5.2 Ratios, Group Size, and Qualifications for CCDF Providers

Lead Agencies must have child care standards for providers receiving CCDF funds, appropriate to the type of child care setting involved, that address appropriate staff:child ratios, group size limits for specific age populations, and the required qualifications for providers. Lead Agencies should map their categories of care to the CCDF categories. Exemptions for relative providers will be addressed in subsection 5.8. 5.2.1 Age classifications Describe how the Lead Agency defines the following age classifications (e.g., Infant: 0 – 18 months). a. Infant. Describe: 0-12 months b. Toddler. Describe: 13 months ￿ 35 months c. Preschool. Describe: 3 years to 6 years, for children not enrolled in school d. School-Age. Describe: 56 months or older, enrolled in a full day school program. 5.2.2 Ratio and group size limits Provide the ratio and group size limits for settings and age groups below. a. Licensed CCDF center-based care: i. Infant. Ratio: 6 weeks to 12 months = 1:4 He-C 4002.37(b)(1) Group size: 12 ii. Toddler. Ratio: 13 months to 24 months = 1:5 25 months to 35 months = 1:6 He-C 4002.37(b)(2) and (3) Group size: 13 months to 24 months = 15 25 months to 35 months = 18 iii. Preschool. Ratio: 36 months to 47 months = 1:8 48 months to 59 months = 1:12 60 months and over = 1:15 He-C 4002.36(b) Group size: 36 months to 47 months = 24 48 months to 59 months = 24 60 months and older = 30 iv. School-Age. Ratio: 56 months and older = 1:15 He-C 4002.39(f) Group size: 45 v. Mixed-Age Groups (if applicable). Ratio: When ages are mixed, ratio is based on the average age, in months, of children in the group provided programs shall not combine children younger than 24 months in a mixed age group which includes children older than 47 months, except for time limited, specific activities; or when there are 17 or fewer children present in the program, including a maximum of 12 children younger than school age, and 4 or fewer of the 17 children are younger than 3 years of age; or with a department approved plan for multi-age classrooms. When children between 6 weeks of age and 35 months are mixed, the ratio is based on the average age, in months, of children in the group, and the maximum group size is 16. Group size: When ages are mixed, ratio is based on the average age, in months, of children in the group provided programs shall not combine children younger than 24 months in a mixed age group which includes children older than 47 months, except for time limited, specific activities; or when there are 17 or fewer children present in the program, including a maximum of 12 children younger than school age, and 4 or fewer of the 17 children are younger than 3 years of age; or with a department approved plan for multi-age classrooms. When children between 6-weeks of age and 35 months are mixed, the ratio is based on the average age, in months, of children in the group, and the maximum group size is 16. b. If different, provide the ratios and group size requirements for the license-exempt center- based providers who receive CCDF funds under the following age groups: i. [ ] Not applicable. There are no differences in ratios and group size requirements. ii. Infant: No difference from licensed care. iii. Toddler: No difference from licensed care. iv. Preschool: No difference from licensed care. v. School-Age: The staff to child ratio for school-age programs shall be one staff for 15 children with a maximum group size of 60. In addition to the staffing requirements in (a) above, programs shall have a second staff person in the building when 13 or more children are present. (c) Programs shall provide a minimum of 40 square feet of usable indoor space per child. Indoor active play space shall be available to children daily. In addition to (a) above, programs offering drop-in care shall monitor attendance records to ensure compliance with group size and ratios. If there is a pattern of exceeding ratio and group size then additional staff shall be added. Attendance records shall be kept on file for review by the department. The only exception to (a) above shall be when children combine for time-limited activities, such as meals, snacks, daily meetings, short stories, special guest presentations, or other special events, provided that all children have sufficient room for the activity. LE child care centers are not required to meet Qualifications for school age teachers [He-C 4002.32]. vi. Mixed-Age Groups: No difference from licensed care. c. Licensed CCDF family child care home providers: i. Infant (if applicable) Ratio: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) Group size: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) ii. Toddler (if applicable) Ratio: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) Group size: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) iii. Preschool (if applicable) Ratio: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) Group size: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) iv. School-Age (if applicable) Ratio: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) Group size: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) v. Mixed-Age Groups Ratio: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) Group size: In a family child care home the maximum number of children that one family child care provider or family child care worker can care for shall be 6 preschool children plus 3 school-age children who are enrolled in and attending a full day school program, provided that: 1. Of the 6 preschool children, no more than 4 children are younger than 36 months of age; and 2. Of the 6 preschool children, no more than 2 children are younger than 24 months of age. OR In a family child care home the maximum number of children that a family childcare provider and a family child care worker or assistant can care for shall be 6 preschool children plus 3 school-age children who are enrolled in a full day school program, provided that, of the 6 preschool children, no more than 4 children are younger than 36 months of age. 2. Family group child care homes in which a family child care provider or family child care worker is working alone shall comply with the limits for a family child care home with one provider as specified above. 