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: The child care requirements include rule .0804 related to infectious and contagious diseases and when children need to be excluded from child care. If a child care provider chooses to provide care to mildly ill children, there are specific child care requirements in section .2400 of the child care rules that must be followed. In addition, child care centers must follow all procedures to prevent the spread of communicable diseases described in the Environmental Health Section, Sanitation of Child Care Centers. The Rules Governing the Sanitation of Child Care Centers adopted by the Commission of Public Health must also be followed in child care centers. These rules include requirements and procedures for handwashing for both children and staff; procedures for diapering; procedures and or requirements for cleaning, sanitizing and/or disinfecting surfaces, equipment, utensils, and toys. Child care centers are required to have child and staff health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. These requirements are outlined in child care rules .0302 and .0701. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family child care homes are required to comply with sanitation requirements outlined in child care rules .1725 to assure the health of children through proper sanitation. This includes, but is not limited to, the operator following proper handwashing requirements for staff and children, using sanitary diapering procedures, proper storage of garbage, having a supply of clean linens on hand so that linens can be changed whenever they become soiled or wet. Family child care homes are required to have child and staff health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. These requirements are outlined in child care rules .1702 and .1721 iii. All CCDF-eligible licensed in-home care. Provide the standard: Licensed In-Home Care meets the same requirements as a licensed family child care home. Licensed in-home care facilities are required to comply with sanitation requirements outlined in the child care rule .1725 to assure the health of children through proper sanitation. This includes, but is not limited to, the operator following proper handwashing requirements for staff and children, using sanitary diapering procedures, proper storage of garbage, having a supply of clean linens on hand so that linens can be changed whenever they become soiled or wet. Family child care homes are required to have child and staff health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. These rules are outlined in child care rules .1702 and .1721. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The exempt center care must meet the same requirements as a licensed child care center in regards to any health and safety standard. The child care requirements include rule .0804 related to infectious and contagious diseases and when children need to be excluded from child care. If a child care provider chooses to provide care to mildly ill children, there are specific child care requirements that must be followed. In addition, child care centers must follow all procedures to prevent the spread of communicable diseases described in the Environmental Health Section, Sanitation of Child Care Centers. The Rules Governing the Sanitation of Child Care Centers adopted by the Commission of Public Health must also be followed in child care centers. These rules include requirements and procedures for handwashing for both children and staff; procedures for diapering; procedures and or requirements for cleaning, sanitizing and/or disinfecting surfaces, equipment, utensils, and toys. Child care centers are required to have child and staff health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. These requirements are outlined in child care rules .0302 and .0701. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All CCDF-eligible license-exempt Family Child Care Homes are required to comply with sanitation requirements outlined in the child care rule .1725 to assure the health of children through proper sanitation. This includes, but is not limited to, the operator following proper handwashing requirements for staff and children, using sanitary diapering procedures, proper storage of garbage, having a supply of clean linens on hand so that linens can be changed whenever they become soiled or wet. Family child care homes are required to have child and staff health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. These requirements are outlined in child care rules .1702 and .1721. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF- eligible licensed-exempt In Home Care programs are required to comply with sanitation requirements outlined in the child care rule .1725 to assure the health of children through proper sanitation. This includes, but is not limited to, the operator following proper handwashing requirements for staff and children, using sanitary diapering procedures, proper storage of garbage, having a supply of clean linens on hand so that linens can be changed whenever they become soiled or wet. Family child care homes are required to have child and staff health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. These requirements are outlined in child care rules .1702 and .1721. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Eligible out-of-school programs must meet the same health and safety requirements as a child care center. The child care requirements include rule .0804 related to infectious and contagious diseases and when children need to be excluded from child care. If a child care provider chooses to provide care to mildly ill children, there are specific child care requirements that must be followed in the child care center and family child care home requirements. In addition, child care centers must follow all procedures to prevent the spread of communicable diseases described in the Environmental Health Section, Sanitation of Child Care Centers. The Rules Governing the Sanitation of Child Care Centers adopted by the Commission of Public Health must also be followed in child care centers. These rules include requirements and procedures for handwashing for both children and staff; procedures for diapering; procedures and or requirements for cleaning, sanitizing and/or disinfecting surfaces, equipment, utensils, and toys. 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: GS 110-91(1) and child care rule .0302 require child care centers to have health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. North Carolina law requires all children in the state to receive certain immunizations. Immunization records are checked when children enter child care programs and monitored throughout enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. ii. All CCDF-eligible licensed family child care homes. Provide the standard: GS 110- 91(1) and child care rule .1721 require family child care homes to have health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. North Carolina law requires all children in the state to receive certain immunizations. Immunization records are checked when children enter child care programs and monitored throughout enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. iii. All CCDF-eligible licensed in-home care. Provide the standard: Licensed in-home care programs are required to meet the same requirements as a family child care home which include having health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. North Carolina law requires all children in the state to receive certain immunizations. Immunization records are checked when