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: : Certified Centers: OAR 414-305-0370(1)(c) A certified child care center must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: The prevention and control of infectious diseases; OAR 414-305-1020(1)(d) A certified child care center must have and follow written procedures for handling injuries that are made known to all staff, including: Standard precautions to handle potential exposure to blood and other potentially infectious fluids (also see OAR 414-305-0850(4), Maintenance and Sanitation); OAR 414-305-0850(4)(a-e) A certified child care center must immediately clean up any spills of bio contaminants, such as urine, feces, blood, saliva, nasal discharge, eye discharge, and other bodily fluids as follows: (a) Staff must use disposable, nonporous gloves when handling bio contaminants; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a plastic bag with a secure tie or container with a disposable liner; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. OAR 414-305-1010(2)(a-b) A certified child care center must not accept a child into care who: (a) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rules, except with the written approval of the public health administrator or licensed health care provider; or (b) Has one or more of the following symptoms of illness, except with the written approval of the public health administrator or licensed health care provider: (A) Fever over 100.4°F. A child with a fever over 100.4°F may return if fever free for 24 hours without the aid of medication. (B) able. A child with diarrhea may return 48 hours after diarrhea resolves or with written clearance from a licensed healthcare provider. (C) Vomiting at least one time, where there is no explanation for the vomiting. A child who vomits without explanation may return 48 hours after the last episode of vomiting or with written clearance from a licensed healthcare provider. (D) Severe or persistent coughing. A child with severe or persistent coughing may return after symptoms are improving for 24 hours or with written clearance from a licensed healthcare provider. (E) Unusual yellow color to skin or eyes. A child with unusual yellow color to skin or eyes may return to care with written clearance from a licensed healthcare provider. (F) Open sores or wounds discharging bodily fluids. A child with open sores or wounds discharging bodily fluids may return to care after rash is resolved, when sores and wounds are dry or can be completely covered with a bandage, or with written clearance from a licensed health care provider. (G) Stiff neck and headache with one or more of the symptoms listed above; Uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities. A child with any of the above symptoms may return to care when symptoms resolve, return to normal behavior, or with written clearance from a licensed health care provider. (I) Difficulty breathing or abnormal wheezing. A child with difficulty breathing or abnormal wheezing may return to care after symptoms are improving for 24 hours. (J) Complaints of severe pain. A child with complaints of severe pain may return to care after symptoms are improving. (K) Eye lesions that are severe, weeping, or pus filled. A child with eye lesions that are severe, weeping, or pus filled may return to care after symptoms resolve or with written clearance from a licensed healthcare provider OAR 414-305-1010(3)(a-e) If a child who has been admitted into care shows signs of illness, as described in this rule, a certified child care center must: (a) Separate the child from the other children in a location where the child can be seen and heard by staff and carefully observed at all times. (b) Notify the parent to remove the child from the center as soon as possible. (c) Until the parent arrives, provide the child with an individual cot, mat, or bed that can be easily cleaned and disinfected after use. (d) Give extra attention to handwashing and sanitation including cleaning and disinfecting toys, equipment, and surfaces used by the ill child immediately after the child leaves. (e) Keep disposable items and used linens in a closed container in the isolation area until cleaned or thrown away OAR 414- 305-1010(4)(a-c) If any child, staff member or volunteer has a restrictable disease, as defined in Oregon Health Authority, Public Health Division Chapter 333, Division 19 Investigation and Control of Diseases: General Powers And Responsibilities, a certified child care center must: (a) Immediately report the incident or illness to the local health department; (b) Follow the health department’s recommendations on exclusion and readmission of children and staff; and (c) Post a notice for the parents of all children who attend the center Certified ONB programs: OAR 414-320-0370(1)(c) requires that a certified ONB program must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. The orientation must include, but is not limited to: the prevention and control of infectious diseases. OAR 414-320-1020(1)(d) A certified ONB program must have and follow written procedures for handling injuries that are made known to all staff, including: Standard precautions to handle potential exposure to blood and other potentially infectious fluids (also see OAR 414-320-0850(5), Maintenance and Sanitation). OAR 414-320-0850(5)(a-e) A certified ONB program must immediately clean up any spills of bodily fluids, such as urine, feces, blood, saliva, nasal discharge, eye discharge, and other bodily fluids as follows: (a) Staff must use disposable, nonporous gloves when handling bio contaminants; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a plastic bag with a secure tie or container with a disposable liner; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. OAR 414-320-1010(2)(a-b) A certified ONB program must not accept a child into care who: (a) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rule OAR 333-013- 0010, except with the written approval of the public health administrator or licensed health care provider; or (b) Has one or more of the following symptoms of illness, except with the written approval of the public health administrator or licensed health care provider: (A) Fever over 100.4°F. A child with a fever over 100.4°F may return if fever free for 24 hours without the aid of medication. (B) able. A child with diarrhea may return 48 hours after diarrhea resolves or with written clearance from a licensed healthcare provider. (C) Vomiting at least one time, where there is no explanation for the vomiting. A child who vomits without explanation may return 48 hours after the last episode of vomiting or with written clearance from a licensed healthcare provider. (D) Severe or persistent coughing. A child with severe or persistent coughing may return after symptoms are improving for 24 hours or with written clearance from a licensed healthcare provider. (E) Unusual yellow color to skin or eyes. A child with unusual yellow color to skin or eyes may return to care with written clearance from a licensed healthcare provider. (F) Open sores or wounds discharging bodily fluids. A child with open sores or wounds discharging bodily fluids may return to care after rash is resolved, when sores and wounds are dry or can be completely covered with a bandage, or with written clearance from a licensed health care provider. (G) Stiff neck and headache with one or more of the symptoms listed above; Uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities. A child with any of the above symptoms may return to care when symptoms resolve, return to normal behavior, or with written clearance from a licensed health care provider. (I) Difficulty breathing or abnormal wheezing. A child with difficulty breathing or abnormal wheezing may return to care after symptoms are improving for 24 hours. (J) Complaints of severe pain. A child with complaints of severe pain may return to care after symptoms are improving. (K) Eye lesions that are severe, weeping, or pus filled. A child with eye lesions that are severe, weeping, or pus filled may return to care after symptoms resolve or with written clearance from a licensed healthcare provider. OAR 414-320-1010(3)(a-e) If a child who has been admitted into care shows signs of illness, as described in this rule, a certified ONB program must: (a) Separate the child from the other children in a location where the child can be seen and heard by staff and carefully observed at all times. (b) Notify the parent to remove the child from the premises as soon as possible. (c) Until the parent arrives, provide the child with an individual cot, mat, or bed that can be easily cleaned and disinfected after use. (d) Give extra attention to handwashing and sanitation including cleaning and disinfecting toys, equipment, and surfaces used by the ill child immediately after the child leaves. (e) Keep disposable items and used linens in a closed container in the isolation area until cleaned or thrown away. OAR 414- 320-1010(4)(a-c) If any child, staff member or volunteer has a restrictable disease, as defined in Oregon Health Authority, Public Health Division Chapter 333, Division 19 Investigation and Control of Diseases: General Powers And Responsibilities, a certified ONB program must: (a) Immediately report the incident or illness to the local health department; (b) Follow the health department’s recommendations on exclusion and readmission of children and staff; and (c) Post a notice for the parents of all children who attend the program. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes : OAR 414-360-0270(3) A provider must immediately notify the Oregon Health Authority of a known case, in individuals associated with the certified family child care, of a child care-restrictable disease, as defined in Oregon Administrative Rule, OAR 333-019-0010. OAR 414-360-0270(6)(c) A provider must notify parents upon child pick-up of: A child care restrictable disease or infestation exposure from a caregiver or another child; OAR 414-360-0270(9) A provider must have a method for notifying families when any child or caregiver has a child care restrictable disease, as defined in Oregon Administrative Rule or food poisoning (also see OAR 414-360-1010, Illness); OAR 414-360-0300(7) (4) Any caregiver known or appearing to have a child care restrictable disease, as defined in OAR 333-019-0010, a symptom of physical illness as described in OAR 414-360-1010(1)(b)(A) through (K), or mental incapacity that poses a threat to the health or safety of children shall be relieved of their duties. OAR 414-360-1010(1) (1) A provider must not accept a child into care who: (a) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rules, except with the written approval of the public health administrator or licensed health care provider; or (b) Has one or more of the following symptoms of illness, except with the written approval of the public health administrator or licensed health care provider: (A) Fever over 100.4°F. A child with a fever over 100.4°F may return if fever free for 24 hours without the aid of medication. (B) ￿Diarrhea￿, which means three or more watery, bloody, or loose stools in 24 hours, the sudden onset of loose stools, or a child is unable to control bowel function when previously able. A child with diarrhea may return 48 hours after diarrhea resolves or with written clearance from a licensed healthcare provider. (C) Vomiting at least one time, where there is no explanation for the vomiting. A child who vomits without explanation may return 48 hours after the last episode of vomiting or with written clearance from a licensed healthcare provider. (D) Severe or persistent coughing. A child with severe or persistent coughing may return after symptoms are improving for 24 hours or with written clearance from a licensed healthcare provider. (E) Unusual yellow color to skin or eyes. A child with unusual yellow color to skin or eyes may return to care with written clearance from a licensed healthcare provider. (F) Open sores or wounds discharging bodily fluids. A child with open sores or wounds discharging bodily fluids may return to care after rash is resolved, when sores and wounds are dry or can be completely covered with a bandage, or with written clearance from a licensed health care provider. (G) Stiff neck and headache with one or more of the symptoms listed above (H) Uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities. A child with any of the above symptoms may return to care when symptoms resolve, return to normal behavior, or with written clearance from a licensed health care provider. (I) Difficulty breathing or abnormal wheezing. A child with difficulty breathing or abnormal wheezing may return to care after symptoms are improving for 24 hours. (J) Complaints of severe pain. A child with complaints of severe pain may return to care after symptoms are improving. (K) Eye lesions that are severe, weeping, or pus filled. A child with eye lesions that are severe, weeping, or pus filled may return to care after symptoms resolve or with written clearance from a licensed healthcare provider. 