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: ECECD requires the following pertinent standards: child care centers must report to the appropriate authorities within a 24-hour period of any incident that has threatened or could threaten the health and safety of children and staff members, including, but not limited to, any of the illnesses on the current list of notifiable diseases and communicable diseases published by the office of epidemiology of the New Mexico Department of Health. Children and child care providers who are sick with any illness on the notifiable diseases and communicable diseases list will be absent until cleared for return by a physician. Any children or child care provider who becomes ill will be separated from others and sent home. All child care providers and children are required to practice proper hand hygiene using soap and warm running water at appropriate intervals and transitions throughout the day. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires the following pertinent standards: child care homes must report to the appropriate authorities within a 24-hour period of any incident that has threatened or could threaten the health and safety of children and staff members, including, but not limited to, any of the illnesses on the current list of notifiable diseases and communicable diseases published by the office of epidemiology of the New Mexico Department of Health. Children and child care providers who are sick with any illness on the notifiable diseases and communicable diseases list will be absent until cleared for return by a physician. Any children or child care provider who becomes ill will be separated from others and sent home. All child care providers and children are required to practice proper hand hygiene using soap and warm running water at appropriate intervals and transitions throughout the day. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must address the prevention and control of infectious diseases as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires the following pertinent standards: registered home providers must report to the appropriate authorities within a 24-hour period of any incident that has threatened or could threaten the health and safety of children, including, but not limited to, any of the illnesses on the current list of notifiable diseases and communicable diseases published by the office of epidemiology of the New Mexico Department of Health. Children and child care providers who are sick with any illness on the notifiable diseases and communicable diseases list will be absent until cleared for return by a physician. All child care providers and children are required to practice proper hand hygiene using soap and warm running water at appropriate intervals and transitions throughout the day. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires the following pertinent standards: in-home providers must report to the appropriate authorities within a 24-hour period of any incident that has threatened or could threaten the health and safety of children, including, but not limited to, any of the illnesses on the current list of notifiable diseases and communicable diseases published by the office of epidemiology of the New Mexico Department of Health. Children and child care providers who are sick with any illness on the notifiable diseases and communicable diseases list will be absent until cleared for return by a physician. All child care providers and children are required to practice proper hand hygiene using soap and warm running water at appropriate intervals and transitions throughout the day. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires the following pertinent standards: out-of-school programs must report to the appropriate authorities within a 24-hour period of any incident that has threatened or could threaten the health and safety of children and staff members, including, but not limited to, any of the illnesses on the current list of notifiable diseases and communicable diseases published by the office of epidemiology of the New Mexico Department of Health. Children and child care providers who are sick with any illness on the notifiable diseases and communicable diseases list will be absent until cleared for return by a physician. Any children or child care provider who becomes ill will be separated from others and sent home. All child care providers and children are required to practice proper hand hygiene using soap and warm running water at appropriate intervals and transitions throughout the day. 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: ECECD requires all children enrolled in the child care center to have on file the child's up-to-date immunization record or public health division's approved exemption from the requirement. A grace period of a maximum of 30 days will be granted for children in foster care or homeless children and youth. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires all children enrolled in a licensed child care home to have on file the child's up-to-date immunization record or public health division's approved exemption from the requirement. A grace period of a maximum of 30 days will be granted for children in foster care or homeless children and youth. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address that children attending child care programs are age-appropriately immunized as required by the Department of Defense and Tribal Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires all children enrolled in a registered home to have on file the child's up-to-date immunization record or public health division's approved exemption from the requirement. A grace period of a maximum of 30 days will be granted for children in foster care or homeless children and youth. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires all children enrolled in an in-home care to have on file the child's up-to- date immunization record or public health division's approved exemption from the requirement. A grace period of a maximum of 30 days will be granted for children in foster care or homeless children and youth. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires all children enrolled in an out-of-school program to have on file the child's up-to-date immunization record or public health division's approved exemption from the requirement. A grace period of a maximum of 30 days will be granted for children in foster care or homeless children and youth. Out-of-school programs operating in a public-school setting are exempt from this requirement. Public schools are responsible for ensuring all students have up-to-date immunization records and compliance with the McKinney-Vento Homeless Assistance Act. 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: ECECD requires a crib for each infant and requires that cribs meet federal standards and be kept in good repair. Providers are prohibited from using plastic bags or lightweight plastic sheeting to cover a mattress and cannot use pillows in cribs. Children under the age of 12 months shall be placed on their backs when sleeping unless otherwise authorized in writing by a physician. Educators shall ensure that nothing covers the face or head of a child aged 12 months or younger when the child is laid down to sleep and while the child is sleeping. Educators must be physically available to sleeping children at all times. Children must not be isolated for sleeping or napping in an un-illuminated room unless attended by an educator. No child will be allowed to sleep in a car seat, stroller, or swing. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires a crib for each infant and requires that cribs meet federal standards and be kept in good repair. Providers are prohibited from using plastic bags or lightweight plastic sheeting to cover a mattress and cannot use pillows in cribs. Children under the age of 12 months shall be placed on their backs when sleeping unless otherwise authorized in writing by a physician. Educators shall ensure that nothing covers the face or head of a child aged 12 months or younger when the child is laid down to sleep and while the child is sleeping. Educators must be physically available to sleeping children at all times. Children must not be isolated for sleeping or napping in an un-illuminated room unless attended by an educator. No child will be allowed to sleep in a car seat, stroller, or swing. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address sudden infant death syndrome and the use of safe-sleep practices as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires a crib for each infant and requires that cribs meet federal standards and be kept in good repair. Providers are prohibited from using plastic bags or lightweight plastic sheeting to cover a mattress and cannot use pillows in cribs. Children under the age of 12 months shall be placed on their backs when sleeping unless otherwise authorized in writing by a physician. Educators shall ensure that nothing covers the face or head of a child aged 12 months or younger when the child is laid down to sleep and while the child is sleeping. Educators must be physically available to sleeping children at all times. Children must not be isolated for sleeping or napping in an un-illuminated room unless attended by an educator. No child will be allowed to sleep in a car seat, stroller, or swing. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD does not license out-of-school programs for children under five years of age and therefore does not have standards that address sudden infant death syndrome and the use of safe-sleep practices. 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: ECECD requires child care centers to keep medications in a locked and identified container inaccessible to children and to refrigerate medications when necessary. If the refrigerator is inaccessible to children, medications do not need to be in a locked container in the refrigerator. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires homes to keep medications in a locked and identified container inaccessible to children and to refrigerate medications when necessary. If the refrigerator is inaccessible to children, medications do not need to be in a locked container in the refrigerator. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the administration of medication as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires homes to keep prescription and over the counter medications in a storage area inaccessible to children. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires homes to keep prescription and over the counter medications in a storage area inaccessible to children. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires out-of-school programs to keep medications in a locked and identified container inaccessible to children and to refrigerate medications when necessary. If the refrigerator is inaccessible to children, medications do not need to be in a locked container in the refrigerator. 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 providers will give medication only with written permission from a parent or guardian and will administer medication according to written directions from the prescribing physician. In the case of non-prescription medication, written instructions must be provided by the parent or guardian. For the purpose of this requirement only, non-prescription medications include sunscreen, insect repellent and diaper creams or other over the counter medications. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child care providers will give medication only with written permission from a parent or guardian and will administer medication according to written directions from the prescribing physician. In the case of non- prescription medication, written instructions must be provided by the parent or guardian. For the purpose of this requirement only, non-prescription medications include sunscreen, insect repellent and diaper creams or other over the counter medications. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address obtaining permission from parents to administer medications to children as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Child care providers will give medication only with written permission from a parent or guardian and will administer medication according to written directions from the prescribing physician. In the case of non- prescription medication, written instructions must be provided by the parent or guardian. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Child care providers will give medication only with written permission from a parent or guardian and will administer medication according to written directions from the prescribing physician. In the case of non-prescription medication, written instructions must be provided by the parent or guardian. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child care providers will give medication only with written permission from a parent or guardian and will administer medication according to written directions from the prescribing physician. In the case of non- prescription medication, written instructions must be provided by the parent or guardian. 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: ECECD requires that child care centers maintain a record for each child containing information on any allergies or medical conditions a child has; the name and telephone number of two people to contact in the local area in case of emergency when a parent or guardian cannot be reached (emergency contact numbers must be kept up to date at all times); and the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires that child care homes maintain a record for each child containing information on any allergies or medical conditions a child has; the name and telephone number of two people to contact in the local area in case of emergency when a parent or guardian cannot be reached (emergency contact numbers must be kept up to date at all times); and the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the prevention of emergencies due to food and allergic reactions as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires that family child care homes maintain a record for each child containing information on any allergies or medical conditions a child has; the name and telephone number of two people to contact in the local area in case of emergency when a parent or guardian cannot be reached (emergency contact numbers must be kept up to date at all times); and the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires that in-home care providers maintain a record for each child containing information on any allergies or medical conditions a child has; the name and telephone number a responsible adult to contact in case of emergency when a parent or guardian cannot be reached (emergency contact numbers must be kept up to date at all times); and the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires that out-of-school programs to maintain a record for each child containing information on any allergies or medical conditions a child has; the name and telephone number of two people to contact in the local area in case of emergency when a parent or guardian cannot be reached (emergency contact numbers must be kept up to date at all times); and the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. 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: ECECD requires a document giving the child care center permission to transport the child in the event of a medical emergency; and an authorization for medical treatment signed by a parent or guardian. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires a document giving the home provider permission to transport the child in the event of a medical emergency; and an authorization for medical treatment signed by a parent or guardian. iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the response to emergencies due to food and allergic reactions as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires a document giving the home provider permission to transport the child in the event of a medical emergency; and an authorization for medical treatment signed by a parent or guardian. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires a document giving the in-home provider permission to transport the child in the event of a medical emergency; and an authorization for medical treatment signed by a parent or guardian. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires a document giving the out- of-school program permission to transport the child in the event of a medical emergency; and an authorization for medical treatment signed by a parent or guardian. 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: ECECD requires that child care center providers keep the premises, including furniture, fixtures, floors, drinking fountains, toys, and equipment clean, safe, and in good repair. Facilities and premises will be free of debris and potential hazards. Regarding electrical cords and outlets, a provider will use only U/L approved equipment and will properly maintain this equipment. The use of multi-prong or gang plugs is not allowed. All electrical outlets within reach of children will be safety outlets or will have protective covers. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires that homes keep the premises, including furniture, fixtures, toys, and equipment clean, safe, and free of debris and potential hazards. Regarding electrical cords and outlets, a provider will use only U/L approved equipment and will properly maintain this equipment. The use of multi-prong or gang plugs is not allowed. All electrical outlets within reach of children will be safety outlets or will have protective covers. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the identification of and protection from building and physical premises hazards as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires that the registered home provider keep the home, grounds, and equipment in safe condition. The home and grounds must be clean and free of debris and potential hazards. All equipment must be in good repair. All electrical outlets within reach of children will be safety outlets or will have protective covers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires that the in-home provider keep the home, grounds, and equipment in safe condition. The home and grounds must be clean and free of debris and potential hazards. All equipment must be in good repair. All electrical outlets within reach of children will be safety outlets or will have protective covers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires that out-of-school programs keep the premises, including furniture, fixtures, floors, drinking fountains, toys, and equipment clean, safe, and in good repair. Facilities and premises will be free of debris and potential hazards. Regarding electrical cords and outlets, a provider will use only U/L approved equipment and will properly maintain this equipment. The use of multi-prong or gang plugs is not allowed. 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: Each child will have written permission from a parent or guardian before the child enters a pool. If a child care center has a portable wading pool, they will drain and fill the wading pool with fresh water daily and disinfect pool before and after each use; will empty a wading pool when it is not in use and remove it from areas accessible to children; and will not use a portable wading pool placed on concrete or asphalt. If a child care center has a built in or aboveground swimming pool, ditch, fishpond or other water hazard, the fixture will be constructed, maintained and used in accordance with applicable state and local regulations; the fixture will be constructed and protected so that, when not in use, it is inaccessible to children; and when in use, children will be constantly supervised and the number of adults present will be proportional to the ages and abilities of the children and type of water hazard in use. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Each child will have written permission from a parent or guardian before the child enters a pool. If a home has a portable wading pool, they will drain and fill the wading pool with fresh water daily and disinfect pool before and after each use; will empty a wading pool when it is not in use and remove it from areas accessible to children; and will not use a portable wading pool placed on concrete or asphalt. If a home has a built in or aboveground swimming pool, ditch, fishpond or other water hazard, the fixture will be constructed, maintained and used in accordance with applicable state and local regulations; the fixture will be constructed and protected so that, when not in use, it is inaccessible to children; and when in use, children will be constantly supervised and the number of adults present will be proportional to the ages and abilities of the children and type of water hazard in use. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the identification of and protection from bodies of water as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Each child will have written permission from a parent or guardian before the child enters a pool. If a registered home has a portable wading pool, they will drain and fill the wading pool with fresh water daily and disinfect pool before and after each use; will empty a wading pool when it is not in use and remove it from areas accessible to children; and will not use a portable wading pool placed on concrete or asphalt. If a home has a built in or aboveground swimming pool, ditch, fishpond or other water hazard, the fixture will be constructed, maintained and used in accordance with applicable state and local regulations; the fixture will be constructed and protected so that, when not in use, it is inaccessible to children; and when in use, children will be constantly supervised and ensure adequate safety for the ages, abilities, and type of water hazard in use. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Each child will have written permission from a parent or guardian before the child enters a pool. If a registered home has a portable wading pool, they will drain and fill the wading pool with fresh water daily and disinfect pool before and after each use; will empty a wading pool when it is not in use and remove it from areas accessible to children; and will not use a portable wading pool placed on concrete or asphalt. If a home has a built in or aboveground swimming pool, ditch, fishpond or other water hazard, the fixture will be constructed, maintained and used in accordance with applicable state and local regulations; the fixture will be constructed and protected so that, when not in use, it is inaccessible to children; and when in use, children will be constantly supervised and ensure adequate safety for the ages, abilities, and type of water hazard in use. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Each child will have written permission from a parent or guardian before the child enters a pool. If an out-of-school program has a portable wading pool, they will drain and fill the wading pool with fresh water daily and disinfect pool before and after each use; will empty a wading pool when it is not in use and remove it from areas accessible to children; and will not use a portable wading pool placed on concrete or asphalt. If an out- of-school program has a built in or aboveground swimming pool, ditch, fishpond or other water hazard, the fixture will be constructed, maintained and used in accordance with applicable state and local regulations; the fixture will be constructed and protected so that, when not in use, it is inaccessible to children; and when in use, children will be constantly supervised and the number of adults present will be proportional to the ages and abilities of the children and type of water hazard in use. 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: A child care center will enclose an outdoor play area with a fence at least four feet high and with at least one latched gate available for an emergency exit. A center that provides transportation will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A home will enclose an outdoor play area with a fence at least four feet high and with at least one latched gate available for an emergency exit. A home that provides transportation will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the identification of and protection from vehicular traffic hazards as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A registered home will fence the outside play area when determined to be necessary for safety. The fence must be at least four feet high and will have one latched gate for an emergency exit. A home that provides transportation will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: An in-home provider that provides transportation will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: An out-of-school program that provides transportation will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. 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: Training on Shaken Baby Syndrome prevention and head trauma is required. Providers are also required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. Providers are required to have written policies and procedures clearly outlining guidance practices. This information is provided to all parents and staff who sign a form to acknowledge that they have received, read, and understand the policies and procedures. ECECD￿s licensing requirements describe how to provide a social-emotional responsive environment. Educators are required to remain calm in stressful situations, be actively engaged with children, talk, actively listen, and respond appropriately to children by acknowledging their questions, comments, concerns, emotions, and feelings. Educators help children communicate their feelings by helping them learn skills to express themselves. They are required to model appropriate social behaviors, interactions, empathy, and respond to children that are angry, hurt, or sad in a caring and sensitive manner, and make appropriate physical contact to comfort children who are distressed. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Training on Shaken Baby Syndrome prevention and head trauma is required. Providers are also required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. Providers are required to have written policies and procedures clearly outlining guidance practices. This information is provided to all parents and staff who sign a form to acknowledge that they have received, read, and understand the policies and procedures. ECECD’s licensing requirements describe how to provide a social-emotional responsive environment. Educators are required to remain calm in stressful situations, be actively engaged with children, talk, actively listen, and respond appropriately to children by acknowledging their questions, comments, concerns, emotions, and feelings. Educators help children communicate their feelings by helping them learn skills to express themselves. They are required to model appropriate social behaviors, interactions, empathy, and respond to children that are angry, hurt, or sad in a caring and sensitive manner, and make appropriate physical contact to comfort children who are distressed. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the prevention of shaken baby syndrome and abusive head trauma as required by the Department of Defense and Tribal CCDF Lead Agencies. These facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Training on Shaken Baby Syndrome prevention and head trauma is required. Providers are also required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. ECECD requires registered homes to promote positive social, emotional, physical, and intellectual growth and well-being. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Training on Shaken Baby Syndrome prevention and head trauma is required. Providers are also required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. ECECD requires in-home providers to promote positive social, emotional, physical, and intellectual growth and well-being. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Out-of-school programs are required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. Providers are required to have written policies and procedures clearly outlining guidance practices. This information is provided to all parents and staff who sign a form to acknowledge that they have received, read, and understand the policies and procedures. ECECD￿s licensing requirements describe how to provide a social- emotional responsive environment. Educators are required to remain calm in stressful situations, be actively engaged with children, talk, actively listen, and respond appropriately to children by acknowledging their questions, comments, concerns, emotions, and feelings. Educators help children communicate their feelings by helping them learn skills to express themselves. They are required to model appropriate social behaviors, interactions, empathy, and respond to children that are angry, hurt, or sad in a caring and sensitive manner, and make appropriate physical contact to comfort children who are distressed. 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: Center providers are required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. Providers are required to have written policies and procedures clearly outlining guidance practices. This information is provided to all parents and staff who sign a form to acknowledge that they have received, read, and understand the policies and procedures. ECECD￿s licensing requirements describe how to provide a social-emotional responsive environment. Educators are required to remain calm in stressful situations, be actively engaged with children, talk, actively listen, and respond appropriately to children by acknowledging their questions, comments, concerns, emotions, and feelings. Educators help children communicate their feelings by helping them learn skills to express themselves. They are required to model appropriate social behaviors, interactions, empathy, and respond to children that are angry, hurt, or sad in a caring and sensitive manner, and make appropriate physical contact to comfort children who are distressed. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Home providers are required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. Providers are required to have written policies and procedures clearly outlining guidance practices. This information is provided to all parents and staff who sign a form to acknowledge that they have received, read, and understand the policies and procedures. ECECD￿s licensing requirements describe how to provide a social-emotional responsive environment. Educators are required to remain calm in stressful situations, be actively engaged with children, talk, actively listen, and respond appropriately to children by acknowledging their questions, comments, concerns, emotions, and feelings. Educators help children communicate their feelings by helping them learn skills to express themselves. They are required to model appropriate social behaviors, interactions, empathy, and respond to children that are angry, hurt, or sad in a caring and sensitive manner, and make appropriate physical contact to comfort children who are distressed. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the prevention of child maltreatment as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Registered home providers are required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. ECECD requires registered homes to promote positive social, emotional, physical, and intellectual growth and well-being. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: In-home care providers are required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. ECECD requires in-home providers to promote positive social, emotional, physical, and intellectual growth and well-being. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Out-of-school programs are required to engage in practices that support growth and development, noting that practices must be age appropriate and positive. ECECD regulations specify methods for positive guidance and specifically prohibit abusive practices including, among many others, shaking a child and causing physical or emotional harm. Providers are required to have written policies and procedures clearly outlining guidance practices. This information is provided to all parents and staff who sign a form to acknowledge that they have received, read, and understand the policies and procedures. ECECD’s licensing requirements describe how to provide a social- emotional responsive environment. Educators are required to remain calm in stressful situations, be actively engaged with children, talk, actively listen, and respond appropriately to children by acknowledging their questions, comments, concerns, emotions, and feelings. Educators help children communicate their feelings by helping them learn skills to express themselves. They are required to model appropriate social behaviors, interactions, empathy, and respond to children that are angry, hurt, or sad in a caring and sensitive manner, and make appropriate physical contact to comfort children who are distressed. 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 [x] 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: 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: Center providers are required to keep their premises, including furniture, fixtures, floors, drinking fountains, toys, and equipment clean, safe, and in good repair. Facilities and premises will be free of debris and potential hazards. Materials dangerous to children must be secured in a manner making them inaccessible to children and away from food storage or preparation areas. A center will treat blood spills cautiously and promptly disinfect the area. Staff members will wear non-porous, single-use gloves when handling a blood spill, bloody diarrhea, bloody nose, or any other blood. A center will clean contaminated surfaces first with hot soapy water then with a disinfecting solution effective against HIV and hepatitis B. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Home providers are required to keep the premises, including furniture, fixtures, toys, and equipment clean, safe, and free of debris and potential hazards. Materials dangerous to children must be secured in a manner making them inaccessible to children and away from food storage or preparation areas. A home will treat blood spills cautiously and promptly disinfect the area. Staff members will wear non-porous, single-use gloves when handling a blood spill, bloody diarrhea, bloody nose, or any other blood. A home will clean contaminated surfaces first with hot soapy water then with a disinfecting solution, which is effective against HIV and hepatitis B. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the handling and storage of hazardous materials as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Registered home providers are required to keep the home, grounds, and equipment in safe condition. The home and grounds must be clean and free of debris and other potential hazards. The provider will keep all poisons, toxic materials, cleaning substances, intoxicating substances, or any other dangerous materials in a storage area inaccessible to children. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: In-home providers are required to keep the home, grounds, and equipment in safe condition. The home and grounds must be clean and free of debris and other potential hazards. The provider will keep all poisons, toxic materials, cleaning substances, intoxicating substances, or any other dangerous materials in a storage area inaccessible to children. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Out-of-school programs are required to keep their premises, including furniture, fixtures, toys, and equipment clean, safe, and free of debris and potential hazards. Materials dangerous to children must be secured in a manner making them inaccessible to children and away from food storage or preparation areas. An out-of-school program will treat blood spills cautiously and promptly decontaminate the area. Staff members will wear non- porous, single-use gloves when handling a blood spill, bloody diarrhea, bloody nose, or any other blood. A program will clean contaminated surfaces first with hot soapy water then with a disinfecting solution which is effective against HIV and hepatitis B. 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: A center will treat blood spills cautiously and promptly disinfect the area. Staff members will wear non-porous, single-use gloves when handling a blood spill, bloody diarrhea, bloody nose, or any other blood. A center will clean contaminated surfaces first with hot soapy water then with a disinfecting solution effective against HIV and hepatitis B. Soiled diapers shall be stored in a secure container with a tight-fitting lid to assure proper hygiene and control of odors. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A home will treat blood spills cautiously and promptly disinfect the area. Staff members will wear non-porous, single-use gloves when handling a blood spill, bloody diarrhea, bloody nose, or any other blood. A home will clean contaminated surfaces first with hot soapy water then with a disinfecting solution, which is effective against HIV and hepatitis B. Soiled diapers shall be stored in a secure container with a tight-fitting lid to assure proper hygiene and control of odors. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the disposal of hazardous materials as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A caregiver will change wet and soiled diapers and clothing promptly. A caregiver will not change a diaper in a food preparation area. Caregivers will wash their hands and the child’s hands after every diaper change. A caregiver will change a child’s diaper on a clean, safe, waterproof surface and discard any disposable covers and disinfect the surface after each diaper change. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A caregiver will change wet and soiled diapers and clothing promptly. A caregiver will not change a diaper in a food preparation area. Caregivers will wash their hands and the child’s hands after every diaper change. A caregiver will change a child’s diaper on a clean, safe, waterproof surface and discard any disposable covers and disinfect the surface after each diaper change. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: An out-of-school program will treat blood spills cautiously and promptly decontaminate the area. Staff members will wear non-porous, single-use gloves when handling a blood spill, bloody diarrhea, bloody nose, or any other blood. A program will clean contaminated surfaces first with hot soapy water then with a disinfecting solution which is effective against HIV and hepatitis B. Soiled diapers shall be stored in a secure container with a tight-fitting lid to assure proper hygiene and control of odors. 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: Center providers who transport children are responsible for the care of children from the time of pick up until return to a responsible adult. ECECD requires a provider to license all vehicles used for transporting children and will meet all applicable state vehicle laws. A child shall be transported only if the child is properly secured in a child passenger restraint device or by a safety belt. A program will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. Vehicles used for transporting children will be enclosed and properly maintained. Vehicles shall be cleaned and inspected inside and out. Vehicles shall be air- conditioned whenever the outside air temperature exceeds 82 degrees Fahrenheit. If the outside air temperature falls below 50 degrees Fahrenheit, the center will ensure the vehicle is heated. No one will smoke in a vehicle used for transporting children. Children may be transported only in vehicles that have current registration and insurance coverage. All drivers must have a current driver's license and comply with motor vehicle and traffic laws. Persons who have been convicted in the last seven years of a misdemeanor or felony DWI/DUI cannot transport children. Center providers are required to have a second adult accompany the driver of the vehicle when transporting five or more children under five years of age. At least one adult who transports children shall have current certification in cardiopulmonary resuscitation (CPR). All vehicles used for transportation of children will have an operable, fully charged fire extinguisher, first-aid kit, first-aid manual, water, and blanket. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Home providers who transport children are responsible for the care of children from the time of pick up until return to a responsible adult. ECECD requires a provider to license all vehicles used for transporting children and will meet all applicable state vehicle laws. A child shall be transported only if the child is properly secured in a child passenger restraint device or by a safety belt. A program will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. Vehicles used for transporting children will be enclosed and properly maintained. Vehicles shall be cleaned and inspected inside and out. Vehicles shall be air-conditioned whenever the outside air temperature exceeds 82 degrees Fahrenheit. If the outside air temperature falls below 50 degrees Fahrenheit, the center will ensure the vehicle is heated. No one will smoke in a vehicle used for transporting children. Children may be transported only in vehicles that have current registration and insurance coverage. All drivers must have a current driver's license and comply with motor vehicle and traffic laws. Persons who have been convicted in the last seven years of a misdemeanor or felony DWI/DUI cannot transport children. At least one adult who transports children shall have current certification in cardiopulmonary resuscitation (CPR). All vehicles used for transportation of children will have an operable, fully charged fire extinguisher, first-aid kit, first-aid manual, water, and blanket. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address precautions in transporting children as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Registered home providers who transport children are responsible for the care of children from the time of pick up until return to a responsible adult. A child shall be transported only if the child is properly secured in a child passenger restraint device or by a safety belt. A program will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. Vehicles used for transporting children will be enclosed and properly maintained. Vehicles shall be cleaned and inspected inside and out. Vehicles shall be air-conditioned whenever the outside air temperature exceeds 82 degrees Fahrenheit. If the outside air temperature falls below 50 degrees Fahrenheit, the center will ensure the vehicle is heated. No one will smoke in a vehicle used for transporting children. Children may be transported only in vehicles that have current registration and insurance coverage. All drivers must have a current driver's license and comply with motor vehicle and traffic laws. Persons who have been convicted in the last seven years of a misdemeanor or felony DWI/DUI cannot transport children. At least one adult who transports children shall have current certification in cardiopulmonary resuscitation (CPR). All vehicles used for transportation of children will have an operable, fully charged fire extinguisher, first-aid kit, first-aid manual, water, and blanket. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: In-home providers who transport children are responsible for the care of children from the time of pick up until return to a responsible adult. A child shall be transported only if the child is properly secured in a child passenger restraint device or by a safety belt. A program will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. Vehicles used for transporting children will be enclosed and properly maintained. Vehicles shall be cleaned and inspected inside and out. Vehicles shall be air-conditioned whenever the outside air temperature exceeds 82 degrees Fahrenheit. If the outside air temperature falls below 50 degrees Fahrenheit, the center will ensure the vehicle is heated. No one will smoke in a vehicle used for transporting children. Children may be transported only in vehicles that have current registration and insurance coverage. All drivers must have a current driver's license and comply with motor vehicle and traffic laws. Persons who have been convicted in the last seven years of a misdemeanor or felony DWI/DUI cannot transport children. At least one adult who transports children shall have current certification in cardiopulmonary resuscitation (CPR). All vehicles used for transportation of children will have an operable, fully charged fire extinguisher, first-aid kit, first-aid manual, water, and blanket. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Out-of-school programs who transport children are responsible for the care of children from the time of pick up until return to a responsible adult. ECECD requires a provider to license all vehicles used for transporting children and will meet all applicable state vehicle laws. A child shall be transported only if the child is properly secured in a child passenger restraint device or by a safety belt. A program will load and unload children at the curbside of the vehicle or in a protected parking area or driveway. The program will ensure children do not cross a street unsupervised after leaving the vehicle. Vehicles used for transporting children will be enclosed and properly maintained. Vehicles shall be cleaned and inspected inside and out. Vehicles shall be air- conditioned whenever the outside air temperature exceeds 82 degrees Fahrenheit. If the outside air temperature falls below 50 degrees Fahrenheit, the center will ensure the vehicle is heated. No one will smoke in a vehicle used for transporting children. Children may be transported only in vehicles that have current registration and insurance coverage. All drivers must have a current driver's license and comply with motor vehicle and traffic laws. Persons who have been convicted in the last seven years of a misdemeanor or felony DWI/DUI cannot transport children. At least one adult who transports children shall have current certification in cardiopulmonary resuscitation (CPR). All vehicles used for transportation of children will have an operable, fully charged fire extinguisher, first-aid kit, first-aid manual, water, and blanket. 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: All educators in a center are required to be certified in pediatric first aid. During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All educators in a licensed home are required to be certified in pediatric first aid. During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address pediatric first aid for all staff as required by the Department of Defense and Tribal CCDF Lead Agencies. These facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All registered home providers and substitute caregivers are required to be certified in pediatric first aid. During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All in-home providers are required to be certified in pediatric first aid. During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All educators in an out-of-school program are required to be certified in pediatric first aid. During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. 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: All educators in a center are required to be certified in pediatric cardiopulmonary (CPR). During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All educators in a licensed home are required to be certified in pediatric cardiopulmonary (CPR). During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address pediatric cardiopulmonary (CPR) for all staff as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All registered home providers and substitute caregivers are required to be certified in pediatric cardiopulmonary (CPR). During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All in-home providers are required to be certified in pediatric cardiopulmonary (CPR). During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All educators in an out-of-school program are required to be certified in pediatric cardiopulmonary (CPR). During emergency declarations, including a public health emergency, online first aid and CPR training may be approved. 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: ECECD requires center providers to maintain a record of observations of recent bruises, bites or signs of potential abuse or neglect, which must be reported to the Children, Youth and Families Department and ECECD. The records must be kept at the facility for 12 months after the child's last day of attendance. Center providers are required to have written child abuse/neglect reporting procedures and must be included in the parent and staff handbook. Parents and staff are required to sign an acknowledgment that they have received, read, and understand the contents of the handbook. Center directors will develop and document an orientation and training plan for new staff members and volunteers and will provide information on training opportunities. The director will have on file a signed acknowledgment of completion of orientation by employees, volunteers, and substitutes, as well as the director. New staff will participate in an orientation before working with children. Initial orientation will include training on recognition of childhood illness and indicators of child abuse, policies regarding guidance, child abuse and neglect reporting, and handling of complaints. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires homes to maintain a record of observations of recent bruises, bites or signs of potential abuse or neglect, which must be reported to the Children, Youth and Families Department and ECECD. The records must be kept at the facility for 12 months after the child's last day of attendance. Home providers are required to have written child abuse/neglect reporting procedures and must be included in the parent and staff handbook. Parents and staff are required to sign an acknowledgment that they have received, read, and understand the contents of the handbook. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations) are exempt from licensure and must have standards that address the identification of child abuse and neglect as required by the Department of Defense. These facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) in order to receive CCDF funds. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All caregivers are responsible for immediately reporting to the appropriate authorities any signs or symptoms of child abuse or neglect. All educators must be trained on the recognition and reporting of child abuse and neglect. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All caregivers are responsible for immediately reporting to the appropriate authorities any signs or symptoms of child abuse or neglect. All educators must be trained on the recognition and reporting of child abuse and neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires out-of-school time programs to maintain a record of observations of recent bruises, bites or signs of potential abuse or neglect, which must be reported to the Children, Youth and Families Department and ECECD. The records must be kept at the facility for 12 months after the child's last day of attendance. Programs are required to have written child abuse/neglect reporting procedures and must be included in the parent and staff handbook. Parents and staff are required to sign an acknowledgment that they have received, read, and understand the contents of the handbook. Directors will develop and document an orientation and training plan for new staff members and volunteers and will provide information on training opportunities. The director will have on file a signed acknowledgment of completion of orientation by employees, volunteers, and substitutes, as well as the director. New staff will participate in an orientation before working with children. Initial orientation will include training on recognition of childhood illness and indicators of child abuse, policies regarding guidance, child abuse and neglect reporting, and handling of complaints. 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: ECECD requires centers to report abuse or neglect of a child immediately to Child Protective Services and local law enforcement. After making a report to Children's Protective Services and local law enforcement, the center shall notify ECECD's regulatory oversight unit as soon as possible but no later than 24 hours after the incident occurred. A report should first be made by telephone and followed with written notification. ii. All CCDF-eligible licensed family child care homes. Provide the standard: ECECD requires homes to report abuse or neglect of a child immediately to Child Protective Services and local law enforcement. After making a report to Children's Protective Services and local law enforcement, the home shall notify ECECD￿s regulatory oversight unit as soon as possible but no later than 24 hours after the incident occurred. A report should first be made by telephone and followed with written notification. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child care facilities operated by the federal government (military installations and tribal) are exempt from licensure and must have standards that address the reporting of child abuse and neglect as required by the Department of Defense and Tribal CCDF Lead Agencies. Military facilities are required to maintain and submit copies of their Department of Defense certificate and accreditation (if applicable) to ECECD in order to receive CCDF funds. Tribal child care providers are required to submit to ECECD proof of tribal CCDF approval. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: ECECD requires homes to report abuse or neglect of a child immediately to Child Protective Services and local law enforcement. After making a report to Children's Protective Services and local law enforcement, the home shall notify ECECD's regulatory oversight unit as soon as possible but no later than 24 hours after the incident occurred. A report should first be made by telephone and followed with written notification. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: ECECD requires homes to report abuse or neglect of a child immediately to Child Protective Services and local law enforcement. After making a report to Children's Protective Services and local law enforcement, the home shall notify ECECD's regulatory oversight unit as soon as possible but no later than 24 hours after the incident occurred. A report should first be made by telephone and followed with written notification. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ECECD requires out-of-school programs to report abuse or neglect of a child immediately to Child Protective Services and local law enforcement. After making a report to Children's Protective Services and local law enforcement, the program shall notify ECECD's regulatory oversight unit as soon as possible but no later than 24 hours after the incident occurred. A report should first be made by telephone and followed with written notification. 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: This topic is integrated within the required training for competency. Staff who work directly with children are required to take nutrition training every year. Training must address all seven competency areas within two years. The competency areas are: (1) child growth, development, and learning;( 2) health, safety, nutrition, and infection control;( 3) family and community collaboration; (4) developmentally appropriate content; (5) learning environment and curriculum implementation; (6) assessment of children and programs; and (7) professionalism. License-exempt providers must also participate in the child and adult care food program (CACFP) to maintain their registration. ii. Access to physical activity. Describe: Full-time children shall have a minimum of 60 minutes of physical activity daily, weather permitting, preferably outside. Part-time children shall have a minimum of 30 minutes of physical activity daily, preferably outside. The provider will ensure drinking water is available and maintained at a cool temperature while playing outside. iii. Caring for children with special needs. Describe: Providers are responsible for staff awareness of community resources for families of children with disabilities, including children under the age of five years as well as those of school age. If child care staff believe that a child may have a delay or disability, possible resources for referral and assistance are provided to parents when appropriate. No referral for special needs services to an outside agency will be made without a parent’s consent. The Family Education Right and Privacy Act (FERPA) will be respected at all times. Child care providers are responsible for staff awareness of the Americans with Disabilities Act (ADA) as it relates to enrolling and caring for children with disabilities. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: N/A