children enter child care programs and monitored throughout enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care centers are required to have health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. North Carolina law requires all children in the state to receive certain immunizations. Immunization records are checked when children enter child care programs and monitored throughout enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Family child care homes are required to have health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. North Carolina law requires all children in the state to receive certain immunizations. Immunization records are checked when children enter child care programs and monitored throughout enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License- exempt in-home care programs are required to have health assessments that must be completed on the first day of enrollment or within 30 days of enrollment, including required immunizations. North Carolina law requires all children in the state to receive certain immunizations. Immunization records are checked when children enter child care programs and monitored throughout enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: GS 130A-152 requires all children in the state to receive certain immunizations. Immunization records for school age children are checked when children enter school and monitored throughout their enrollment to ensure children receive age-appropriate immunizations. NC law does allow medical and religious exemptions to meeting the immunization requirements. 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: GS 110-91(15) and child care rule .0606 require any child care facility licensed to care for infants aged 12 months and younger to place an infant on their back to sleep. The child care facility must develop, adopt, and comply with a written safe sleep policy that specifies caregivers must place infants aged 12 months or younger on their backs for sleeping, unless, for an infant aged six months or less, the facility receives a written waiver of this requirement from a health care professional; or for an infant older than six months of age, the facility receives a written waiver of this requirement from a health care professional, or a parent or legal guardian. Specific information must be included in the safe sleep policy to ensure safe sleep practices are implemented daily for sleeping infants. The child care facility must post a copy of its safe sleep policy about infant safe sleep practices in the infant room where it can be seen easily by parents and caregivers. A copy of the safe sleep policy must be given and explained to parents on or before the first day of enrollment. The parent must sign a statement acknowledging the receipt and explanation of the policy. If the facility amends the policy, it shall give written notice of the amendment to the parents of all enrolled infants at least fourteen days before the amended policy is implemented. Caregivers must document visual sleep checks on infants. A safe sleep environment must be provided by ensuring that when a child is sleeping or napping, bedding or other objects shall not be placed in a manner that covers the child's face. NC DCDEE certifies that the rules related to prevention of sudden infant death syndrome and use of safe sleep practices are in effect and enforced through monitoring. Sudden infant death syndrome (ITS-SIDS) training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in the General Statutes, shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. ii. All CCDF-eligible licensed family child care homes. Provide the standard: GS 110- 91(15) and child care rule .1724 require any child care facility licensed to care for infants aged 12 months and younger to place an infant on their back to sleep. The child care facility must develop, adopt, and comply with a written safe sleep policy that specifies caregivers must place infants aged 12 months or younger on their backs for sleeping, unless, for an infant aged six months or less, the facility receives a written waiver of this requirement from a health care professional; or for an infant older than six months of age, the facility receives a written waiver of this requirement from a health care professional, or a parent or legal guardian. Specific information must be included in the safe sleep policy to ensure safe sleep practices are implemented daily for sleeping infants. The child care facility must post a copy of its safe sleep policy about infant safe sleep practices in the infant room where it can be seen easily by parents and caregivers. A copy of the safe sleep policy must be given and explained to parents on or before the first day of enrollment. The parent must sign a statement acknowledging the receipt and explanation of the policy. If the facility amends the policy, it shall give written notice of the amendment to the parents of all enrolled infants at least fourteen days before the amended policy is implemented. Caregivers must document visual sleep checks on infants. A safe sleep environment must be provided by ensuring that when a child is sleeping or napping, bedding or other objects shall not be placed in a manner that covers the child's face. NC DCDEE certifies that the rules related to prevention of sudden infant death syndrome and use of safe sleep practices are in effect and enforced through monitoring. Family child care home operators are required to complete the ITS-SIDS training prior to licensure as this training is a part of the application for a license. Family child care home operators must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. iii. All CCDF-eligible licensed in-home care. Provide the standard: GS 110-91(15) and child care rule .1724 require any child care facility licensed to care for infants aged 12 months and younger to place an infant on their back to sleep. The child care facility must develop, adopt, and comply with a written safe sleep policy that specifies caregivers must place infants aged 12 months or younger on their backs for sleeping, unless, for an infant aged six months or less, the facility receives a written waiver of this requirement from a health care professional; or for an infant older than six months of age, the facility receives a written waiver of this requirement from a health care professional, or a parent or legal guardian. Specific information must be included in the safe sleep policy to ensure safe sleep practices are implemented daily for sleeping infants. The child care facility must post a copy of its safe sleep policy about infant safe sleep practices in the infant room where it can be seen easily by parents and caregivers. A copy of the safe sleep policy must be given and explained to parents on or before the first day of enrollment. The parent must sign a statement acknowledging the receipt and explanation of the policy. If the facility amends the policy, it shall give written notice of the amendment to the parents of all enrolled infants at least fourteen days before the amended policy is implemented. Caregivers must document visual sleep checks on infants. A safe sleep environment must be provided by ensuring that when a child is sleeping or napping, bedding or other objects shall not be placed in a manner that covers the child's face. NC DCDEE certifies that the rules related to prevention of sudden infant death syndrome and use of safe sleep practices are in effect and enforced through monitoring. Family child care home operators are required to complete the ITS-SIDS training prior to licensure as this training is a part