. Child records. Child records must be stored in a central location and may only be accessed by authorized Child Care Staff Members. Child records must be updated annually and maintained in an organized fashion. 1. A record must be completed at the time of admission and maintained in the Child Care Facility on each Child in care (including relatives) and must include: p. Known allergies and other health conditions, including related health plans as needed, SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 12 K. Emergency procedures. Providers must have a procedure for responding to situations when an immediate emergency medical response is required. Staff- Child ratio must be maintained during all medical emergencies. Staff Members may be called in as necessary to maintain the required ratio. Every Staff Member must be trained to manage an emergency until emergency medical care becomes available. SECTION 14 Q. Emergency preparedness plan. Providers must have a written emergency preparedness plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard to the Children. Providers and Staff Members must review the emergency preparedness plan annually and update as needed. Providers must retain the updated copy of the plan for evacuation and provide details of the emergency relocation procedures to each Parent or Legal Guardian of the Child at the time of the Child’s enrollment with the Provider and whenever the plan is updated. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 5 D. Child records. Child records must be updated annually and maintained in an organized fashion. 1. A record must be completed at the time of admission and maintained on the Premises for each Child in care (including relatives) and must include: p. Known allergies and other health conditions, including related health plans as needed, SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 12 K. Emergency procedures. Providers must have a procedure for responding to situations when an immediate emergency medical response is required. Staff- Child ratio must be maintained during all medical emergencies. Staff Members may be called in as necessary to maintain the required ratio. Every Staff Member must be trained to manage an emergency until emergency medical care becomes available. SECTION 14 Q. Emergency preparedness plan. Providers must have a written emergency preparedness plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard to the Children. Providers and Staff Members must review the emergency preparedness plan annually and update as needed. Providers must retain the updated copy of the plan for evacuation and provide details of the emergency relocation procedures to each Parent or Legal Guardian of the Child at the time of the Child’s enrollment with the Provider and whenever the plan is updated. iii. All CCDF-eligible licensed in-home care. Provide the standard:: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Hand washing and diapering requirements followed: Adults and children must wash their hands with soap and running water before and after toileting, food preparation, and diapering. Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Nutritious meals/snacks available: The provider must have a supply of nutritious foods and snacks available for the number of children in care. . All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. Written authorization for emergency care/medications: The provider must show a signed release allowing emergency medical care for all children, and a signed release for any medications being administered. Note any allergies and treatment required (if needed). First aid supplies and manual available: There must be adequate first aid supplies available to treat common injuries and illnesses and a reference manual that describes response to common injuries. CPR/First Aid current: The Licensed-Exempt Provider caring for the child must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). In Recreation programs all staff must have current Pediatric first-aid and cardiopulmonary resuscitation (CPR). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions is defined by having classroom procedures for policies, food preparation and food label reading, food services, cleaning and sanitizing, field trips, and recognizing symptoms. By also having a food allergy action plan or emergency care plan in place for a Child with severe food allergies; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): d. Prevention of and response to emergencies due to food and allergic reactions; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 13 A. Drinking water. A Child Care Facility must provide documentation of water safe for drinking by Child Care Staff Members and Children in care. If a satisfactory supply cannot be provided, a license or renewal of a license may not be issued. SECTION 14 A. General condition of the building and surrounding premises. The facility must take immediate steps to correct any condition in the physical building or on the premises, which poses a danger to Children’s life, health or safety. 1. Stairs used by Children must be equipped with solidly mounted handrails. 2. Stairs must be enclosed by walls or railings. Stairs in areas used by infants, toddlers and preschool age Children must be protected by a gate or door. 3. Electrical outlets in areas used by infants, toddlers and preschool Children must be protected by safety caps, plugs, tamper-resistant outlets, or other means. 4. Any Medications, Toxic Substances, Hazardous Materials, and other items dangerous to Children such as matches, lighters, fireworks, and power tools must be kept where Children cannot access them. 5. Smoking is prohibited on the premises when Children are present. 6. Strings and cords long enough to encircle a Child’s neck (six inches or more) must not be accessible to Children unless the Child is engaged in a recreational or educational activity with an adult. 7. Equipment with an electrical cord must be anchored to the wall to prevent falling, or the cord must be inaccessible to Children under five years of age. 9. A facility may lock the main entrance to prevent access from the exterior, provided that the door can be freely opened from the interior and there is a means to inform Child Care Staff Members of the arrival of parents/guardians or other visitors. 11. The fall zone under and around all indoor play equipment which would buffer a fall from a height of more than 29 inches must be covered with shock-absorbing mats or materials which extend at least 39 inches beyond the outside edge of the equipment in all directions. If the play structure exceeds 48 inches in height, the shock absorbing mat must be at least two inches thick. 12. Furnishings, other heavy items, and/or items that could easily tip over or are unstable must be secured to the wall or floor. 13. The Child Care Facility must Clean surfaces daily in all areas where Children are present. Cleaning products must not be used in close proximity to Children and adequate ventilation must be maintained during use. 14. Children are not allowed to be near power equipment while it is being operated and power equipment must be stored out of reach or have safeguards to prevent any Child from being injured when not in use. 16. All entrances and exits must be clear for evacuation at all times. C. Satisfactory lead levels. Child Care Facilities must comply with 22 MRS Ch. 252, Lead Poisoning Control Act, regarding the use of lead-based paint on toys, furniture, or any interior or exterior surfaces. D. Carbon monoxide. Child Care Facilities must be equipped with a working carbon monoxide detection system. E. Building temperature. 3. Air conditioners, electric fans, and heaters must be mounted and anchored out of all Children’s reach or have safeguards that keep any Child from being injured. F. Lighting and Ventilation. 1. Every room used by Children must be properly lighted to allow safe movement through the space. Natural light is required in any room used by Children for more than four hours per day. 2. All indoor space used by Children must be adequately ventilated. a. Windows should be open when outside temperature and air quality allow. b. Doors and windows used for ventilation must be equipped with securely fastened screens. c. The facility must resolve any damp conditions which result in visible mold, mildew, or musty odors before Children may occupy the space. H. Outdoor play areas. The facility must have access to an outdoor play area, with sufficient space for safe play for all Children, with drainage that prevents standing water. 2. Where hazardous conditions exist in the outdoor play area, the Children must be protected from those conditions by fencing or other appropriate barriers. a. Hazardous conditions include, but are not limited to, roads, any body of water, active railroad tracks, sharp inclines or embankments, or any other dangerous area. 4. Appropriately fitted helmets must be worn for all activities when head injury risks are present (e.g. bicycles, scooters, rollerblades, skateboards, snowboard, and/or power wheels). 