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5.2 Health and Safety Standards and Requirements for CCDF Providers

5.2.2 Health and safety standards for CCDF providers.

States and territories must establish health and safety standards for programs (e.g., child care centers, family child care homes, etc.) serving children receiving CCDF assistance relating to the topics listed below, as appropriate to the provider setting and age of the children served (98.41(a)). This requirement is applicable to all child care providers receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only exception to this requirement is for providers who are caring for their own relatives because Lead Agencies have the option of exempting relatives from some or all CCDF health and safety requirements (98.42(c)).

a) To certify, describe how the following health and safety standards for programs serving children receiving CCDF assistance are defined and established on the required topics (98.16(l)). Note: This question is different from the health and safety training requirements, which are addressed in question 5.2.3. Effective Date: 08/31/2019

1. Prevention and control of infectious diseases (including immunization) -- Provide a brief summary of how this standard is defined (i.e., what is the standard, content covered, practices required, etc.) Prevention and control of infectious diseases for all CCDF providers include proper disposal of garbage is required to minimize transmission of infectious, hand washing, notification to parents of any reportable communicable disease, and diapering and toiletingpractices. Immunization records must include: 1) documentation of age appropriate immunization; 2) certification by a physician, advanced practice registered nurse or physicians' assistant that immunization is not appropriate for a stated medical reason; or 3) a written statement that the parent or guardian does not wish to have the child immunized and the reason for that decision.

-- List all citations for these requirements, including those for licensed and license- exempt programs For Licensed providers: 391 NAC 1-006.04A 391 NAC 2-006.04A, and 391 NAC 3- Nebraska Page 153 of 314