of the application for a license. Family child care home operators must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: GS 110-91(15) and child care rule .0606 require any child care facility licensed to care for infants aged 12 months and younger to place an infant on their back to sleep. The child care facility must develop, adopt, and comply with a written safe sleep policy that specifies caregivers must place infants aged 12 months or younger on their backs for sleeping, unless, for an infant aged six months or less, the facility receives a written waiver of this requirement from a health care professional; or for an infant older than six months of age, the facility receives a written waiver of this requirement from a health care professional, or a parent or legal guardian. Specific information must be included in the safe sleep policy to ensure safe sleep practices are implemented daily for sleeping infants. The child care facility must post a copy of its safe sleep policy about infant safe sleep practices in the infant room where it can be seen easily by parents and caregivers. A copy of the safe sleep policy must be given and explained to parents on or before the first day of enrollment. The parent must sign a statement acknowledging the receipt and explanation of the policy. If the facility amends the policy, it shall give written notice of the amendment to the parents of all enrolled infants at least fourteen days before the amended policy is implemented. Caregivers must document visual sleep checks on infants. A safe sleep environment must be provided by ensuring that when a child is sleeping or napping, bedding or other objects shall not be placed in a manner that covers the child's face. NC DCDEE certifies that the rules related to prevention of sudden infant death syndrome and use of safe sleep practices are in effect and enforced through monitoring. Sudden infant death syndrome (ITS-SIDS) training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in the General Statutes, shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: GS 110-91(15) and child care rule .1724 require any child care facility licensed to care for infants aged 12 months and younger to place an infant on their back to sleep. The child care facility must develop, adopt, and comply with a written safe sleep policy that specifies caregivers must place infants aged 12 months or younger on their backs for sleeping, unless, for an infant aged six months or less, the facility receives a written waiver of this requirement from a health care professional; or for an infant older than six months of age, the facility receives a written waiver of this requirement from a health care professional, or a parent or legal guardian. Specific information must be included in the safe sleep policy to ensure safe sleep practices are implemented daily for sleeping infants. The child care facility must post a copy of its safe sleep policy about infant safe sleep practices in the infant room where it can be seen easily by parents and caregivers. A copy of the safe sleep policy must be given and explained to parents on or before the first day of enrollment. The parent must sign a statement acknowledging the receipt and explanation of the policy. If the facility amends the policy, it shall give written notice of the amendment to the parents of all enrolled infants at least fourteen days before the amended policy is implemented. Caregivers must document visual sleep checks on infants. A safe sleep environment must be provided by ensuring that when a child is sleeping or napping, bedding or other objects shall not be placed in a manner that covers the child's face. NC DCDEE certifies that the rules related to prevention of sudden infant death syndrome and use of safe sleep practices are in effect and enforced through monitoring. Family child care home operators are required to complete the ITS-SIDS training prior to licensure as this training is a part of the application for a license. Family child care home operators must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: GS 110- 91(15) and child care rule .1724 require any child care facility licensed to care for infants aged 12 months and younger to place an infant on their back to sleep. The child care facility must develop, adopt, and comply with a written safe sleep policy that specifies caregivers must place infants aged 12 months or younger on their backs for sleeping, unless, for an infant aged six months or less, the facility receives a written waiver of this requirement from a health care professional; or for an infant older than six months of age, the facility receives a written waiver of this requirement from a health care professional, or a parent or legal guardian. Specific information must be included in the safe sleep policy to ensure safe sleep practices are implemented daily for sleeping infants. The child care facility must post a copy of its safe sleep policy about infant safe sleep practices in the infant room where it can be seen easily by parents and caregivers. A copy of the safe sleep policy must be given and explained to parents on or before the first day of enrollment. The parent must sign a statement acknowledging the receipt and explanation of the policy. If the facility amends the policy, it shall give written notice of the amendment to the parents of all enrolled infants at least fourteen days before the amended policy is implemented. Caregivers must document visual sleep checks on infants. A safe sleep environment must be provided by ensuring that when a child is sleeping or napping, bedding or other objects shall not be placed in a manner that covers the child's face. NC DCDEE certifies that the rules related to prevention of sudden infant death syndrome and use of safe sleep practices are in effect and enforced through monitoring. Family child care home operators are required to complete the ITS-SIDS training prior to licensure as this training is a part of the application for a license. Family child care home operators must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Not applicable 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: Child care rule .0803 outlines the standards for the administration of medication in a licensed child care center. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, notify the administrator, contact the child's parent, observe the child, and document the medication error in writing. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care rule .1720 outlines the standards for the administration of medication. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, contact the child's parent, observe the child, and document the medication error in writing. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child care rule .1720 outlines the standards for the administration of medication. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, contact the child's parent, observe the child, and document the medication error in writing. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care rule .0803 outlines the standards for the administration of medication. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, notify the administrator, contact the child's parent, observe the child, and document the medication error in writing. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care rule .1720 outlines the standards for the administration of medication in a Family Child Care Home. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, contact the child's parent, observe the child, and document the medication error in writing. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care rule .1720 outlines the standards for the administration of medication in a Family Child Care Home. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, contact the child's parent, observe the child, and document the medication error in writing. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care rule .0803 outlines the standards for the administration of medication. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, notify the administrator, contact the child's parent, observe the child, and document the medication error in writing. 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: Child care rule .0803 outlines the standards for the administration of medication. The person administering the medication must document specific information related to what medication was given, dosage, and time given. It is unlawful to willfully administer any medication, without written authorization. A violation of this law is a Class A1 misdemeanor. In the event of medication given in error, there are specific requirements to follow. The permission to administer over-the-counter medications is valid for up to 30 days at a time. Over-the counter medications shall not be administered on an "as needed" basis. If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care facility must call 911, notify the administrator, contact the child's parent, observe the child, and document the medication error in writing. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A child care facility must have written permission from a parent to administer prescription, over the counter, non-prescription medications, topical, non-medical ointment, repellant, lotion, etc. to a child. iii. All CCDF-eligible licensed in-home care. Provide the standard: A child care facility must have written permission from a parent to administer prescription, over the counter, non-prescription medications, topical, non-medical ointment, repellant, lotion, etc. to a child. [ ]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: A child care facility must have written permission from a parent to administer prescription, over the counter, non-prescription medications, topical, non-medical ointment, repellant, lotion, etc. to a child. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A child care facility must have written permission from a parent to administer prescription, over the counter, non-prescription medications, topical, non-medical ointment, repellant, lotion, etc. to a child. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A child care facility must have written permission from a parent to administer prescription, over the counter, non-prescription medications, topical, non-medical ointment, repellant, lotion, etc. to a child. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: A child care facility must have written permission from a parent to administer prescription, over the counter, non-prescription medications, topical, non-medical ointment, repellant, lotion, etc. to a child. 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: GS 110-91(1) and child care rule .0302 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. ii. All CCDF-eligible licensed family child care homes. Provide the standard: GS 110- 91(1) and child care rule .1721 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. iii. All CCDF-eligible licensed in-home care. Provide the standard: GS 110-91(1) and child care rule .1721 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: GS 110-91(1) and child care rule .0302 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: GS 110-91(1) and child care rule .1721 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: GS 110-91(1) and child care rule .1721 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: GS 110-91(1) and child care rule .0302 outline the requirements for information included as part of the child’s application for enrollment. Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. 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: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .0302, .0607, .0801, .0802, 0803, .2318, .2408, .and .2502. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .1713, .1714, .1719, and .1721. iii. All CCDF-eligible licensed in-home care. Provide the standard:: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .1713, .1714, .1719, and .1721. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .0302, .0607, .0801, .0802, 0803, .2318, .2408, .and .2502. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .1713, .1714, .1719, and .1721. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .1713, .1714, .1719, and .1721. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Each child in care must have an individual application for enrollment completed and signed by the child's parent or guardian. Emergency medical information must specify if the child has any allergies and the symptoms and type of response required for allergic reactions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be completed and attached to the application. The medical action plan must include a list of the diagnoses including dietary, environmental, and activity considerations that are application; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Children's special diets or food allergies must be posted in the food preparation area and in the child's eating area. The requirements above are outlined in G.S 110-91(1) and (9), G.S. 110-102.1A and child care rules .0302, .0801, .0802, 0803, .2318, .2408, .and .2502. 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 facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. Child care centers are required to meet building codes and complete annual training in fire prevention and safe evacuation procedures. In a child care center, the outdoor play area is required to be fenced and indoor/outdoor equipment and furnishings must be in good repair and free from hazards. In a child care center, at least one staff member must complete training in playground safety. Monthly playground safety inspections must be completed. In a child care center, at least one staff member must complete training in playground safety. There are additional requirements related to the outdoor learning environment. There are specific safety requirements for child care centers related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, transportation safety, and other hazardous items. The requirements above are outlined in GS 110-91(3-6) and(13), child care rules .0302, .0304, .0601, .0604, .0605, .1001, .1002, .1003, .1004, .1005, .1403, .2503 and .2509 ii. All CCDF-eligible licensed family child care homes. Provide the standard: All child care facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, including facilities operated in a private residence. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. There are additional requirements related to a safe indoor and outdoor environment. There are specific safety requirements for family child care homes related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, transportation safety, and other hazardous items. GS 110-91(3-6), child care rules .1702, .1707, .1712, .1719, .1723, and .1730 iii. All CCDF-eligible licensed in-home care. Provide the standard: All child care facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, including facilities operated in a private residence. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. There are additional requirements related to a safe indoor and outdoor environment. There are specific safety requirements for family child care homes related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, and other hazardous items GS 110-91(3-6) and (13), child care rules .1702, .1707, .1712, .1719, .1723, and .1730. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: All child care facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. Child care centers are required to meet building codes and complete annual training in fire prevention and safe evacuation procedures. In a child care center, the outdoor play area is required to be fenced and indoor/outdoor equipment and furnishings must be in good repair and free from hazards. In a child care center, at least one staff member must complete training in playground safety. Monthly playground safety inspections must be completed. In a child care center, at least one staff member must complete training in playground safety. There are additional requirements related to the outdoor learning environment. There are specific safety requirements for child care centers related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, transportation safety, and other hazardous items. The requirements above are outlined in GS 110-91(3-6) and (13), child care rules .0302, .0304, .0601, .0604, .0605, .1001, .1002, .1003, .1004, .1005, .1403, .2503, and .2509 v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All child care facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, including facilities operated in a private residence. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. There are additional requirements related to a safe indoor and outdoor environment. There are specific safety requirements for family child care homes related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, transportation safety and other hazardous items. GS 110-91(3-6) and (13), child care rules .1702, .1707, .1712, .1719, .1723, and .1730 vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All child care facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, including facilities operated in a private residence. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. There are additional requirements related to a safe indoor and outdoor environment. There are specific safety requirements for family child care homes related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, transportation safety, and other hazardous items GS 110-91(3-6) and (13), child care rules .1702, .1707, .1712, .1719, .1723, and .1730. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All child care facilities must comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Each child care facility shall be located in an area which is free from conditions which are considered hazardous to the physical and moral welfare of the children in care. Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council. Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation. A facility must be located in an area free from conditions considered to be hazardous. Child care centers are required to meet building codes and complete annual training in fire prevention and safe evacuation procedures. In a child care center, the outdoor play area is required to be fenced and indoor/outdoor equipment and furnishings must be in good repair and free from hazards. In a child care center, at least one staff member must complete training in playground safety. Monthly playground safety inspections must be completed. In a child care center, at least one staff member must complete training in playground safety. There are additional requirements related to the outdoor learning environment. There are specific safety requirements for child care centers related to prohibiting access to electrical appliances, cords, outlets, gas tanks, air conditioning units, toxic plants, access to water, activities involving water, transportation safety, and other hazardous items. There are specific safety requirements for summer camp related to having a permanent structure whether building or roof shelter, if not in a building. Some building codes are provided specific to summer camps. The requirements above are outlined in GS 110-91(3-6) and (13), child care rules .0302, .0304, .0601, .0604, .0605, .1001, .1002, .1003, .1004, .1005, .1403, .2503 and .2509 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: G.S. 110-91(3-4) and child care rule .1403 provides specific requirements related to activities involving water, which include ensuring a pool located on the premises is enclosed by a fence that is at least four feet high. Rules within the sanitation rules also address bodies of water and swimming. Child Care Rule .1102 ensures center staff complete a health and safety training relating to building and physical premises and safety, including bodies of water ii. All CCDF-eligible licensed family child care homes. Provide the standard: G.S. 110- 91(3-4) and child care rule .1721 and .1730 provide specific requirements related to activities involving water, which include ensuring a provider maintains a record of pool inspection and a pool located on the premises is enclosed by a fence that is at least four feet high. Child Care Rule .1703 ensures FCCH providers complete a health and safety training relating to building and physical premises and safety, including bodies of water. iii. All CCDF-eligible licensed in-home care. Provide the standard: G.S. 110-91(3-4) and child care rules .1721 and .1730 provide specific requirements related to activities involving water, which include ensuring a provider maintains a record of pool inspection and a pool located on the premises is enclosed by a fence that is at least four feet high. Child Care Rule .1703 ensures FCCH providers complete a health and safety training relating to building and physical premises and safety, including bodies of water. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: G.S. 110-91(3- 4) and child care rule .1403 provides specific requirements related to activities involving water, which include ensuring a pool located on the premises is enclosed by a fence that is at least four feet high. Rules within the sanitation rules also address bodies of water and swimming. Child Care Rule .1102 ensures center staff complete a health and safety training relating to building and physical premises and safety, including bodies of water. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: G.S. 110-91(3-4) and child care rules .1721 and .1730 provide specific requirements related to activities involving water, which include ensuring a provider maintains a record of pool inspection and a pool located on the premises is enclosed by a fence that is at least four feet high. Child Care Rule .1703 ensures FCCH providers complete a health and safety training relating to building and physical premises and safety, including bodies of water. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: G.S. 110- 91(3-4) and child care rules .1721 and .1730 provide specific requirements related to activities involving water, which include ensuring a provider maintains a record of pool inspection and a pool located on the premises is enclosed by a fence that is at least four feet high. Child Care Rule .1703 ensures FCCH providers complete a health and safety training relating to building and physical premises and safety, including bodies of water. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: G.S. 110-91(3-4) and child care rule .1403 provides specific requirements related to activities involving water, which include ensuring a pool located on the premises is enclosed by a fence that is at least four feet high. Child Care Rule .1102 ensures center staff complete a health and safety training relating to building and physical premises and safety, including bodies of water. Rules within the sanitation rules also address bodies of water and swimming. 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: Transportation standards outlined in G.S. 110-91(13) and child care rules .1001, .1002, .1003, .1004 and .2509. include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Transportation standards outlined in G.S. 110-91(13) and child care rule .1723 include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. iii. All CCDF-eligible licensed in-home care. Provide the standard: Transportation standards outlined in G.S. 110-91(13) and child care rule .1723 include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Transportation standards outlined in G.S. 110-91(13) and child care rules .1001, .1002, .1003, .1004 and .2509. include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Transportation standards outlined in G.S. 110-91(13) and child care rule .1723 include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Transportation standards outlined in G.S. 110-91(13) and child care rule .1723 include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Transportation standards outlined in G.S. 110-91(13) and child care rules .1001, .1002, .1003, .1004 and .2509. include safe procedures for loading/unloading out of flow of traffic to protect from traffic hazards, ensuring safe vehicles, and safety requirements while transporting. 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: Child care centers licensed to care for children up to 5 years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. The child care rules outline specific information that must be contained in the policy. The policy must be given and explained to newly enrolled parents on or before the first day the child receives care at the facility. The facility must give and explain the policy to staff members who provide care for children up to five years of age. Documentation acknowledging receipt of the policy is required for parents and staff members. By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .0514, .0608, 1801, 1802, 1803, and 1804. . ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family child care homes licensed to care for children up to 5 years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. The child care rules outline specific information that must be contained in the policy. The policy must be given and explained to newly enrolled parents on or before the first day the child receives care at the facility. The facility must give and explain the policy to staff members who provide care for children up to five years of age. Documentation acknowledging receipt of the policy is required for parents and staff members. By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727 iii. All CCDF-eligible licensed in-home care. Provide the standard: Family child care homes licensed to care for children up to 5 years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. The child care rules outline specific information that must be contained in the policy. The policy must be given and explained to newly enrolled parents on or before the first day the child receives care at the facility. The facility must give and explain the policy to staff members who provide care for children up to five years of age. Documentation acknowledging receipt of the policy is required for parents and staff members. By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715, .1722, .1726, and .1727. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care centers licensed to care for children up to 5 years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. The child care rules outline specific information that must be contained in the policy. The policy must be given and explained to newly enrolled parents on or before the first day the child receives care at the facility. The facility must give and explain the policy to staff members who provide care for children up to five years of age. Documentation acknowledging receipt of the policy is required for parents and staff members. By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .0514, .0608, 1801, 1802, 1803, and 1804. . v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Family child care homes licensed to care for children up to 5 years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. The child care rules outline specific information that must be contained in the policy. The policy must be given and explained to newly enrolled parents on or before the first day the child receives care at the facility. The facility must give and explain the policy to staff members who provide care for children up to five years of age. Documentation acknowledging receipt of the policy is required for parents and staff members. By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727 vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Family child care homes licensed to care for children up to 5 years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. The child care rules outline specific information that must be contained in the policy. The policy must be given and explained to newly enrolled parents on or before the first day the child receives care at the facility. The facility must give and explain the policy to staff members who provide care for children up to five years of age. Documentation acknowledging receipt of the policy is required for parents and staff members. By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727 vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements are outlined in G.S. 110-91(10), G.S. 110-105, child care rules .0514, .0608, .1801, 1802, 1803, and 1804. 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: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules 0514, 0608, 1801, 1802, 1803, and 1804. ii. All CCDF-eligible licensed family child care homes. Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727 iii. All CCDF-eligible licensed in-home care. Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727 [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules 0514, 0608, 1801, 1802, 1803, and 1804. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules .1704, .1715,.1722,.1726, and .1727. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: By law, any person who has cause to suspect that a child in a child care facility has been maltreated, as defined in G.S. 110-105.3, or has died as the result of maltreatment occurring in a child care facility, shall report the case of that child to the Department. Each child care facility must attend to children in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Children must be adequately supervised at all times and staff must interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. Each licensed child care facility must have written policies that describe the operation of the facility and the services that are available to parents and their children. Written operational policies and personnel policies must include procedures for reporting suspected child maltreatment and the discipline policy for behavior management. No child shall be subjected to any form of corporal punishment. Each child care facility is required to develop discipline policies and provide a copy of and explain the discipline practices to each child’s parent at the time of enrollment. These requirements apply to children less than 13 years old in child care and are outlined in G.S. 110-86 (2); G.S. 110-91(10), G.S. 110-105, child care rules 0514, 0608, 1801, 1802, 1803, and 1804. 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 [ ] 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: The NC Child Care Commission does not have in the Child Care Rule a requirement for volunteer training for emergency preparedness and response. It does state that volunteers must be notified that there is an EPR Plan and where it is located. Volunteers are not counted in ratio; therefore are with staff who have been trained and are aware of the contents of the EPR Plan. 10A NCAC 09.0607 (centers), .1714 (FCCHs) (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 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: Child care rule .0102(5) defines biocontaminant and child care rules .0604 and .2506 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .1719 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .1719 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rules .0604 and .2506 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rules .0604 and .2506 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. 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: Child care rule .0102(5) defines biocontaminant and child care rules .0604 and .2506 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rules .0604 and .2506 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rule .1719 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care rule .0102(5) defines biocontaminant and child care rules .0604 and .2506 outline the standards for handling and storage of biocontaminants. Sanitation rules also have requirements outlining the proper handling and storage of hazardous materials. Child care centers and family child care operators must ensure hazardous materials, including but not limited to biocontaminants are stored in locked areas and inaccessible to children. A biocontaminant is defined as blood, bodily fluids, or excretions that may spread infectious disease. Child care rule .0604 requires biocontaminants be disposed of in a covered, plastic lined receptacle and removed from the facility. 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: Child care rules .1000- .1005, and .1403 provide the standards for transporting children. Child care rules .0514, .1101, and .1102 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care rules .1712, .1723, and .1730 provide the standards for transporting children. Child care rules 1703, and .1715 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child care rules .1712, .1723, and .1730 provide the standards for transporting children. Child care rules 1703, and .1715 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care rules .1000-.1005, and .1403 provide the standards for transporting children. Child care rules .0514, .1101, and .1102 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care rules .1712, .1723, and .1730 provide the standards for transporting children. Child care rules 1703, and .1715 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care rules .1712, .1723, and .1730 provide the standards for transporting children. Child care rules 1703, and .1715 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care rules .1000-.1005, and .1403 provide the standards for transporting children. Child care rules .0514, .1101, and .1102 outline the policy and training standards for transporting children. Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight. Vehicles must be free of hazards, comply with federal and state transportation laws, and the vehicle must be insured for liability. The child care facility must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. A First Aid kit and fire extinguisher must be on the vehicle. For each child being transported, identifying information must be in the vehicle. Prior to transporting children, written permission from a parent must be obtained that includes when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Vehicles must have a functioning cellular telephone or other two-way voice communication device. There are specific driver qualifications that must be met. For child care centers, there are specific staff/child ratios depending on ages of children being transported. There are specific requirements related to off premise activities which includes obtaining written permission from a parent, posting a schedule of the activity, and maintaining a list of the children participating in off premise activities. When transportation is provided, child care facilities must include information about the transportation services provided in their operational policies that must be shared with parents upon enrollment and when changes occur. 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: Child care rule .1102(c) outlines the first aid training requirements for Centers. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. At all times when children are in care at least one staff member present must have successfully completed first aid, as evidenced by a certificate or card from an approved training organization. First Aid must be renewed on or before the expiration of the certification. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care rules .1702 and 1703 outlines the first aid training requirements for family child care homes. Documentation of completion of a First Aid course should be on file within 12 months prior to applying for a license. First Aid training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child care rules .1702 and .1703 outlines the first aid training requirements for family child care homes. Documentation of completion of a First Aid course should be on file within 12 months prior to applying for a license. First Aid training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care rule .1102(c) outlines the first aid training requirements for Centers. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. At all times when children are in care at least one staff member present must have successfully completed first aid, as evidenced by a certificate or card from an approved training organization. First Aid must be renewed on or before the expiration of the certification. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care rules .1702 and 1703 outlines the first aid training requirements for family child care homes. Documentation of completion of a First Aid course should be on file within 12 months prior to applying for a license. First Aid training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: .1702 and .1703 outlines the first aid training requirements for family child care homes. Documentation of completion of a First Aid course should be on file within 12 months prior to applying for a license. First Aid training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care rule .1102(c) outlines the first aid training requirements for Centers. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. At all times when children are in care at least one staff member present must have successfully completed first aid, as evidenced by a certificate or card from an approved training organization. First Aid must be renewed on or before the expiration of the certification. 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: Child care rule .1102(d) outlines the CPR training requirements. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in CPR appropriate to the ages of children in care. At all times when children are in care at least one staff member present must have successfully completed CPR, as evidenced by a certificate or card from an approved training organization. CPR must be renewed on or before the expiration of the certification. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care rules .1702 and .1703 outline the cardiopulmonary resuscitation training requirements for family child care homes. Documentation of completion of a cardiopulmonary resuscitation (CPR) course should be on file within 12 months prior to applying for a license. CPR training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. iii. All CCDF-eligible licensed in-home care. Provide the standard: Child care rules .1702 and 1703 outline the cardiopulmonary resuscitation training requirements for family child care homes. Documentation of completion of a cardiopulmonary resuscitation (CPR) course should be on file within 12 months prior to applying for a license. CPR training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care rule .1102(d) outlines the CPR training requirements. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in CPR appropriate to the ages of children in care. At all times when children are in care at least one staff member present must have successfully completed CPR, as evidenced by a certificate or card from an approved training organization. CPR must be renewed on or before the expiration of the certification. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care rules .1702 and .1703 outline the cardiopulmonary resuscitation training requirements for family child care homes. Documentation of completion of a cardiopulmonary resuscitation (CPR) course should be on file within 12 months prior to applying for a license. CPR training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care rules .1702 and .1703 outline the cardiopulmonary resuscitation training requirements for family child care homes. Documentation of completion of a cardiopulmonary resuscitation (CPR) course should be on file within 12 months prior to applying for a license. CPR training should be renewed on or before the expiration of the certification appropriate for the ages of the children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care rule .1102(d) outlines the CPR training requirements. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in CPR appropriate to the ages of children in care. At all times when children are in care at least one staff member present must have successfully completed CPR, as evidenced by a certificate or card from an approved training organization. CPR must be renewed on or before the expiration of the certification. 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: GS 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: GS 110- 105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1703 and .1729 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. iii. All CCDF-eligible licensed in-home care. Provide the standard: GS 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1703 and .1729 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Provide the standard: GS 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Provide the standard: GS 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1703 and .1729 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Provide the standard: GS 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1703 and .1729 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: GS 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. In addition, the reporting law requires that suspicion of child maltreatment by parents be reported to the local Department of Social Services. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. 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: G.S. 7B-301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: G.S. 7B- 301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. iii. All CCDF-eligible licensed in-home care. Provide the standard: G.S. 7B-301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: G.S. 7B-301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: G.S. 7B-301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: G.S. 7B-301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: G.S. 7B-301 requires that suspicions of child abuse and neglect by parents be reported to the local Department of Social Services. G.S. 110-105.4 outlines the duty to report child maltreatment and the authority to investigate instances of child maltreatment in child care facilities. G.S. 110-105 defines child maltreatment as any act or series of acts of commission or omission by a caregiver that results in harm, potential for harm, or threat of harm to a child. Acts of commission include, but are not limited to, physical, sexual, and psychological abuse. Acts of omission include, but are not limited to, failure to provide for the physical, emotional, or medical well-being of a child, and failure to properly supervise children, which results in exposure to potentially harmful environments. Child care rules .1101, .1102, and .2510 outline specific training requirements regarding child abuse, neglect, and maltreatment. All staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff orientation must include information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105, G.S. 110-105.4 and G.S. 7B-301 and information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. 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: Child care facilities must ensure food and beverages provided are nutritious and align with children's developmental needs. Meals and snacks served to children in child care must comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture. The types of food, number and size of servings must be appropriate for the ages and developmental level of children in care. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements in the presence of children in care. Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. The parent or health care provider of each child under fifteen months of age shall provide the center an individual written feeding plan for the child. Training on the topic area of nutrition is optional, however, training is available. The statutes and laws applicable to this topic area are: NC General Statute 110-91(2), 10A NCAC 09 .0901, .0902, .0903, .1706 ii. Access to physical activity. Describe: Child care rules .0508, .0509, .0510, .1102, .1718 outline the standards for planning physical activities. Child care facilities must develop an activity plan with activities intended to stimulate developmental domains including health and physical development and include time for daily gross motor activity. Outdoor time is required daily as weather conditions permit. Developmentally appropriate materials and equipment shall be provided indoors and outdoors and provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. For child care centers, one staff member must complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Completion of playground safety training shall be included in the number of hours needed to meet annual on- going training requirements. Staff counted to comply with this requirement shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. iii. Caring for children with special needs. Describe: Section .2900 of the child care rules outline specific requirements for child care centers who choose to offer developmental day services. Within this section there are enhanced requirements to support an inclusive environment for children who have developmental delays and typically developing children. Some of the enhanced requirements are staff/child ratio, staff qualification, program requirements, and family services. Many, if not most children with special needs, however, are served outside developmental day programs which do not have any requirements of early educators caring for children with special needs. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Not applicable