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: OAC 340:110-3-294; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes prevention and control of infectious diseases. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-90; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes prevention and control of infectious diseases. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-294; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes prevention and control of infectious diseases. 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: 340:110-3-294; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of immunizations. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 340:110- 3-85, 88; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of immunizations. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing requirements and the qualification requirements vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: 340:110-3-294; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of immunizations. 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: OAC 340:110-3-284 and 296, within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of sudden infant death syndrome and use of safe sleep practices. Prior to caring for infants (0-12months) personnel must obtain 2 formal hours of safe sleep training. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340: 110-3-85 and 91.1; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of sudden infant death syndrome and use of safe sleep practices. Prior to caring for infants (0-12months) caregivers must obtain 2 formal hours of safe sleep training. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284 and 296, within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of sudden infant death syndrome and use of safe sleep practices. Prior to caring for infants (0-12months) personnel must obtain 2 formal hours of safe sleep training. 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: OAC 340: 110-3-284 and 295; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of the administration of medication. Click or tap here to enter text. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340: 110-3-85, 89.1, 90; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of the administration of medication. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340: 110-3-284 and 295; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of the administration of medication. 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: OAC 340: 110-3-295; Parent permission is obtained for all ages prior to administering any medication. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340: 110-3-90; Parent permission is obtained for all ages prior to administering any medication. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340: 110-3-295; Parent permission is obtained for all ages prior to administering any medication. 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: OAC 340:110-3-281.1- 281.4 and 284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of prevention of emergencies due to food and allergic reactions. Programs post children’s food and life-threatening allergies, including the child’s full name, and location of any life-threatening condition medications. This list is posted in the kitchen and in the classrooms. The item is posted in a location or manner protecting confidentiality. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of the prevention of emergencies due to food and allergic reactions. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-281.1-281.4 and 284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of prevention of emergencies due to food and allergic reactions. Programs post children’s food and life-threatening allergies, including the child’s full name, and location of any life-threatening condition medications. This list is posted in the kitchen and in the classrooms. The item is posted in a location or manner protecting confidentiality. 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: OAC 340:110-3-284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of the response to emergencies due to food and allergic reactions. ii. All CCDF-eligible licensed family child care homes. Provide the standard: AOC 340:110-3-85; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of the response to emergencies due to food and allergic reactions. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of the response to emergencies due to food and allergic reactions. 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: OAC 340:110-3-284, 303; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of the identification of and protections from building and physical premises hazards ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85,86,87; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of the identification of and protections from building and physical premises hazards. 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: Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284, 303; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes a review of the identification of and protections from building and physical premises hazards. 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: OAC 340:110-3-284, 291 and 301; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes the identification of and protection from bodies of water. The requirements for water activities and safety are addressed in section 291 and the requirements for bodies of water are addressed in section 301. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85 and 86; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The requirements for water safety are located in section 86. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284, 291 and 301; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. This training includes the identification of and protection from bodies of water. The requirements for water activities and safety are addressed in section 291 and the requirements for bodies of water are addressed in section 301. 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: OAC 340:110-3-284, 305; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes the identification of and protection from vehicular traffic hazards. The requirements regarding transportation are in section 305 ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85 and 87; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes the identification of and protection from vehicular traffic hazards. The requirements regarding Transportation are in section 87. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284, 305; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes the identification of and protection from vehicular traffic hazards. The requirements regarding transportation are in section 305. 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: OAC 340:110-3-284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes a review of shaken baby syndrome and abusive head trauma. This requirement is not excluded by age of children in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85, within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes a review of shaken baby syndrome and abusive head trauma. This requirement is not excluded by age of children in care. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes a review of shaken baby syndrome and abusive head trauma. This requirement is not excluded by age of children in care. 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: OAC 340:110-3-284, within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes prevention of child maltreatment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85, Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes prevention of child maltreatment. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284, within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training includes prevention of child maltreatment. 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: OAC 340:110-3-284, 303 and 304; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training addresses the handling and storage of hazardous materials. The requirements regarding Hazards are addressed in section 303 and 304. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85 and 86; Prior to caring for all ages of children, caregivers obtain health and safety training. This training includes a review of the handling and storage of hazardous materials. The requirements regarding hazards in the home environment is found in section 86. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284, 303 and 304; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training addresses the handling and storage of hazardous materials. The requirements regarding Hazards are addressed in section 303 and 304. 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: OAC 340:110-3-284, 303 and 304; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training addresses the disposal of bio contaminants. The requirements regarding Hazards are addressed in section 303 and 304. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85 and 86; Prior to caring for all ages of children, caregivers obtain health and safety training. This training addresses the disposal of bio contaminants. The requirements regarding hazards in the home environment is found in section 86. iii. All CCDF-eligible licensed in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284, 303 and 304; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training addresses the disposal of bio contaminants. The requirements regarding Hazards are addressed in section 303 and 304. 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: OAC 340:110-3-303- 305; the standards require precautions in transporting children that state children are restrained according to Oklahoma State Statute. When transporting, parent permission is needed, and appropriate ratios and supervision of children is maintained at all times. Driver meets qualifications and vehicles are in safe operating conditions. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-87; the standards require precautions in transporting children that state children are restrained according to Oklahoma State Statute. When transporting, parent permission is needed, and appropriate ratios and supervision of children is maintained at all times. Driver meets qualifications and vehicles are in safe operating conditions. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-303-305; the standards require precautions in transporting children that state children are restrained according to Oklahoma State Statute. When transporting, parent permission is needed, and appropriate ratios and supervision of children is maintained at all times. Driver meets qualifications and vehicles are in safe operating conditions. 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: OAC 340:110-3-284- 284.2; first aid certification is age-appropriate for the children’s ages accepted into care and are from approved sources listed on the Oklahoma Professional Development Registry (OPDR) website. At all times, at least one personnel with current CPR and first aid certification is present with children. At least the director and master teachers obtain CPR and first aid certification as required. All other personnel that are left alone with children must obtain current CPR and first aid training within 90 of employment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 340:110- 3-85; CPR and first aid are age-appropriate for the children’s ages accepted into care and from approved sources listed on the Oklahoma Professional Development Registry (OPDR) website. The primary caregiver must obtain CPR and first aid certification prior to permission to operate; caregivers left alone, on or off of the premises, including during transportation must have current CPR and first aid certification. Other caregivers, included in the adult-child ratio must obtain CPR and first aid certification within three months of beginning child care. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284-284.2; first aid certification is age-appropriate for the children’s ages accepted into care and are from approved sources listed on the OPDR website. At all times, at least one personnel with current CPR and first aid certification is present with children. At least the director and master teachers obtain CPR and first aid certification as required. All other personnel that are left alone with children must obtain current CPR and first aid training within 90 days of employment 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: OAC 340:110-3-284- 284.2; first aid certification is age-appropriate for the children’s ages accepted into care and are from approved sources listed on the OPDR website. At all times, at least one personnel with current CPR and first aid certification is present with children. At least the director and master teachers obtain CPR and first aid certification as required. All other personnel that are left alone with children must obtain current CPR and first aid training within 90 of employment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85; CPR and first aid are age-appropriate for the children’s ages accepted into care and from approved sources listed on the Oklahoma Professional Development Registry (OPDR) website. The primary caregiver must obtain CPR and first aid certification prior to permission to operate; caregivers left alone, on or off of the premises, including during transportation must have current CPR and first aid certification. Other caregivers, included in the adult-child ratio must obtain CPR and first aid certification within three months of beginning child care. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284-284.2; first aid certification is age-appropriate for the children’s ages accepted into care and are from approved sources listed on the OPDR website. At all times, at least one personnel with current CPR and first aid certification is present with children. At least the director and master teachers obtain CPR and first aid certification as required. All other personnel that are left alone with children must obtain current CPR and first aid training within 90 days of employment. 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: OAC 340:110-3-284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training addresses the identification of child abuse and neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340:110-3-85; Prior to caring for all ages of children, caregivers obtain health and safety training. This training addresses the identification of child abuse and neglect. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-284; within one week of employment and prior to having sole responsibility for a group of children of any age, personnel obtain orientation training. The training addresses the identification of child abuse and neglect. 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: OAC 340:110-3-280; every person, private citizen or professional, who has reason to believe that a child has been abused, is mandated by law to promptly report suspected abuse. ii. All CCDF-eligible licensed family child care homes. Provide the standard: OAC 340- 3-89.1; every person, private citizen or professional, who has reason to believe that a child has been abused, is mandated by law to promptly report suspected abuse. 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: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF- eligible. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provisions of the Oklahoma Child Care Facility Licensing Act shall not apply to exempt programs, therefore these programs are exempt from licensing and are not CCDF-eligible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OAC 340:110-3-280; every person, private citizen or professional, who has reason to believe that a child has been abused, is mandated by law to promptly report suspected abuse. 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: Center-based programs and Family Child Care Home standards require nutritious meals and snacks meet the current Child and Adult Care Food Program. All CCDF providers are required to provide meals and snacks that meet current Child and Adult Care Food Program. Center based programs: OAC 340:110-3-298; Family Child Care Homes: OAC 340:110-3-94. Center-based care standards do not require programs to follow Child and Adult Care food Program guidelines for infant nutrition. ii. Access to physical activity. Describe: Center-based programs and Family Child Care Home standards require access to physical activity by providing a balance of quiet and active play, both indoors and outdoors. Center-based care standards limit screen time. Center-based programs: OAC 340:110-3- 289; Family Child Care Homes: OAC 340:110-3-91. iii. Caring for children with special needs. Describe: Center-based programs and Family Child Care Home standards require caregivers meet specific needs of all children in care including children with disabilities and/or chronic medical conditions. Center-based programs: OAC 340:110-3-279; Family Child Care Homes: OAC 340:110-3-85. Family Child Care Homes- caregiver demonstrates a capacity for setting realistic expectations for behavior and performance based on the age, abilities, and special needs of the children. CCDF providers are required to meet specific needs of all children including caring for children with a special need. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Center-based programs and Family Child Care Home standards require educational knowledge in child development to provide developmentally appropriate activities and experiences to children. Center-based care and Family Child Care Home standards require indoor and outdoor learning activities and experiences that are developmentally appropriate and meet children’s individual needs in the areas of social, emotional, cognitive, language, creative expression, and physical development. Center-based programs: OAC 340:110-3-289; Family Child Care Homes: OAC 340:110-3-91. All CCDF providers are required to have educational knowledge in promoting child development to provide developmentally appropriate activities and experiences to children.