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: For licensed child care centers, providers are required to follow supervision and notification requirements when a child becomes sick in care as well as follow guidelines to exclude sick children from care. Licensed child care centers are required to have a certified health consultant who reviews their health and safety policies and procedures including sanitary practices for preparing, handling, and storing breast milk and formula for infants and diaper changing procedures. Providers must also ensure handwashing for children and caregivers before and after specified activities. Also, these providers have requirements for safely handling and disposing of bodily fluids and other potentially infectious fluids by using gloves, disinfecting surfaces that come in contact with potentially infectious bodily fluids, and disposing of bodily fluid in a securely sealed plastic bag. Minn. R. 9503.0080, Minn. R. 9503.0140, and Minn. Stat. 142B.66. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care, providers are required to follow supervision and notification requirements when a child becomes sick in care as well as follow guidelines to exclude sick children from care. Family child care providers are required to follow sanitary practices when changing diapers. Providers must also ensure handwashing for children and caregivers before and after specified activities. Also, these providers have requirements for safely handling and disposing of bodily fluids and other potentially infectious fluids by using gloves, disinfecting surfaces that come in contact with potentially infectious bodily fluids, and disposing of bodily fluid in a securely sealed plastic bag. Minn. R. 9502.0435 and 9502.0405. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, providers are required to follow supervision and notification requirements when a child becomes sick in care as well as follow guidelines to exclude sick children from care. Also, these providers have requirements for safely handling and disposing of bodily fluids and other potentially infectious fluids by using gloves, disinfecting surfaces that come in contact with potentially infectious bodily fluids, and disposing of bodily fluid in a securely sealed plastic bag. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must review information and resources shared related to prevention and control of infectious diseases including information about immunizations, infectious diseases and hand hygiene. There are no requirements to exclude sick children from legal nonlicensed care. Legal nonlicensed providers who are not related to all children in their care must take training in prevention and control of infectious disease within three months of caring for unrelated children. Minnesota Administrative Rules Chapter 3400.0120, subp. 8; Minnesota Statutes 142E.16, Subd. 1; CCAP Policy Manual (chapter 11.9); Legal Nonlicensed Provider Registration and Acknowledgment form (DHS-5192). Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention and control of infectious disease. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention and control of infectious disease. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention and control of infectious diseases standards for all legal nonlicensed providers are: 1) Individual bedding is available for each child; 2) Clean towels and washcloths are provided daily or are disposable after use; 3) Provider and all children wash hands before and after eating and preparing food; 4) Provider and all children wash hands after changing diapers or toileting; 5) Food is safely handled and properly stored to prevent contamination, spoilage or a threat to health. This includes proper storage of human milk and infant formula; and 6) Provider has documentation of all children’s age-appropriate immunization records or legal exemptions. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must review information and resources shared related to prevention and control of infectious diseases including information about immunizations, infectious diseases and hand hygiene. There are no requirements to exclude sick children from legal nonlicensed care. Legal nonlicensed providers who are not related to all children in their care must take training in prevention and control of infectious disease within three months of caring for unrelated children. Minnesota Administrative Rules Chapter 3400.0120, subp. 8; Minnesota Statutes 142E.16, Subd. 1; CCAP Policy Manual (chapter 11.9); Legal Nonlicensed Provider Registration and Acknowledgment form (DHS-5192). Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention and control of infectious disease. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention and control of infectious disease. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention and control of infectious diseases standards for all legal nonlicensed providers are: 1) Individual bedding is available for each child; 2) Clean towels and washcloths are provided daily or are disposable after use; 3) Provider and all children wash hands before and after eating and preparing food; 4) Provider and all children wash hands after changing diapers or toileting; 5) Food is safely handled and properly stored to prevent contamination, spoilage or a threat to health. This includes proper storage of human milk and infant formula; and 6) Provider has documentation of all children’s age-appropriate immunization records or legal exemptions. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers providers must maintain documentation of a child's current immunizations or applicable exemption or extension for special living situations (i.e. Homelessness). Minn. R. 9503.0125. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care, providers must maintain documentation of a child's current immunizations or applicable exemption or extension for special living situations (i.e., Homelessness). Minn. R. 9502.0435 and 9502.0405. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, providers must maintain documentation of a child's current immunizations or applicable exemption or extension for special living situations (i.e., Homelessness). Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must have immunization records on file and review information and resources shared related to prevention and control of infectious diseases including information about immunizations. At registration renewal, which occurs at least every two years, legal nonlicensed providers must sign an acknowledgment that they have immunization records on file and that they have reviewed information and resources shared related to prevention and control of infectious diseases including information about immunizations. Minnesota Administrative Rules Chapter 3400.0120, subp. 2; Minnesota Statutes 142E.16, Subd. 1; CCAP Policy Manual (chapter 11.9); Legal Nonlicensed Provider Registration and Acknowledgment form (DHS-5192). Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including immunization requirements. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including immunization requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must have immunization records on file and review information and resources shared related to prevention and control of infectious diseases including information about immunizations. At registration renewal, which occurs at least every two years, legal nonlicensed providers must sign an acknowledgment that they have immunization records on file and that they have reviewed information and resources shared related to prevention and control of infectious diseases including information about immunizations. Minnesota Administrative Rules Chapter 3400.0120, subp. 2; Minnesota Statutes 142E.16, Subd. 1; CCAP Policy Manual (chapter 11.9); Legal Nonlicensed Provider Registration and Acknowledgment form (DHS-5192). Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including immunization requirements. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including immunization requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, providers are required to comply with infant-specific safe sleep standards, including safe sleep practices and staff training. Providers must place infants on their backs to sleep (unless there is a physician's directive for anything other than a back sleeping position); nothing is allowed in the crib with the infant except a pacifier; when an infant younger than one year of age is placed down to sleep, the infant’s pacifier cannot have anything attached to it and the infant’s clothing or sleepwear cannot have weighted materials, a hood, or a bib; an infant younger than one year of age may wear a helmet while sleeping if the provider has specific documentation; and mattresses must be firm and crib sheets must be tight fitting. Licensed child care centers have nap and rest requirements including equipment and bedding as well as requirements in the risk reduction plan for nap time supervision considerations. Minn. Stat. 142B.46, Minn. Stat. 142B.45, Minn. Stat. 142B.01, subd. 26, Minn. Stat. 142B.65, Minn Stat. 142B.54, and Minn. R. 9503.0050. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care, providers are required to comply with infant-specific safe sleep standards, including safe sleep practices and caregiver training. Providers must place infants on their backs to sleep (unless there is a physician's directive for anything other than a back sleeping position); nothing is allowed in the crib with the infant except a pacifier; when an infant younger than one year of age is placed down to sleep, the infant’s pacifier cannot have anything attached to it and the infant’s clothing or sleepwear cannot have weighted materials, a hood, or a bib; an infant younger than one year of age may wear a helmet while sleeping if the provider has specific documentation; and mattresses must be firm and crib sheets must be tight fitting. Licensed family child care providers are required to meet equipment requirements for naps and rest. Minn. Stat. 142B.46, Minn. Stat. 142B.45, Minn. Stat. 142B.01, subd. 26, Minn. Stat. 142B.70 and Minn. R. 9502.0415. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers who serve infants, providers are required to comply train staff to comply with infant-specific safe sleep standards. Providers must place infants on their backs to sleep (unless there is a physician's directive for anything other than a back sleeping position); nothing is allowed in the crib with the infant except a pacifier; when an infant younger than one year of age is placed down to sleep, the infant’s pacifier cannot have anything attached to it and the infant’s clothing or sleepwear cannot have weighted materials, a hood, or a bib; an infant younger than one year of age may wear a helmet while sleeping if the provider has specific documentation; and mattresses must be firm and crib sheets must be tight fitting. Minn. Stat. 142C.12, which requires following Minn. Stat. 142B.46. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to prevention of sudden infant death syndrome and safe-sleep practices including safe sleep environments, crib safety guidelines and reducing the risk of sudden unexplained infant death syndrome. Legal nonlicensed providers caring for children under 1 must take training in sudden unexplained infant death syndrome prior to service authorization. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of sudden infant death syndrome and the use of safe-sleep practices. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of sudden unexplained infant death syndrome and the use of safe-sleep practices. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The reducing the risk of Sudden Unexpected Infant Death Syndrome and safe sleep standards for all legal nonlicensed providers are: 1) A safe crib is used for each infant in care. Cribs must be manufactured after June 28, 2011, should be in good condition and not recalled by the U.S. Consumer Product Safety Commission on CPSC.gov. Crib includes mesh-sided or fabric-sided play yard, pack and play, or playpen; 2) Infants in care younger than age 1 must be placed to sleep directly on their back, in a crib* on a firm mattress; 3) If an infant is not placed to sleep on their back, there must be documentation from infant’s physician directing an alternative sleeping position in the crib; 4) The crib’s firm mattress must have a fitted sheet, appropriate to the mattress size, that fits tightly on the mattress and overlaps the underside of the mattress so it cannot be dislodged by pulling on the corner of the sheet with reasonable effort; 5) Nothing is placed in the crib with an infant except for a pacifier, if applicable; 6) Provider has completed Sudden Infant Death Syndrome training and understands ongoing training requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to prevention of sudden infant death syndrome and safe-sleep practices including safe sleep environments, crib safety guidelines and reducing the risk of sudden unexplained infant death syndrome. Legal nonlicensed providers caring for children under 1 must take training in sudden unexplained infant death syndrome prior to service authorization. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of sudden infant death syndrome and the use of safe-sleep practices. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of sudden unexplained infant death syndrome and the use of safe-sleep practices. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The reducing the risk of Sudden Unexpected Infant Death Syndrome and safe sleep standards for all legal nonlicensed providers are: 1) A safe crib is used for each infant in care. Cribs must be manufactured after June 28, 2011, should be in good condition and not recalled by the U.S. Consumer Product Safety Commission on CPSC.gov. Crib includes mesh-sided or fabric-sided play yard, pack and play, or playpen; 2) Infants in care younger than age 1 must be placed to sleep directly on their back, in a crib* on a firm mattress; 3) If an infant is not placed to sleep on their back, there must be documentation from infant’s physician directing an alternative sleeping position in the crib; 4) The crib’s firm mattress must have a fitted sheet, appropriate to the mattress size, that fits tightly on the mattress and overlaps the underside of the mattress so it cannot be dislodged by pulling on the corner of the sheet with reasonable effort; 5) Nothing is placed in the crib with an infant except for a pacifier, if applicable; 6) Provider has completed Sudden Infant Death Syndrome training and understands ongoing training requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: Licensed child care centers are required to obtain written permission from the child’s parent prior to administering medication including nonprescription medication. For nonprescription medication, they must be administered according to manufacturer’s instructions unless there are written instructions provided by a licensed physician or dentist. Further, providers must follow written instructions from the prescribing health professional, medicine must be labeled with a child's first and last name and document the administration of the medicine including the date, time, dosage, and person who administer the medication. Minn. R. 9503.0090 and 9503.0140. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Licensed family child care providers are required to obtain written permission from the child’s parent prior to administering medication including nonprescription medication. For nonprescription medication, they must be administered according to manufacturer’s instructions unless there are written instructions provided by a licensed physician or dentist. Further, providers must follow written instructions from the prescribing health professional, medicine must be labeled with a child's first and last name and document the administration of the medicine including the date, time, dosage, and person who administer the medication. Minn. R. 9502.00435. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Certified license-exempt child care centers are required to obtain written permission from the child’s parent prior to administering medication including nonprescription medication. For nonprescription medication, they must be administered according to manufacturer’s instructions unless there are written instructions provided by a licensed physician or dentist. Further, providers must follow written instructions from the prescribing health professional, medicine must be labeled with a child's first and last name and document the administration of the medicine including the date, time, dosage, and person who administer the medication. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to administration of medication including a free online course in medication administration. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including administration of medication. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including administration of medication. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The administration of medication standards for all legal nonlicensed providers are: 1) Provider has prior written permission and instructions from a child’s parent/guardian for any prescription and non-prescription medications dispensed to the child. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements; 2) Provider ensures sun safety by keeping infants under six months out of direct sunlight, limit sun exposure when ultraviolet rays are strongest, and apply sunscreen with written permission of parents/guardians following manufacturer instructions. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to administration of medication including a free online course in medication administration. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including administration of medication. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including administration of medication. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The administration of medication standards for all legal nonlicensed providers are: 1) Provider has prior written permission and instructions from a child’s parent/guardian for any prescription and non-prescription medications dispensed to the child. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements; 2) Provider ensures sun safety by keeping infants under six months out of direct sunlight, limit sun exposure when ultraviolet rays are strongest, and apply sunscreen with written permission of parents/guardians following manufacturer instructions. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: Licensed child care centers are required to obtain written permission from the child’s parent prior to administering medication including nonprescription medication. Minn. R. 9503.0140. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Licensed family child care providers are required to obtain written permission from the child’s parent prior to administering medication including nonprescription medication. Minn. R. 9502.0435. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Certified license-exempt child care centers are required to obtain written permission from the child’s parent prior to administering medication including nonprescription medication. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to administration of medication, including obtaining parental written permission and instructions prior to medication administration. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including obtaining permission for administration of medication. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including obtaining permission for administration of medication. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. Administration of medication standards for all legal nonlicensed providers are: 1) Provider has prior written permission and instructions from a child’s parent/guardian for any prescription and non-prescription medications dispensed to the child. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements; 2) Provider ensures sun safety by keeping infants under six months out of direct sunlight, limit sun exposure when ultraviolet rays are strongest, and apply sunscreen with written permission of parents/guardians following manufacturer instructions. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to administration of medication, including obtaining parental written permission and instructions prior to medication administration. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including obtaining permission for administration of medication. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including obtaining permission for administration of medication. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicenesed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The administration of medication standards for all legal nonlicensed providers are: 1) Provider has prior written permission and instructions from a child’s parent/guardian for any prescription and non-prescription medications dispensed to the child. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENGor another form that meets these requirements; 2) Provider ensures sun safety by keeping infants under six months out of direct sunlight, limit sun exposure when ultraviolet rays are strongest, and apply sunscreen with written permission of parents/guardians following manufacturer instructions. Provider may use Prescription and Non-prescription Medication Administration Permission form (DHS-7746) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7746-ENG or another form that meets these requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers state law requires providers to obtain documentation of known allergies from a child's parent or legal guardian before admitting a child for care. For known allergies, the provider must obtain a description of the allergy, specific triggers, avoidance techniques, and symptoms of an allergic reaction, as well as procedures for responding to the allergic reaction. Please note that statute specifically requires child care providers to address allergy prevention and response, including procedures for responding to an allergic reaction of any kind including food. Licensed child care centers are also required to develop a risk reduction plan that addresses risks, including an area that calls out risks associated with feeding children foods to which they are allergic. Minn. Stat. 142B.66 and Minn. Stat. 142B.54. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers state law requires providers to obtain documentation of known allergies from a child's parent or legal guardian before admitting a child for care. Also, the child’s allergy information must be readily available to all caregivers and reviewed annually by the license holder and each caregiver. For known allergies, the provider must obtain a description of the allergy, specific triggers, avoidance techniques, and symptoms of an allergic reaction, as well as procedures for responding to the allergic reaction. Please note that statute specifically requires child care providers to address allergy prevention and response, including procedures for responding to an allergic reaction of any kind including food. Minn. Stat. 142B.71. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to obtain documentation of known allergies from a child's parent or legal guardian before admitting a child for care. For known allergies, the provider must obtain a description of the allergy, specific triggers, avoidance techniques, and symptoms of an allergic reaction, as well as procedures for responding to the allergic reaction. Please note that statute specifically requires child care providers to address allergy prevention and response, including procedures for responding to an allergic reaction of any kind including food. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to prevention and response to allergic reactions including managing and preventing food allergies and resources for child care facilities. Minnesota makes CCAP payments to registered Tribally- licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their state to confirm compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention and response to emergencies due to food and allergic reactions standard for all legal nonlicensed providers is: 1) If a child has known allergies, provider has documentation for each child in care that shows: a. What an allergic reaction may look like for the child; b. How provider can help the child avoid an allergic reaction; c) How provider should respond in the event of an allergic reaction. Provider may use Allergy Information Form (DHS-7736) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7736-ENG) or another form that meet these requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to prevention and response to allergic reactions including managing and preventing food allergies and resources for child care facilities. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention and response to emergencies due to food and allergic reactions standard for all legal nonlicensed providers is: 1) If a child has known allergies, provider has documentation for each child in care that shows: a. What an allergic reaction may look like for the child; b. How provider can help the child avoid an allergic reaction; c) How provider should respond in the event of an allergic reaction. Provider may use Allergy Information Form (DHS-7736) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7736-ENG) or another form that meet these requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires providers to obtain documentation of known allergies from a child's parent or legal guardian before admitting a child for care. For known allergies, the provider must obtain a description of the allergy, specific triggers, avoidance techniques, and symptoms of an allergic reaction, as well as procedures for responding to the allergic reaction. Please note that statute specifically requires child care providers to address allergy prevention and response, including procedures for responding to an allergic reaction of any kind including food. Minn. Stat. 142B.66. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed child care centers, licensed family child care providers, and certified license-exempt centers, state law requires providers to obtain documentation of known allergies from a child's parent or legal guardian before admitting a child for care. For known allergies, the provider must obtain a description of the allergy, specific triggers, avoidance techniques, and symptoms of an allergic reaction, as well as procedures for responding to the allergic reaction. Please note that statute specifically requires child care providers to address allergy prevention and response, including procedures for responding to an allergic reaction of any kind including food. Minn. Stat. 142B.71. iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For licensed child care centers, licensed family child care providers, and certified license- exempt centers, state law requires providers to obtain documentation of known allergies from a child's parent or legal guardian before admitting a child for care. For known allergies, the provider must obtain a description of the allergy, specific triggers, avoidance techniques, and symptoms of an allergic reaction, as well as procedures for responding to the allergic reaction. Please note that statute specifically requires child care providers to address allergy prevention and response, including procedures for responding to an allergic reaction of any kind including food. