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: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. iii. All CCDF-eligible licensed in-home care. Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 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: Effective from and after 1/1/2008, the State Board of Health has developed regulations to ensure that all children enrolled or enrolling in a state licensed child care center receive age-appropriate immunization against invasive pneumococcal disease as recommended by the Advisory Committee on immunization practices of the Centers for Disease Control and Prevention. The MSDH regulations governing the licensure of child care facilities mandate that each child in a licensed facility have immunizations according to the recommended immunization schedule. These children are to be age-appropriately immunized and must have a Certificate of Immunization Compliance (Form 121) or a Certificate of Medical Exemption (Form 122) on file at the child care facility and readily accessible for review by the MSDH. The Form 121 must be signed by the District Health Officer, a physician, nurse, or designee. The medical exemption, Form 122, MUST be signed by the District Health Officer. Form 122 used for religious exemptions only applies to children enrolled in licensed center or licensed family home facilities. The religious exemption does not apply to any adults employed in licensed center or licensed family home facilities. Children enrolled in licensed child care facilities and public and private schools in Mississippi may be exempt for medical reasons only and not for religious reasons. Children usually begin their routine immunizations between 6 weeks and 2 months of age. The immunizations that are currently required at the age-appropriate times for child care are: DTaP (diphtheria, tetanus, pertussis), polio, MMR (measles, mumps, rubella), and HIB (H. Influenzae type b). Hepatitis B vaccine is a recommended vaccine and is usually started at birth to 2 months of age. Hepatitis B is not required for child care attendance but is required for entry into 5 year old kindergarten. As of 8/01/2002, one (1) dose of Varicella (chicken pox) vaccine is required on or after the 1st birthday and is required for entry into five (5) year-old kindergarten. Varicella is not required if a history of the disease is documented. Children enrolled in a licensed child care, Head Start Center, or being provided child care services by any provider receiving CCDF funds, including unlicensed and license exempt providers, are expected to be age appropriately immunized. All children must have one of the following forms before enrollment in a licensed Child Care/Head Start facility: 1. Certificate of Immunization Compliance (Form 121). This form must be signed by the District Health Officer, a physician, nurse, or designee. 2. Certificate of Medical Exemption (Form 122). This form must be approved and signed by the Mississippi State Department of Health District Health Officer from the public health district or the State Epidemiologist. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Effective from and after 1/1/2008, the State Board of Health has developed regulations to ensure that all children enrolled or enrolling in a state licensed child care center receive age-appropriate immunization against invasive pneumococcal disease as recommended by the Advisory Committee on immunization practices of the Centers for Disease Control and Prevention. The MSDH regulations governing the licensure of child care facilities mandate that each child in a licensed facility have immunizations according to the recommended immunization schedule. These children are to be age-appropriately immunized and must have a Certificate of Immunization Compliance (Form 121) or a Certificate of Medical Exemption (Form 122) on file at the child care facility and readily accessible for review by the MSDH. The Form 121 must be signed by the District Health Officer, a physician, nurse, or designee. The medical exemption, Form 122, MUST be signed by the District Health Officer. Form 122 used for religious exemptions only applies to children enrolled in licensed center or licensed family home facilities. The religious exemption does not apply to any adults employed in licensed center or licensed family home facilities. Children enrolled in licensed child care facilities and public and private schools in Mississippi may be exempt for medical reasons only and not for religious reasons. Children usually begin their routine immunizations between 6 weeks and 2 months of age. The immunizations that are currently required at the age-appropriate times for child care are: DTaP (diphtheria, tetanus, pertussis), polio, MMR (measles, mumps, rubella), and HIB (H. Influenzae type b). Hepatitis B vaccine is a recommended vaccine and is usually started at birth to 2 months of age. Hepatitis B is not required for child care attendance but is required for entry into 5 year old kindergarten. As of 8/01/2002, one (1) dose of Varicella (chicken pox) vaccine is required on or after the 1st birthday and is required for entry into five (5) year-old kindergarten. Varicella is not required if a history of the disease is documented. Children enrolled in a licensed child care, Head Start Center, or being provided child care services by any provider receiving CCDF funds, including unlicensed and license exempt providers, are expected to be age appropriately immunized. All children must have one of the following forms before enrollment in a licensed Child Care/Head Start facility: 1. Certificate of Immunization Compliance (Form 121). This form must be signed by the District Health Officer, a physician, nurse, or designee. 2. Certificate of Medical Exemption (Form 122). This form must be approved and signed by the Mississippi State Department of Health District Health Officer from the public health district or the State Epidemiologist. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. iii. All CCDF-eligible licensed in-home care. Provide the standard: Effective from and after 1/1/2008, the State Board of Health has developed regulations to ensure that all children enrolled or enrolling in a state licensed child care center receive age-appropriate immunization against invasive pneumococcal disease as recommended by the Advisory Committee on immunization practices of the Centers for Disease Control and Prevention. The MSDH regulations governing the licensure of child care facilities mandate that each child in a licensed facility have immunizations according to the recommended immunization schedule. These children are to be age-appropriately immunized and must have a Certificate of Immunization Compliance (Form 121) or a Certificate of Medical Exemption (Form 122) on file at the child care facility and readily accessible for review by the MSDH. The Form 121 must be signed by the District Health Officer, a physician, nurse, or designee. The medical exemption, Form 122, MUST be signed by the District Health Officer. Form 122 used for religious exemptions only applies to children enrolled in licensed center or licensed family home facilities. The religious exemption does not apply to any adults employed in licensed center or licensed family home facilities. Children enrolled in licensed child care facilities and public and private schools in Mississippi may be exempt for medical reasons only and not for religious reasons. Children usually begin their routine immunizations between 6 weeks and 2 months of age. The immunizations that are currently required at the age-appropriate times for child care are: DTaP (diphtheria, tetanus, pertussis), polio, MMR (measles, mumps, rubella), and HIB (H. Influenzae type b). Hepatitis B vaccine is a recommended vaccine and is usually started at birth to 2 months of age. Hepatitis B is not required for child care attendance but is required for entry into 5 year old kindergarten. As of 8/01/2002, one (1) dose of Varicella (chicken pox) vaccine is required on or after the 1st birthday and is required for entry into five (5) year-old kindergarten. Varicella is not required if a history of the disease is documented. Children enrolled in a licensed child care, Head Start Center, or being provided child care services by any provider receiving CCDF funds, including unlicensed and license exempt providers, are expected to be age appropriately immunized. All children must have one of the following forms before enrollment in a licensed Child Care/Head Start facility: 1. Certificate of Immunization Compliance (Form 121). This form must be signed by the District Health Officer, a physician, nurse, or designee. 2. Certificate of Medical Exemption (Form 122). This form must be approved and signed by the Mississippi State Department of Health District Health Officer from the public health district or the State Epidemiologist. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N/A vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Effective from and after 1/1/2008, the State Board of Health has developed regulations to ensure that all children enrolled or enrolling in a state licensed child care center receive age-appropriate immunization against invasive pneumococcal disease as recommended by the Advisory Committee on immunization practices of the Centers for Disease Control and Prevention. The MSDH regulations governing the licensure of child care facilities mandate that each child in a licensed facility have immunizations according to the recommended immunization schedule. These children are to be age-appropriately immunized and must have a Certificate of Immunization Compliance (Form 121) or a Certificate of Medical Exemption (Form 122) on file at the child care facility and readily accessible for review by the MSDH. The Form 121 must be signed by the District Health Officer, a physician, nurse, or designee. The medical exemption, Form 122, MUST be signed by the District Health Officer. Form 122 used for religious exemptions only applies to children enrolled in licensed center or licensed family home facilities. The religious exemption does not apply to any adults employed in licensed center or licensed family home facilities. Children enrolled in licensed child care facilities and public and private schools in Mississippi may be exempt for medical reasons only and not for religious reasons. Children usually begin their routine immunizations between 6 weeks and 2 months of age. The immunizations that are currently required at the age-appropriate times for child care are: DTaP (diphtheria, tetanus, pertussis), polio, MMR (measles, mumps, rubella), and HIB (H. Influenzae type b). Hepatitis B vaccine is a recommended vaccine and is usually started at birth to 2 months of age. Hepatitis B is not required for child care attendance but is required for entry into 5 year old kindergarten. As of 8/01/2002, one (1) dose of Varicella (chicken pox) vaccine is required on or after the 1st birthday and is required for entry into five (5) year-old kindergarten. Varicella is not required if a history of the disease is documented. Children enrolled in a licensed child care, Head Start Center, or being provided child care services by any provider receiving CCDF funds, including unlicensed and license exempt providers, are expected to be age appropriately immunized. All children must have one of the following forms before enrollment in a licensed Child Care/Head Start facility: 1. Certificate of Immunization Compliance (Form 121). This form must be signed by the District Health Officer, a physician, nurse, or designee. 2. Certificate of Medical Exemption (Form 122). This form must be approved and signed by the Mississippi State Department of Health District Health Officer from the public health district or the State Epidemiologist. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. Refer to Appendix ￿F￿ for instructions on how to properly wash hands. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 1. Employees manifesting symptoms or otherwise suspected of having upper respiratory, gastrointestinal, skin, or other serious contagious conditions shall be excluded from work until either free from symptoms or certified by a physician to be no longer infectious. 2. Staff shall use universal precautions when changing diapers or being exposed to blood, fecal material, or urine. 3. Staff shall wash their hands upon: a. Immediately before handling food, preparing bottles, or feeding children. b. After using the toilet, assisting a child in using the toilet, or changing diapers. c. After contacting a child’s body fluids, including wet or soiled diapers, runny noses, spit, vomit, etc. d. After handling pets, pet cages, or other pet objects. e. Whenever hands are visibly dirty or after cleaning up a child, the room, bathroom items, or toys. f. After removing gloves used for any purpose. g. Before giving or applying medication or ointment to a child or self. 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: A safe sleep environment for infants to lower the risk of Sudden Infant Death Syndrome (SIDS) is required as follows: (a) An infant shall be placed on his/her back for sleeping unless written physician orders to the contrary are in the child's record. Sleeping infants shall be within the view of the staff and visually checked regularly when sleeping. Nothing shall obstruct the view of the staff or prevent the staff from clearly seeing infants or children. (b) Infants shall be dressed in clothing appropriate for sleeping that is designed to keep the infant warm without the possible hazard of head covering or entrapment. The room shall be kept at a draft-free seasonally appropriate temperature of 65 degrees Fahrenheit to 78 degrees Fahrenheit. If a child is already asleep and not dressed in clothing appropriate for sleeping, the caregiver does not need to awaken the infant to change his or her clothes. (c) Facilities shall use a firm mattress covered by a fitted sheet. (d) Items such as but not limited to pillows, blankets, sheepskins, bumpers, soft objects, stuffed toys, loose bedding, etc., shall not be in the crib. The use of safe sleep practices for children is required as follows: 1. Individual beds, cots, mattresses, pads, or other acceptable equipment shall be used for rest periods, and children shall not be placed directly on the floor for rest periods. Bed linens, such as blankets or sheets, cannot be used in place of a bed, cot, mattress, or pad. These shall be kept in a sanitary condition. Once a sheet or blanket has been used by a child, it shall not be used by another child until it has been laundered 2. Rest period equipment shall be clean and covered with a waterproof cover. 3. Nap pads/cots are designed for use by one child only at a time. 4. Nap pads utilized by more than one child shall be sanitized after each child's use. Nap pads utilized by only one child shall be sanitized immediately when soiled or at least weekly. 5. Nap pads and nap cots without mattresses are not acceptable for use in 24 hour programs. Beds, cribs, or rollaway cots are the only acceptable bedding for 24 hour centers. 6. The facility shall provide a crib or other similarly commercially purchased bed unit, approved and designated for the purpose of sleeping. Mobile infants, at a minimum of eight months, may be placed on a mat during the transition period of crawling to walking. If such mat is used, it shall be a flame retardant, minimum of two (2) inch commercially purchased sleep mat, especially designated for the purpose of sleeping. All cribs, sleep units, and mats must be maintained clean, in sanitary condition and without chips, holes, fraying, tears, or stains. Cribs, cots, and mats are to be a minimum of 24" apart or separated by a solid barrier. A minimum of 36 inches is recommended. 7. Children are not allowed to sleep in shared places, such as infant seats, strollers, swings, cozy areas, or on tables. If a child falls asleep in such shared place, he or she should be moved immediately to a sanitary individual sleeping place. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A safe sleep environment for infants to lower the risk of Sudden Infant Death Syndrome (SIDS) is required as follows: (a) An infant shall be placed on his/her back for sleeping unless written physician orders to the contrary are in the child's record. Sleeping infants shall be within the view of the staff and visually checked regularly when sleeping. Nothing shall obstruct the view of the staff or prevent the staff from clearly seeing infants or children. (b) Infants shall be dressed in clothing appropriate for sleeping that is designed to keep the infant warm without the possible hazard of head covering or entrapment. The room shall be kept at a draft-free seasonally appropriate temperature of 65 degrees Fahrenheit to 78 degrees Fahrenheit. If a child is already asleep and not dressed in clothing appropriate for sleeping, the caregiver does not need to awaken the infant to change his or her clothes. (c) Facilities shall use a firm mattress covered by a fitted sheet. (d) Items such as but not limited to pillows, blankets, sheepskins, bumpers, soft objects, stuffed toys, loose bedding, etc., shall not be in the crib. The use of safe sleep practices for children is required as follows: 1. Individual beds, cots, mattresses, pads, or other acceptable equipment shall be used for rest periods, and children shall not be placed directly on the floor for rest periods. Bed linens, such as blankets or sheets, cannot be used in place of a bed, cot, mattress, or pad. These shall be kept in a sanitary condition. Once a sheet or blanket has been used by a child, it shall not be used by another child until it has been laundered 2. Rest period equipment shall be clean and covered with a waterproof cover. 3. Nap pads/cots are designed for use by one child only at a time. 4. Nap pads utilized by more than one child shall be sanitized after each child's use. Nap pads utilized by only one child shall be sanitized immediately when soiled or at least weekly. 5. Nap pads and nap cots without mattresses are not acceptable for use in 24 hour programs. Beds, cribs, or rollaway cots are the only acceptable bedding for 24 hour centers. 6. The facility shall provide a crib or other similarly commercially purchased bed unit, approved and designated for the purpose of sleeping. Mobile infants, at a minimum of eight months, may be placed on a mat during the transition period of crawling to walking. If such mat is used, it shall be a flame retardant, minimum of two (2) inch commercially purchased sleep mat, especially designated for the purpose of sleeping. All cribs, sleep units, and mats must be maintained clean, in sanitary condition and without chips, holes, fraying, tears, or stains. Cribs, cots, and mats are to be a minimum of 24" apart or separated by a solid barrier. A minimum of 36 inches is recommended. 