414-360-1010(2) If a child who has been admitted into care shows signs of illness, as described in this rule, a provider must: (a) Separate the child from the other children in a location where the child can be supervised by caregivers and carefully observed at all times; (b) Notify the parent to remove the children from care as soon as possible; and (c) Until the parent arrives, provide the child with an individual cot, mat, or bed that can be easily cleaned and disinfected after use. OAR 414-360-1010(3) If any child, caregiver or volunteer has a restrictable disease, as defined in Oregon Health Authority, Public Health Division Chapter 333, Division 19 Investigation and Control of Diseases: General Powers And Responsibilities, a provider must: (a) Immediately report the incident or illness to the local health department; (b) Follow the health department’s recommendations on exclusion and readmission of children and caregivers; and (c) Post a notice for the parents of all children who attend the home. . OAR 414-360-0660(3) A provider must wash, rinse, and disinfect the following immediately after use: (d) Any surface contaminated with bodily fluids. OAR 414-360-0850(3) A provider must keep all garbage and bodily fluids waste in non-absorbent, easily washable containers with tight-fitting lids. Oar 414-360-0850(7) A provider must immediately clean up any spills of bodily fluids, such as urine, feces, blood, and vomit as follows: (a) Caregivers must use disposable, nonporous gloves when handling bodily fluids; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a tied or sealed plastic bag and discarded immediately; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. Registered Family Child Care Homes: OAR 414-210-0270(3) A provider must immediately notify the Oregon Health Authority of a known case, in individuals associated with the home, of a child care-restrictable disease, as defined in Oregon Administrative Rule, OAR 333-019-0010. OAR 414-210-0270(6) A provider must notify parents upon child pick-up of: (c) A child care restrictable disease or infestation exposure from a caregiver or another child; OAR 414-210-0270(9) A provider must have a method for notifying families when any child or caregiver has a child care restrictable disease, as defined in Oregon Administrative Rule, or food poisoning (also see OAR 414-210-1010, Illness); OAR 414-210-0300(4) Any caregiver known or appearing to have a child care-restrictable disease, as defined in OAR 333-019-0010, a symptom of physical illness as described in OAR 414-210-1010(1)(b)(A) through (K), or a mental incapacity that poses a threat to the health or safety of children shall be relieved of their duties. Oar 414-210-1010(1) A provider must not accept a child into care who: (a) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rules, except with the written approval of the public health administrator or licensed health care provider; or (b) Has one or more of the following symptoms of illness, except with the written approval of the public health administrator or licensed health care provider: (A) Fever over 100.4°F. A child with a fever over 100.4°F may return if fever free for 24 hours without the aid of medication. (B) ￿Diarrhea￿, which means three or more watery, bloody, or loose stools in 24 hours, the sudden onset of loose stools, or a child is unable to control bowel function when previously able. A child with diarrhea may return 48 hours after diarrhea resolves or with written clearance from a licensed healthcare provider. (C)Vomiting at least one time, where there is no explanation for the vomiting. A child who vomits without explanation may return 48 hours after the last episode of vomiting or with written clearance from a licensed healthcare provider. (D) Severe or persistent coughing. A child with severe or persistent coughing may return after symptoms are improving for 24 hours or with written clearance from a licensed healthcare provider. (E) Unusual yellow color to skin or eyes. A child with unusual yellow color to skin or eyes may return to care with written clearance from a licensed healthcare provider. (F) Open sores or wounds discharging bodily fluids. A child with open sores or wounds discharging bodily fluids may return to care after rash is resolved, when sores and wounds are dry or can be completely covered with a bandage, or with written clearance from a licensed health care provider. (G)Stiff neck and headache with one or more of the symptoms listed above. (H) Uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities. A child with any of the above symptoms may return to care when symptoms resolve, return to normal behavior, or with written clearance from a licensed health care provider. (I) Difficulty breathing or abnormal wheezing. A child with difficulty breathing or abnormal wheezing may return to care after symptoms are improving for 24 hours. (J) Complaints of severe pain. A child with complaints of severe pain may return to care after symptoms are improving. (K) Eye lesions that are severe, weeping, or pus filled. A child with eye lesions that are severe, weeping, or pus filled may return to care after symptoms resolve or with written clearance from a licensed healthcare provider. OAR 414-210-1010(2) If a child who has been admitted into care shows signs of illness, as described in this rule, a provider must: (a) Separate the child from the other children in a location where the child can be supervised by caregivers and carefully observed at all times; (b) Notify the parent to remove the children from care as soon as possible; and (c) Until the parent arrives, provide the child with an individual cot, mat, or bed that can be easily cleaned and disinfected after use. OAR 414-210-1010(3) If any child, caregiver or volunteer has a restrictable disease, as defined in Oregon Health Authority, Public Health Division Chapter 333, Division 19 Investigation and Control of Diseases: General Powers And Responsibilities, a provider must: (a) Immediately report the incident or illness to the local health department; (b) Follow the health department’s recommendations on exclusion and readmission of children and caregivers; and (c) Post a notice for the parents of all children who attend the home OAR 414-210-0660(3) A provider must wash, rinse, and disinfect the following immediately after use: (d) Any surface contaminated with bodily fluids. OAR 414-210-0850(5) A provider must immediately clean up any spills of bodily fluids, such as urine, feces, blood, vomit, and other bodily fluids as follows: (a) Caregivers must use disposable, nonporous gloves when handling bodily fluids; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a tied or sealed plastic bag and discarded immediately; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and 414-210-0860 Fire Protection Rules for Registered Family Child Care | CCLD-0086 | page 49 (e) Hands must be washed after using and disposing of the gloves. 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: Regulated Subsidy Programs: OAR 414-180-0015(22)(b) A provider shall not admit or retain in care, except with the written approval of the local health office, a child who: (A) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rule; or (B) Has one of the following symptoms or combination of symptoms or illness; (i) Fever over 100°F, taken under the arm; (ii) Diarrhea (more than one abnormally loose, runny, watery or bloody stool); (iii) Vomiting; (iv) Nausea; (v) Severe cough; (vi) Unusual yellow color to skin or eyes; (vii) Skin or eye lesions or rashes that are severe, weeping, or pus-filled; (viii) Stiff neck and headache with one or more of the symptoms listed above; (ix) Difficult breathing or abnormal wheezing; or (x) Complaints of severe pain. OAR 414-180-0015(22)(c) A child who, after being admitted into child care, shows signs of illness, as defined in this rule, whenever possible will be separated from the other children, and the parent(s) notified and asked to remove the child from the child care facility as soon as possible OAR 414-180-0020(8) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children OAR 414-180-0015(14) The provider must comply with local, state and federal laws related to immunizations, child care restrictable diseases, child safety systems and seat belts in vehicles, bicycle safety, civil rights laws, and the Americans with Disabilities Act. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: i. OAR 414-180-0015(22)(b) A provider shall not admit or retain in care, except with the written approval of the local health office, a child who: (A) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rule; or (B) Has one of the following symptoms or combination of symptoms or illness; (i) Fever over 100°F, taken under the arm; (ii) Diarrhea (more than one abnormally loose, runny, watery or bloody stool); (iii) Vomiting; (iv) Nausea; (v) Severe cough; (vi) Unusual yellow color to skin or eyes; (vii) Skin or eye lesions or rashes that are severe, weeping, or pus-filled; (viii) Stiff neck and headache with one or more of the symptoms listed above; (ix) Difficult breathing or abnormal wheezing; or (x) Complaints of severe pain. OAR 414-180-0015(22)(c) A child who, after being admitted into child care, shows signs of illness, as defined in this rule, whenever possible will be separated from the other children, and the parent(s) notified and asked to remove the child from the child care facility as soon as possible OAR 414-180-0020(8) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children OAR 414-180-0015(14) The provider must comply with local, state and federal laws related to immunizations, child care restrictable diseases, child safety systems and seat belts in vehicles, bicycle safety, civil rights laws, and the Americans with Disabilities Act. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: "i. OAR 414- 180-0015(22)(b) A provider shall not admit or retain in care, except with the written approval of the local health office, a child who: (A) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rule; or (B) Has one of the following symptoms or combination of symptoms or illness; (i) Fever over 100°F, taken under the arm; (ii) Diarrhea (more than one abnormally loose, runny, watery or bloody stool); (iii) Vomiting; (iv) Nausea; (v) Severe cough; (vi) Unusual yellow color to skin or eyes; (vii) Skin or eye lesions or rashes that are severe, weeping, or pus-filled; (viii) Stiff neck and headache with one or more of the symptoms listed above; (ix) Difficult breathing or abnormal wheezing; or (x) Complaints of severe pain. OAR 414-180-0015(22)(c) A child who, after being admitted into child care, shows signs of illness, as defined in this rule, whenever possible will be separated from the other children, and the parent(s) notified and asked to remove the child from the child care facility as soon as possible OAR 414-180-0020(8) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children OAR 414-180-0015(14) The provider must comply with local, state and federal laws related to immunizations, child care restrictable diseases, child safety systems and seat belts in vehicles, bicycle safety, civil rights laws, and the Americans with Disabilities Act. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: See Certified School-Age standards for licensed programs, and if the program is exempt from licensing, see Regulated Subsidy Programs standards. Certified School-Age Centers: OAR 414-310-0330(1)(c) A School-Age Center must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: The prevention and control of infectious diseases; OAR 414-310-0560(1)(d) A School-Age Center must have and follow written procedures for handling injuries that are made known to all staff, including: Standard precautions to handle potential exposure to blood and other potentially infectious fluids(see OAR414- 310-0490 Maintenance and Sanitation); OAR 414-310-0490(3) A School-Age Center must immediately clean up any spills of bio contaminants, such as urine, feces, blood, saliva, nasal discharge, eye discharge, and other bodily fluids as follows: (a) Staff must use disposable, nonporous gloves when handling bio contaminants; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a plastic bag with a secure tie or container with a disposable liner; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. OAR 414-310-0550(2)(a-b) A School-Age Center must not accept a child into care who: (a) Is diagnosed as having or being a carrier of a child care restrictable disease, as defined in Oregon Health Authority administrative rules, except with the written approval of the public health administrator or licensed health care provider; or (b) Has one or more of the following symptoms of illness, except with the written approval of the public health administrator or licensed health care provider: (A) Fever over 100.4°F. A child with a fever over 100.4°F may return if fever free for 24 hours without the aid of medication; (B) ￿Diarrhea￿, which means three or more watery, bloody, or loose stools in 24 hours, the sudden onset of loose stools, or a child is unable to control bowel function when previously able. A child with diarrhea may return 48 hours after diarrhea resolves or with written clearance from a licensed healthcare provider; (C) Vomiting at least one time, where there is no explanation for the vomiting. A child who vomits without explanation may return 48 hours after the last episode of vomiting or with written clearance from a licensed healthcare provider; (D) Severe or persistent coughing. A child with severe or persistent coughing may return after symptoms are improving for 24 hours or with written clearance from a licensed healthcare provider. (E) Unusual yellow color to skin or eyes. A child with unusual yellow color to skin or eyes may return to care with written clearance from a licensed healthcare provider; (F) Open sores or wounds discharging bodily fluids. A child with open sores or wounds discharging bodily fluids may return to care after rash is resolved, when sores and wounds are dry or can be completely covered with a bandage, or with written clearance from a licensed health care provider; (G) Stiff neck and headache with one or more of the symptoms listed above; (H) Uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities. A child with any of the above symptoms may return to care when symptoms resolve, return to normal behavior, or with written clearance from a licensed health care provider; (I) Difficulty breathing or abnormal wheezing. A child with difficulty breathing or abnormal wheezing may return to care after symptoms are improving for 24 hours; (J) Complaints of severe pain. A child with complaints of severe pain may return to care after symptoms are improving; (K) Eye lesions that are severe, weeping, or pus filled. A child with eye lesions that are severe, weeping, or pus filled may return to care after symptoms resolve or with written clearance from a licensed healthcare provider OAR 414-310-0550(3)(a-e)If a child who has been admitted into care shows signs of illness, as described in this rule, a Certified School-Age Centers must: (a) Separate the child from the other children in a location where the child can be seen and heard by staff and carefully observed at all times. (b) Notify the parent to remove the child from the center as soon as possible. (c) Until the parent arrives, provide the child with an individual cot, mat, or bed that can be easily cleaned and disinfected after use. (d) Give extra attention to handwashing and sanitation including cleaning and disinfecting toys, equipment, and surfaces used by the ill child immediately after the child leaves. (e) Keep disposable items and used linens in a closed container in the isolation area until cleaned or thrown away OAR 414-310-0550(4)(a-c) If any child, staff member or volunteer has a restrictable disease, as defined in Oregon Health Authority, Public Health Division Chapter 333, Division 19 Investigation and Control of Diseases: General Powers And Responsibilities, a certified child care center must: (a) Immediately report the incident or illness to the local health department; (b) Follow the health department’s recommendations on exclusion and readmission of children and staff; and (c) Post a notice for the parents of all children who attend the center. 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: Certified School-Age OAR 414-310- 0200(1), the center must comply with Oregon Health Authority’s administrative rules (see OAR 333-050- 0040) relating to the immunization of children. If a child is enrolled in a public or private elementary school, immunizations are not required to be documented by the child care facility. Certified Centers: 414-305-0225 (1) A certified child care center must comply with Oregon Health Authority’s administrative rules (see OAR 333-050-0040) relating to the immunization of children. If a child is enrolled in a public or private elementary school, immunizations are not required to be documented by the child care facility. (2) A certified child care center may provide care for children who are in foster care or experiencing homelessness while parents/guardians are taking necessary actions to comply with immunization requirements of the center. Outdoor Nature-Based Programs: Oregon Administrative Rule 414-320-0225, Immunizations (1) A certified ONB program must comply with Oregon Health Authority’s administrative rules (see OAR 333-050-0040) relating to the immunization of children. If a child is enrolled in a public or private elementary school, immunizations are not required to be documented by the child care facility. (2) A certified ONB program may provide care for children who are in foster care or experiencing homelessness while parents/guardians are taking necessary actions to comply with immunization requirements of the certified ONB program. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: Oregon Administrative Rule 414-360-0225(1) A provider must comply with Oregon Health Authority’s administrative rules (see OAR 333- 050-0040) relating to the immunization of children. If a child is enrolled in a public or private elementary school, immunizations are not required to be documented by the child care facility. (2) A provider may provide care for children who are in foster care or experiencing homelessness while parents/guardians are taking necessary actions to comply with immunization requirements of the certified family child care. Registered Family Child Care Homes: 414-210-0225(1) A provider must comply with Oregon Health Authority’s administrative rules (see OAR 333- 050-0040) relating to the immunization of children. If a child is enrolled in a public or private elementary school, immunizations are not required to be documented by the child care facility. (2) A provider may provide care for children who are in foster care or experiencing homelessness while parents/guardians are taking necessary actions to comply with immunization requirements of the facility. 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: OAR 414-175- 0080(7) (n) Inform a parent of the need to obtain immunizations for a child and have a completed, up-to-date Oregon shot record called the "Certification of Immunization Status" (CIS) form, or a non-medical or medical Exemption form, on file for each child in care. OAR 414-180-0015(14) The provider must comply with local, state, and federal laws related to immunizations, child care restrictable diseases, child safety systems and seat belts in vehicles, bicycle safety, civil rights laws, and the Americans with Disabilities Act. New Regulated Subsidy Programs providers are provided a resource packet with additional information on immunizations, safety, sanitizing and a variety of other topics. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: OAR 414-175-0080(7) (n) Inform a parent of the need to obtain immunizations for a child and have a completed, up-to-date Oregon shot record called the "Certification of Immunization Status" (CIS) form, or a non-medical or medical Exemption form, on file for each child in care. OAR 414-180-0015(14) The provider must comply with local, state, and federal laws related to immunizations, child care restrictable diseases, child safety systems and seat belts in vehicles, bicycle safety, civil rights laws, and the Americans with Disabilities Act. New Regulated Subsidy Programs providers are provided a resource packet with additional information on immunizations, safety, sanitizing and a variety of other topics. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: OAR 414- 175-0080(7) (n) Inform a parent of the need to obtain immunizations for a child and have a completed, up-to-date Oregon shot record called the "Certification of Immunization Status" (CIS) form, or a non-medical or medical Exemption form, on file for each child in care. OAR 414-180-0015(14) The provider must comply with local, state, and federal laws related to immunizations, child care restrictable diseases, child safety systems and seat belts in vehicles, bicycle safety, civil rights laws, and the Americans with Disabilities Act. New Regulated Subsidy Programs providers are provided a resource packet with additional information on immunizations, safety, sanitizing and a variety of other topics. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: See Certified School-Age Standards for licensed programs, and if the program is exempt from licensing, see Regulated Subsidy Programs standards. Certified School-Age Centers: OAR 414-310-0200(1) The center must comply with Oregon Health Authority’s administrative rules (see OAR 333-050- 0040) relating to the immunization of children. If a child is enrolled in a public or private elementary school, immunizations are not required to be documented by the child care facility. 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: Certified Centers: OAR 414-305-0630 (1) In addition to safe equipment (OAR 414-305-0620), a certified child care center must follow safe sleep practices for infants to reduce the risk of sudden unexpected infant death (SUID) as follows: (a) While sleeping, infants must be monitored frequently to ensure they are breathing, not overheated, not in distress, and do not need assistance. (b) Infants must be placed on their backs on a flat, firm, non-inclined surface for sleeping. (c) Infants who can roll from back-to-front or back-to-side may remain in the sleep position they assume. (d) Except for a plain pacifier, there must not be any items (e.g., pacifier clips, bottles, toys, pillows, stuffed animals, blankets, bumpers) in or attached to the crib, portable crib or play yard. (e) Infants must not have their heads or faces covered by items such as blankets or linens at any time. (f) There must not be any items (e.g. blankets, tents, sheets) placed over the top or on the sides of a crib, portable crib or play yard. (g) Items that may cause suffocation or strangulation such as headwear (e.g. hoods, hats, headbands), bibs, necklaces, and garments with ties or drawstrings must be removed from the infant and sleep equipment prior to laying an infant down to rest. (h) Swaddling or other clothing or covering that restricts the infant's arm or leg movement is prohibited at all times, even if the child is not sleeping. (i) Weighted blankets, weighted clothing, or other weighted objects must not be placed on or near the sleeping infant. (j) If the caregiver is engaged in an activity with child care children and is carrying a sleeping infant in a structured infant carrier, the caregiver must move the infant to a safe sleep surface as soon as the activity is finished. (k) A caregiver may hold a sleeping infant provided the caregiver can immediately observe, see, or feel any signs of distress. The caregiver must be awake, alert, and focused on the infant; and (l) If an infant arrives asleep in a car seat or falls asleep in a place other than their crib, portable crib or play yard, the caregiver must immediately move the infant to an appropriate sleep surface. (2) Alternative sleep positions may only be used with an OCC approved exception request, which must include a medical reason and instructions from a physician. OAR 414-305-0370(1)(g) & (3)(b) Orientation and Initial Training (1) A certified child care center must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to (g): Safe sleep practices and prevention of shaken baby syndrome and abusive head trauma; (3)(b): A certified child care center’s staff and substitutes, with the exception of cooks, must: b) If the center is certified to care for infants, complete the Safe Sleep for Oregon Infants training within the first 30 days of hire and prior to having unsupervised access to infants. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0630(1) (1) In addition to safe equipment (OAR 414-360-0620), a provider must follow safe sleep practices for infants to reduce the risk of sudden unexpected infant death (SUID) as follows: (a) While sleeping, infants must be monitored frequently to ensure they are breathing, not overheated, not in distress, and do not need assistance. (b) Infants must be placed on their backs on a flat, firm, non-inclined surface for sleeping. (c) Infants who can roll from back-to- front or back-to-side may remain in the sleep position they assume. (d) Except for a plain pacifier, there must not be any items (e.g., pacifier clips, bottles, toys, pillows, stuffed animals, blankets, bumpers) in or attached to the crib, portable crib or play yard. (e) Infants must not have their heads or faces covered by items such as blankets or linens at any time. (f) There must not be any items (e.g. blankets, tents, sheets) placed over the top or on the sides of a crib, portable crib or play yard. (g) Items that may cause suffocation or strangulation such as headwear (e.g. hoods, hats, headbands), bibs, necklaces, and garments with ties or drawstrings must be removed from the infant and sleep equipment prior to laying an infant down to rest. (h) Swaddling or other clothing or covering that restricts the infant's arm or leg movement is prohibited at all times, even if the child is not sleeping. (i) Weighted blankets, weighted clothing, or other weighted objects must not be placed on or near the sleeping infant. (j) If the caregiver is engaged in an activity with child care children and is carrying a sleeping infant in a structured infant carrier, the caregiver must move the infant to a safe sleep surface as soon as the activity is finished. (k) A caregiver may hold a sleeping infant provided the caregiver can immediately observe, see, or feel any signs of distress. The caregiver must be awake, alert, and focused on the infant; and (l) If an infant arrives asleep in a car seat or falls asleep in a place other than their crib, portable crib or play yard, the caregiver must immediately move the infant to an appropriate sleep surface. OAR 414-360-0370 (1) Prior to being issued an initial certificate, a provider must complete: (c) Safe Sleep for Oregon’s Infants; OAR 414-360-0370(3) A provider must ensure that all caregivers, including substitutes: (a) Receive an orientation within the first 10 business days of working in the home and before caregivers have unsupervised access to children. An orientation must include, but is not limited to: (F) Safe sleep practices, prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (b) Complete the following within 30 days of beginning work in the home and prior to having unsupervised access to children: (C) Safe Sleep for Oregon's infants. OAR 414-360-600(8) All caregivers must take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. -- Registered Family Child Care Homes: OAR414-210-0630(1) In addition to safe equipment (OAR 414-210-0620), a provider must follow safe sleep practices for infants to reduce the risk of sudden unexpected infant death (SUID) as follows: (a) While sleeping, infants must be monitored frequently to ensure they are breathing, not overheated, not in distress, and do not need assistance. (b) Infants must be placed on their backs on a flat, firm, non-inclined surface for sleeping. (c) Infants who can roll from back-to- front or back-to-side may remain in the sleep position they assume. (d) Except for a plain pacifier, there must not be any items (e.g., pacifier clips, bottles, toys, pillows, stuffed animals, blankets, bumpers) in or attached to the crib, portable crib or play yard. (e) Infants must not have their heads or faces covered by items such as blankets or linens at any time. (f) There must not be any items (e.g. blankets, tents, sheets) placed over the top or on the sides of a crib, portable crib or play yard. 414-210-0650 Diaper Changing and Toileting Rules for Registered Family Child Care | CCLD-0086 | page 36 (g) Items that may cause suffocation or strangulation such as headwear (e.g. hoods, hats, headbands), bibs, necklaces, and garments with ties or drawstrings must be removed from the infant and sleep equipment prior to laying an infant down to rest. (h) Swaddling or other clothing or covering that restricts the infant's arm or leg movement is prohibited at all times, even if the child is not sleeping. (i) Weighted blankets, weighted clothing, or other weighted objects must not be placed on or near the sleeping infant. (j) If the caregiver is engaged in an activity with child care children and is carrying a sleeping infant in a structured infant carrier, the caregiver must move the infant to a safe sleep surface as soon as the activity is finished. (k) A caregiver may hold a sleeping infant provided the caregiver can immediately observe, see, or feel any signs of distress. The caregiver must be awake, alert, and focused on the infant; and (l) If an infant arrives asleep in a car seat or falls asleep in a place other than their crib, portable crib or play yard, the caregiver must immediately move the infant to an appropriate sleep surface. OAR 414-210-0370 (1) When a person submits a new application for registration as a registered family child care, CCLD shall, prior to approving the registration, receive evidence from the applicant that the person has completed: (d) Safe Sleep for Oregon’s Infants; OAR 414-310-0370(3) A provider must ensure that prior to having unsupervised access to children, substitute providers: (a) Receive an orientation. An orientation must include, but is not limited to: (F) Safe sleep practices, prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (b) Complete the following: (C) Safe Sleep for Oregon's infants; OAR 414-210-600(8) All caregivers must take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. 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: Regulated Subsidy Programs OAR 414-180-0015 (15) The following safe sleep practices must be followed: (a) Each infant shall sleep in a crib, portable crib, bassinet or playpen with a clean, non-absorbent mattress. All cribs, portable cribs, bassinets, and playpens must comply with current Consumer Product Safety Commission (CPSC) standards; (b) Bassinets may only be used until the infant is able to roll over on their own; (c) Each mattress shall: (A) Fit snugly; and (B) Be covered by a tightly fitting sheet. (d) A clean sheet shall be provided for each child; (e) Infants must be placed on their backs on a flat surface for sleeping; (f) While on the child care premises, if an infant falls asleep in a place other than their crib, portable crib, bassinet or playpen, the provider must immediately move the infant to an appropriate sleep surface; (g) No child shall be routinely left in a crib, portable crib, bassinet or playpen except for sleep or rest; (h) There shall be no items in the crib, portable crib, bassinet or playpen with the infant, except a pacifier (e.g. bottles, toys, pillows, stuffed animals, blankets, bumpers); (i) Swaddling or other clothing or covering that restricts the child's movement is prohibited; (j) Clothing or items that could pose a strangulation hazard (e.g. teething necklaces, pacifier attachments, clothing drawstrings) are prohibited; and (k) Car seats are to be used for transportation only. Children who are asleep in a car seat must be removed upon arrival at the child care facility and placed on an appropriate sleep surface. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (15) The following safe sleep practices must be followed: (a) Each infant shall sleep in a crib, portable crib, bassinet or playpen with a clean, non-absorbent mattress. All cribs, portable cribs, bassinets, and playpens must comply with current Consumer Product Safety Commission (CPSC) standards; (b) Bassinets may only be used until the infant is able to roll over on their own; (c) Each mattress shall: (A) Fit snugly; and (B) Be covered by a tightly fitting sheet. (d) A clean sheet shall be provided for each child; (e) Infants must be placed on their backs on a flat surface for sleeping; (f) While on the child care premises, if an infant falls asleep in a place other than their crib, portable crib, bassinet or playpen, the provider must immediately move the infant to an appropriate sleep surface; (g) No child shall be routinely left in a crib, portable crib, bassinet or playpen except for sleep or rest; (h) There shall be no items in the crib, portable crib, bassinet or playpen with the infant, except a pacifier (e.g. bottles, toys, pillows, stuffed animals, blankets, bumpers); (i) Swaddling or other clothing or covering that restricts the child's movement is prohibited; (j) Clothing or items that could pose a strangulation hazard (e.g. teething necklaces, pacifier attachments, clothing drawstrings) are prohibited; and (k) Car seats are to be used for transportation only. Children who are asleep in a car seat must be removed upon arrival at the child care facility and placed on an appropriate sleep surface. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (15) The following safe sleep practices must be followed: (a) Each infant shall sleep in a crib, portable crib, bassinet or playpen with a clean, non-absorbent mattress. All cribs, portable cribs, bassinets, and playpens must comply with current Consumer Product Safety Commission (CPSC) standards; (b) Bassinets may only be used until the infant is able to roll over on their own; (c) Each mattress shall: (A) Fit snugly; and (B) Be covered by a tightly fitting sheet. (d) A clean sheet shall be provided for each child; (e) Infants must be placed on their backs on a flat surface for sleeping; (f) While on the child care premises, if an infant falls asleep in a place other than their crib, portable crib, bassinet or playpen, the provider must immediately move the infant to an appropriate sleep surface; (g) No child shall be routinely left in a crib, portable crib, bassinet or playpen except for sleep or rest; (h) There shall be no items in the crib, portable crib, bassinet or playpen with the infant, except a pacifier (e.g. bottles, toys, pillows, stuffed animals, blankets, bumpers); (i) Swaddling or other clothing or covering that restricts the child's movement is prohibited; (j) Clothing or items that could pose a strangulation hazard (e.g. teething necklaces, pacifier attachments, clothing drawstrings) are prohibited; and (k) Car seats are to be used for transportation only. Children who are asleep in a car seat must be removed upon arrival at the child care facility and placed on an appropriate sleep surface. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Not applicable since out of school programs only provide care for children who are eligible to attend kindergarten or above in public school. 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: Certified Centers: OAR 414-305-1030 (1) Before a certified child care center gives a child any prescription or non-prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the center must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-305-0230, Parental Permissions); (A) For chronic medical conditions, a certified child care center may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non- prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (b) Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage. (A) For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician’s name, and length of time to give the medication. (B) If parent instructions differ from the container instructions, a certified child care center must have a licensed physician's written instructions for that medication. (C) Medication must not be administered after the expiration date. (D) Any medication provided by the parents must be labeled with the child’s name. (c) Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable. (2) A certified child care center must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication. (3) A certified child care center must inform parent(s) daily of all medications administered to their child. (4) If medication is provided by the parent, a certified child care center must administer medication only to the child for whom it is intended and follow the directions on the label. (5) A certified child care center must ensure that all medications are inaccessible to children, with child-resistant caps when available, and stored away from food. (a) If only stored out-of-reach of children, the medication bottle or package must be stored in a container with a tight-fitting lid. (b) Emergency medicine may be placed in an unlocked container that is kept out of reach of children while inside the facility. (6) A certified child care center must keep medications requiring refrigeration in a separate tightly-covered, leakproof container clearly marked "medication" and inaccessible to children. ONB Programs: OAR 414-320-1030, Medications: (1) Before a certified ONB program gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the certified ONB program must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-320-0230, Parental Permissions); (b) For chronic medical conditions, a certified ONB program may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (c) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (d) Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage. (e) For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician's name, and length of time to give the medication. (f) If parent instructions differ from the container instructions, a certified ONB program must have a licensed physician's written instructions for that medication. (g) Medication must not be administered after the expiration date. (h) Any medication provided by the parents must be labeled with the child’s name. (i) Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable. (2) A certified ONB program must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication. (3) A certified ONB program must inform parent(s) daily of all medications administered to their child. (4) If medication is provided by the parent, a certified ONB program must administer medication only to the child for whom it is intended, and follow the directions on the label. (5) A certified ONB program must ensure that all medications are inaccessible to children, with child-resistant caps when available, and stored away from food. (a) If only stored per OAR 414-320-0100 (26)(d), the medication bottle or package must be stored in a container with a tight-fitting lid. (b) Emergency medication may be kept with a staff member. Emergency medication may not be left unattended at any time. (6) A certified ONB program must keep medications requiring refrigeration in a separate tightly-covered, leakproof container clearly marked "medication" and inaccessible to children. A certified ONB programs may use coolers and reusable water-activated cooling packs for medication storage if the medication's manufacturer directions require the medication to be stored at a temperature below the indoor or outdoor temperature. Coolers must contain an accurate thermometer, as outlined in OAR 414-320-1100 (8) ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-1030 (1) Before a provider gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the provider must: Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414- 360-0230, Parental Permissions); (A) For chronic medical conditions, a certified family child care may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (b) Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage. (A) For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician's name, and length of time to give the medication. (B) If parent instructions differ from the container instructions, a certified family child care must have a licensed physician's written instructions for that medication. (C) Medication must not be administered after the expiration date. (D) Any medication provided by the parents must be labeled with the child’s name. (c) Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable. (2) A provider must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication. (3) A provider must inform parent(s) daily of all medications administered to their child. (4) If medication is provided by the parent, a certified family child care must administer medication only to the child for whom it is intended, and follow the directions on the label. (5) A provider must ensure that medication is stored through one of the following methods: (a) Under a child safety device or child safety lock; or (b) In a locked room. (c) Emergency medicine may be placed in an unlocked container that is kept out of reach of children while inside the home. (6) Emergency medication may either be inaccessible to children as defined in OAR 414-360- 0100(21) or kept with a caregiver. Registered Family Child Care Homes Oar 414-210-1030 (1) Before a provider gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the provider must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-210- 0230, Parental Permissions); (A) For chronic medical conditions, a registered family child care may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (b) Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage. (A) For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician's name, and length of time to give the medication. (B) If parent instructions differ from the container instructions, a registered family child care must have a licensed physician's written instructions for that medication. (C) Medication must not be administered after the expiration date. (D) Any medication provided by the parents must be labeled with the child’s name. (c) Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable. (2) A provider must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication. (3) A provider must inform parent(s) daily of all medications administered to their child. (4) If medication is provided by the parent, a provider must administer medication only to the child for whom it is intended, and follow the directions on the label. (5) A provider must ensure that medication is stored through one of the following methods: (a) Under a child safety device or child safety lock; or 414-210-1050 Care of Children with Specific Needs Rules for Registered Family Child Care | CCLD-0086 | page 57 (b) In a locked room. (6) Emergency medication may either be inaccessible to children as defined in OAR 414-210- 0100(19) or kept with a caregiver. (7) A provider must keep medications requiring refrigeration in a separate tightly-covered, leakproof container clearly marked "medication" and inaccessible to children 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: Regulated Subsidy Programs OAR 414-180-0015 (41) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent. (42) Prescription and non-prescription medications must be properly labeled and stored. (43) Non-prescription medications or topical substances must be labeled with the child's name. (44) Prescription medications must be in the original container and labeled with the child's name, the name of the drug, dosage, directions for administering, and the physician's name. (45) Medication requiring refrigeration must be kept in a separate, tightly covered container, marked "medication," in the refrigerator. (46) Parents must be informed daily of any medications given to their child or any injuries their child has had. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (41) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent. (42) Prescription and non-prescription medications must be properly labeled and stored. (43) Non-prescription medications or topical substances must be labeled with the child's name. (44) Prescription medications must be in the original container and labeled with the child's name, the name of the drug, dosage, directions for administering, and the physician's name. (45) Medication requiring refrigeration must be kept in a separate, tightly covered container, marked "medication," in the refrigerator. (46) Parents must be informed daily of any medications given to their child or any injuries their child has had. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (41) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent. (42) Prescription and non-prescription medications must be properly labeled and stored. (43) Non-prescription medications or topical substances must be labeled with the child's name. (44) Prescription medications must be in the original container and labeled with the child's name, the name of the drug, dosage, directions for administering, and the physician's name. (45) Medication requiring refrigeration must be kept in a separate, tightly covered container, marked "medication," in the refrigerator. (46) Parents must be informed daily of any medications given to their child or any injuries their child has had. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For Licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers: OAR 414-310-0570 (1) Before a School-Age Center gives a child any prescription or non-prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the center must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-310-0210, Parental Permissions); (A) For chronic medical conditions, a School-Age Center may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (b) Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage. (A) For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician's name, and length of time to give the medication. (B) If parent instructions differ from the container instructions, a School-Age Center must have a licensed physician’s written instructions for that medication. (C) Medication must not be administered after the expiration date. (D) Any medication provided by the parents must be labeled with the child’s name. (c) Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable. (2) A School-Age Center must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication. (3) A School-Age Center must inform parent(s) daily of all medications administered to their child. (4) If medication is provided by the parent, a School-Age Center must administer medication only to the child for whom it is intended and follow the directions on the label. (5) A School-Age Center must ensure that all medications are stored in a manner that prevents use or access by children. When available, child-resistant caps must be used. Medications must be stored away from food. (a) Emergency medicine may be placed in an unlocked container that is kept out of reach of children while inside the facility. (b) Emergency medicine may not be stored in the child's personal belongings while inside the facility unless the center obtains written parental consent to permit children who have asthma to carry their own inhalers or children who are at risk of anaphylaxis to carry their own epinephrine and use them as directed. (6) A School-Age Center must keep medications requiring refrigeration in a separate tightly-covered, leakproof container clearly marked "medication" and inaccessible to children. (7) If using nonmedical items including, but not limited to sunscreen, a School-Age Center does not need to document application but must: (a) Have annual written parental authorization; (b) Use only as needed and according to manufacturer’s instructions; (c) Inform parents of the type of sunscreen used if provided by the center; (d) Label the item with the child’s name if provided by the parent, and use only for that child; (e) Not use aerosol sunscreen products; and (f) Allow children to apply sunscreen to themselves with direct staff supervision and written parental approval. 