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 or licensed family child care homes, as required by 98.41(a)(1)(vi). (Plan Questions 5.3.6ai and 5.3.6aii) • The Lead Agency does not require pre-service or orientation training on prevention of child maltreatment for license-exempt centers, license-exempt family child care homes, or license-exempt in-home providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers for compliance with a standard for prevention of shaken baby syndrome and abusive head trauma. Additionally, the Lead Agency does not require an annual inspection for license-exempt centers or license- exempt family child care homes for compliance with pre-service or orientation training related to the prevention of child maltreatment, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, 5.5.2ai, and 5.5.2bi) Overall Target Completion Date: 05/31/2025 Action Step Number Action Step Description Target Completion Date 1 For Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment (98.41(a)(1)(vi), OCC has determined this is no longer a non-compliant area. 11/30/2024 2 NH DHHS will add child maltreatment to orientation & training requirements in Administrative Rule He-C 6914. 12/31/2024 3 Review rule changes with the Administrative Rules Unit. Hold public hearing. Attend the Joint Legislative Committee for Administrative Rules meeting. 04/30/2025 4 Rule changes are adopted. DHHS begins actively monitoring this requirement. 05/31/2025 COMPREHENSIVE BACKGROUND CHECK:5 YEAR RENEWAL Reason(s) for non-compliance: • The Lead Agency does not conduct all background checks every 5 years, as required by 98.43(d)(2)(ii). (Plan Question 5.7.17) Overall Target Completion Date: 10/31/2025 Action Step Number Action Step Description Target Completion Date 1 NH DHHS will identify modifications to the NH Administrative Rule He-C 4002 to comply with the requirement. 12/31/2024 2 NH DHHS will review rule changes with the Department’s Administrative Rules Unit. Hold public hearing. Attend the Joint Legislative Committee for Administrative Rules meeting. 09/30/2025 3 Rules are adopted. DHHS begins actively monitoring this requirement. 10/31/2025