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to prevention and response to allergic reactions including managing and preventing food allergies and resources for child care facilities. Minnesota makes CCAP payments to registered Tribally- licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention and response to emergencies due to food and allergic reactions standard for all legal nonlicensed providers is: 1) If a child has known allergies, provider has documentation for each child in care that shows: a. What an allergic reaction may look like for the child; b. How provider can help the child avoid an allergic reaction; c) How provider should respond in the event of an allergic reaction. Provider may use Allergy Information Form (DHS-7736) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7736-ENG) or another form that meet these requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to prevention and response to allergic reactions including managing and preventing food allergies and resources for child care facilities. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of and response to emergencies due to food and allergic reactions. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention and response to emergencies due to food and allergic reactions standard for all legal nonlicensed providers is: 1) If a child has known allergies, provider has documentation for each child in care that shows: a. What an allergic reaction may look like for the child; b. How provider can help the child avoid an allergic reaction; c) How provider should respond in the event of an allergic reaction. Provider may use Allergy Information Form (DHS-7736) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7736-ENG) or another form that meet these requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires providers to identify and designate indoor and outdoor spaces used for care. The spaces must be free of hazards and in good repair. Licensed child care centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment. Minn. R. 9503.0155 and Minn. Stat. 142B.54. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires providers to identify and designate indoor and outdoor spaces used for care. The spaces must be free of hazards and in good repair. Minn. R. 9502.0425. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to identify and designate indoor and outdoor spaces used for care. The spaces must be free of hazards and in good repair. Certified license-exempt centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment, including an assessment of risks posed by water hazards. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to building and physical premises safety including identification of and protection from building and physical premises hazards. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including building and physical premises safety. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including building physical premises safety. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The building and physical premises safety standards for all legal nonlicensed providers are: 1) Exit doors and windows are not obstructed and are easily opened from the inside; 2) Wiring appears safe throughout the home; no known hazards exist. Electrical devices accessible to children are not located where they could be plugged in by someone in contact with water; 3) Extension cords are appropriately used and are not used in place of permanent wiring; 4) A fire extinguisher with a minimum rating of 2A:10BC is maintained in the kitchen/cooking area; 5) All smoke detectors are properly installed, appropriately located, and maintained in proper operating condition; 6) All interior doors can be unlocked from the outside and opening devices are readily accessible in case of emergency; 7) Fireplaces, wood burning stoves, and hot surfaces are protected by guards to prevent burns; 8) Knives, tools, matches, and other potentially hazardous materials are inaccessible to children; 9) Combustible items are properly stored at least 36 inches from any heating sources; 10) Dirt and trash are adequately cleared/contained; 11) Provider home is free from rodents, insects and excessive amounts of peeling paint; 12) Weapons and ammunition must be stored separately in locked areas; 13) There is a safe water supply in the residence. Water from privately-owned wells is tested annually by a certified laboratory, or provider uses bottled water for cooking and drinking; 14) Sleeping spaces for children in care have two exits; 15) Staircases of three or more steps are guarded by safety gates or a barrier if there are children 18 months or younger cared for in the home; 16) Accessible electrical outlets are tamper-resistant or have safety covers/plugs; 17) Strings and cords long enough to encircle a child’s neck are not accessible to children; 18) Children are supervised by sight or sound and protected from hazards indoors and outdoors (water, streets, equipment, etc). Children under school age should never be by themselves; 19) Tobacco is inaccessible to children and not used inside while children are present. Alcohol is inaccessible to children and not used while children are present; 20) Home is free of illegal drugs; 21) If there are pets in the home: ■ Current rabies vaccination documentation is on site or pets are kept inaccessible to children ■ Animal feces is inaccessible to children (litter boxes, yard and other areas are free of feces). 22) If there is a pool on the premises: ■ Constant supervision should be maintained when any child is in or around water ■ Children must have written permission from a parent to use swimming pool ■ Ratio must be one adult for each infant/toddler during swimming activities, If an infant or toddler is present ■ Adequate supervision during wading/water play requires a caregiver to be within sight and sound ■ Spas and hot tubs are inaccessible to all children ■ Each pool more than six feet in width, length or diameter is provided with a ring buoy and rope, rescue tube or a throwing line and shepherd’s hook that will not conduct electricity, and is stored safely and conveniently for immediate access. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to building and physical premises safety including identification of and protection from building and physical premises hazards. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including building and physical premises safety. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including building physical premises safety. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The building and physical premises safety standards for all legal nonlicensed providers are: 1) Exit doors and windows are not obstructed and are easily opened from the inside; 2) Wiring appears safe throughout the home; no known hazards exist. Electrical devices accessible to children are not located where they could be plugged in by someone in contact with water; 3) Extension cords are appropriately used and are not used in place of permanent wiring; 4) A fire extinguisher with a minimum rating of 2A:10BC is maintained in the kitchen/cooking area; 5) All smoke detectors are properly installed, appropriately located, and maintained in proper operating condition; 6) All interior doors can be unlocked from the outside and opening devices are readily accessible in case of emergency; 7) Fireplaces, wood burning stoves, and hot surfaces are protected by guards to prevent burns; 8) Knives, tools, matches, and other potentially hazardous materials are inaccessible to children; 9) Combustible items are properly stored at least 36 inches from any heating sources; 10) Dirt and trash are adequately cleared/contained; 11) Provider home is free from rodents, insects and excessive amounts of peeling paint; 12) Weapons and ammunition must be stored separately in locked areas; 13) There is a safe water supply in the residence. Water from privately-owned wells is tested annually by a certified laboratory, or provider uses bottled water for cooking and drinking; 14) Sleeping spaces for children in care have two exits; 15) Staircases of three or more steps are guarded by safety gates or a barrier if there are children 18 months or younger cared for in the home; 16) Accessible electrical outlets are tamper-resistant or have safety covers/plugs; 17) Strings and cords long enough to encircle a child’s neck are not accessible to children; 18) Children are supervised by sight or sound and protected from hazards indoors and outdoors (water, streets, equipment, etc). Children under school age should never be by themselves; 19) Tobacco is inaccessible to children and not used inside while children are present. Alcohol is inaccessible to children and not used while children are present; 20) Home is free of illegal drugs; 21) If there are pets in the home: ■ Current rabies vaccination documentation is on site or pets are kept inaccessible to children ■ Animal feces is inaccessible to children (litter boxes, yard and other areas are free of feces). 