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: Certified Centers OAR 414-305-1030 (1) Before a certified child care center gives a child any prescription or non-prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the center must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-305-0230, Parental Permissions); (A) For chronic medical conditions, a certified child care center may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non- prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (7) If using nonmedical items including, but not limited to sunscreen, a certified child care center does not need to document application but must: (a) Have annual written parental authorization. ONB Programs (1) Before a certified ONB program gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the certified ONB program must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-320-0230, Parental Permissions); (b) For chronic medical conditions, a certified ONB program may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (c) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (7) The application of sunscreen and diaper cream does not need to be documented, but a certified ONB program must: (a) Have annual written parental authorization ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes OAR 414-360-1030 (1) Before a provider gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the provider must: Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414- 360-0230, Parental Permissions); (A) For chronic medical conditions, a certified family child care may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. OAR 414-360-1030 (8) The application of sunscreen and diaper cream does not need to be documented, but a provider must: (a) Have annual written parental authorization; Registered Family Child Care Homes: OAR 414-210-1030 (1) Before a provider gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the provider must: Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414- 360-0230, Parental Permissions); (A) For chronic medical conditions, a certified family child care may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. OAR 414-210-1030 (8) The application of sunscreen and diaper cream does not need to be documented, but a provider must: (a) Have annual written parental authorization; 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: Not applicable. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (41) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (41) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: See Certified School-Age standards for licensed programs, and if the program is exempt from licensing, see Regulated Subsidy Programs standards. Certified School-Age Centers OAR 414-310-0570 (1) Before a School-Age Center gives a child any prescription or non- prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the center must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414- 310-0210, Parental Permissions); (A) For chronic medical conditions, a School-Age Center may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (B) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. 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: Certified Centers: OAR 414-305-0220 (1) A certified child care center must obtain the following information for each child, in paper or electronic format, prior to the first day of attendance that includes the parent’s signature: (k) A written care plan for any child must be readily accessible to those caring for children with chronic health issues or specific care needs such as allergies, previous serious illnesses or injuries, and medications prescribed for continuous, long-term use (also see OAR 414-305- 1050, Care of Children with Specific Needs OAR 414-305-0260(3) A certified child care center must post the following items in classrooms where they are easily visible to personnel and parents unless the rule specifically states otherwise: (d) The menu and children’s dietary restrictions, known allergies, and nutrition requirements in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child. Rather than posting in a classroom, a certified center may post this information in areas where food is served; OAR 414-305-0270(5) (5) A certified child care center must immediately notify parents or an emergency contact if the parent cannot be reached and document if their child: (d) Has experienced any suspected allergic reactions, as well as the ingestion of or contact with the allergen even if a reaction did not occur; OAR 414-305-1010(5) A certified child care center must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety, and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, Child Care Licensing Division must be notified within 24 hours; (c) All staff involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all staff that prepare and serve food; and (e) A list of each child’s allergies should be easily accessible for staff but not visible to those who are not parents or guardians of the enrolled child. OAR 414-305-1050 When caring for a child who has or is at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who requires health and related services of a type or amount beyond that required by children generally, a certified child care center must have a written care plan that includes: (6) Allergies; ONB Programs OAR 414-320-1010, Illness (5) A certified ONB program must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and DELC must be notified by 5:00pm the next business day; (c) All staff involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all staff that prepare and serve food; and (e) A list of each child’s allergies should be easily accessible for staff but not visible to those who are not parents or guardians of the enrolled child. OAR 414-320-1050, Care of Children With Specific Needs: When caring for a child who has, or is at increased risk for a chronic physical, developmental, behavioral, or emotional condition, and who requires health and related services of a type or amount beyond that required by children generally, a certified ONB program must have a written care plan. The written care plan must include the following, when applicable: (6) Allergies; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0270(4) A provider must immediately notify parents or an emergency contact if the parent cannot be reached and document if their child: (d) Has experienced any suspected allergic reactions, as well as the ingestion of or contact with the allergen even if a reaction did not occur; OAR 414-360-0320 (10) A caregiver substituting for the provider must: (e) Be familiar with and able to be responsive to the needs of children in care including individual children’s allergies, plans of care, and any specific needs; OAR414-360-1010 (4) A provider must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, CCLD must be notified by 5:00pm the next business day; (c) All caregivers involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all caregivers that prepare and serve food; and (e) A list of each child’s allergies should be easily accessible for caregivers but not visible to those who are not parents or guardians of the enrolled child. OAR 414-360-1050 When caring for a child who has or is at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who requires health and related services of a type or amount beyond that required by children generally, a certified child care center must have a written care plan that includes: (6) Allergies; Registered Family Child Care Homes: OAR 414-205-0270(4) A provider must immediately notify parents or an emergency contact if the parent cannot be reached and document if their child: (d) Has experienced any suspected allergic reactions, as well as the ingestion of or contact with the allergen even if a reaction did not occur; OAR 414-210-1010 (4) A provider must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, CCLD must be notified by 5:00pm the next business day; (c) All caregivers involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all caregivers that prepare and serve food; OAR 414-360-1050 When caring for a child who has or is at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who requires health and related services of a type or amount beyond that required by children generally, a certified child care center must have a written care plan that includes: (6) Allergies; 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: Regulated Subsidy Programs OAR 414-180-0015 (25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For Licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers OAR 414-310-0550 (5) A School-Age Center must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety, and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition, (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, Office of Child Care must be notified within 24 hours; (c) All staff involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all staff that prepare and serve food; and (e) A list of each child’s allergies should be easily accessible for staff but not visible to those who are not parents or guardians of the enrolled child. 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: Certified Centers: OAR 414-305-0210 (2) A certified child care center’s written plan must clearly define roles and responsibilities for all staff in an emergency and identify the center’s procedures for: (d) Responding to health and safety emergencies or suspected abuse of children, staff, volunteers, or family members occurring while they are on the premises of the center; (e) Notifying emergency authorities, including the poison control center, when necessary; (i) Responding to serious illness, serious injury or death of a child or staff (k) Addressing the needs of individual children, including children with disabilities or other specific needs, and children with chronic medical conditions; (l) Ensuring children’s emergency contact information and medical authorization and staff emergency contact information is accessible during and after an emergency; OAR 414-305-1010(5) (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, Child Care Licensing Division must be notified within 24 hours; (c) All staff involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all staff that prepare and serve food; and A list of each child’s allergies should be easily accessible for staff but not visible to those who are not parents or guardians of the enrolled child. ONB Programs OAR 414-320-0210 (1) A certified ONB program must have a written plan for emergency preparedness that ONB program staff will follow, unless otherwise instructed by emergency personnel. (2) The emergency preparedness plan must be specific to the certified ONB premises and able to be implemented during hours of operation. (3) The emergency preparedness plan must address the following in all emergencies: (b) Addressing the needs of individual children, including children with disabilities or other specific needs, and children with chronic medical conditions; (4) The emergency preparedness plan must address procedures for: (d) Medical emergencies, such as: serious illness, serious injury or death of a child or staff, including what the certified ONB program staff will do if a staff member has an emergency to ensure children are not left unsupervised; OAR 414-320-1010, Illness (5) A certified ONB program must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and DELC must be notified by 5:00pm the next business day; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0210 (1) A provider must have a written plan for emergency preparedness that addresses evacuation, relocation, shelter-in-place and lockdown procedures, and responding to medical emergencies and other incidents. The plan must be followed, unless otherwise instructed by emergency personnel. (2) The plan must include the provider's procedures for: (h) Responding to serious illness, serious injury or death of a child or caregiver; (j) Addressing the needs of individual children, including children with disabilities or other specific needs, and children with chronic medical conditions; OAR 414-360-0270(4) A provider must immediately notify parents or an emergency contact if the parent cannot be reached and document if their child: (d) Has experienced any suspected allergic reactions, as well as the ingestion of or contact with the allergen even if a reaction did not occur; OAR414-360-1010 (4) A provider must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, CCLD must be notified by 5:00pm the next business day; Registered Family Child Care Homes OAR 414-210-0210 (1) A provider must have a written plan for emergency preparedness that addresses evacuation, relocation, shelter-in-place and lockdown procedures, and responding to medical emergencies and other incidents. The plan must be followed, unless otherwise instructed by emergency personnel. (2) The plan must include the provider's procedures for: (h) Responding to serious illness, serious injury or death of a child or caregiver; (j) Addressing the needs of individual children, including children with disabilities or other specific needs, and children with chronic medical conditions; OAR 414-210-0270(4) A provider must immediately notify parents or an emergency contact if the parent cannot be reached and document if their child: (d) Has experienced any suspected allergic reactions, as well as the ingestion of or contact with the allergen even if a reaction did not occur; OAR 414-210-1010 (4) A provider must develop a written care plan at the time of enrollment, or when an allergy is identified, for each enrolled child who has an allergy that poses a threat to the child’s health, safety and wellbeing. The plan must include instructions regarding the allergen and steps to be taken to avoid the allergen; signs and symptoms of an allergic reaction; and a detailed treatment plan including the names, doses, and methods of prompt administration of any medication in response to allergic reactions. In addition: (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, CCLD must be notified by 5:00pm the next business 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: Regulated Subsidy Programs OAR 414-180-0050 (3) The provider shall report to CCLD: (c) Any serious injury or incident, as defined in OAR 414-180-0010(21) within 5 calendar days after the occurrence. 414-180-0015(25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. Plans and responses to emergencies due to food allergies is a topic covered in the required training, "Introduction to Child Care Health and Safety". v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. OAR 414-180-0050 (3) The provider shall report to CCLD: (c) Any serious injury or incident, as defined in OAR 414-180-0010(21) within 5 calendar days after the occurrence. 