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

Reason(s) for non-compliance: • The Lead Agency has not established a standard for the prevention of shaken baby syndrome and abusive head trauma for licensed centers, licensed family child care, license-exempt family child care, or for prevention of child maltreatment for licensed centers, licensed family child care, license-exempt family child care, and out-of-school providers, as required by 98.41(a)(1)(vi). (Plan Questions 5.3.6ai, 5.3.6aii, 5.3.6av, 5.3.6avii, 5.3.6bi, 5.3.6bii, 5.3.6bv, and 5.3.6bvii) • The Lead Agency does not require pre-service or orientation training on prevention of shaken baby syndrome, abusive head trauma, and child maltreatment for licensed centers, licensed family child care homes, and license-exempt family child care, or on child maltreatment for licensed centers, licensed family child care homes, license- exempt family child care, and out-of-school providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care, or an annual inspection for license-exempt family child care providers for compliance with a standard for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) Overall Target Completion Date: 09/30/2025 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency has not established a standard for the prevention of shaken baby syndrome and abusive head trauma for licensed centers, licensed family child care, license-exempt family child care, or for prevention of child maltreatment for licensed centers, licensed family child care, license-exempt family child care, and out-of- school providers, as required by 98.41(a)(1)(vi). (Plan Questions 5.3.6ai, 5.3.6aii, 5.3.6av, 5.3.6avii, 5.3.6bi, 5.3.6bii, 5.3.6bv, and 5.3.6bvii) 09/30/2025 2 The Lead Agency will create a standard for the prevention of shaken baby syndrome and abusive head trauma. 03/31/2025 3 The Lead Agency does not require pre-service or orientation training on prevention of shaken baby syndrome, abusive head trauma, and child maltreatment for licensed centers, licensed family child care homes, and license-exempt family child care, or on child maltreatment for licensed centers, licensed family child care homes, license- exempt family child care, and out-of-school providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) 09/30/2025 4 The Lead Agency will revise the Prepare to Care and Lincoln/Lancaster Health and Safety trainings to include appropriate CCDF information. 09/30/2025 5 The Lead Agency will add the standard to the Subsidy Guidance Document. 09/30/2025 6 The Lead Agency will add the standard to the child care enrollment agreement. The Lead Agency will require all child care staff to complete Prepare to Care. 09/30/2025 7 The Lead Agency does not require an annual unannounced inspection for licensed centers or 09/30/2025 licensed family child care, or an annual inspection for license-exempt family child care providers for compliance with a standard for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment and with related pre- service or orientation training requirements, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) 8 Train Lead Agency staff to monitor trainings completed by child care staff related to the identification and reporting of child abuse. 09/30/2025