7. Children are not allowed to sleep in shared places, such as infant seats, strollers, swings, cozy areas, or on tables. If a child falls asleep in such shared place, he or she should be moved immediately to a sanitary individual sleeping place. iii. All CCDF-eligible licensed in-home care. Provide the standard: A safe sleep environment for infants to lower the risk of Sudden Infant Death Syndrome (SIDS) is required as follows: (a) An infant shall be placed on his/her back for sleeping unless written physician orders to the contrary are in the child's record. Sleeping infants shall be within the view of the staff and visually checked regularly when sleeping. Nothing shall obstruct the view of the staff or prevent the staff from clearly seeing infants or children. (b) Infants shall be dressed in clothing appropriate for sleeping that is designed to keep the infant warm without the possible hazard of head covering or entrapment. The room shall be kept at a draft-free seasonally appropriate temperature of 65 degrees Fahrenheit to 78 degrees Fahrenheit. If a child is already asleep and not dressed in clothing appropriate for sleeping, the caregiver does not need to awaken the infant to change his or her clothes. (c) Facilities shall use a firm mattress covered by a fitted sheet. (d) Items such as but not limited to pillows, blankets, sheepskins, bumpers, soft objects, stuffed toys, loose bedding, etc., shall not be in the crib. The use of safe sleep practices for children is required as follows: 1. Individual beds, cots, mattresses, pads, or other acceptable equipment shall be used for rest periods, and children shall not be placed directly on the floor for rest periods. Bed linens, such as blankets or sheets, cannot be used in place of a bed, cot, mattress, or pad. These shall be kept in a sanitary condition. Once a sheet or blanket has been used by a child, it shall not be used by another child until it has been laundered 2. Rest period equipment shall be clean and covered with a waterproof cover. 3. Nap pads/cots are designed for use by one child only at a time. 4. Nap pads utilized by more than one child shall be sanitized after each child's use. Nap pads utilized by only one child shall be sanitized immediately when soiled or at least weekly. 5. Nap pads and nap cots without mattresses are not acceptable for use in 24 hour programs. Beds, cribs, or rollaway cots are the only acceptable bedding for 24 hour centers. 6. The facility shall provide a crib or other similarly commercially purchased bed unit, approved and designated for the purpose of sleeping. Mobile infants, at a minimum of eight months, may be placed on a mat during the transition period of crawling to walking. If such mat is used, it shall be a flame retardant, minimum of two (2) inch commercially purchased sleep mat, especially designated for the purpose of sleeping. All cribs, sleep units, and mats must be maintained clean, in sanitary condition and without chips, holes, fraying, tears, or stains. Cribs, cots, and mats are to be a minimum of 24" apart or separated by a solid barrier. A minimum of 36 inches is recommended. 7. Children are not allowed to sleep in shared places, such as infant seats, strollers, swings, cozy areas, or on tables. If a child falls asleep in such shared place, he or she should be moved immediately to a sanitary individual sleeping place. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. 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: A record shall be maintained of any medication administered by the director or caregiver showing date, time, and signature of dispensing employee. A medication record may be destroyed 90 days after administered the medication. Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). Prohibited Behavior: Use of any food or medication in any manner or for any purpose other than that for which it was intended. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A record shall be maintained of any medication administered by the director or caregiver showing date, time, and signature of dispensing employee. A medication record may be destroyed 90 days after administered the medication. Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). Prohibited Behavior: Use of any food or medication in any manner or for any purpose other than that for which it was intended. iii. All CCDF-eligible licensed in-home care. Provide the standard: A record shall be maintained of any medication administered by the director or caregiver showing date, time, and signature of dispensing employee. A medication record may be destroyed 90 days after administered the medication. Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). Prohibited Behavior: Use of any food or medication in any manner or for any purpose other than that for which it was intended. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: A record shall be maintained of any medication administered by the director or caregiver showing date, time, and signature of dispensing employee. A medication record may be destroyed 90 days after administered the medication. Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). Prohibited Behavior: Use of any food or medication in any manner or for any purpose other than that for which it was intended. 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: Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). ii. All CCDF-eligible licensed family child care homes. Provide the standard: Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). iii. All CCDF-eligible licensed in-home care. Provide the standard: Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Signed written authorization to obtain emergency medical treatment and to administer medication (must be signed by parent or guardian and kept in child's record/file). 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: A child requiring a special diet due to medical reasons, allergic reactions, or religious beliefs, shall be provided meals and snacks in accordance with the child's needs. If medical reasons exist for the special diet, a medical prescription from the child's physician stating that the special diet is medically necessary is required. Information required for dietary modifications include: Child's full name and date of instructions, updated annually; any dietary restrictions based on the special needs; any special feeding or eating utensils; any foods to be omitted from the diet and any foods to be substituted; limitations of life activities; any other pertinent special needs information; what, if anything, needs to be done if the child is exposed to restricted foods. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A child requiring a special diet due to medical reasons, allergic reactions, or religious beliefs, shall be provided meals and snacks in accordance with the child's needs. If medical reasons exist for the special diet, a medical prescription from the child's physician stating that the special diet is medically necessary is required. Information required for dietary modifications include: Child's full name and date of instructions, updated annually; any dietary restrictions based on the special needs; any special feeding or eating utensils; any foods to be omitted from the diet and any foods to be substituted; limitations of life activities; any other pertinent special needs information; what, if anything, needs to be done if the child is exposed to restricted foods. iii. All CCDF-eligible licensed in-home care. Provide the standard: A child requiring a special diet due to medical reasons, allergic reactions, or religious beliefs, shall be provided meals and snacks in accordance with the child's needs. If medical reasons exist for the special diet, a medical prescription from the child's physician stating that the special diet is medically necessary is required. Information required for dietary modifications include: Child's full name and date of instructions, updated annually; any dietary restrictions based on the special needs; any special feeding or eating utensils; any foods to be omitted from the diet and any foods to be substituted; limitations of life activities; any other pertinent special needs information; what, if anything, needs to be done if the child is exposed to restricted foods. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: A child requiring a special diet due to medical reasons, allergic reactions, or religious beliefs, shall be provided meals and snacks in accordance with the child's needs. If medical reasons exist for the special diet, a medical prescription from the child's physician stating that the special diet is medically necessary is required. Information required for dietary modifications include: Child's full name and date of instructions, updated annually; any dietary restrictions based on the special needs; any special feeding or eating utensils; any foods to be omitted from the diet and any foods to be substituted; limitations of life activities; any other pertinent special needs information; what, if anything, needs to be done if the child is exposed to restricted foods. 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: If the parent provides written instructions to the facility, those instructions concerning the child’s growth and development, medical needs, allergies, toilet training and other information relevant to the child’s well-being shall be maintained and updated as provided from time to time. ii. All CCDF-eligible licensed family child care homes. Provide the standard: If the parent provides written instructions to the facility, those instructions concerning the child’s growth and development, medical needs, allergies, toilet training and other information relevant to the child’s well-being shall be maintained and updated as provided from time to time. iii. All CCDF-eligible licensed in-home care. Provide the standard:: If the parent provides written instructions to the facility, those instructions concerning the child’s growth and development, medical needs, allergies, toilet training and other information relevant to the child’s well-being shall be maintained and updated as provided from time to time. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: If the parent provides written instructions to the facility, those instructions concerning the child’s growth and development, medical needs, allergies, toilet training and other information relevant to the child’s well-being shall be maintained and updated as provided from time to time. 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: All child care facility buildings shall meet all fire safety standards listed on the MSDH Form #333 and all applicable local fire safety standards and/or ordinances. All fire extinguishers, as required in the fire safety plan, shall be serviced on an annual basis by a qualified fire extinguisher technician. Unused electrical outlets shall be protected by a safety plug cover. No extension cords shall be used in areas accessible to children. Every child care facility which uses nonelectric heating and/or cooling systems, cooking stoves, and/or hot water heaters or other nonelectric equipment, shall have sufficient carbon monoxide monitors placed appropriately throughout the child care facility. All glass in doors, windows, mirrors, etc., in the child care facility shall have a protective barrier at least four feet high when measured from the floor. Doors, windows, mirrors, etc., using safety grade glass or polymer (e.g., Lexan®) are not required to have a protective barrier. A separate space in the child care facility shall be provided for the use of an ill or injured child until the child can be picked up by the parent. Space shall be located in an area that is supervised at all times by an employee. All parts of the child care facility used by children shall be lead-safe, well lighted, ventilated, and free of hazardous or potentially hazardous conditions, such as but not limited to, open stairs and unprotected low windows. The child care facility shall be equipped with an outdoor playground area that directly adjoins the indoor facilities or that can be reached by a route free of hazards and is no farther than 1/8mile (660 feet) from the child care facility. The outdoor playground area shall be free of hazards and not less than 30 feet (measured horizontally parallel to the ground) from electrical transformers, high-voltage power lines, electrical substations, railroad tracks, or sources of toxic fumes or gases. Hazards, including but not limited to air conditioner units and utility mains, meters, tanks, and/or cabling shall be inaccessible to children. Fencing at least four feet high shall be provided around the outdoor playground area. Fencing higher than four feet but not to exceed eight feet may be required if the licensing authority determines that a hazard exists. Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. The soil in outdoor playground areas of the child care facility shall not contain hazardous levels of any toxic chemical or substances. where there is good reason to believe a problem may exist. The child care facility shall have soil samples and analyses performed. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All child care facility buildings shall meet all fire safety standards listed on the MSDH Form #333 and all applicable local fire safety standards and/or ordinances. All fire extinguishers, as required in the fire safety plan, shall be serviced on an annual basis by a qualified fire extinguisher technician. Unused electrical outlets shall be protected by a safety plug cover. No extension cords shall be used in areas accessible to children. Every child care facility which uses nonelectric heating and/or cooling systems, cooking stoves, and/or hot water heaters or other nonelectric equipment, shall have sufficient carbon monoxide monitors placed appropriately throughout the child care facility. All glass in doors, windows, mirrors, etc., in the child care facility shall have a protective barrier at least four feet high when measured from the floor. Doors, windows, mirrors, etc., using safety grade glass or polymer (e.g., Lexan®) are not required to have a protective barrier. A separate space in the child care facility shall be provided for the use of an ill or injured child until the child can be picked up by the parent. Space shall be located in an area that is supervised at all times by an employee. All parts of the child care facility used by children shall be lead-safe, well lighted, ventilated, and free of hazardous or potentially hazardous conditions, such as but not limited to, open stairs and unprotected low windows. The child care facility shall be equipped with an outdoor playground area that directly adjoins the indoor facilities or that can be reached by a route free of hazards and is no farther than 1/8mile (660 feet) from the child care facility. The outdoor playground area shall be free of hazards and not less than 30 feet (measured horizontally parallel to the ground) from electrical transformers, high-voltage power lines, electrical substations, railroad tracks, or sources of toxic fumes or gases. Hazards, including but not limited to air conditioner units and utility mains, meters, tanks, and/or cabling shall be inaccessible to children. Fencing at least four feet high shall be provided around the outdoor playground area. Fencing higher than four feet but not to exceed eight feet may be required if the licensing authority determines that a hazard exists. Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. The soil in outdoor playground areas of the child care facility shall not contain hazardous levels of any toxic chemical or substances. where there is good reason to believe a problem may exist. The child care facility shall have soil samples and analyses performed. iii. All CCDF-eligible licensed in-home care. Provide the standard: All child care facility buildings shall meet all fire safety standards listed on the MSDH Form #333 and all applicable local fire safety standards and/or ordinances. All fire extinguishers, as required in the fire safety plan, shall be serviced on an annual basis by a qualified fire extinguisher technician. Unused electrical outlets shall be protected by a safety plug cover. No extension cords shall be used in areas accessible to children. Every child care facility which uses nonelectric heating and/or cooling systems, cooking stoves, and/or hot water heaters or other nonelectric equipment, shall have sufficient carbon monoxide monitors placed appropriately throughout the child care facility. All glass in doors, windows, mirrors, etc., in the child care facility shall have a protective barrier at least four feet high when measured from the floor. Doors, windows, mirrors, etc., using safety grade glass or polymer (e.g., Lexan®) are not required to have a protective barrier. A separate space in the child care facility shall be provided for the use of an ill or injured child until the child can be picked up by the parent. Space shall be located in an area that is supervised at all times by an employee. All parts of the child care facility used by children shall be lead-safe, well lighted, ventilated, and free of hazardous or potentially hazardous conditions, such as but not limited to, open stairs and unprotected low windows. The child care facility shall be equipped with an outdoor playground area that directly adjoins the indoor facilities or that can be reached by a route free of hazards and is no farther than 1/8mile (660 feet) from the child care facility. The outdoor playground area shall be free of hazards and not less than 30 feet (measured horizontally parallel to the ground) from electrical transformers, high-voltage power lines, electrical substations, railroad tracks, or sources of toxic fumes or gases. Hazards, including but not limited to air conditioner units and utility mains, meters, tanks, and/or cabling shall be inaccessible to children. Fencing at least four feet high shall be provided around the outdoor playground area. Fencing higher than four feet but not to exceed eight feet may be required if the licensing authority determines that a hazard exists. Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. The soil in outdoor playground areas of the child care facility shall not contain hazardous levels of any toxic chemical or substances. where there is good reason to believe a problem may exist. The child care facility shall have soil samples and analyses performed. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All child care facility buildings shall meet all fire safety standards listed on the MSDH Form #333 and all applicable local fire safety standards and/or ordinances. All fire extinguishers, as required in the fire safety plan, shall be serviced on an annual basis by a qualified fire extinguisher technician. Unused electrical outlets shall be protected by a safety plug cover. No extension cords shall be used in areas accessible to children. Every child care facility which uses nonelectric heating and/or cooling systems, cooking stoves, and/or hot water heaters or other nonelectric equipment, shall have sufficient carbon monoxide monitors placed appropriately throughout the child care facility. All glass in doors, windows, mirrors, etc., in the child care facility shall have a protective barrier at least four feet high when measured from the floor. Doors, windows, mirrors, etc., using safety grade glass or polymer (e.g., Lexan®) are not required to have a protective barrier. A separate space in the child care facility shall be provided for the use of an ill or injured child until the child can be picked up by the parent. Space shall be located in an area that is supervised at all times by an employee. All parts of the child care facility used by children shall be lead- safe, well lighted, ventilated, and free of hazardous or potentially hazardous conditions, such as but not limited to, open stairs and unprotected low windows. The child care facility shall be equipped with an outdoor playground area that directly adjoins the indoor facilities or that can be reached by a route free of hazards and is no farther than 1/8mile (660 feet) from the child care facility. The outdoor playground area shall be free of hazards and not less than 30 feet (measured horizontally parallel to the ground) from electrical transformers, high- voltage power lines, electrical substations, railroad tracks, or sources of toxic fumes or gases. Hazards, including but not limited to air conditioner units and utility mains, meters, tanks, and/or cabling shall be inaccessible to children. Fencing at least four feet high shall be provided around the outdoor playground area. Fencing higher than four feet but not to exceed eight feet may be required if the licensing authority determines that a hazard exists. Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. The soil in outdoor playground areas of the child care facility shall not contain hazardous levels of any toxic chemical or substances. where there is good reason to believe a problem may exist. The child care facility shall have soil samples and analyses performed. 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: Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. iii. All CCDF-eligible licensed in-home care. Provide the standard: Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Outdoor playground areas shall be free from unprotected swimming and wading pools, ditches, quarries, canals, excavations, fishponds, or other bodies of water. 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: It is required that: 1) All drivers are appropriately licensed. 2) All vehicles have current safety inspection stickers, licenses, and registrations. 3) Insurance adequately covers the transportation of children. 4) Children board or leave the vehicle from the curb- side of the street and/or are safely accompanied to their destinations. 5) A parent is present if the child is delivered home. 6) Seat restraints are used. ii. All CCDF-eligible licensed family child care homes. Provide the standard: It is required that: 1) All drivers are appropriately licensed. 2) All vehicles have current safety inspection stickers, licenses, and registrations. 3) Insurance adequately covers the transportation of children. 4) Children board or leave the vehicle from the curb-side of the street and/or are safely accompanied to their destinations. 5) A parent is present if the child is delivered home. 6) Seat restraints are used. iii. All CCDF-eligible licensed in-home care. Provide the standard: It is required that: 1) All drivers are appropriately licensed. 2) All vehicles have current safety inspection stickers, licenses, and registrations. 3) Insurance adequately covers the transportation of children. 4) Children board or leave the vehicle from the curb- side of the street and/or are safely accompanied to their destinations. 5) A parent is present if the child is delivered home. 6) Seat restraints are used. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: It is required that: 1) All drivers are appropriately licensed. 2) All vehicles have current safety inspection stickers, licenses, and registrations. 3) Insurance adequately covers the transportation of children. 4) Children board or leave the vehicle from the curb-side of the street and/or are safely accompanied to their destinations. 5) A parent is present if the child is delivered home. 6) Seat restraints are used. 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: Shaken baby syndrome (SBS) and abusive head trauma (AHT) are the constellation of signs and symptoms resulting from violent shaking or shaking and impacting the head of an infant or small child. Shaken baby syndrome is a subset of abusive head trauma with injuries having the potential to result in death or permanent neurologic disability. SBS/AHT is a form of child abuse. Caregivers are trained to recognize the possible signs and symptoms of SBS/AHT and the consequences of SBS/AHT. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Shaken baby syndrome (SBS) and abusive head trauma (AHT) are the constellation of signs and symptoms resulting from violent shaking or shaking and impacting the head of an infant or small child. Shaken baby syndrome is a subset of abusive head trauma with injuries having the potential to result in death or permanent neurologic disability. SBS/AHT is a form of child abuse. Caregivers are trained to recognize the possible signs and symptoms of SBS/AHT and the consequences of SBS/AHT. iii. All CCDF-eligible licensed in-home care. Provide the standard: Shaken baby syndrome (SBS) and abusive head trauma (AHT) are the constellation of signs and symptoms resulting from violent shaking or shaking and impacting the head of an infant or small child. Shaken baby syndrome is a subset of abusive head trauma with injuries having the potential to result in death or permanent neurologic disability. SBS/AHT is a form of child abuse. Caregivers are trained to recognize the possible signs and symptoms of SBS/AHT and the consequences of SBS/AHT. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Shaken baby syndrome (SBS) and abusive head trauma (AHT) are the constellation of signs and symptoms resulting from violent shaking or shaking and impacting the head of an infant or small child. Shaken baby syndrome is a subset of abusive head trauma with injuries having the potential to result in death or permanent neurologic disability. SBS/AHT is a form of child abuse. Caregivers are trained to recognize the possible signs and symptoms of SBS/AHT and the consequences of SBS/AHT. 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: Child maltreatment is defined as prohibited behaviors. The following behaviors are prohibited by anyone (i.e., parent, caregiver, or child) in all child care settings: 1. Corporal punishment, including hitting, spanking, beating, shaking, pinching, biting, and other measures that produce physical pain. 2. Withdrawal or the threat of withdrawal of food, rest, or bathroom opportunities. 3. Abusive or profane language to include but not limited to yelling at, and/or using harsh tones toward the children or in close proximity (hearing distance) to children. 4. Any form of public or private humiliation, including threats of physical punishment. 5. Any form of emotional abuse, including rejecting, terrorizing, ignoring, isolating (out of view of a caregiver), or corrupting a child. 6. Use of any food product or medication in any manner or for any purpose other than that for which it was intended. 7. Inappropriate disciplinary behavior includes, but is not limited to, putting soap or pepper in a child's mouth. 8. Any acceptable disciplinary action that is not age-appropriate for the child or is excessive in time or duration. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child maltreatment is defined as prohibited behaviors. The following behaviors are prohibited by anyone (i.e., parent, caregiver, or child) in all child care settings: 1. Corporal punishment, including hitting, spanking, beating, shaking, pinching, biting, and other measures that produce physical pain. 2. Withdrawal or the threat of withdrawal of food, rest, or bathroom opportunities. 3. Abusive or profane language to include but not limited to yelling at, and/or using harsh tones toward the children or in close proximity (hearing distance) to children. 4. Any form of public or private humiliation, including threats of physical punishment. 5. Any form of emotional abuse, including rejecting, terrorizing, ignoring, isolating (out of view of a caregiver), or corrupting a child. 6. Use of any food product or medication in any manner or for any purpose other than that for which it was intended. 7. Inappropriate disciplinary behavior includes, but is not limited to, putting soap or pepper in a child's mouth. 8. Any acceptable disciplinary action that is not age-appropriate for the child or is excessive in time or duration. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child maltreatment is defined as prohibited behaviors. The following behaviors are prohibited by anyone (i.e., parent, caregiver, or child) in all child care settings: 1. Corporal punishment, including hitting, spanking, beating, shaking, pinching, biting, and other measures that produce physical pain. 2. Withdrawal or the threat of withdrawal of food, rest, or bathroom opportunities. 3. Abusive or profane language to include but not limited to yelling at, and/or using harsh tones toward the children or in close proximity (hearing distance) to children. 4. Any form of public or private humiliation, including threats of physical punishment. 5. Any form of emotional abuse, including rejecting, terrorizing, ignoring, isolating (out of view of a caregiver), or corrupting a child. 6. Use of any food product or medication in any manner or for any purpose other than that for which it was intended. 7. Inappropriate disciplinary behavior includes, but is not limited to, putting soap or pepper in a child's mouth. 8. Any acceptable disciplinary action that is not age-appropriate for the child or is excessive in time or duration. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child maltreatment is defined as prohibited behaviors. The following behaviors are prohibited by anyone (i.e., parent, caregiver, or child) in all child care settings: 1. Corporal punishment, including hitting, spanking, beating, shaking, pinching, biting, and other measures that produce physical pain. 2. Withdrawal or the threat of withdrawal of food, rest, or bathroom opportunities. 