3. In a family group child care home the maximum number of children that a family group child care provider and a family child care worker or assistant may care for shall be 12 preschool children plus 5 school-age children enrolled in a full day school program, provided that, of the 12 preschool children, no more than 4 children are younger than the age of 36 months. He-C 4002.34(n)-(q) d. Are any of the responses above different for license-exempt family child care homes? [ ] No. [x] Yes. If yes, describe how the ratio and group size requirements for license- exempt providers vary by age of children served. License exempt in-home care providers are allowed to have no more than 3 children, non-relative, at any given time. [ ] Not applicable. The Lead Agency does not have license-exempt family child care homes. e. Licensed in-home care (care in the child’s own home): i. Infant (if applicable) Ratio: N/A Group size: N/A ii. Toddler (if applicable) Ratio: N/A Group size: N/A iii. Preschool (if applicable) Ratio: N/A Group size: N/A iv. School-Age (if applicable) Ratio: N/A Group size: N/A v. Mixed-Age Groups (if applicable) Ratio: N/A Group size: N/A f. Are any of the responses above different for license-exempt in-home care? [ ] No. [x] Yes. If yes, describe how the ratio and group size requirements for license- exempt in-home care vary by age of children served. License exempt in-home care providers are allowed to have no more than 3 children, non-relative, at any given time. 5.2.3 Teacher/caregiver qualifications for licensed, regulated, or registered care Provide the teacher/caregiver qualifications for each category of care. a. Licensed center-based care i. Describe the teacher qualifications for licensed CCDF center-based care (e.g., degrees, credentials, etc.), including any variations based on the ages of children in care: He-C 4002.35 Teacher qualifications for Infant/Toddler/Preschool: (k) A lead teacher in a center-based program shall have a high school diploma or equivalent, including but not limited to General Equivalency Diploma (GED), a High School Equivalency Test (HiSet), or a Test Assessing Secondary Completion (TASC), be at least 18 years old, and have one of the following: (1) A minimum of 18 credits in related coursework, including at least 3 credits in child or human growth and development, plus a minimum of 1000 hours experience working with children in a licensed child care program or public or private elementary school; (2) A minimum of 12 credits in related coursework, plus 3000 hours experience working with children in licensed child care program or public or private elementary school; (3) Documentation of a non-expired child development associates (CDA) in center-based programs awarded by the council for professional recognition; (4) A credential from a teacher preparation program accredited by MACTE; (5) Five years as a licensed family child care provider with no enforcement actions imposed by the department; (6) Successful completion of the New Hampshire Early Childhood Apprenticeship Program; (7) A minimum of 1000 hours of supervised child care experience in a licensed child care program, documentation of successful completion of a 2-year vocational course in career and technical education with an additional 9 credits in related coursework; or (8) Documentation from or on file with the department that she or he was qualified for and employed in the position of lead teacher on or before November 6, 2017. (l) An associate teacher in a center-based program shall be at least 18 years old, have a high school diploma or equivalent, including but not limited to General Equivalency Diploma (GED), a High School Equivalency Test (HiSet), or a Test Assessing Secondary Completion (TASC), and have one of the following options: (1) Written documentation from or on file with the department that she or he was qualified and employed as an associate teacher on or before November 6, 2017; (2) A minimum of 9 credits in related coursework, including at least one 3 credit course in child or human growth and development; (3) Current certification as para II educator by the department of education; or (4) A minimum of 1000 hours of supervised child care experience in a licensed child care program, and knowledge of child growth and development obtained through one of the following: a. Completion of a high school level 2-year career and technical education course in teacher education; b. A 3 credit college course in child or human growth and development; c. Thirty hours of training in child growth and development, granted by an accredited college or university, an authorized provider of the International Association for Continuing Education and Training or obtained through documented