5. Equipment that exceeds 36 inches in height at the climbable or standing surface shall have energy-absorbing materials beneath it. 7. The play area must be free of hazards and visually inspected daily, prior to Children having access to the area. 8. Sandboxes or sand piles must be maintained in a safe and sanitary condition. 9. Outdoor play areas must provide shade. a. The Child Care Facility shall ensure sun safety for Children by limiting sun exposure when UV rays are strongest, wearing hats, or applying sunscreen (unless directed otherwise by the Child’s parent). b. Infants younger than six months must stay out of direct sunlight, and Child Care Staff Members may not apply sunscreen to an infant unless the Child’s parent provides a physician’s recommendation. Written documentation from the physician must be stored in the Child’s file. I. Weapons. Firearms, hunting knives, bows and arrows, and other weapons are prohibited on the premises of the Child Care Facility. J. Materials, toys, equipment and activities. Materials, toys, equipment and activities must be Developmentally and culturally appropriate for Children enrolled. 2. Toys and equipment that have been recalled through the manufacturer or the United States Consumer Product Safety Commission (CPSC) must be removed from the Premises, repaired, or replaced based on the recall information available. Q. Emergency preparedness plan. Child Care Facilities must have a written emergency preparedness plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard to the Children in the Child Care Facility. Child Care Staff Members must review the emergency preparedness plan annually and update as needed. Child Care Facilities must retain the updated copy of the plan for evacuation and provide details of the emergency relocation procedures to each Parent or Legal Guardian of the Child at the time of the Child’s enrollment with the Child Care Facility and whenever the plan is updated 1. The plan must provide for the following: a. Evacuation, including a designated relocation site and evacuation route; b. Lockdown of the facility or shelter-in-place; ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 13 A. Drinking water. A Provider must provide documentation of water safe for drinking by staff and Children in care. If a satisfactory supply cannot be provided, a License or renewal of a License may not be issued. SECTION 14 A. General condition of the building and surrounding Premises. A Provider must take immediate steps to correct any condition in the physical building or on the Premises, which poses a danger to Children’s life, health or safety. 1. Stairs used by Children must be equipped with solidly mounted handrails. 2. Stairs must be enclosed by walls or railings. Stairs in areas used by Infants, toddlers and preschool Children must be protected by a gate or door. 3. Electrical outlets in areas used by Infants, toddlers and preschool Children must be protected by safety caps, plugs, tamper-resistant outlets, or other means. 4. Any Medications, Toxic Substances, Hazardous Materials, and other items dangerous to Children such as matches, lighters, fireworks, and power tools must be kept where Children cannot access them. 5. Smoking is prohibited on the Premises when Children are present. 6. Strings and cords long enough to encircle a Child’s neck (six inches or more) must not be accessible to Children unless the Child is engaged in a recreational or educational activity with an Adult. 7. Equipment with an electrical cord must be anchored to the wall to prevent falling, or the cord must be inaccessible to Infants, toddlers and preschool Children. 9. A Provider may Lock the main entrance of their home and/or the Premises to prevent access from the exterior, provided that the door can be freely opened from the interior and there is a means to inform the Provider of the arrival of Parents/Legal Guardians or other visitors. 11. The fall zone under and around all indoor play equipment which would buffer a fall from a height of more than 29 inches must be covered with shock-absorbing mats or materials which extend at least 39 inches beyond the outside edge of the equipment in all directions. If the play structure exceeds 48 inches in height, the shock absorbing mat must be at least two inches thick. 12. Furnishings, other heavy items, and/or items that could easily tip over or are unstable must be secured to the wall or floor. 14. Children are not allowed to be near power equipment while it is being operated and power equipment must be stored out of reach or have safeguards to prevent any Child from being injured when not in use. 16. All entrances and exits must be clear for evacuation at all times. C. Satisfactory lead levels. Providers must comply with 22 MRS Ch. 252, Lead Poisoning Control Act, regarding the use of lead-based paint on toys, furniture, or any interior or exterior surfaces. D. Carbon monoxide. Providers must be equipped with a working carbon monoxide detection system. E. Building temperature. 3. Air conditioners, electric fans, and heaters must be mounted and anchored out of all Children’s reach or have safeguards that keep any Child from being injured. F. Lighting and Ventilation. 1. Every room used by Children must be properly lighted to allow safe movement through the space. Natural light is required in any room used by Children for more than four hours per day. 2. All indoor space used by Children must be adequately ventilated. a. Windows should be open when outside temperature and air quality allow. b. Doors and windows used for ventilation must be equipped with securely fastened screens. c. The facility must resolve any damp conditions which result in visible mold, mildew, or musty odors before Children may occupy the space. H. Outdoor play areas. The facility must have access to an outdoor play area, with sufficient space for safe play for all Children, with drainage that prevents standing water. 1. Where hazardous conditions exist in the outdoor play area, the Children must be protected from those conditions by fencing or other appropriate barriers. a. Hazardous conditions include, but are not limited to, roads, any bodies of water, active railroad tracks, sharp inclines or embankments, or any other dangerous area. 3. Appropriately fitted helmets must be worn for all activities when head injury risks are present (e.g. bicycles, scooters, rollerblades, skateboards, snowboard, and/or power wheels). 4. Equipment that exceeds 36 inches in height at the climbable or standing surface shall have energy-absorbing materials beneath it. 6. The play area must be free of hazards and visually inspected by a Provider daily, prior to Children having access to the area. 7. Sandboxes or sand piles must be maintained in a safe and sanitary condition. 8. Outdoor play areas must provide shade. The provider shall ensure sun safety for Children by limiting sun exposure when UV rays are strongest, wearing hats, or applying sunscreen (unless directed otherwise by the Child’s Parent). Infants younger than six months must stay out of direct sunlight, and a Provider may not apply sunscreen to an Infant unless the Child’s Parent provides a physician’s recommendation. Written documentation from the physician must be stored in the Child’s file. I. Weapons. Firearms, hunting knives, bows and arrows, and other weapons kept on the Premises must remain in a Locked case, closet, or cabinet inaccessible to Children during all hours of operation. 1. Firearms must be kept unloaded. Ammunition must be Locked in a separate location from weapons. J. Materials, toys and equipment. Materials, toys, and equipment must be Developmentally Appropriate for Children enrolled. 4. Toys and equipment that have been recalled through the manufacturer or the United States Consumer Product Safety Commission (CPSC) must be removed from the Premises, repaired, or replaced based on the recall information available. Q. Emergency preparedness plan. Providers must have a written emergency preparedness plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard to the Children. Providers and Staff Members must review the emergency preparedness plan annually and update as needed. Providers must retain the updated copy of the plan for evacuation and provide details of the emergency relocation procedures to each Parent or Legal Guardian of the Child at the time of the Child’s enrollment with the Provider and whenever the plan is updated. 1. The plan must provide for the following: a. Evacuation, including a designated relocation site and evacuation route; b. Lockdown of the residence and/or shelter-in-place; iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Outdoor area is free from hazardous conditions: The play area must be free of broken or damaged equipment, insect nests, and poisonous plants. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Working smoke detectors and fire extinguisher: There must be working smoke detectors in all areas occupied by children, and at least one working fire extinguisher readily available. Two or more unblocked exits: In addition to the main entrance to the site, there must be another usable exit. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. Firearms and ammunition locked separately: All firearms must be locked and unloaded, with ammunition locked separately and out of the reach of children. Verification by viewing of storage is necessary. Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Outdoor area is free from hazardous conditions: The play area must be free of broken or damaged equipment, insect nests, and poisonous plants. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Working smoke detectors and fire extinguisher: There must be working smoke detectors in all areas occupied by children, and at least one working fire extinguisher readily available. Two or more unblocked exits: In addition to the main entrance to the site, there must be another usable exit. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. Firearms and ammunition locked separately: All firearms must be locked and unloaded, with ammunition locked separately and out of the reach of children. Verification by viewing of storage is necessary. Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Outdoor area is free from hazardous conditions: The play area must be free of broken or damaged equipment, insect nests, and poisonous plants. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Working smoke detectors and fire extinguisher: There must be working smoke detectors in all areas occupied by children, and at least one working fire extinguisher readily available. Two or more unblocked exits: In addition to the main entrance to the site, there must be another usable exit. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. Firearms and ammunition locked separately: All firearms must be locked and unloaded, with ammunition locked separately and out of the reach of children. Verification by viewing of storage is necessary. Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Evidence of routine maintenance and cleaning: The site must be free of hazards that could cause injury to a child such as missing well cover, bare electrical wires, or broken glass. The areas for food preparation must be free of dried food or mold. Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Outdoor area is free from hazardous conditions: The play area must be free of broken or damaged equipment, insect nests, and poisonous plants. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Working smoke detectors and fire extinguisher: There must be working smoke detectors in all areas occupied by children, and at least one working fire extinguisher readily available. Two or more unblocked exits: In addition to the main entrance to the site, there must be another usable exit. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. Firearms and ammunition locked separately: All firearms must be locked and unloaded, with ammunition locked separately and out of the reach of children. Verification by viewing of storage is necessary. Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. All choking/swallowing hazards are out of reach: Any objects smaller than one- and one-half inch in diameter are not within reach of children. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 14 H. Outdoor play areas. The facility must have access to an outdoor play area, with sufficient space for safe play for all Children, with drainage that prevents standing water. 2. Where hazardous conditions exist in the outdoor play area, the Children must be protected from those conditions by fencing or other appropriate barriers. a. Hazardous conditions include, but are not limited to, roads, any body of water, active railroad tracks, sharp inclines or embankments, or any other dangerous area. SECTION 15 F. Pool Accessibility. 1. All Wading Pools must be emptied when not in use. 2. Hot tubs must be protected by fencing or locked barriers to prevent access by Children. 3. All in-ground Swimming Pools located in areas accessible to Children must be fenced. The fence must be at least four feet in height and secured with a Locked gate. 4. All above-ground Swimming Pools must have non-climbable sidewalls that are at least four feet high or must be enclosed with a fence at least four feet in height and secured with a Locked gate. When the Pool is not in use, steps must be removed from the Pool or otherwise protected to prevent unsupervised access. H. Staff-Child ratios during water activities. Staff-Child ratios must be maintained at all times during swimming and wading. 1. Wading Pool attendants may count toward staff-Child ratios. Water safety attendants, lifeguards, and swimming instructors do not count toward staff-Child ratios. Water safety attendants and Certified Lifeguards must be stationed outside and next to the Swimming Pool. 2.When three or fewer Children are in the Swimming Pool, a water safety attendant may be included in staff-Child ratios. The water safety attendant must be solely responsible for supervision of the Children in the Swimming Pool. 3. If the pool is more than four feet deep at any point, only Child Care Staff Members who are able to swim may be counted in the staff-Child ratios. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 14 H. Outdoor play areas. The facility must have access to an outdoor play area, with sufficient space for safe play for all Children, with drainage that prevents standing water. 1. Where hazardous conditions exist in the outdoor play area, the Children must be protected from those conditions by fencing or other appropriate barriers. a. Hazardous conditions include, but are not limited to, roads, any bodies of water, active railroad tracks, sharp inclines or embankments, or any other dangerous area. SECTION 15 F. Pool accessibility 1. All Wading Pools must be emptied when not in use. 2. Hot tubs must be protected by fencing or Locked barriers to prevent access by Children. 3. All in-ground Swimming Pools located in areas accessible to Children must be fenced. The fence must be at least four feet in height and secured with a Locked gate. 4. All above-ground Swimming Pools must have non-climbable sidewalls that are at least four feet high or must be enclosed with a fence at least four feet in height and secured with a Locked gate. When the Pool is not in use, steps must be removed from the Swimming Pool or otherwise protected to prevent unsupervised access. H. Staff-Child ratios during water activities. Staff-Child ratios must be maintained at all times during swimming and wading. 1. Wading Pool attendants may count toward staff-Child ratios. Water safety attendants, Certified Lifeguards, and swimming instructors do not count toward staff-Child ratios. Water safety attendants and Certified Lifeguards must be stationed outside and next to the swimming Pool. 2. When three or fewer Children are in the swimming Pool, a water safety attendant may be included in staff-Child ratios. The water safety attendant must be solely responsible for supervision of the Children in the swimming Pool. 3. If the Pool is more than four feet deep at any point, only providers who are able to swim may be counted in the staff-Child ratios. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15) Swimming pool adequately safeguarded: Swimming pool must be inaccessible to children when not in use. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 7 D. Supervision. 1. Children must be supervised at all times. a. In Child Care Facilities serving 3-12 Children, Child Care Staff Members must have knowledge of the activity and whereabouts of each Child in care. i. Child Care Staff Members must be able to see or hear all Children at all times and be able to provide prompt intervention when needed. ii. Child Care Staff Members must be physically present outside when Children under the age of eight outdoors. iii. If Children over the age of eight are outdoors and a Child Care Staff Member is not physically present, the play area must be enclosed by fencing and the facility must remain in compliance with Section 7(D)(1)(a)(i) of this rule. b. In Child Care Facilities serving 13 or more Children, a Child Care Staff Member must be able to see and hear all Children, be responsible for the ongoing activity of the Children, and be able to provide prompt intervention when needed. SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 14 H. Outdoor play areas. The facility must have access to an outdoor play area, with sufficient space for safe play for all Children, with drainage that prevents standing water. 