3. Abusive or profane language to include but not limited to yelling at, and/or using harsh tones toward the children or in close proximity (hearing distance) to children. 4. Any form of public or private humiliation, including threats of physical punishment. 5. Any form of emotional abuse, including rejecting, terrorizing, ignoring, isolating (out of view of a caregiver), or corrupting a child. 6. Use of any food product or medication in any manner or for any purpose other than that for which it was intended. 7. Inappropriate disciplinary behavior includes, but is not limited to, putting soap or pepper in a child's mouth. 8. Any acceptable disciplinary action that is not age- appropriate for the child or is excessive in time or duration. 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: N/A 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio-contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio- contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. iii. All CCDF-eligible licensed in-home care. Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio-contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio-contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. 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: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio-contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio- contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. iii. All CCDF-eligible licensed in-home care. Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio-contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Garbage Removal: Garbage and trash shall be removed from the child care facility daily and from the grounds at least once a week. Garbage and trash shall be stored inaccessible to the children, and in insect and rodent resistant containers. Environmental Health: The child care facility shall comply with all regulations promulgated by the Division of Sanitation of the Mississippi State Department of Health for: 1. Food Service. 2. On-site Wastewater Systems. 3. Vector (pest) Control. Staff shall use universal precautions when handling and storing bio-contaminants including blood, bodily fluids or excretions that may spread infection or disease. Staff shall wash their hands after changing diapers and after contacting a child's body fluids, including wet or soiled diapers, runny noses, spit, or vomit. Subchapter 16 of MSDH Regulations outlines staff responsibilities regarding diapering and toileting. Disposable diapers are sealed in a plastic bag, rolled up and taped securely, then placed in a plastic-lined covered garbage receptacle. Soiled non-disposable diaper or training pants shall then be placed into a plastic bag, sealed, and placed in the child's individual container. Procedures for diapering a child are outlined in Appendix G of the MSDH Regulations. The procedures include how to dispose of soiled diapers, removal of disposal covering, and cleaning and disinfecting the diapering surface, Cleaning and disinfection procedures for staff are outlined in Appendix H of MSDH Regulations. Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and rinsing with clear water. Appendix H also outlines how to clean up bodily fluid spills, including blood, feces, nasal and eye discharges, saliva, urine, and vomit. 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: 1. All children will be properly restrained whenever they are being transported in a motor vehicle. a. Every person transporting a child under the age of four (4) years in a passenger motor vehicle, and operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a child passenger restraint device or system meeting applicable federal motor vehicle safety standards, e.g., child safety seat. b. Every person transporting a child in a passenger motor vehicle operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a belt positioning booster seat system meeting applicable federal motor vehicle safety standards if the child is at least four (4) years of age, but less than seven (7) years of age and measures less than four (4) feet nine (9) inches in height or weighs less than sixty-five (65) pounds. c. Any vehicle equipped with seatbelts is subject to the requirements in items a. and b. above. 2. No vehicle shall be occupied by more individuals than its rated capacity. No children shall be transported in the front seat of vehicles equipped with passenger side airbags. 3. All vehicles under 10,000 lbs. GVWR (Gross Vehicle Weight Rated) shall be equipped with occupant restraints appropriate for the age and/or weight of the children being transported. A child under the age of four shall be transported only if the child is securely fastened in a child safety seat that meets Federal Motor Vehicle Safety Standards (FMVSS, 49 CFR 571.213), which shall be indicated on the child safety seat. The child safety seat shall be appropriate to the child's weight and be installed and used according to the manufacturer's instructions. 4. Vehicles (e.g., school buses) with a GVWR 10,000 lbs. or more at a minimum shall meet the current Federal Motor Vehicle Safety Standards (FMVSS) for buses of that size. It is the responsibility of the child care facility operator to have documentation verifying that a bus meets the current FMVSS. 5. An individual seat restraint must be used for each child. The use of an individual seat restraint for two or more children is not allowed. NOTE: Federal Motor Vehicle Safety Standards (FMVSS) means the National Highway and Traffic Safety Administration's standards for motor vehicles and motor vehicle equipment established under Section 103 of the Motor Vehicle Safety Act of 1966 (49 CFR Part571) as they apply to school buses. Staff-to-Child Ratio: 1. On vehicles with a GVWR of less than 10,000 lbs., the staff-to-child ratio shall be maintained at all times. The driver of the vehicle shall not be counted as a caregiver while transporting the children. 2. On vehicles with at GVWR of 10,000 lbs. or more, the staff-to-child ratio shall be one caregiver to each 25 children or fraction thereof. The driver of the vehicle shall not be counted as a caregiver while transporting the children. In facilities that are dually licensed, i.e., licensed to provide care for both preschool and school age children, if the vehicle is only transporting school age children (no preschool children, infants, or of roadway, street or highway, shall provide for the protection of the child by properly toddlers are being transported), the driver may be counted as a caregiver while transporting the school age children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 1. All children will be properly restrained whenever they are being transported in a motor vehicle. a. Every person transporting a child under the age of four (4) years in a passenger motor vehicle, and operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a child passenger restraint device or system meeting applicable federal motor vehicle safety standards, e.g., child safety seat. b. Every person transporting a child in a passenger motor vehicle operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a belt positioning booster seat system meeting applicable federal motor vehicle safety standards if the child is at least four (4) years of age, but less than seven (7) years of age and measures less than four (4) feet nine (9) inches in height or weighs less than sixty-five (65) pounds. c. Any vehicle equipped with seatbelts is subject to the requirements in items a. and b. above. 2. No vehicle shall be occupied by more individuals than its rated capacity. No children shall be transported in the front seat of vehicles equipped with passenger side airbags. 3. All vehicles under 10,000 lbs. GVWR (Gross Vehicle Weight Rated) shall be equipped with occupant restraints appropriate for the age and/or weight of the children being transported. A child under the age of four shall be transported only if the child is securely fastened in a child safety seat that meets Federal Motor Vehicle Safety Standards (FMVSS, 49 CFR 571.213), which shall be indicated on the child safety seat. The child safety seat shall be appropriate to the child's weight and be installed and used according to the manufacturer's instructions. 4. Vehicles (e.g., school buses) with a GVWR 10,000 lbs. or more at a minimum shall meet the current Federal Motor Vehicle Safety Standards (FMVSS) for buses of that size. It is the responsibility of the child care facility operator to have documentation verifying that a bus meets the current FMVSS. 5. An individual seat restraint must be used for each child. The use of an individual seat restraint for two or more children is not allowed. NOTE: Federal Motor Vehicle Safety Standards (FMVSS) means the National Highway and Traffic Safety Administration's standards for motor vehicles and motor vehicle equipment established under Section 103 of the Motor Vehicle Safety Act of 1966 (49 CFR Part571) as they apply to school buses. Staff-to-Child Ratio: 1. On vehicles with a GVWR of less than 10,000 lbs., the staff-to-child ratio shall be maintained at all times. The driver of the vehicle shall not be counted as a caregiver while transporting the children. 