life experience, including experience with the same age children the associate teacher supervises, such as a family child care provider, service as a foster parent, work as a school teacher, work as a camp counselor and experience as a group leader for children in sports or other activities, such as scouts or little league, or closely related experience. (m) Assistant teachers in a center-based program, whether paid or volunteer, shall: (1) Be at least 16 years of age; and (2) Work with children only under the direct supervision and observation of a staff person who meets at least the minimum qualifications of an associate teacher. Teacher Qualifications for School-Age Programs: (q) A group leader in a school-age program shall be at least 17 years of age, and have one of the following: (1) Experience working with school-age children, totaling 600 hours; (2) Documentation of at least 3 credits in child development, education, recreation, or other field of study focused on children, awarded by an accredited college or university; (3) Documentation that she or he is a certified coach; (4) Documentation of 5 years of parenting experience; or (5) Documentation from or on file with the department that she or he was qualified and employed as a group leader in a school-age program on or before the adoption of these rules in 2022. (r) An assistant group leader in a school-age program, whether paid or volunteer, shall: (1) Be at least 15 years of age; and (2) Work with children only when under the direct supervision and observation of a site director or group leader as described in this section. ii. Describe the director qualification for licensed CCDF center-based care, including any variations based on the ages of children in care or the number of staff employed: He-C 4002.35 Director qualifications for Infant/Toddler/Preschool: (j) A center director in a center-based program shall: (1) Be at least 21 years of age; (2) Have a high school diploma or equivalent, including but not limited to General Equivalency Diploma (GED), a High School Equivalency Test (HiSet), or a Test Assessing Secondary Completion (TASC); (3) Have 3 credits in management or supervision, awarded by an accredited college or university, a minimum of 2 years’ experience in a supervisory or management position in lieu of the 3 credits in management and supervision, or a written plan for completion of 3 credits in management or supervision from an accredited college or university; (4) Have a minimum of 1500 hours experience working with children in a licensed child care program or public or private elementary school; (5) Have one of the following: a. A minimum of an associate’s degree awarded by an accredited college in related coursework; b. An additional 3000 hours of experience working with children in a licensed child care program or in a public or private elementary school and documentation of a non-expired child development associates (CDA) in center-based programs awarded by the council for professional recognition; c. Current certification in early childhood, elementary, or special education by the department of education; d. Certification in a teacher preparation program accredited by the Montessori Accreditation Council for Teacher Education (MACTE) in infant and toddler, early childhood or elementary I, together with 60 credits, awarded by an accredited college or university; or e. Documentation of 60 credits, of which at least 24 shall be in related coursework, including at least 3 credits in each of the following core knowledge areas: 1. Children with special needs; 2. Child growth and development; and 3. Curriculum for early childhood education; and (6) Be on file with the department as a center director working in that position on or before November 6, 2017. Director qualifications for School-Age Programs: (p) A site director in a school-age program shall be at least 20 years of age, have a high school diploma or equivalent, including but not limited to General Equivalency Diploma (GED), a High School Equivalency Test (HiSet), or a Test Assessing Secondary Completion (TASC), and have at least one of the following: (1) Written documentation from or on file with the department that she or he was qualified and employed as a site director in a school-age program on or before the effective date of these rules in 2022; (2) A minimum of an associate’s degree in child development, education, recreation, or other field of study focused on children, awarded by an accredited college or university; (3) Certification of successful completion of training as a recreation director plus 1000 hours experience working with children in a licensed child care program, recreation program or a public or private elementary school; (4) A total of 12 credits in child development, education, recreation, or other field of study focused on children, from an accredited college plus 1000 hours of experience working with children; (5) Current certification as an educator by the department of education; or (6) Experience working with children totaling 2000 hours and: a. Current certification as a para II educator by the department of education; or b. Both of the following: 1. Documentation of enrollment in a course for at least 3 credits in child development, education, recreation, or other field of study focused on children, through an accredited college or university and a written plan on file for completion of at least 3 additional credits as specified; and 2. Within 12 months of the date the individual begins