1. In playgrounds intended to serve Children of all ages, the layout of pathways, fencing, and the landscaping of the playground must show the distinct areas for the different age groups. The areas should be separated by a buffer zone, which may include, but is not limited to, shrubs or benches. 2. Where hazardous conditions exist in the outdoor play area, the Children must be protected from those conditions by fencing or other appropriate barriers. a. Hazardous conditions include, but are not limited to, roads, any body of water, active railroad tracks, sharp inclines or embankments, or any other dangerous area. SECTION 17 D. Field Trips 1. Child Care Facilities must have measures in place to account for all Children at all times. 2. Children must be accounted for when leaving and re-entering the Premises, and a head count should be performed periodically during a Field Trip. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 7 D. Supervision 1. Children must be supervised at all times by Provider or a Staff Member. The Provider or Staff Member must be present and interacting, intervening, providing direction, feedback and assistance at all times. a. Providers must have knowledge of the activity and whereabouts of each Child in care. i. A Provider or Staff Member must be able to see or hear all Children at all times and be able to provide prompt intervention when needed. ii. A Provider or Staff Member must be physically present outside when Children under the age of eight are outdoors. iii. If Children over the age of eight are outside, and a Provider or Staff Member is not physically present, the play area must be enclosed by fencing. SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 14 H. Outdoor play areas. The facility must have access to an outdoor play area, with sufficient space for safe play for all Children, with drainage that prevents standing water. 1. Where hazardous conditions exist in the outdoor play area, the Children must be protected from those conditions by fencing or other appropriate barriers. a. Hazardous conditions include, but are not limited to, roads, any bodies of water, active railroad tracks, sharp inclines or embankments, or any other dangerous area. SECTION 17 D. Field Trips 1. Providers must have measures in place to account for all Children at all times. 2. Children must be accounted for when leaving and re-entering the Premises, and a head count should be performed periodically during a Field Trip. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCAP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCAP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCAP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Children are adequately supervised: Ensure all children are always supervised by the provider, to include at a minimum, inside supervision, which can be sight or sound, and outdoor supervision (including swimming), which must be by sight and close enough to intervene. Fencing or other appropriate barriers in place: There must be a barrier adequate to restrict child access if the site is near a street, body of water, or other danger. Emergency preparedness plans in place: The provider must have an accessible site-specific emergency plan (YIKES or equivalent). Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCAP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic is defined as a safe space where age appropriate planning and checks take place inside and outside for toys, furniture, materials, and equipment. Proper supervision takes place even during naptime. Prepare and prevent to ensure Children in care can move around the space and explore; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): e. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 9 (ALL AGES) D. Detrimental practice. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited. The Child Care Facility must ensure that no Child is subjected to an action or practice detrimental to the welfare of Children, including, but not limited to: 1. Corporal punishment. Corporal punishment means physical actions harmful to a Child’s body, including, but not limited to, the following: a. Slapping, striking, shaking, shoving, spanking, pinching, twisting, kicking, biting, ear pulling or ear twisting; SECTION 10 (ALL AGES) A. Rights of Children. Children receiving Child care from Child Care Facilities have the following rights. 1. Children must be free from emotional, physical and/or sexual abuse, neglect and exploitation. 2. Each Child has the right to freedom from harmful actions or practices that are detrimental to the Child’s welfare, and to practices that are potentially harmful to the Child. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 9 (ALL AGES) D. Detrimental practices. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited. The Provider must ensure that no Child is subjected to an action or practice detrimental to the welfare of Children, including, but not limited to: 1. Corporal punishment. Corporal punishment means physical actions harmful to a Child’s body, including, but not limited to, the following a. Slapping, striking, shaking, shoving, spanking, pinching, twisting, kicking, biting, ear pulling or ear twisting; SECTION 10 (ALL AGES) A. Rights of children. Children receiving childcare from Providers have the following rights. 1. Children must be free from emotional, physical, sexual abuse, neglect and exploitation. 2. Each Child has the right to freedom from harmful actions or practices that are detrimental to the Child’s welfare, and to practices that are potentially harmful to the Child. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking, shaking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking, shaking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking, shaking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking, shaking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 9 (ALL AGES) D. Detrimental practice. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited. The Child Care Facility must ensure that no Child is subjected to an action or practice detrimental to the welfare of Children, including, but not limited to: 1. Corporal punishment. Corporal punishment means physical actions harmful to a Child’s body, including, but not limited to, the following: a. Slapping, striking, shaking, shoving, spanking, pinching, twisting, kicking, biting, ear pulling or ear twisting; b. Forcing a Child to taste or eat spicy, bitter or otherwise distasteful products for the purpose of Discipline; c. Spraying with water as a means of controlling behavior; d. Placing tape over a Child’s mouth; e. Mechanical restraints, such as tying a Child to a chair; f. Requiring or forcing a Child to take an uncomfortable position such as: squatting, kneeling, standing and holding arms outstretched at sides or overhead, bending, or requiring or forcing a Child to repeat physical movements; or 2. Other forms of aggressive contact harmful to a Child’s body. Cruel or severe punishment, humiliation, or verbal abuse, including but not limited to: a. Shaming and embarrassing; or b. Punishment for soiling, wetting or not using the toilet; c. Humiliating or verbally abusing a Child in any other way. 3. Withholding food, drink, rest or outdoor playtime as punishment or threat of punishment, or being forced to eat or drink against the Child’s will; 4. Exposing a Child to profane language, depictions of violence, use of illicit drugs or sexual content; 5. Requiring a Child to be silent or inactive as a disciplinary measure for a period exceeding that Child’s age in minutes; 6. Unusual confinement, including but not limited to developmentally inappropriate use of high chairs, play yards, cribs or leaving a Child unattended in any room; 7. Withholding any adaptive equipment that would result in loss of a Child’s independence; 8. Using physical restraints, unless trained, and with the review and approval of a Licensed clinician; 9. Lack of supervision; 10. Derogatory remarks to or about Children or parents; or 11. Rough handling. SECTION 10 (ALL AGES) A. Rights of Children. Children receiving Child care from Child Care Facilities have the following rights. 1. Children must be free from emotional, physical and/or sexual abuse, neglect and exploitation. 2. Each Child has the right to freedom from harmful actions or practices that are detrimental to the Child’s welfare, and to practices that are potentially harmful to the Child. 3. Each Child has a right to an environment that meets the health and safety standards in this rule. 4. Each Child must be provided Child care services without discrimination to race, age, national origin, religion, disability, sex or family composition. 5. Children must be treated with dignity, consideration and respect in full recognition of their individuality. This includes the use of developmentally appropriate practices by the Child Care Facility. 