2. On vehicles with at GVWR of 10,000 lbs. or more, the staff-to-child ratio shall be one caregiver to each 25 children or fraction thereof. The driver of the vehicle shall not be counted as a caregiver while transporting the children. In facilities that are dually licensed, i.e., licensed to provide care for both preschool and school age children, if the vehicle is only transporting school age children (no preschool children, infants, or of roadway, street or highway, shall provide for the protection of the child by properly toddlers are being transported), the driver may be counted as a caregiver while transporting the school age children. iii. All CCDF-eligible licensed in-home care. Provide the standard: 1. All children will be properly restrained whenever they are being transported in a motor vehicle. a. Every person transporting a child under the age of four (4) years in a passenger motor vehicle, and operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a child passenger restraint device or system meeting applicable federal motor vehicle safety standards, e.g., child safety seat. b. Every person transporting a child in a passenger motor vehicle operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a belt positioning booster seat system meeting applicable federal motor vehicle safety standards if the child is at least four (4) years of age, but less than seven (7) years of age and measures less than four (4) feet nine (9) inches in height or weighs less than sixty-five (65) pounds. c. Any vehicle equipped with seatbelts is subject to the requirements in items a. and b. above. 2. No vehicle shall be occupied by more individuals than its rated capacity. No children shall be transported in the front seat of vehicles equipped with passenger side airbags. 3. All vehicles under 10,000 lbs. GVWR (Gross Vehicle Weight Rated) shall be equipped with occupant restraints appropriate for the age and/or weight of the children being transported. A child under the age of four shall be transported only if the child is securely fastened in a child safety seat that meets Federal Motor Vehicle Safety Standards (FMVSS, 49 CFR 571.213), which shall be indicated on the child safety seat. The child safety seat shall be appropriate to the child's weight and be installed and used according to the manufacturer's instructions. 4. Vehicles (e.g., school buses) with a GVWR 10,000 lbs. or more at a minimum shall meet the current Federal Motor Vehicle Safety Standards (FMVSS) for buses of that size. It is the responsibility of the child care facility operator to have documentation verifying that a bus meets the current FMVSS. 5. An individual seat restraint must be used for each child. The use of an individual seat restraint for two or more children is not allowed. NOTE: Federal Motor Vehicle Safety Standards (FMVSS) means the National Highway and Traffic Safety Administration's standards for motor vehicles and motor vehicle equipment established under Section 103 of the Motor Vehicle Safety Act of 1966 (49 CFR Part571) as they apply to school buses. Staff-to-Child Ratio: 1. On vehicles with a GVWR of less than 10,000 lbs., the staff-to-child ratio shall be maintained at all times. The driver of the vehicle shall not be counted as a caregiver while transporting the children. 2. On vehicles with at GVWR of 10,000 lbs. or more, the staff-to-child ratio shall be one caregiver to each 25 children or fraction thereof. The driver of the vehicle shall not be counted as a caregiver while transporting the children. In facilities that are dually licensed, i.e., licensed to provide care for both preschool and school age children, if the vehicle is only transporting school age children (no preschool children, infants, or of roadway, street or highway, shall provide for the protection of the child by properly toddlers are being transported), the driver may be counted as a caregiver while transporting the school age children. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 1. All children will be properly restrained whenever they are being transported in a motor vehicle. a. Every person transporting a child under the age of four (4) years in a passenger motor vehicle, and operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a child passenger restraint device or system meeting applicable federal motor vehicle safety standards, e.g., child safety seat. b. Every person transporting a child in a passenger motor vehicle operated on a public roadway, street or highway, shall provide for the protection of the child by properly using a belt positioning booster seat system meeting applicable federal motor vehicle safety standards if the child is at least four (4) years of age, but less than seven (7) years of age and measures less than four (4) feet nine (9) inches in height or weighs less than sixty-five (65) pounds. c. Any vehicle equipped with seatbelts is subject to the requirements in items a. and b. above. 2. No vehicle shall be occupied by more individuals than its rated capacity. No children shall be transported in the front seat of vehicles equipped with passenger side airbags. 3. All vehicles under 10,000 lbs. GVWR (Gross Vehicle Weight Rated) shall be equipped with occupant restraints appropriate for the age and/or weight of the children being transported. A child under the age of four shall be transported only if the child is securely fastened in a child safety seat that meets Federal Motor Vehicle Safety Standards (FMVSS, 49 CFR 571.213), which shall be indicated on the child safety seat. The child safety seat shall be appropriate to the child's weight and be installed and used according to the manufacturer's instructions. 4. Vehicles (e.g., school buses) with a GVWR 10,000 lbs. or more at a minimum shall meet the current Federal Motor Vehicle Safety Standards (FMVSS) for buses of that size. It is the responsibility of the child care facility operator to have documentation verifying that a bus meets the current FMVSS. 5. An individual seat restraint must be used for each child. The use of an individual seat restraint for two or more children is not allowed. NOTE: Federal Motor Vehicle Safety Standards (FMVSS) means the National Highway and Traffic Safety Administration's standards for motor vehicles and motor vehicle equipment established under Section 103 of the Motor Vehicle Safety Act of 1966 (49 CFR Part571) as they apply to school buses. Staff-to-Child Ratio: 1. On vehicles with a GVWR of less than 10,000 lbs., the staff-to-child ratio shall be maintained at all times. The driver of the vehicle shall not be counted as a caregiver while transporting the children. 2. On vehicles with at GVWR of 10,000 lbs. or more, the staff-to-child ratio shall be one caregiver to each 25 children or fraction thereof. The driver of the vehicle shall not be counted as a caregiver while transporting the children. In facilities that are dually licensed, i.e., licensed to provide care for both preschool and school age children, if the vehicle is only transporting school age children (no preschool children, infants, or of roadway, street or highway, shall provide for the protection of the child by properly toddlers are being transported), the driver may be counted as a caregiver while transporting the school age children. 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: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. First Aid Supply: 1. A first aid supply shall be kept on-site and easily accessible to employees, but not in reach of the children. 2. A first aid supply shall be taken on all field trips and excursions and shall be easily accessible to employees, but not in reach of the children. 3. Medicine shall be kept out of the reach of the children. 4. All vehicles used by the facility in transporting children shall be equipped with a first aid kit. 5. It is recommended that first aid kits contain items pursuant to American Red Cross guidelines. 6. Some items in this kit may have expiration dates. All first aid kits should be periodically inspected for contents. Depleted and out of date materials should be replaced. 7. Special attention should be exercised when utilizing first aid supplies or any medication for children who have allergies or other special medical needs. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. First Aid Supply: 1. A first aid supply shall be kept on- site and easily accessible to employees, but not in reach of the children. 2. A first aid supply shall be taken on all field trips and excursions and shall be easily accessible to employees, but not in reach of the children. 3. Medicine shall be kept out of the reach of the children. 4. All vehicles used by the facility in transporting children shall be equipped with a first aid kit. 5. It is recommended that first aid kits contain items pursuant to American Red Cross guidelines. 6. Some items in this kit may have expiration dates. All first aid kits should be periodically inspected for contents. Depleted and out of date materials should be replaced. 7. Special attention should be exercised when utilizing first aid supplies or any medication for children who have allergies or other special medical needs. iii. All CCDF-eligible licensed in-home care. Provide the standard: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. First Aid Supply: 1. A first aid supply shall be kept on-site and easily accessible to employees, but not in reach of the children. 2. A first aid supply shall be taken on all field trips and excursions and shall be easily accessible to employees, but not in reach of the children. 3. Medicine shall be kept out of the reach of the children. 4. All vehicles used by the facility in transporting children shall be equipped with a first aid kit. 5. It is recommended that first aid kits contain items pursuant to American Red Cross guidelines. 6. Some items in this kit may have expiration dates. All first aid kits should be periodically inspected for contents. Depleted and out of date materials should be replaced. 7. Special attention should be exercised when utilizing first aid supplies or any medication for children who have allergies or other special medical needs. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. First Aid Supply: 1. A first aid supply shall be kept on-site and easily accessible to employees, but not in reach of the children. 