working as a site director, documentation of successful completion of a total of at least 6 credits as specified in b.1. shall be on file for review by the department. b. Licensed family child care Describe the provider qualifications for licensed family child care homes, including any variations based on the ages of children in care: He-C 4002.34 (d) To qualify as a family child care provider, an individual shall be: (1) At least 21 years of age; or (2) At least 18 years of age and submit with his or her application documentation that he or she has a high school diploma or equivalent, including but not limited to General Equivalency Diploma (GED), a High School Equivalency Test (HiSet), or a Test Assessing Secondary Completion (TASC), and at least one of the following: a. Successful completion of a 2 year child care curriculum approved by the department of education; or b. College courses, totaling 6 credits, in child development, early childhood, or elementary education, or other field of study focused on children, including at least one 3-credit course in child growth and development, from a regionally accredited college. (e) A family child care worker shall be 18 years of age or older. (f) A family child care assistant, whether paid or volunteer, shall: (1) Be 16 years of age or older; and (2) Work under the direct observation and supervision of the family child care provider or a family child care worker at all times. c. Licensed, regulated, or registered in-home care (care in the child’s own home by a non- relative) Describe the provider qualifications for licensed, regulated, or registered in-home care providers (care in the child’s own home) including any variations based on the ages of children in care: Provider must be 18 years of age or older 5.2.4 Teacher/caregiver qualifications for license-exempt providers Provide the teacher/provider qualification requirements (for instance, age, high school diploma, specific training, etc.) for the license-exempt providers under the following categories of care: a. License-exempt center-based child care. Provider must be 18 years of age or older and required to meet all CCDF health and safety training requirements He-C 6914.04 (e) Each license-exempt child care provider and each employee providing supervision of children or required to meet staff to child ratios, shall submit proof according to (k) below that the provider and employee has completed a minimum of 6 hours of training in all required health and safety topics listed below: (1) Prevention and control of infectious diseases (2) Prevention of sudden infant death syndrome and use of safe sleeping practices (3) Administration of medication, consistent with standards for parental consent (4) Prevention of and response to emergencies due to food and allergic reactions (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma (7) Recognizing and reporting child abuse and neglect (8) Emergency preparedness and response planning (9) Handling and storage of hazardous materials and the appropriate disposal of bio contaminants (10) For providers offering transportation, appropriate precautions in transporting children; and (11) Child development, birth through 12 years. b. License-exempt home-based child care. Provider must be 18 years of age or older and required to meet all CCDF health and safety training requirements. He-C 6914.04 (e) Each license-exempt child care provider and each employee providing supervision of children or required to meet staff to child ratios, shall submit proof according to (k) below that the provider and employee has completed a minimum of 6 hours of training in all required health and safety topics listed below: (1) Prevention and control of infectious diseases (2) Prevention of sudden infant death syndrome and use of safe sleeping practices (3) Administration of medication, consistent with standards for parental consent (4) Prevention of and response to emergencies due to food and allergic reactions (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma (7) Recognizing and reporting child abuse and neglect (8) Emergency preparedness and response planning (9) Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; (10) For providers offering transportation, appropriate precautions in transporting children; and (11) Child development, birth through 12 years. c. License-exempt in-home care (care in the child’s own home). Provider must be 18 years of age or older and required to meet all CCDF health and safety training requirements. He-C 6914.04 (e) Each license-exempt child care provider and each employee providing supervision of children or required to meet staff to child ratios, shall submit proof according to (k) below that the provider and employee has completed a minimum of 6 hours of training in all required health and safety topics listed below: (1) Prevention and control of infectious diseases (2) Prevention of sudden infant death syndrome and use of safe sleeping practices (3) Administration of medication, consistent with standards for parental consent (4) Prevention of and response to emergencies due to food and allergic reactions (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma (7) Recognizing and reporting child abuse and neglect (8) Emergency preparedness and response planning (9) Handling and storage of hazardous materials and the appropriate disposal of bio contaminants; (10) For providers offering transportation, appropriate precautions in transporting children; and (11) Child development, birth through 12 years.