414-180-0015(25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. Plans and responses to emergencies due to food allergies is a topic covered in the required training, "Introduction to Child Care Health and Safety". vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0015 (25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. OAR 414-180-0050 (3) The provider shall report to CCLD: (c) Any serious injury or incident, as defined in OAR 414-180-0010(21) within 5 calendar days after the occurrence. 414-180-0015(25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. Plans and responses to emergencies due to food allergies is a topic covered in the required training, "Introduction to Child Care Health and Safety". vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers OAR 414-310-0550 (5) (a) The parent must be notified immediately of any suspected allergic reactions or if the child consumed or came in contact with the allergen, even if a reaction did not occur; (b) If epinephrine is administered, emergency medical services must be contacted immediately, and, Office of Child Care must be notified within 24 hours; (c) All staff involved in care of the child must be trained on the written care plan; (d) Specific food allergies must be shared with all staff that prepare and serve food; and (e) A list of each child’s allergies should be easily accessible for staff but not visible to those who are not parents or guardians of the enrolled child. 414-180-0015(25) If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between the provider and parents, and, if necessary, outside specialists. All caregivers who come in contact with that child shall be fully aware of the plan. Plans and responses to emergencies due to food allergies is a topic covered in the required training, "Introduction to Child Care Health and Safety". 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: OAR 414-305-0840(1) A certified child care center must ensure that all toxic or potentially dangerous items, such as cleaning supplies and equipment, poisonous and toxic materials, and flammable and corrosive materials, are inaccessible to children, as defined in OAR 414-305-0100(24). (a) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (b) Sanitizing and disinfecting solutions must be inaccessible to children. (c) Products including toxic substances must be stored and used according to the manufacturer’s instructions, including not storing products near heat sources. (d) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by staff must be labeled with the contents of the container. (2) When an environmental concern or potentially harmful environmental pollutants are identified, a certified child care center must evaluate and work collaboratively with appropriate agencies to mitigate the concern. (3) A certified child care center must take steps to prevent children’s exposure to the following if they exist on the premises: (a) Lead based paint. Any building or play structure constructed before 1978 that has peeling, flaking, chalking, or failing paint must be tested for lead. If lead-based paint is found, the center must contact the Oregon Health Authority within five working days and follow their required procedures for remediation of the lead hazard. (b) Plumbing and fixtures containing lead or lead solders; (c) Asbestos; (d) Toxic mold; and (e) Other identified toxins or hazards. (4) A certified child care center and staff must recognize, address, or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. A certified child care center must: (a) Inspect the indoor and outdoor play areas and equipment daily for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; (b) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use. (c) Store personal items belonging to staff members according to applicable rules; (d) Store diaper bags out of children’s reach; (e) Securely anchor large, heavy, or unstable objects such as furniture, televisions, bookcases, and wall cabinets into a wall stud with braces, brackets, anchors or wall straps to prevent tipping over; (f) Ensure children under the age of 3 years do not have access to items that have a diameter or overall dimension of one and three quarter (1 ¾) inches or less, such as disc batteries, coins, magnets, toys or parts that may become detached from other equipment or objects; (g) Ensure children under the age of 3 years do not have access to ties, long scarves, necklaces, and boas unless used during a structured learning activity where a staff member is within arm’s reach; (h) Ensure sand boxes are free of animal waste and trash; and (i) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (5) A certified child care center must not permit any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, illegal drugs, drug paraphernalia, hemp, marijuana, and marijuana infused products, or alcohol on the premises during operating hours or when children are present. This includes: (a) The playground; (b) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (c) In any center vehicles or on any field trip. (6) A certified child care center must not permit the possession or storage of guns, firearms, weapons, or ammunition on the center premises at any time. (8) A certified child care center must keep the center free of insects, rodents, and other pests. (a) Automatic insecticide dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when children are present. After their application, children must not enter the area until indicated by the manufacturer's instructions. ONB Programs: OAR 414-320-0370, Orientation and Initial Training (1) A certified ONB program must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: (d) Premises safety including identification and protection from hazards such as electrical hazards, bodies of water, and vehicular traffic; OAR 414-320-0840, Prevention and Management of Hazards (1) A certified ONB program must ensure that all toxic or potentially dangerous items, such as cleaning supplies and equipment, poisonous and toxic materials, and flammable and corrosive materials, are inaccessible to children, as defined in OAR 414-320-0100(26). (a) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (b) Sanitizing and disinfecting solutions must be inaccessible to children. (c) Products including toxic substances must be stored and used according to the manufacturer’s instructions, including not storing products near heat sources. (d) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by staff must be labeled with the contents of the container. (2) When an environmental concern, including potentially harmful environmental pollutants, is identified, a certified ONB program must evaluate and work collaboratively with appropriate agencies to mitigate the concern. (3) If the certified ONB program operates on a site undergoing remedial work by the Oregon Department of Environmental Quality (DEQ), the certified ONB program must take additional steps to ensure children do not ingest contaminated soil. (4) A certified ONB program must take steps to prevent children’s exposure to the following, if they exist on the premises: (a) Lead based paint. Any building or play structure constructed before 1978 that has peeling, flaking, chalking, or failing paint must be tested for lead. If lead-based paint is found, the certified ONB program must contact the Oregon Health Authority within five working days and follow their required procedures for remediation of the lead hazard. (b) Plumbing and fixtures containing lead or lead solders; (c) Asbestos; (d) Toxic mold; and (e) Other identified toxins or hazards. (5) A certified ONB program and staff must recognize, address, or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if determined by DELC to be necessary. A certified ONB program must: (a) Inspect the outdoor play areas and equipment daily for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash. All equipment with broken parts or damage must be repaired as soon as possible and must be inaccessible to children until repairs are made according to the manufacturer's instructions, if available; (b) Inspect and mitigate any hazards related to natural materials of a certified ONB program, such as removing broken limbs from climbing trees; (c) Visually inspect meeting spaces and outdoor classrooms or other commonly used spaces prior to children arriving. A certified ONB program must have a method of removing or mitigating any hazard on ONB licensed space such as, but not limited to, loose overhead branches, hazardous materials or devices left in public spaces, wildlife, or wildlife droppings; (d) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use; (e) Store personal items belonging to staff members according to applicable rules; and (f) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (6) A certified ONB program must not permit any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, illegal drugs, drug paraphernalia, hemp, marijuana and marijuana infused products, or alcohol on the premises during operating hours or when children are present. This includes in any certified ONB program vehicles or on any field trips. If the certified ONB program is operated on public land and the law allows members of the public to smoke in the area, the certified ONB program must reasonably protect children from second-hand smoke. (7) A certified ONB program must not permit the possession or storage of guns, firearms, weapons, or ammunition on the certified ONB program premises at any time, unless the certified ONB program operates on property containing a residential home and the residential home is under the control of the certified ONB program. In this case, firearms, ammunition, and other potentially hazardous equipment within the home shall be kept under lock, such as a key, combination, or biometric lock. A child safety lock or trigger lock does not meet this requirement. In addition: (a) Firearms, pellet or BB guns must be unloaded and kept in areas not used by child care children; and (b) Ammunition shall be stored separately from firearms. (8) A certified ONB program operating in natural environments must prevent and manage the children's exposure to toxic or infectious agents, such as potentially toxic animal waste, bee stings, and potentially toxic plants or fungi. When appropriate, certified ONB program staff must check children for ticks. (9) A certified ONB program must notify staff, parents, and guardians if pesticides or herbicides are applied on or near the ONB program space. (10) A certified ONB program operating on private or public land must work with the owners or park directors or their designees to comply with the following: (a) The certified ONB program must take steps to prevent attracting pests including, but not limited to, identifying and removing food and water sources that attract pests. (b) Indoor and outdoor areas in and around the licensed space must be inspected for evidence of potentially hazardous pests. The certified ONB program must document the date and location if evidence is found and take appropriate pest mitigation measures. (c) If pesticides or herbicides are used, except in the case of an emergency such as the discovery of a wasp nest, the certified ONB program must notify the parents or guardians of enrolled children at least 48 hours before application what pesticide or herbicide will be applied and where it will be applied. (d) Pesticides or herbicides must not be applied to certified ONB program space when children are present. Children must be excluded from areas where pesticides or herbicides are applied per the pesticide or herbicide manufacturer’s instructions. (11) A certified ONB program must take precautions to protect children from vehicular traffic including but not limited to: (a) Requiring drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Ensuring that any adult who supervises drop-off and loading can see and ensure that children are clear of the perimeter of all vehicles before any vehicle moves. OAR 414-320-0810, Utilities (1) A certified ONB program must ensure that children do not have access to heating equipment such as furnaces, fireplaces, stoves, floor and wall furnace grates, steam and hot water pipes, electric space heaters, gas heaters, or cooling equipment such as, air conditioner compressors, and fans. (2) A certified ONB program's heating equipment must be safe to operate. (a) Flammable materials including papers, curtains, and furniture must be at least 3 feet from furnaces, fireplaces, or other heating devices, unless manufacture’s specifications require a greater distance. (b) Heating units that involve flame must be vented properly and supplied with a source of combustion air that meets the manufacturer’s installation requirements. (c) Portable electric and gas space heaters must: (A) Be attended while in use and be off when unattended; (B) Have an automatic shut off feature for tipping over and overheating (C) Have protective covering to keep hands and objects away from the electric heating element; (D) Bear the safety certification mark of a nationally recognized testing laboratory; (E) Be placed only on the floor; (F) Be properly vented, as required for proper functioning; and (G) Be used according to the manufacturer’s instructions. (d) Fireplaces, fireplace inserts, and wood/corn pellet stoves, if used, must: (A) Have a secure, stable protective safety screen; (B) Be installed in accordance with the local or regional building code and the manufacturer’s installation instructions; and (C) Be inspected and cleaned annually. (3) A certified ONB program’s electrical system must not pose a risk to children. (a) Unused electrical outlets accessible to preschool-age children must be tamper-resistant or have outlet covers that are not easily removed by children. (b) Electrical wiring and power strips with surge protectors must be inaccessible to children. (c) Electrical cords must be in good working condition, not torn or frayed, and not have any exposed wires. (d) Extension cords may only be used for a brief, temporary purpose and must not replace direct wiring. (e) Electrical products plugged into an outlet near a water source such as a sink, water table, or swimming pool, must use a special outlet called a ground fault circuit interrupter (GFCI). (4) Except for certified ONB programs that operate on public park land or operate on public school premises, a certified ONB program must comply with all light fixture manufacturers' installation and use requirements, and must ensure compliance with the following requirements: (a) Light fixtures must have shatter-resistant light bulbs, covers, or both; (b) Lights or light fixtures used indoors must be designed for indoor use only; (c) Lights or light fixtures used outdoors must be designed for outdoor use only; (d) Free standing lamps must be attached or secured to prevent tipping; and (e) Halogen lamps and bulbs are prohibited. (5) A certified ONB program must not use carpet in food preparation areas or restrooms. OAR 414-320-0860, Fire Protection (1) Certified ONB programs receiving a fire safety inspection or consultation as referenced in OAR 414-320-0130, Application Process, must follow the requirements and recommendations of the fire code official. (2) Certified ONB programs utilizing indoor space for any purpose, to include emergency shelter, must comply with the requirements of the Oregon Structural Specialty Code. (3) To ensure a safe environment for children in care, a certified ONB program must comply with all applicable fire