2. A first aid supply shall be taken on all field trips and excursions and shall be easily accessible to employees, but not in reach of the children. 3. Medicine shall be kept out of the reach of the children. 4. All vehicles used by the facility in transporting children shall be equipped with a first aid kit. 5. It is recommended that first aid kits contain items pursuant to American Red Cross guidelines. 6. Some items in this kit may have expiration dates. All first aid kits should be periodically inspected for contents. Depleted and out of date materials should be replaced. 7. Special attention should be exercised when utilizing first aid supplies or any medication for children who have allergies or other special medical needs. 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: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. When groups of children are away from the central location for field trips etc., there shall be at least one caregiver with the group that holds a current certification in pediatric CPR and first aid. All caregivers in summer day camps are required to have current pediatric CPR and first aid certification, copies of which shall be kept with their personnel records. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. When groups of children are away from the central location for field trips etc., there shall be at least one caregiver with the group that holds a current certification in pediatric CPR and first aid. All caregivers in summer day camps are required to have current pediatric CPR and first aid certification, copies of which shall be kept with their personnel records. iii. All CCDF-eligible licensed in-home care. Provide the standard: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. When groups of children are away from the central location for field trips etc., there shall be at least one caregiver with the group that holds a current certification in pediatric CPR and first aid. All caregivers in summer day camps are required to have current pediatric CPR and first aid certification, copies of which shall be kept with their personnel records. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective November 9, 2024, the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. There are currently no enforceable standards that apply to the license-exempt and registered family child care programs that participate in CCDF. The lead agency needs the additional time to allow the Mississippi State Department of Health to follow all state law procedures for the approval and adoption of new licensing and monitoring regulations pertaining to currently license-exempt programs that will be required to meet these enforceable licensing standards. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Programs that operate in a central location there shall be at least one caregiver on the premises at all times the facility is in operation that has a current certification in pediatric CPR and first aid. When groups of children are away from the central location for field trips etc., there shall be at least one caregiver with the group that holds a current certification in pediatric CPR and first aid. All caregivers in summer day camps are required to have current pediatric CPR and first aid certification, copies of which shall be kept with their personnel records. 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: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. iii. All CCDF-eligible licensed in-home care. Provide the standard: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N/A vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. 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: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. iii. All CCDF-eligible licensed in-home care. Provide the standard: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N/A vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Caregivers participate in a Health and Safety Standards Information Session that covers the topics of child abuse and neglect including definitions of types of abuse (physical, emotional, sexual), maltreatment of children, recognizing signs of abuse, and reporting policies. Any operator or employee of a child care facility who has suspicion or evidence of child abuse or neglect shall report it immediately to the Mississippi Department of Child Protection Services in accordance with the state's Youth Court Act. In accordance with the Child Abuse Prevention and Treatment Act and Mississippi Code Annotated 43-21-353, all persons working in a licensed or registered child care facility are mandated reporters of suspected child abuse or neglect. In order to equip them with the knowledge to comply. 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: i) Nutrition. Describe: A child care facility shall provide adequate and nutritious meals prepared in a safe and sanitary manner. Healthy diets contain the amounts of essential nutrients and calories needed to prevent nutritional deficiencies while preventing an excess amount of discretionary calories. Planned meals and snacks provide the right balance of carbohydrate, fat, and protein to reduce risks of chronic diseases, and are part of a full and productive lifestyle. Children's food needs are based on the amount of time spent in the child care facility. Any child in a child care facility at the time of service of a meal or snack will be served that meal or snack. Meals and vending services shall meet the standards from the Offices of Healthy Schools and Child Nutrition for the Mississippi State Department of Education as well as USDA Food and Nutrition Service guidelines. Citation: Regulations Governing Licensure of Child Care Facilities published by the Mississippi State Department of Health. Requirements for unlicensed Family Child Care providers are provided for in Chapter7 of the Child Care Payment Program Policy Manual. Requirements for in-home care providers are provided for in Chapter 7 of the Child Care Payment Program Policy Manual. ii. Access to physical activity. Describe: Child care providers are to provide infants, toddlers, and preschool children with opportunities to be physically active throughout the day. Toddlers and preschool children will be provided the opportunity for light physical activity for at least 15 minutes per hour when children are not involved in their scheduled rest period. Toddlers should accumulate a minimum of 60 minutes of structured moderate to vigorous physical activity per day. Preschoolers should accumulate a minimum of 60 minutes of structured moderate to vigorous physical activity per day. Caregivers should join in and lead the structured, moderate to vigorous, physical activities in which the children participate. Structured physical activity should involve the performance of large muscle activities. 6. Half-day programs are only required to provide for physical activity for one- half (½)the time as stated above. Citation: Regulations Governing Licensure of Child Care Facilities published by the Mississippi State Department of Health (Rule 1.9.7). Requirements for unlicensed Family Child Care providers are provided for in Chapter7 of the Child Care Payment Program Policy Manual. Requirements for in-home care providers are provided for in Chapter 7 of the Child Care Payment Program Policy Manual. iii. Caring for children with special needs. Describe: Facility Adaptation: The child care facility areas to be utilized by a child with special needs shall be adapted as necessary to accommodate special devices that may be required for the child to function independently, as appropriate. A separate area shall be available for providing privacy for diapering, dressing, and other personal care procedures. Activity Plan: A child with special needs shall have an individual activity plan. The individual activity plan shall have been developed by a person with a bachelors or advanced degree in a discipline dealing with disabilities, as appropriate. The individual activity plan shall be reviewed, at a minimum, once every 12 months. Caregiver Staff Development: Caregivers serving children with special needs shall receive staff development related to the specific needs of the children served. Staffing: Caregiver staffing shall be appropriate and adequate to meet the specific physical and/or developmental needs of the special needs children served at the child care facility. Staff-to-child ratio shall be determined by the needs of the child rather than child's chronological age as based upon the child's individual plan (i.e., individual education plan, individual habilitation plan, individual family service plan, etc.). The facility is encouraged to be an active participant in the child's individual plan development. Citation: Regulations Governing Licensure of Child Care Facilities published by the Mississippi State Department of Health (Subchapter 20). Requirements for unlicensed Family Child Care providers are provided for in Chapter7 of the Child Care Payment Program Policy Manual. Requirements for in-home care providers are provided for in Chapter 7 of the Child Care Payment Program Policy Manual. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Information includes developmentally appropriate activities, literacy in early childhood, and sun safety. Citation: Regulations Governing Licensure of Child Care Facilities published by the Mississippi State Department of Health (Subchapter 9 and 10). Requirements for unlicensed Family Child Care providers are provided for in Chapter7of the Child Care Payment Program policy manual. Requirements for in-home care providers are provided for in Chapter 7 of the Child Care Payment Program policy manual.