22) If there is a pool on the premises: ■ Constant supervision should be maintained when any child is in or around water ■ Children must have written permission from a parent to use swimming pool ■ Ratio must be one adult for each infant/toddler during swimming activities, If an infant or toddler is present ■ Adequate supervision during wading/water play requires a caregiver to be within sight and sound ■ Spas and hot tubs are inaccessible to all children ■ Each pool more than six feet in width, length or diameter is provided with a ring buoy and rope, rescue tube or a throwing line and shepherd’s hook that will not conduct electricity, and is stored safely and conveniently for immediate access. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires providers to identify and designate indoor and outdoor spaces used for care. Bodies of water within or adjacent to the center must be inaccessible to children, including a requirement to enclose the outdoor activity area if adjacent to water. Minn. R. 9503.0155. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires providers to identify and designate indoor and outdoor spaces used for care. The spaces must be free of hazards and in good repair. Swimming and wading pools, beaches, or other bodies of water on or adjacent to the program must be inaccessible to children, accept during period of supervised use. Providers who use a swimming pool need take specific training prior to use with children and at least every five years. Providers who use swimming pools or wading pools must obtain written consent from parents or guardians annually. Minn. R. 9502.0425 and Minn. Stat. 142B.41. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to identify and designate indoor and outdoor spaces used for care. Certified license-exempt centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment, including an assessment of risks posed by water hazards. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to building and physical premises safety including protection from bodies of water. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including building and physical premises safety. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including building physical premises safety. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The standards for identification and protection from bodies of water for all legal nonlicensed providers are: 1) Children are supervised by sight or sound and protected from hazards indoors and outdoors (water, streets, equipment, etc). Children under school age should never be by themselves; 2) If there is a pool on the premises: ■ Constant supervision should be maintained when any child is in or around water ■ Children must have written permission from a parent to use swimming pool ■ Ratio must be one adult for each infant/toddler during swimming activities, If an infant or toddler is present ■ Adequate supervision during wading/water play requires a caregiver to be within sight and sound ■ Spas and hot tubs are inaccessible to all children ■ Each pool more than six feet in width, length or diameter is provided with a ring buoy and rope, rescue tube or a throwing line and shepherd’s hook that will not conduct electricity, and is stored safely and conveniently for immediate access vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to building and physical premises safety including protection from bodies of water. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including building and physical premises safety. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including building physical premises safety. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The standards for identification and protection from bodies of water for all legal nonlicensed providers are: 1) Children are supervised by sight or sound and protected from hazards indoors and outdoors (water, streets, equipment, etc). Children under school age should never be by themselves; 2) If there is a pool on the premises: ■ Constant supervision should be maintained when any child is in or around water ■ Children must have written permission from a parent to use swimming pool ■ Ratio must be one adult for each infant/toddler during swimming activities, If an infant or toddler is present ■ Adequate supervision during wading/water play requires a caregiver to be within sight and sound ■ Spas and hot tubs are inaccessible to all children ■ Each pool more than six feet in width, length or diameter is provided with a ring buoy and rope, rescue tube or a throwing line and shepherd’s hook that will not conduct electricity, and is stored safely and conveniently for immediate access. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires providers to identify and designate indoor and outdoor spaces used for care. Hazardous areas must be inaccessible to children and all outdoor activity areas must be enclosed if located adjacent to traffic. Licensed child care centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment. Minn. R. 9503.0155 and Minn. Stat. 142B.54. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires providers to identify and designate indoor and outdoor spaces used for care. Enclosure may be required for outdoor activity areas if near rail or traffic. Minn. R. 9502.0425. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to identify and designate indoor and outdoor spaces used for care. Certified license-exempt centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment, including an assessment of risks posed by vehicular traffic. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to building and physical premises safety including the identification of and protection from vehicular traffic hazards. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including building and physical premises safety. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including building physical premises safety. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The identification of and protection from vehicular traffic hazards standard for all legal nonlicensed providers are: 1) Children are supervised by sight or sound and protected from hazards indoors and outdoors (water, streets, equipment, etc.). Children under school age should never be by themselves. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to building and physical premises safety including the identification of and protection from vehicular traffic hazards. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including building and physical premises safety. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including building physical premises safety. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The identification of and protection from vehicular traffic hazards standard for all legal nonlicensed providers are: 1) Children are supervised by sight or sound and protected from hazards indoors and outdoors (water, streets, equipment, etc.). Children under school age should never be by themselves. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, behavior guidance standards prohibit staff from using corporal punishment including shaking children. State law requires providers to complete training on the risk of abusive head trauma, including from shaking infants and young children. The training focuses on caring for children ages under age five. Minn. Stat. 142B.65 and Minn. R. 9503.0055. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, behavior guidance standards prohibit staff from using corporal punishment including shaking children. State law requires providers to complete training on the risk of abusive head trauma, including from shaking infants and young children. The training focuses on caring for children ages under age five. Minn. Stat. 142B.70 and Minn. R. 9502.0395. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, behavior guidance standards prohibit staff from using corporal punishment including shaking children. State law requires providers working with children under school age, to complete training on the risk of abusive head trauma, including from shaking infants and young children. The training focuses on caring for children ages under age five. Minn. Stat. 142C.12. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to preventing Abusive Head Trauma and child maltreatment including training for mandated reporters and child abuse prevention and identification. All legal nonlicensed providers caring for children under 5 must complete abusive head trauma training prior to service authorization. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention of shaken baby syndrome, abusive head trauma, and maltreatment standards for all legal nonlicensed providers are: 1) If caring for children under 5 years old, completion of Abusive Head Trauma training, and agree to comply with guidelines detailed in the training. 2) Phone numbers to report child abuse and neglect are posted in an easily accessible location. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to preventing Abusive Head Trauma and child maltreatment including training for mandated reporters and child abuse prevention and identification. All legal nonlicensed providers caring for children under 5 must complete abusive head trauma training prior to service authorization. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention of shaken baby syndrome, abusive head trauma, and maltreatment standards for all legal nonlicensed providers are: 1) If caring for children under 5 years old, completion of Abusive Head Trauma training, and agree to comply with guidelines detailed in the training 2) Phone numbers to report child abuse and neglect are posted in an easily accessible location. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, all providers are mandatory reporters of suspected child maltreatment under state law. Minn. Stat. 260E. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, all providers are mandatory reporters of suspected child maltreatment under state law. Minn. Stat. 260E. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, all providers are mandatory reporters of suspected child maltreatment under state law. Minn. Stat. 260E. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to preventing Abusive Head Trauma and child maltreatment including training for mandated reporters and child abuse prevention and identification. All legal nonlicensed providers caring for children under 5 must complete abusive head trauma training prior to service authorization. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention of shaken baby syndrome, abusive head trauma, and maltreatment standards for all legal nonlicensed providers are: 1) If caring for children under 5 years old, completion of Abusive Head Trauma training, and agree to comply with guidelines detailed in the training. Phone numbers to report child abuse and neglect are posted in an easily accessible location. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to preventing Abusive Head Trauma and child maltreatment including training for mandated reporters and child abuse prevention and identification. All legal nonlicensed providers caring for children under 5 must complete abusive head trauma training prior to service authorization. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The prevention of shaken baby syndrome, abusive head trauma, and maltreatment standards for all legal nonlicensed providers are: 1) If caring for children under 5 years old, completion of Abusive Head Trauma training, and agree to comply with guidelines detailed in the training. 2) Phone numbers to report child abuse and neglect are posted in an easily accessible location. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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. [ ] Evacuation ii. [ ] Relocation iii. [ ] Shelter-in-place iv. [ ] Lock down v. Staff emergency preparedness [ ] Training [ ] Practice drills vi. Volunteer emergency preparedness [ ] Training [ ] Practice drills vii. [ ] Communication with families viii. [ ] Reunification with families ix. [ ] Continuity of operations x. Accommodation of [ ] Infants [ ] Toddlers [ ] Children with disabilities [ ] Children with chronic medical conditions xi. If any of the above are not checked, describe: Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement for legal nonlicensed providers. Description of current policy and the way it is out of compliance: MN affirms that standards include all required procedures for all provider types except legal nonlicensed providers. Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The emergency preparedness standards for all legal nonlicensed providers are: 1) Provider has written emergency procedures ￿ uses Keeping Kids Safe: Child Care Provider Emergency Planning Guide, (DHS-7414) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7414-ENG as a resource to develop emergency plan and Legal Nonlicensed (LNL) Child Care Emergency Plan (DHS-7414) https://edocs.dhs.state.mn.us/lfserver/Public/DHS- 7414B-ENG as a template to document emergency plan. 2) Emergency numbers, such as 911 and poison control, are posted in an easily accessible location. 3) Provider has a flashlight, telephone and radio that do not rely on electricity to operate. 4) Provider regularly practices safety drills with children. Drills are recorded at least every six months. 5) Provider maintains confidential files for each child that include: ■ Contact and other important information needed to care for a child ■ Written authorization for emergency medical care ■ A record of people authorized to pick up child. 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: For licensed child care centers, state law requires providers to safely handle bodily fluids, including blood and vomit. Providers must have supplies, including disposable gloves. Providers also need to ensure hazardous materials such as cleaning supplies are stored out of reach of children. Finally, licensed child care centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment including accessibility of hazards and children accessing dangerous items or chemicals. Minn. Stat. 142B.66, Minn. Stat. 142B.54, and Minn. R. 9503.0140. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires providers to safely handle and dispose of bodily fluids, including blood and vomit. Providers must have supplies, including disposable gloves. Providers must dispose of sharp items used or special care needs in a ￿sharps container￿ and must dispose of contaminated material in a plastic bag with a secure tie. Providers also need to ensure hazardous materials such as cleaning supplies are stored out of reach of children. Minn. Stat. 142B.71 and Minn. R. 9502.0435. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to safely handle and dispose of bodily fluids by using gloves and disposing contaminated material in a plastic bag with a secure tie. Providers also need to ensure hazardous materials such as cleaning supplies are stored out of reach of children. Finally, certified child care centers are required to develop a risk reduction plan that addresses risks presented by the physical plant and environment. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to universal precautions including handling and storage of hazardous materials. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including handling and storage of hazardous materials. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including handling and storage of hazardous materials. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The handling and storage of hazardous materials and appropriate disposal of biological contaminants standards for all legal nonlicensed providers are: 1. Chemicals, detergents, and other toxic substances ￿ including pest control materials ￿ are stored separately from food products and are inaccessible to children. 2. Medication is inaccessible to children. 3. Provider wears gloves when handling blood and potentially infectious body fluids. 4. A smooth, nonabsorbent surface is used to change diapers on and this surface is disinfected when soiled. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to universal precautions including handling and storage of hazardous materials. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including handling and storage of hazardous materials. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including handling and storage of hazardous materials. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The handling and storage of hazardous materials and appropriate disposal of biological contaminants standards for all legal nonlicensed providers are: 1. Chemicals, detergents, and other toxic substances ￿ including pest control materials ￿ are stored separately from food products and are inaccessible to children. 2. Medication is inaccessible to children. 3. Provider wears gloves when handling blood and potentially infectious body fluids. 4. A smooth, nonabsorbent surface is used to change diapers on and this surface is disinfected when soiled. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires providers to safely dispose of bodily fluids, including blood and vomit. Providers must have supplies, including disposable gloves. Providers must dispose of sharp items used or special care needs in a ￿sharps container￿ and must dispose of contaminated material in a plastic bag with a secure tie. Minn. Stat. 142B.66. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires providers to safely dispose of bodily fluids, including blood and vomit. Providers must have supplies, including disposable gloves. Providers must dispose of sharp items used or special care needs in a ￿sharps container￿ and must dispose of contaminated material in a plastic bag with a secure tie. Minn. Stat. 142B.71. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to safely dispose of bodily fluids by using gloves and disposing contaminated material in a plastic bag with a secure tie. Minn. Stat. 142C.11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to universal precautions including the disposal of bio contaminants. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including the appropriate disposal of bio-contaminants. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including the appropriate disposal of bio- contaminants. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The handling and storage of hazardous materials and appropriate disposal of biological contaminants standards for all legal nonlicensed providers are: 1. Chemicals, detergents, and other toxic substances ￿ including pest control materials ￿ are stored separately from food products and are inaccessible to children. 2. Medication is inaccessible to children. 3. Provider wears gloves when handling blood and potentially infectious body fluids. 4. A smooth, nonabsorbent surface is used to change diapers on and this surface is disinfected when soiled. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to universal precautions including the disposal of bio contaminants. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including the appropriate disposal of bio-contaminants. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including the appropriate disposal of bio-contaminants. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The handling and storage of hazardous materials and appropriate disposal of biological contaminants, standards for all legal nonlicensed providers are: 1. Chemicals, detergents, and other toxic substances ￿ including pest control materials ￿ are stored separately from food products and are inaccessible to children. 2. Medication is inaccessible to children. 3. Provider wears gloves when handling blood and potentially infectious body fluids. 4. A smooth, nonabsorbent surface is used to change diapers on and this surface is disinfected when soiled. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires providers to follow seat belt and passenger restraint requirements. A child who is under age nine and within the weight or height limit of the child passenger restraint system or the booster seat must be transported in a child passenger restraint system or booster seat meeting federal motor vehicle safety standards. Except as provided in Minnesota Statutes, section 169.685, a shoulder and lap belt must be worn by drivers and passengers in a motor vehicle. Further, providers must ensure that the driver of the vehicle holds a valid driver's license. Minn. Stat. 142B.65, Minn. R. 9503.0150, Minn. Stat. 169.685, and Minn. Stat. 169.686. NOTE: Effective date for statute changes: 06/18/25. Effective date for age nine requirement: 1/1/26. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires providers to follow seat belt and passenger restraint requirements. A child who is under age nine and within the weight or height limit of the child passenger restraint system or the booster seat must be transported in a child passenger restraint system or booster seat meeting federal motor vehicle safety standards. Except as provided in Minnesota Statutes, section 169.685, a shoulder and lap belt must be worn by drivers and passengers in a motor vehicle. Further, providers must ensure that the driver of the vehicle holds a valid driver's license. Minn. Stat. 142B.70, Minn. R. 9502.0435, Minn. Stat. 169.685, and Minn. Stat. 169.686. NOTE: Effective date for statute changes: 06/18/25. Effective date for age nine requirement: 1/1/26. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires providers to follow seat belt and passenger restraint requirements. A child who is under age nine and within the weight or height limit of the child passenger restraint system or the booster seat must be transported in a child passenger restraint system or booster seat meeting federal motor vehicle safety standards. Except as provided in Minnesota Statutes, section 169.685, a shoulder and lap belt must be worn by drivers and passengers in a motor vehicle. Further, providers must ensure that the driver of the vehicle holds a valid driver's license. Minn. Stat. 142C.11, Minn. Stat. 169.685, and Minn. Stat. 169.686. NOTE: Effective date for statute changes: 06/18/25. Effective date for age nine requirement: 1/1/26. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to precautions in transporting children including child passenger safety. There are no additional rules for legal nonlicensed child care providers beyond state laws related to seat belt and passenger restraint requirements. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including precautions in transporting children. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of- state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including precautions in transporting children. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The precautions in transporting children standards for all legal nonlicensed providers are: 1) Provider uses age appropriate restraints that comply with state law when transporting children. See Child Passenger Safety Law https://dps.mn.gov/divisions/ots/safe-driving-information-and-laws/driver-and- passenger-safety 2) Provider has written permission from children’s parents or guardians to transport them. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to precautions in transporting children including child passenger safety. There are no additional rules for legal nonlicensed child care providers beyond state laws related to seat belt and passenger restraint requirements. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including precautions in transporting children. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of- state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including precautions in transporting children. Date of preliminary notice issued by OCC: 4/2/2024 MN affirms that Lead Agency needs additional time to meet requirement. Description of current policy and the way it is out of compliance: Minnesota provides information about health and safety topics to legal nonlicensed providers, but does not have clearly defined health and safety standards. Unrelated legal nonlicensed providers are required to take training in all required health and safety topics and receive an annual monitoring visit that reviews health and safety topics. Minnesota is not in compliance with the requirement to have health and safety standards for unrelated legal nonlicensed providers. 6/20/25: Updated and strengthened health and safety standards on legal nonlicensed provider documents and forms. The precautions in transporting children standards for all legal nonlicensed providers are: 1) Provider uses age appropriate restraints that comply with state law when transporting children. See Child Passenger Safety Law https://dps.mn.gov/divisions/ots/safe-driving-information-and-laws/driver-and- passenger-safety 2) Provider has written permission from children’s parents or guardians to transport them. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires all staff working directly with children, including the director, substitutes and unsupervised volunteers to be trained in pediatric first aid prior to having unsupervised direct contact with a child, but not to exceed the first 90 days of employment. Pediatric first aid training must be repeated at least every second calendar year. Minn. Stat. 142B.65. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For family child care providers, license holders, second adult caregivers and substitutes need to take pediatric first aid prior to licensure and before caring for children. First aid training must be repeated every two years within 90 days of the date the training was previously taken. Minn. Stat. 142B.70 and Minn. R. 9502.0435, subparts 6 and 7. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires all staff working directly with children be trained in pediatric first aid. The training must be done prior to having unsupervised direct contact with a child, but within 90 days after the first date of direct contact with a child. Pediatric first aid training must be repeated every other calendar year. Minn. Stat. 142C.12. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must be certified in pediatric first aid prior to registering to be eligible for CCDF payments. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including pediatric first aid. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of- state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including pediatric first aid. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must be certified in pediatric first aid prior to registering to be eligible for CCDF payments. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including pediatric first aid. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including pediatric first aid. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires all staff working directly with children, including the director, substitutes and unsupervised volunteers to be trained in pediatric CPR prior to having unsupervised direct contact with a child, but not to exceed the first 90 days of employment. Pediatric CPR training must be repeated at least every second calendar year. Minn. Stat. 142B.65. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For family child care providers, license holders, second adult caregivers and substitutes need to take pediatric CPR prior to licensure and before caring for children. CPR training must be repeated every two years within 90 days of the date the training was previously taken. Minn. Stat. 142B.70 and Minn. R. 9502.0435, subparts 6 and 7. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires all staff working directly with children be trained in pediatric CPR. The training must be done prior to having unsupervised direct contact with a child, but within 90 days after the first date of direct contact with a child. Pediatric CPR training must be repeated every other calendar year. Minn. Stat. 142C.12. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must be certified in pediatric CPR prior to registering to be eligible for CCDF payments. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including pediatric CPR. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including pediatric CPR. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must be certified in pediatric CPR prior to registering to be eligible for CCDF payments. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including pediatric CPR. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including pediatric CPR. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires all caregivers and staff follow Minn. Stat. 260E, Reporting of Maltreatment of Minors. Within this area of statute, there are definitions that clearly define and describe instances of child abuse and neglect. Minn. R. 9503.0130 and Minn. Stat. 260E.03. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires all caregivers and staff follow Minn. Stat. 260E, Reporting of Maltreatment of Minors. Within this area of statute, there are definitions that clearly define and describe instances of child abuse and neglect. Minn. R. 9502.0375 and Minn. Stat. 260E.03. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires all caregivers and staff follow Minn. Stat. 260E, Reporting of Maltreatment of Minors. Within this area of statute, there are definitions that clearly define and describe instances of child abuse and neglect. Minn. Stat. 142C.10 and Minn. Stat. 260E.03. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to identification of child abuse and neglect. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including child abuse and neglect. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including identification of child abuse and neglect. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to identification of child abuse and neglect. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including child abuse and neglect. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including identification of child abuse and neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: For licensed child care centers, state law requires all caregivers and staff follow Minn. Stat. 260E. Within this area of statute, all caregivers and staff are required to report suspected physical abuse, sexual abuse, or neglect of a child. Minn. R. 9503.0130 and Minn. Stat. 260E.06. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care providers, state law requires all caregivers and staff follow Minn. Stat. 260E. Within this area of statute, all caregivers and staff are required to report suspected physical abuse, sexual abuse, or neglect of a child. Minn. R. 9502.0375 and Minn. Stat. 260E.06. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: For certified license-exempt centers, state law requires all caregivers and staff follow Minn. Stat. 260E. Within this area of statute, all caregivers and staff are required to report suspected physical abuse, sexual abuse, or neglect of a child. Minn. Stat. 142C.10 and Minn. Stat. 260E.06. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to reporting of child abuse and neglect. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including child abuse and neglect. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including reporting of child abuse and neglect. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Legal nonlicensed providers must sign an acknowledgment that they have reviewed information and resources shared related to reporting of child abuse and neglect. Minnesota makes CCAP payments to registered Tribally-licensed family and center-based providers. Tribal licensing agencies are responsible for ensuring compliance with federal laws, including child abuse and neglect. Minnesota makes CCAP payments to registered family and center-based providers licensed by other states. Individuals, centers or facilities operated under the jurisdiction of the federal government are considered out-of-state licensed child care providers for CCAP. Minnesota requires providers to submit licensing information from their Tribe or state to confirm compliance with federal laws, including reporting of child abuse and neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A c. Confirm if child care providers must comply with the Lead Agency’s procedures for reporting child abuse and neglect as required by the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i): [x] Yes, confirmed. [ ] No. If no, describe: 5.3.12 Additional optional standards In addition to the required health and safety standards, does the Lead Agency require providers to comply with the following optional standards? [x] Yes. [ ] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: State law requires licensed child care centers and licensed family child care providers to comply with nutrition requirements set forth by the Child and Adult Care Food Program. Minn. R. 9503.0145 (licensed child care centers), Minn. R. 9502.0445 (licensed family child care). Licensed child care centers and licensed family child care providers have specific requirements for water, milk, and meals and snacks in addition to following USDA requirements. State law requires licensed child care centers and licensed family child care providers to comply with nutrition requirements set forth by the Child and Adult Care Food Program. Minn. R. 9503.0145 (licensed child care centers), Minn. R. 9502.0445 (licensed family child care). Licensed child care centers and licensed family child care providers have specific requirements for water, milk, and meals and snacks in addition to following USDA requirements. Licensed child care centers are required to have a policy on food and water, and train their staff, substitutes, and unsupervised volunteers on their policies at orientation and once each calendar year (Minn. Stat. 142B.65). Family child care providers are required to have policies, but not required to train on this topic specifically. Family child care providers are required to take additional trainings each year and can take training on this topic (Minn. Stat. 142B.70). ii. Access to physical activity. Describe: State law requires licensed child care centers and licensed family child care providers to schedule indoor and outdoor activities, appropriate to the ages and developmental stages of the children in care. Minn. R. 9503.0045 (licensed child care centers), Minn. R. 9502.0415 (licensed family child care) Additionally, licensed child care centers, licensed family child care providers, and certified license-exempt centers are required to have an outdoor activity area. Minn. R. 9503.0155 (licensed child care centers), Minn. R. 9502.0425 (licensed family child care), Minn. Stat. 142C.11. Licensed child care centers are required to have a child care program plan, and train their staff, substitutes, and unsupervised volunteers on their policies at orientation and once each calendar year (Minn. Stat. 142B.65). Family child care providers are required to have policies, but not required to train on this topic specifically. Family child care providers are required to take additional trainings each year and can take training on this topic (Minn. Stat. 142B.70). iii. Caring for children with special needs. Describe: State law requires licensed child care centers to create and follow an individual child care program plan for children with special needs. State law requires licensed family child care providers to follow written instructions from the parents, physician, or therapist for any special needs. Minn. R. 9503.0065 (licensed child care centers), Minn. R. 9502.0405 (licensed family child care). Licensed child care centers are required to have a policy on working with children with special needs, and train their staff, substitutes, and unsupervised volunteers on their policies at orientation and once each calendar year (Minn. Stat. 142B.65). Family child care providers are required to have policies, but not required to train on this topic specifically. Family child care providers are required to take additional trainings each year and can take training on this topic (Minn Stat. 142B.70). iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Licensed child care centers are required to have a child care program plan that includes goals and objectives to promote the physical, intellectual, social, and emotional development of the children in care. The program plan must also specify activities designed to promote the intellectual, physical, social, and emotional development of a child in a manner consistent with the child's cultural background. Licensed child care centers must develop the child care program plan and see that it is carried out. The program plan must be evaluated in writing annually by a staff person qualified as a teacher. Minn. R. 9503.0045 (licensed child care centers).