6. Each Child has the right to the implementation of any plan of service that has been developed for that Child in conjunction with community or state agencies by the Child Care Facility. 7. Each Child has the right to Developmentally Appropriate activities, materials, and equipment. 8. Children with disabilities have the right to reasonable modifications to Child Care Facility policies and practices. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 9 (ALL AGES) D. Detrimental practices. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited. The Provider must ensure that no Child is subjected to an action or practice detrimental to the welfare of Children, including, but not limited to: 1. Corporal punishment. Corporal punishment means physical actions harmful to a Child’s body, including, but not limited to, the following a. Slapping, striking, shaking, shoving, spanking, pinching, twisting, kicking, biting, ear pulling or ear twisting; b. Forcing a Child to taste or eat spicy, bitter or otherwise distasteful products for the purpose of Discipline; c. Spraying with water as a means of controlling behavior; d. Placing tape over a Child’s mouth; e. Mechanical restraints, such as tying a Child to a chair; f. Requiring or forcing a Child to take an uncomfortable position such as: squatting, kneeling, standing and holding arms outstretched at sides or overhead, bending, or requiring or forcing a Child to repeat physical movements; or 2. Other forms of aggressive contact harmful to a Child’s body. Cruel or severe punishment, humiliation, or verbal abuse, including but not limited to: a. Shaming and embarrassing; b. Punishing for soiling, wetting or not using the toilet; or c. Humiliating or verbally abusing a Child in any other way. 3. Withholding food, drink, rest or outdoor playtime as punishment or threat of punishment, or being forced to eat or drink against the Child’s will; 4. Exposing a Child to profane language, depictions of violence, use of illicit drugs or sexual content; 5. Requiring a Child to be silent or inactive as a disciplinary measure for a period exceeding that Child’s age in minutes; 6. Unusual confinement, including but not limited to developmentally inappropriate use of high chairs, play yards, cribs or leaving a Child unattended in any room; 7. Withholding any adaptive equipment that would result in loss of a Child’s independence; 8. Using physical restraints, unless trained, and with the review and approval of a Licensed clinician; 9. Lack of supervision; 10. Derogatory remarks to or about Children or Parents; or 11. Rough handling. SECTION 10 (ALL AGES) A. Rights of children. Children receiving childcare from Providers have the following rights. 1. Children must be free from emotional, physical, sexual abuse, neglect and exploitation. 2. Each Child has the right to freedom from harmful actions or practices that are detrimental to the Child’s welfare, and to practices that are potentially harmful to the Child. 3. Each Child has a right to an environment that meets the health and safety standards in this rule. 4. Each Child must be provided childcare services without regard to race, age, national origin, religion, disability, sex or family composition. 5. Children must be treated with dignity, consideration and respect in full recognition of their individuality. This includes the use of Developmentally Appropriate practices by the Provider and Staff Members. 6. Each Child has the right to the implementation of any plan of service that has been developed for that Child in conjunction with community or state agencies by the Provider. 7. Each Child has a right to Developmentally Appropriate activities, materials, and equipment. 8. Children with disabilities have the right to reasonable modifications to Provider policies and practices. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards: Positive methods of child guidance observed/described: The provider must be able to describe how they respond to challenging behaviors in ways that are non- punitive and that do not involve physical discipline (spanking). Number of children cared for in the home: No more than 2 children that do not reside in the providers home can be cared for. If caring for a family unit in the family’s home, the provider can also care for no more than 2 of their own children. Recreational Programs must also comply with the following requirements: Maintain a maximum group size of fifty (50) for School Age children and maintain a ratio of one staff for every 15 Children (1:15). Mandated reporter training: The provider and anyone providing direct care for children must have completed mandated reporter training, and the Mandated Reporter hotline number must be available on site. In accordance with Maine State Law this training must be updated every four (4) years. Background Checks: A copy of the letter of eligibility that will be provided to the individual by the Office of Child & Family Services (OCFS) will be verified during the on-site inspection. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS 1. All Child Care Providers, (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine’s Quality Rating and Improvement System (QRIS). 2. All Teachers and Directors of a Child Care Provider (excluding Relative Child Care Providers) must successfully complete the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning their work with Children as required by federal law (45 C.F.R. § 98.41): f. Prevention of shaken baby syndrome, abusive head trauma, and Child maltreatment is defined as all Caregivers/Teachers who are in direct contact with Children including substitute Caregivers/Teachers and volunteers: i. Actions that have a reasonable likelihood to be harmful to Children are strictly prohibited including but is not limited to: shaking babies, using corporal punishment, aggressive contact harmful to a Child’s body, cruel or severe punishment, humiliation, or verbal abuse and/or other methods of detrimental practice. ii. Receiving training on how to prevent shaken baby syndrome/abusive head trauma; iii. Recognizing the potential signs and symptoms of shaken baby syndrome/abusive head trauma; iv. Learning strategies for coping with a crying, fussing or distraught Child; and v. Learning the development and vulnerabilities of the brain in infancy and early childhood. 3. All Child Care Providers, Teachers, and Directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Children Experiencing Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): f. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child maltreatment; 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: N/A 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 14 A. General condition of the building and surrounding premises. The facility must take immediate steps to correct any condition in the physical building or on the premises, which poses a danger to Children’s life, health or safety. 4. Any Medications, Toxic Substances, Hazardous Materials, and other items dangerous to Children such as matches, lighters, fireworks, and power tools must be kept where Children cannot access them. 13. The Child Care Facility must Clean surfaces daily in all areas where Children are present. Cleaning products must not be used in close proximity to Children and adequate ventilation must be maintained during use. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 14 A. General condition of the building and surrounding Premises. A Provider must take immediate steps to correct any condition in the physical building or on the Premises, which poses a danger to Children’s life, health or safety. 4. Any Medications, Toxic Substances, Hazardous Materials, and other items dangerous to Children such as matches, lighters, fireworks, and power tools must be kept where Children cannot access them. 13. The provider must Clean surfaces daily in all areas where Children are present. Cleaning products must not be used in close proximity to Children and adequate ventilation must be maintained during use. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Hazardous materials handled properly, dangers and toxins inaccessible: All hazardous materials must be stored in the original container and inaccessible to children. Chemicals are stored separately from food and medications, used per manufacturer’s instructions, pesticides and chemicals should not be used when children are present. The site must be free of materials and conditions that could cause serious injury to an unsupervised child. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 12 J. Prevention of exposure to blood and bodily fluids. Child Care Staff Members must take measures to prevent potential exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, Care Staff Members must: 1. Wash their hands after contact, even if gloves are worn; 2. Ensure safe waste management by immediately discarding contaminated single use items; and 3. Immediately clean and disinfect surfaces and reusable equipment. SECTION 14 N. Diapering/Toileting 2. Wet or soiled disposable diapers must be placed in a lined, lidded, container, separate from other trash or garbage and separate from play or food-preparation areas, or individually bagged and tied within a lidded shared garbage container. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 12 J. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1. Wash their hands after contact, even if gloves are worn; 2. Ensure safe waste management by immediately discarding contaminated single use items; and 3. Immediately Clean and disinfect surfaces and reusable equipment. SECTION 14 N. Diapering/toileting. 2. Wet or soiled disposable diapers must be placed in a lined, lidded container, separate from other trash or garbage and separate from play or food-preparation areas, or individually bagged and tied within a lidded shared garbage container. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Proper disposal of bio-contaminants: When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin adults must wash their hands after contact, even if gloves are worn, immediately discard contaminated single use items and immediately clean and disinfect affected surfaces and reusable equipment. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants is defined as any material that either contains poison or is poisonous, and possibly can cause serious problems or even death, or blood, body fluids or excretions that may spread infectious disease. Exposure can take place through inhalation, skin contact, or ingestion. i. When not in use, all hazardous materials should be stored in the original container in a locked cabinet or room that has a Child-resistant lock and is not accessible to Children. ii. Chemicals should be stored separately from food and medications. All hazardous materials should be used per the manufacturer’s instructions on the label. Pesticides and other chemicals should not be used when Children are present. iii. Chemicals used to treat lawns should be restricted to chemicals that are approved for use in areas where Children will be present. iv. Prevention of exposure to blood and body fluids. The Provider must take measures to prevent exposure to blood and other potentially infectious fluids, which may include use of disposable gloves. When touching blood, body fluids, secretions, excretions, mucous membranes, or non-intact skin, providers must: 1) Wash their hands after contact, even if gloves are worn; 2) Ensure safe waste management by immediately discarding contaminated single use items; and 3) Immediately Clean and disinfect surfaces and reusable equipment. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): h. Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 17. TRANSPORTATION A. Driver requirements. Any person driving Children receiving Child care from a Child Care Facility must have the proper license to drive the class of motor vehicle being used, annually submit a signed release authorizing the Department to check the records of the Bureau of Motor Vehicles, receive a qualifying result pursuant to the Bureau of Motor Vehicle Check, and complete Department-approved training for transportation of Children prior to driving Children and at least every two years thereafter. 1. The following offenses disqualify from driving Children receiving Childcare at a Child Care Facility, whenever committed: a. Motor vehicle violation resulting in death, b. Aggravated refusing to stop for a law enforcement officer, c. Criminal homicide in operation of a motor vehicle. 2. The following offenses disqualify from driving Children receiving Childcare at a Child Care Facility if committed within the last five years: a. Criminal OUI, b. Operating while license suspended or revoked, c. Driving to endanger, d. Refusing to stop for a law enforcement officer, e. Criminal speeding B. Vehicle capacity not to be exceeded. The number of persons transported in any vehicle must not exceed the seating capacity of the vehicle, except in the event of emergency evacuation and relocation to a previously established relocation site. C. Safety in vehicles. 1. No Child will be permitted in any vehicle without Adult supervision. 2. Children must be seated with seat belts fastened or in Child safety seats in accordance with 29-A M.R.S. § 2081. 3. The vehicle requirements above shall not apply to vehicles not operated by the Child Care Facility, such as school buses, taxis, and/or public transportation agencies. 4. Children being transported on a school bus that are under the age of 4 must be in Child safety seats in accordance with 29-A M.R.S. § 2081. 5. Weapons must not be transported in any vehicle in which Children are riding. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 17. TRANSPORTATION A. Driver requirements. Any person driving Children receiving Child care from a Provider must have the proper license to drive the class of motor vehicle being used, annually submit a signed release authorizing the Department to check the records of the Bureau of Motor Vehicles, receive a qualifying result pursuant to the Bureau of Motor Vehicle Check, and complete Department-approved training for transportation of Children prior to driving Children and at least every two years thereafter. 1. The following offenses disqualify a person from driving Children receiving childcare from a Provider, whenever committed: a. Motor vehicle violation resulting in death, b. Aggravated refusing to stop for a law enforcement officer, c. Criminal homicide in operation of a motor vehicle. 2. The following offenses disqualify a person from driving Children receiving childcare from a Provider if committed within the last five years: a. Criminal OUI, b. Operating while license is suspended or revoked, c. Driving to endanger, d. Refusing to stop for a law enforcement officer, e. Criminal speeding B. Vehicle capacity not to be exceeded. The number of persons transported in any vehicle must not exceed the seating capacity of the vehicle, except in the event of emergency evacuation and relocation to a previously established relocation site. C. Safety in vehicles 1. No Child will be permitted in any vehicle without Adult supervision. 2. Children must be seated with seat belts fastened or in Child safety seats in accordance with 29-A M.R.S. §2081. 3. The vehicle requirements above shall not apply to vehicles not operated by the Provider, such as school buses, taxis, and/or public transportation agencies. 4. Children being transported on a school bus that are under the age of 4 must be in Child safety seats in accordance with 29-A M.R.S. §2081. 5. Weapons must not be transported in any vehicle in which Children are riding. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Maine License- Exempt Standards Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCSP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable) are defined as all providers and staff follow state laws and regulations, program polices, liability, and insurance. Written transportation policies should be in place and should address the safe transport of Children by vehicle to and from the facility, home pickups and deliveries, and special outings such as field trips. Policies should also address the safe care of Children around vehicles, such as during drop-off and pickup times, in parking lots, or anywhere that children may be exposed to moving vehicles; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable); v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Maine License-Exempt Standards Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCSP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable) are defined as all providers and staff follow state laws and regulations, program polices, liability, and insurance. Written transportation policies should be in place and should address the safe transport of Children by vehicle to and from the facility, home pickups and deliveries, and special outings such as field trips. Policies should also address the safe care of Children around vehicles, such as during drop-off and pickup times, in parking lots, or anywhere that children may be exposed to moving vehicles; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable); vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Maine License-Exempt Standards Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCSP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable) are defined as all providers and staff follow state laws and regulations, program polices, liability, and insurance. Written transportation policies should be in place and should address the safe transport of Children by vehicle to and from the facility, home pickups and deliveries, and special outings such as field trips. Policies should also address the safe care of Children around vehicles, such as during drop-off and pickup times, in parking lots, or anywhere that children may be exposed to moving vehicles; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable); vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Maine License-Exempt Standards Safe transportation practices: Providers that have been approved by the Child Care Affordability Program to transport children must use appropriate restraints (car seats or seat belts, based on the size of the child) if transportation is provided. http://www.mainelegislature.org/legis/statutes/29-a/title29- asec2081.html. Transporting on buses does not require appropriate restraints for children age 4 and older. Providers must also hold a valid driver’s license and refrain from smoking in the motor vehicle with any child(ren) under the age of sixteen (16), as required by Maine State Law. The Transportation Approval letter from CCSP needs to be provided during the inspection for all staff who transport. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable) are defined as all providers and staff follow state laws and regulations, program polices, liability, and insurance. Written transportation policies should be in place and should address the safe transport of Children by vehicle to and from the facility, home pickups and deliveries, and special outings such as field trips. Policies should also address the safe care of Children around vehicles, such as during drop-off and pickup times, in parking lots, or anywhere that children may be exposed to moving vehicles; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): i. Appropriate precautions in transporting Children (if applicable); 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); v. All CCDF-eligible license-exempt family child care homes. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); vi. All CCDF-eligible license-exempt in-home care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); v. All CCDF-eligible license-exempt family child care homes. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); vi. All CCDF-eligible license-exempt in-home care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR) is defined as Providers have learned the priorities, roles, and responsibilities of a rescuer providing first aid or CPR to a Child or an Infant. Included is how to help when a Child or Infant is choking. Proper certification is gained through training; 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): j. Pediatric first-aid and cardiopulmonary resuscitation (CPR); 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or 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: 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities SECTION 2 F. Administration. 6. A copy of the Child Care Facility handbook will be made available to all parents or legal guardians at the time of enrollment. The handbook must contain, at a minimum: m. Incident reporting and mandatory reporting of Child Abuse or Neglect; 9. The Child Care Facility must maintain a Child Care Facility Staff manual that addresses the following: a. Policies and their implementation. This must include, at a minimum, policies for the following: i. Mandated reporting, 10. The facility must adopt written policy for handling all suspected instances of Child abuse or neglect in accordance with Maine statute. Written policy must include, but is not limited to, the following: a. Internal notification procedure of suspected abuse or neglect; b. Conditions that require internal notification of the owner, director, or designee; c. The requirement that any suspicion of abuse and/or neglect must be immediately shared with the owner, director, or designee; d. The requirement that suspected Child abuse and neglect must be immediately reported upon suspicion to Child Protective Intake hotline; e. Identification of personnel responsible for contacting the Child Protective Intake hotline; f. Protocol to notify all relevant parties that suspected Child abuse and neglect has been reported to Child Protective Intake; g. Completion of incident reports, including: the details of the allegation or suspicion, the date Child Protective Intake was called, which relevant parties were notified the report was filed, and whether or not the parent/guardian was notified of the allegation; and h. Parental notification, including the determination how and what information will be shared with a parent/legal guardian when Child Protective Intake has been contacted. 11. The Child Care Facility must develop a written policy to follow if an allegation of Child abuse or neglect is made against any Child Care Staff Member at the Child Care Facility. The written policy must include but is not limited to the following: a. Prevention measures to protect from potential allegations; d. The requirement to report suspected Child abuse and neglect occurring at any location in accordance with statute; SECTION 5 A. Record management. Facilities must comply with the following: 4. The Child Care Facility must maintain a separate record of all reports of alleged Child abuse and/or neglect made in accordance with 22 MRS §4011-A. SECTION 6 B. Mandatory report of suspected Child abuse and/or neglect. Any Child Care Staff Member suspecting abuse and/or neglect must immediately report this information to Child Protective Intake, 1-800-452-1999, TTY 1-800-963-9490 which is staffed 24 hours a day, 7 days a week. 1. The Child Care Facility must maintain documentation, not maintained in the Child’s record, that a report has been made. 2. All reporting of suspected Child abuse and/or neglect, and serious injuries of a Child who is under six months of age or otherwise non-ambulatory, must comply with 22 MRS §4011-A. F. Other Notifications. The Child Care Facility must notify the Department of the following within 24 hours of occurrence: 2. Any Child abuse and neglect allegations naming any Child Care Staff Member(s) associated with the Child Care Facility, in addition to the immediate report to Child Protective Intake required in Section 6(B) above; SECTION 8. TRAINING A. Child Care Facility Responsibility. The Child Care Facility is responsible for ensuring that all Child Care Staff Members are familiar with the operation of the Child care and understand the relevant requirements of this rule. 1. All Child Care Staff Members must receive training regarding fire drill and other emergency and disaster procedures within the first week of service. B. Orientation training. All Child Care Staff Members must receive training in the following areas within the first ninety days of service: 1. 10-148 CMR Ch. 32, Child Care Facility Licensing Rule - Child Care Center, Nursery Schools, Small Child Care Facilities 2. The program’s policies and procedures; 3. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 4. Administration of Medication and parental consent (Child Care Staff Members may not administer Medication until training has occurred); 5. Prevention of and response to food and allergy emergencies; 6. Building and physical premise safety; 7. Communicable diseases, infectious disease prevention and control Universal Safety Precautions and Blood Borne Pathogens; 8. Handling and storage of Hazardous material and disposal of Bio-contaminants; 9. Transportation of Children (if the individual will be responsible for the transportation of Children; required biannually thereafter); 10. Adult and pediatric first aid with hands-on skills demonstration; 11. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 12. Department-approved mandated reporter training; 13. For programs serving 13 or more Children, training in the program’s health care plan as developed by the program’s Health Care Consultant. C. Ongoing Training. All Child Care Facilities must ensure the appropriate number of hours of ongoing training for Child Care Staff Members. 1. All Child Care Staff Members must register with Maine’s Professional Development Network. a. Annual training must include a review of health and safety topics, as offered by Maine’s state-approved Professional Development Network. SECTION 11 A. Requirement to report Child abuse or neglect. All Child Care Staff Members must immediately contact the Department of Health and Human Service’s Child Protective Intake hotline (800-452-1999) when they suspect Child Abuse or Neglect. B. Child Care Facility requirement to inform. The Director must inform all Child Care Staff Members during orientation of their status as Mandated Reporters and their responsibility to report to the Department of Health and Human Services whenever there is reasonable cause to suspect Abuse or Neglect of a Child, and comply with ongoing Mandated Reporter training for all Child Care Staff Members as provided in Section 8 of this Rule. C. Written instruction provided. Child Care Staff Members must receive written instructions regarding Child Abuse or Neglect reporting that contains a summary of the State of Maine Child abuse reporting statute and a statement that they will not be discharged or disciplined solely because they have made a Child Abuse or Neglect report. D. Hotline number posted. The Child Care Facility must ensure that the telephone number of the Department’s Child Protective Intake hotline is posted in a readily accessible central location on the Premises. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 10-148 CMR Ch. 33, Family Child Care Provider Licensing Rule SECTION 2 G. Administration. 4. A copy of the Provider handbook will be made available to all Parents or Legal Guardians at the time of enrollment. The handbook must contain, at a minimum: m. Incident reporting and mandatory reporting of Child Abuse or Neglect; 7. The Provider must maintain a staff manual that addresses the following: a. Policies and their implementation. This must include, at a minimum, policies for the following: i. Mandated reporting, 8. The Provider must adopt a written policy for handling all suspected instances of Child Abuse or Neglect in accordance with Maine statute. Written policy must include, but is not limited to, the following: a. Internal notification procedure of suspected Abuse or Neglect, b. Conditions that require internal notification of the Provider, c. The requirement that any suspicion of Abuse or Neglect must be immediately shared with the Provider, d. The requirement that suspected Child Abuse or Neglect must be immediately reported upon suspicion to Child Protective Intake hotline, e. Identification of personnel responsible for contacting the Child Protective Intake hotline, f. Protocol to notify all relevant parties (Parents, Staff Members, interns, or Household Members) that suspected Child Abuse or Neglect has been reported to Child Protective Intake, g. Completion of Incident reports, including: the details of the allegation or suspicion, the date Child Protective Intake was called, which Staff Members and/or interns were notified the report was filed, and whether or not the Parent/Legal Guardian were notified of the allegation, and h. Parental notification, including the determination of how and what information will be shared with a Parent/Legal Guardian when Child Protective Intake has been contacted. 9. The Provider must develop a written policy to follow if an allegation of Child Abuse or Neglect is made against the Provider, any Staff Member, or Household Member in the Provider’s home. The written policy must include but is not limited to the following: a. Prevention measures to protect providers from potential allegations; d. The requirement to report suspected Child Abuse or Neglect occurring at any location in accordance with statute; SECTION 5 A. Record management. Providers must comply with the following: 4. Maintain a separate record of all reports of alleged Child Abuse or Neglect made in accordance with 22 MRS §4011-A. SECTION 6 B. Mandatory report of suspected Abuse or Neglect. Any provider suspecting Abuse or Neglect must immediately report this information to Child Protective Intake Services, 1-800-452-1999, TTY 1-800-963-9490 which is staffed 24 hours a day, 7 days a week. 1. The provider must maintain documentation, not maintained in the Child’s record, that a report has been made. 2. All reporting of suspected Child Abuse or Neglect, and serious injuries of a Child who is under six months of age or otherwise non-ambulatory, must comply with 22 MRS §4011-A. F. Other notifications. The Provider must notify the Department of the following within 24 hours of occurrence: 2. Any Child Abuse or Neglect allegations naming any Provider or Staff Member associated with the Provider, in addition to the immediate report to Child Protective Intake required in Section 6(B) above; SECTION 8. TRAINING A. Orientation training. Except when another time period is indicated, all Staff Members must receive training in the following areas within the first ninety days of service: 1. Fire drill procedures, disaster procedures, and all other emergency procedures. This training must be completed within the first week of service. 2. This Rule; 3. The Provider’s policies and procedures; 4. Prevention of Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Infant Death (SUID), Shaken Baby Syndrome, and safe sleep practices; 5. Administration of Medication and Parental consent (providers may not administer Medication until training has occurred); 6. Prevention of and response to food and allergy emergencies; 7. Building and physical premise safety; 8. Communicable diseases, infectious disease prevention and control, Universal Safety Precautions and Blood Borne Pathogens; 9. Handling and storage of Hazardous Material and disposal of Bio-contaminants; 10. Transportation of Children (if the individual will be responsible for the transportation of Children; required biennially thereafter); 11. Adult and pediatric first aid with hands-on skills demonstration; 12. Adult and pediatric Cardio-Pulmonary Resuscitation (CPR) with hands-on skills demonstration; 13. Mandated Reporter Training. B. Ongoing Training. All Providers must ensure the appropriate number of hours of ongoing training for themselves and Staff Members. Twelve hours of training is required annually. All Providers and Staff Members must register with Maine’s Professional Development Network. 1. Annual training must include a review of health and safety topics. 2. Ongoing training must include Department-approved Mandated Reporter retraining at least once every four years. 3. All training, including Adult and Pediatric First Aid and CPR certification hours, will be counted toward the requirement for the year it was completed. SECTION 11 A. Requirement to report child abuse or neglect. Every Provider or Staff Member must immediately contact the Department of Health and Human Service’s Child Protective Intake hotline (800-452-1999) when they suspect Child Abuse or Neglect. B. Provider requirement to inform. The Provider must inform all Staff Members during orientation of their status as Mandated Reporters and their responsibility to report to the Department of Health and Human Services whenever there is reasonable cause to suspect Abuse or Neglect of a Child, and comply with ongoing Mandated Reporter training for all Staff Members as provided in Section 8 of this Rule. C. Written instruction provided. Staff members must receive written instructions regarding Child Abuse or Neglect reporting that contains a summary of the State of Maine Child abuse reporting statute and a statement that they will not be discharged or disciplined solely because they have made a Child Abuse or Neglect report. D. Hotline number posted. The Provider must ensure that the telephone number of the Department’s Child Protective Intake hotline is posted in a readily accessible central location on the Premises. iii. All CCDF-eligible licensed in-home care. Provide the standard: N/A [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 10-148 Chapter 6, Child Care Affordability Program Rules SECTION 8: CHILD CARE PROVIDER QUALIFICATIONS AND REQUIREMENTS F. Health and Safety Standards 1. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must have attained a minimum of a Star One (1) quality rating from Maine Roads to Quality and successfully completed the Department-Approved orientation training that includes, at a minimum, the Health and Safety Standards below, within ninety (90) calendar days of beginning his/her work with Children as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect is defined as a threat to a Child’s health or welfare by physical, mental or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs or lack of protection from these, by a person responsible for the Child. Any provider suspecting abuse or neglect must report this information to Child Protective Intake Services, which is staffed twenty-four (24) hours a day, seven (7) days a week. The Provider must maintain documentation that a report has been made. 2. All Child Care Providers, Teachers, and directors associated with Child Care Providers (excluding Relative Child Care Providers) must successfully complete the Department-Approved annual training, that includes, at a minimum, inclusion of Children with Special Needs, Homelessness, and the minimum Health and Safety Standards listed below as required by federal law (45 C.F.R. § 98.41): k. Recognition and reporting of Child abuse or neglect. 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? [ ] Yes. [x] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: ii. Access to physical activity. Describe: iii. Caring for children with special needs. Describe: iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: