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

Reason(s) for non-compliance: • The Lead Agency has not established a standard for the prevention of shaken baby syndrome, abusive head trauma, and prevention of child maltreatment for license- exempt centers, license-exempt family child care, or license-exempt in-home providers, as required by 98.41(a)(1)(vi). (Plan Questions 5.3.6aiv, 5.3.6av, 5.3.6avi, 5.3.6biv, 5.3.6bv, and 5.3.6bvi) • The Lead Agency does not require pre-service or orientation training on prevention of shaken baby syndrome, abusive head trauma, and child maltreatment for licensed centers, licensed family child care providers, license-exempt centers, license-exempt family child care providers, or license-exempt in-home providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) • The Lead Agency does not require an annual inspection for license-exempt centers or license-exempt family child care providers for compliance with a standard for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(ii). Additionally, the Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers for compliance with pre-service or orientation training requirements related to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii, 5.5.1bii, 5.5.2ai, and 5.5.2bi) Overall Target Completion Date: 05/01/2025 Action Step Number Action Step Description Target Completion Date 1 License-exempt centers, including family child care providers, were notified per Attorney General opinion they would be ineligible for subsidy until all licensing requirements were met. License- exempt centers, not including family child care providers, were given the deadline of May 1, 2024 to meet all licensing requirements as laid out in the existing Regulations Governing Licensure of Child Care Facilities. License exempt centers, not including family child care providers, met the May 1, 2024 deadline and are being monitored bi- annually. 05/01/2024 2 MS State Department of Health (MSDH) Staff trained on new Family Child Care regulations and monitoring tool. 10/29/2024 3 MSDH Regulations Governing Licensure of Family Child Care (Five or Fewer Children) Regulations approved by the MS State Board of Health. These regulations included requirements on the 11/15/2024 pre-service/orientation training and the prevention of shaken baby syndrome, abusive head trauma, and prevention of child maltreatment. 4 The Lead Agency (MS Department of Human Services) and MSDH sent memo out to providers informing of MSDH Regulations Governing Licensure of Child Care Family Homes for 5 and Fewer and the new provider application that would be available on December 2, 2024. 12/02/2024 5 MSDH Child Care Licensure will begin monitoring all CCDF participating child care providers, including those previously categorized as license- exempt family child care, bi-annually. 03/01/2025 6 MSDH will update update Regulations Governing Licensure of Child Care Facilities, which are separate rules from Regulations Governing Licensure of Family Child Care (Five or Fewer Children). This update will include regulations for licensed centers to incorporate detailed standards addressing pre-service training requirements on shaken baby syndrome for child care providers. This topic will be included in the required Health and Safety training. The MS State Board of Health will review and approve new regulations. 03/01/2025 7 MSDH staff to be trained on the updated regulations and inspection form in April 2025. 04/30/2025 8 MSDH Child Care Licensure will begin monitoring all CCDF participating child care providers using updated regulations and inspection form bi- annually. 05/01/2025