safety requirements. A certified ONB program must also comply with the following: (a) Combustible materials, which include, but are not limited to, gasoline, natural gas, diesel, fuel, propane, rags soaked in combustible materials, oils, chemicals, or solvents, must be properly discarded pursuant to requirements of the local jurisdiction and the currently adopted Oregon Fire Code, removed from the premises, or properly stored in closed containers specifically designed to hold such combustible materials and not be accessible to children in care. Gasoline and diesel fuels may be stored in plastic containers designed for that purpose. (b) Furnaces and other heating devices: (A) Paper, rubbish, or other combustible materials must be at least three feet from furnaces, fireplaces, campfires, or other heating devices, unless manufacturer specifications require a greater distance. (B) An appliance or heating device that has a surface capable of burning a child or reaching 110 degrees Fahrenheit must be inaccessible to children in care unless a certified ONB program activity involves such appliances or devices and children are supervised at all times during the activity. (c) Open flame devices, candles, matches, and lighters: (A) A certified ONB program must not use open flame devices, other than gas kitchen ranges, camp stove used in compliance with OAR 414-320-1100, Kitchen and Food Service Areas, campfires used in compliance with OAR 414-320-1330, Campfire Activity Supervision and Safety, or the brief supervised use of candles. (B) Matches, lighters, and other fire starters may only be used by certified ONB program staff and must be kept inaccessible to children. (d) Portable heaters or fuel-powered generators must not be used on certified ONB program premises during operating hours, unless portable heaters are necessary to keep children warm in cold weather. If the heating device reaches over 110 degrees Fahrenheit, children must be supervised, and children must remain out of reach of the heater to avoid accidental burns. (e) Chimneys, fireplaces, gas burning fireplaces, wood stoves or similar wood- burning devices and portable outdoor fireplaces must be inspected annually by a state or locally certified inspector, unless the certified ONB program submits to DELC a written statement that the chimney, fireplace, wood stove or similar wood-burning device or portable outdoor fireplace will not be used at any time. ONB programs operating on public land do not have to provide inspection certificates for publicly provided fire pits or wood burning barbeques. (4) Certified ONB programs must have and maintain at least one working fire extinguisher with a minimum rating of 2A:10 BC in each outdoor classroom. (a) If additional fire extinguishers are required by the currently adopted Oregon Fire Code, a a certified ONB program must have the size, type, and number of fire extinguishers maintained and tested on an annual basis. (b) Certified ONB programs operating with any approved indoor space or engaging in campfire or outdoor cooking activities must have and maintain working fire extinguishers that are marked with a minimum rating of 2A:10 BC. (c) Fire extinguishers must be readily available for use in case of an emergency; and (d) For certified ONB programs operating in a public park location that do not allow the use of fire extinguishers, alternative fire suppression equipment, such as buckets of water must be available. (5) A certified ONB program must have smoke detectors that are installed, maintained, and tested as required by the fire code official in any approved indoor space. (6) A carbon monoxide alarm or detector must be installed and tested in accordance with the manufacturer's recommended instructions and located in accordance with the applicable building and/or fire code in any approved indoor space. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0840 (1) A provider must ensure that the following items are inaccessible to children as defined in OAR 414-360-0100(21): (a) All toxic or potentially dangerous items; (b) Cleaning, sanitizing and disinfecting supplies and equipment; (c) Poisonous plants; (d) Tobacco products, smokeless or vaping devices; (e) Alcohol; (f) Flammable materials, including matches and lighters, and corrosive materials; (g) Knives and other sharp objects; and (h) Motorized yard or power tools. (2) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (3) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by caregivers must be labeled with the contents of the container. (4) A provider must take steps to prevent children’s exposure to the following, if they exist on the premises: (a) Any sources of lead and lead based paint. Painted surfaces must be in good condition, both inside and outside, to avoid exposing children to lead-based paint; (b) Asbestos; (c) Toxic mold; and (d) Other identified toxins and hazards. (5) A provider must recognize, address or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. Caregivers must: (a) Regularly inspect the indoor and outdoor play areas and equipment for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; (b) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use; (c) Ensure sand boxes are free of animal waste and trash; and (d) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (6) A provider must not permit the use of any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, drug paraphernalia, hemp, marijuana and marijuana infused products on the premises during operating hours or when child care children are present. This includes: (a) In the child care home; (b) In the outdoor play area; (c) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (d) In any vehicles where child care children are present or on any field trip. (7) All marijuana, marijuana derivatives and associated paraphernalia must be stored through one of the following methods: (a) Under a child safety device or child safety lock; or (b) In a locked room (8) No one shall grow or distribute marijuana on the certified family child care premises. (9) No one shall consume alcohol on the certified family child care premises during operating hours or when child care children are present. (10) Firearms, BB guns, pellet guns and arrows must be kept under lock and stored in an area not used by child care children. (a) Ammunition must be stored and locked separately. (b) Firearms, BB guns, and pellet guns must be kept unloaded. (11) Firearms, BB guns, pellet guns and arrows must be kept under lock, such as a key, combination, or biometric lock and stored in an area not used by child care children. A child safety lock or trigger lock does not meet this requirement. (12) A provider must keep the home free of insects, rodents, and other pests. (a) Automatic insecticides dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when child care children are present. After their application, child care children must not enter the area until indicated by the manufacturer's instructions. (13) A provider must take precautions to protect children from vehicular traffic: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Assure that any caregiver who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. OAR 414-360-0810(3) All floors of the home used for child care activities must have two exits. (a) One exit on each floor must be a door that exits directly outside to ground level and meets the following requirements: (A) The door may not exit through a garage or carport. (B) The door must be able to be opened from the inside without the use of a key, or special knowledge or effort. (C) The interior pathway leading to the door must not: (i) Be within three feet of a permanently installed cooking appliance; nor (ii) Be required to pass through a storage room or through a room that can be locked to prevent access. (b) The second exit may either be a door that exits directly outside to ground level or an operable window that meets the following requirements: (A) A minimum net clear opening of 5 square feet; (B) A minimum net clear height of 24 inches; (C) A minimum net clear width of 20 inches; (D) The bottom of the opening located no more than 44 inches from the finished floor; and (E) The bottom of the opening located no more than 48 inches off of the ground outside of the home. If higher than 48 inches, steps or a platform must be placed under the window to reduce the distance to 48 inches. (c) All rooms used for child care activities must have two exits. Exits may include: (A) A door leading directly outside to ground level; (B) A door leading to another room or hallway; or (C) A window meeting the requirements identified in OAR 414-360-0810(2)(b). 414-360-0810(8) A provider must ensure that children do not have access to heating equipment such as furnaces, fireplaces, stoves, steam and hot water pipes, and electric space heaters. (9) A certified family child care’s heating equipment must be safe to operate. (a) Flammable materials including papers, curtains, and furniture must be at least 3 feet from furnaces, fireplaces, and other heating devices. (b) Fireplaces, fireplace inserts, and wood/corn pellet stoves, if used, must: (A) Have a secure, stable protective barrier; and (B) Be inspected and cleaned annually. (c) Portable electric space heaters must: (A) Be attended while in use and be off when unattended; (B) Have an automatic shut off feature for tipping over and overheating; (C) Have protective covering to keep hands and objects away from the electric heating element; (D) Bear the safety certification mark of a nationally recognized testing laboratory; (E) Be placed only on the floor; (F) Be properly vented, as required for proper functioning; and (G) Be used according to the manufacturer’s instruction OAR 414-360-0860 (1) Doorways, evacuation routes, and exits must be kept free of materials, furniture, equipment and debris to allow unobstructed access to the outdoors. The provider must complete a daily inspection to ensure that evacuation routes are clear and exits, including doors and escape windows, are operable. (2) Flammable and combustible materials: (a) Must be stored in the original container or a safety container; (b) Must not be stored within 4 feet of furnaces, other flame or heat-producing equipment, or fuel-fired water heaters; and (c) If over a gallon, kept in an unattached building, such as a shed or garage. (3) Heating and air vents, filters and dryer vents must be cleaned regularly to prevent lint buildup. (4) Items with open flames must not be used, except for the brief supervised use of candles. (5) If fire safety concerns are identified during inspection, CCLD staff may consult with the fire code official and after consultation, may request that the fire code official complete a fire life safety inspection. (6) There must be at least one 2-A-10 BC rated fire extinguisher on each floor of the home, unless the floor is not under the direct control of the provider. (a) Fire extinguishers on floors where child care occurs must be designated on the floor plan required in OAR 414-360-0260(2) and either mounted or stored along the primary evacuation route. Fire extinguishers must be easily accessible and visible. 414-360-0860 Fire Protection Certified Family Child Care Rules | CCLD-0085 | page 55 (b) If fire extinguishers are stored in a cabinet or closet, they must be mounted and there must be a sign indicating that the fire extinguisher is located inside. Obstructions, including furniture, storage of supplies, or any other items shall not be placed in a manner that blocks access to the cabinet or closet. (c) The provider must inspect the fire extinguishers monthly and the inspection must be documented. (7) Smoke alarms and carbon monoxide detectors must be: (a) Installed on each floor level of the home and in any area where children nap. If installed outside of a room used for napping, it must be located within 6 feet of the doorway to the room; (b) Maintained in operating order; and (c) Tested monthly to ensure they are in working order. The test must be documented. (8) Fire drills must be practiced monthly at various times during child care operating hours. (a) Fire drills must include a drill using an alternate evacuation route at least once per year. (b) A fire drill must be conducted when required by CCLD during an announced visit. (c) Caregivers must have an alert method (for example, a smoke alarm, strobe light, loud bell or whistle) to warn the occupants of the home of an emergency or drill. (d) A certified family child care must demonstrate efforts to complete full evacuation of caregivers and child care children within three minutes. If unable to evacuate within three minutes, the provider must engage in additional efforts including one or more of the following: (A) Using evacuation cribs, strollers/buggies, or wagons; (B) Providing caregivers with additional training; (C) Giving children specific tasks to complete during the drill, such as holding onto a safety walking rope; (D) Providing children with clear and direct instructions that are age-appropriate about what is happening during the drill; (E) Reviewing and editing emergency plans and evacuation routes; (F) Conducting additional evacuation drills; (G) Incorporating fire safety planning into curriculum; and (H) Other strategies identified by CCLD. (e) One other aspect of the emergency preparedness and response plan in addition to the monthly fire drills shall be practiced at least every other month and must follow the recording requirements listed in OAR 414-360-0860(9). OAR 414-360-0810 (4) All floors of the home used for child care activities must have two exits. (a) One exit on each floor must be a door that exits directly outside to ground level and meets the following requirements: (A) The door may not exit through a garage or carport. (B) The door must be able to be opened from the inside without the use of a key, or special knowledge or effort. (C) The interior pathway leading to the door must not: (i) Be within three feet of a permanently installed cooking appliance; nor (ii) Be required to pass through a storage room or through a room that can be locked to prevent access. (b) The second exit may either be a door that exits directly outside to ground level or an operable window that meets the following requirements: (A) A minimum net clear opening of 5 square feet; (B) A minimum net clear height of 24 inches; (C) A minimum net clear width of 20 inches; (D) The bottom of the opening located no more than 44 inches from the finished floor; and (E) The bottom of the opening located no more than 48 inches off of the ground outside of the home. If higher than 48 inches, steps or a platform must be placed under the window to reduce the distance to 48 inches. (13) A provider must ensure the following home safety measures: (a) Phone service is available in the home during operating hours. (b) Floors must be free of splinters, large unsealed cracks, sliding rugs and other hazards. (c) Windows above the ground floor that are accessible to children preschool-age and younger must be equipped with a lock to prevent opening more than 4 inches. (d) Vertical blinds, continuous looped blinds, and drapery cords must either be out of reach of children or have tension or tie-down devices to hold the cords tight. (e) Indoor platforms and lofts more than 30 inches in height must have protective barriers. (f) A movable barrier, e.g. baby gate, must be placed at the top and/or bottom of all stairways accessible to infants and toddlers. (g) Clear glass panels must be clearly marked at children’s eye level. Registered Family Child Care Homes￿: OAR 414-210-0840 (1) A provider must ensure that the following items are inaccessible to children as defined in OAR 414-210-0100(19): (a) All toxic or potentially dangerous items; (b) Cleaning, sanitizing and disinfecting supplies and equipment; (c) Poisonous plants; (d) Tobacco products, smokeless or vaping devices; (e) Alcohol; (f) Flammable materials, including matches and lighters, and corrosive materials; (g) Knives and other sharp objects; and (h) Motorized yard or power tools. (2) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (3) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by caregivers must be labeled with the contents of the container. (4) A provider must take steps to prevent children’s exposure to the following, if they exist on the premises: (a) Any sources of lead and lead based paint. Painted surfaces must be in good condition, both inside and outside, to avoid exposing children to lead-based paint; (b) Asbestos; (c) Toxic mold; and (d) Other identified toxins and hazards. (5) A provider must recognize, address or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. Caregivers must: (a) Regularly inspect the indoor and outdoor play areas and equipment for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; (b) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use; (c) Ensure sand boxes are free of animal waste and trash; and (d) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (6) A provider must not permit the use of any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, drug paraphernalia, hemp, marijuana and marijuana infused products on the premises during operating hours or when child care children are present. This includes: (a) In the child care home; (b) In the outdoor play area; (c) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (d) In any vehicles where child care children are present or on any field trip. (7) All marijuana, marijuana derivatives and associated paraphernalia must be stored through one of the following methods: (a) Under a child safety device or child safety lock; or (b) In a locked room. (8) No one shall grow or distribute marijuana on the registered family child care premises. (9) No one shall consume alcohol on the registered family child care premises during operating hours or when child care children are present. (10) No one shall possess, use or store illegal controlled substances on the registered family child care premises. (11) Firearms, BB guns, pellet guns and arrows must be kept under lock, such as a key, combination, or biometric lock. A child safety lock or trigger lock does not meet this requirement. (a) Ammunition must be stored and locked separately. (b) Firearms, BB guns, and pellet guns must be kept unloaded. (13)A registered family child care must keep the home free of insects, rodents, and other pests. (a) Automatic insecticides dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when child care children are present. After their application, child care children must not enter the area until indicated by the manufacturer's instructions. (14)A provider must take precautions to protect children from vehicular traffic: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Assure that any caregiver who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. OAR 414-210-0810(9) A provider must ensure that children do not have access to heating equipment such as furnaces, fireplaces, stoves, steam and hot water pipes, and electric space heaters. (10) A registered family child care’s heating equipment must be safe to operate. (a) Flammable materials including papers, curtains, and furniture must be at least 3 feet from furnaces, fireplaces, and other heating devices. (b) Fireplaces, fireplace inserts, and wood/corn pellet stoves, if used, must: (A) Have a secure, stable protective barrier; and (B) Be inspected and cleaned annually. (c) Portable electric space heaters must: (A) Be attended while in use and be off when unattended; (B) Have an automatic shut off feature for tipping over and overheating; (C)Have protective covering to keep hands and objects away from the electric heating element; (D) Bear the safety certification mark of a nationally recognized testing laboratory; (E) Be placed only on the floor; (F) Be properly vented, as required for proper functioning; and (G)Be used according to the manufacturer’s instructions. (14)A provider must ensure the following home safety measures (a) Phone service is available in the home during operating hours. (b) Floors must be free of splinters, large unsealed cracks, sliding rugs and other hazards. (c) Windows above the ground floor that are accessible to children preschool-age and younger must be equipped with a lock to prevent opening more than 4 inches. (d) Vertical blinds, continuous looped blinds, and drapery cords must either be out of reach of children or have tension or tie-down devices to hold the cords tight. (e) Indoor platforms and lofts more than 30 inches in height must have protective barriers. (f) A movable barrier, e.g. baby gate, must be placed at the top and/or bottom of all stairways accessible to infants and toddlers. (g) Clear glass panels must be clearly marked at children’s eye level. 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: Regulated Subsidy Programs OAR 414-175-0080(7) (p) Ensure that the home or facility where care is provided meets all of the following standards: (A) Each floor level used by a child has two usable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a usable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (B) The home or facility has water that is safe for drinking and preparing food (see section (14) of this rule). (C) The home or facility has a working smoke detector on each floor level and in any area where a child naps. (D) Each fireplace, space heater, electrical outlet, wood stove, stairway, pool, pond, and any other hazard has a barrier to protect a child. Any gate or barrier may not pose a risk or hazard to any child in care. (E) Any firearm, ammunition, and other items that may be dangerous to children, including but not limited to alcohol, inhalants, tobacco, and e-cigarette products, matches and lighters, any legally prescribed or over-the-counter medicine, cleaning supplies, paint, plastic bags, and poisonous and toxic materials are kept in a secure place out of a child's reach. (F) The building, grounds, any toy, equipment, and furniture are maintained in a clean, sanitary, and hazard free condition. (G) The home or facility has a telephone in operating condition. (H) No one may smoke or carry any lighted smoking instrument, including e- cigarettes or vaporizers, in the home or facility or within ten feet of any entrance, exit, window that opens, or any ventilation intake that serves an enclosed area, during child care operational hours or anytime child care children are present. No one may use smokeless tobacco in the home or facility during child care operational hours or anytime child care children are present. No one may smoke or carry any lighted smoking instrument, including e-cigarettes and vaporizers, or use smokeless tobacco in motor vehicles while child care children are passengers. 414-180-0025 (3) Floors must be free of splinters, large, unsealed cracks, sliding rugs and other hazards. (4) Potentially aggressive animals must not be in the same physical space as the children. (5) Children shall be protected from fire and safety hazards. Providers must have the following protections in place: (a) All exposed electrical outlets in rooms used by preschool or younger children must have hard-to-remove protective caps or safety devices installed when the outlet is not in use. (b) Extension cords shall not be used as permanent wiring; (c) All appliance cords must be in good condition; (d) Multiple connectors for cords shall not be used; (e) A grounded power strip outlet with a built-in over-current protection may be used; (f) A stable barrier shall be installed to prevent children from falling into hazards, including, but not limited to: fireplaces, heaters and woodstoves that are in use when child care children are present; (g) A secure barrier shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers; (6) The child care facility has a working smoke detector on each floor level and in any area where a child naps. (7) Cleaning supplies, paints, matches, lighters, and any plastic bags large enough to fit over a child’s head kept under child-safety lock. (8) Other potentially dangerous items, such as medicine, drugs, sharp knives, and poisonous and toxic materials kept under child-safety lock. (9) Firearms, BB guns, pellet guns and ammunition kept under lock, with ammunition stored and locked separately. Firearms, BB guns and pellet guns must remain unloaded; (10) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; (11) All clear glass panels in doors clearly marked at child level. (12) Each provider must ensure that the child care facility where care is provided meets all of the following standards: (a) Each floor level used by a child has two useable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a useable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (b) The child care facility has a working telephone or telephone service in operating condition. (c) Emergency telephone numbers for fire, ambulance, police and poison control and the child care facility address must be posted in a visible location. (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (e) Broken toys, furniture and equipment must be removed from areas accessible to children. (13) Wading pools are prohibited for wading. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-175-0080(7) (p) Ensure that the home or facility where care is provided meets all of the following standards: (A) Each floor level used by a child has two usable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a usable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (B) The home or facility has water that is safe for drinking and preparing food (see section (14) of this rule). (C) The home or facility has a working smoke detector on each floor level and in any area where a child naps. (D) Each fireplace, space heater, electrical outlet, wood stove, stairway, pool, pond, and any other hazard has a barrier to protect a child. Any gate or barrier may not pose a risk or hazard to any child in care. (E) Any firearm, ammunition, and other items that may be dangerous to children, including but not limited to alcohol, inhalants, tobacco, and e-cigarette products, matches and lighters, any legally prescribed or over-the-counter medicine, cleaning supplies, paint, plastic bags, and poisonous and toxic materials are kept in a secure place out of a child's reach. (F) The building, grounds, any toy, equipment, and furniture are maintained in a clean, sanitary, and hazard free condition. (G) The home or facility has a telephone in operating condition. (H) No one may smoke or carry any lighted smoking instrument, including e- cigarettes or vaporizers, in the home or facility or within ten feet of any entrance, exit, window that opens, or any ventilation intake that serves an enclosed area, during child care operational hours or anytime child care children are present. No one may use smokeless tobacco in the home or facility during child care operational hours or anytime child care children are present. No one may smoke or carry any lighted smoking instrument, including e-cigarettes and vaporizers, or use smokeless tobacco in motor vehicles while child care children are passengers. 414-180-0025 (3) Floors must be free of splinters, large, unsealed cracks, sliding rugs and other hazards. (4) Potentially aggressive animals must not be in the same physical space as the children. (5) Children shall be protected from fire and safety hazards. Providers must have the following protections in place: (a) All exposed electrical outlets in rooms used by preschool or younger children must have hard-to-remove protective caps or safety devices installed when the outlet is not in use. (b) Extension cords shall not be used as permanent wiring; (c) All appliance cords must be in good condition; (d) Multiple connectors for cords shall not be used; (e) A grounded power strip outlet with a built-in over-current protection may be used; (f) A stable barrier shall be installed to prevent children from falling into hazards, including, but not limited to: fireplaces, heaters and woodstoves that are in use when child care children are present; (g) A secure barrier shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers; (6) The child care facility has a working smoke detector on each floor level and in any area where a child naps. (7) Cleaning supplies, paints, matches, lighters, and any plastic bags large enough to fit over a child’s head kept under child-safety lock. (8) Other potentially dangerous items, such as medicine, drugs, sharp knives, and poisonous and toxic materials kept under child-safety lock. (9) Firearms, BB guns, pellet guns and ammunition kept under lock, with ammunition stored and locked separately. Firearms, BB guns and pellet guns must remain unloaded; (10) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; (11) All clear glass panels in doors clearly marked at child level. (12) Each provider must ensure that the child care facility where care is provided meets all of the following standards: (a) Each floor level used by a child has two useable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a useable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (b) The child care facility has a working telephone or telephone service in operating condition. (c) Emergency telephone numbers for fire, ambulance, police and poison control and the child care facility address must be posted in a visible location. (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (e) Broken toys, furniture and equipment must be removed from areas accessible to children. (13) Wading pools are prohibited for wading. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-175-0080(7) (p) Ensure that the home or facility where care is provided meets all of the following standards: (A) Each floor level used by a child has two usable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a usable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (B) The home or facility has water that is safe for drinking and preparing food (see section (14) of this rule). (C) The home or facility has a working smoke detector on each floor level and in any area where a child naps. (D) Each fireplace, space heater, electrical outlet, wood stove, stairway, pool, pond, and any other hazard has a barrier to protect a child. Any gate or barrier may not pose a risk or hazard to any child in care. (E) Any firearm, ammunition, and other items that may be dangerous to children, including but not limited to alcohol, inhalants, tobacco, and e-cigarette products, matches and lighters, any legally prescribed or over-the-counter medicine, cleaning supplies, paint, plastic bags, and poisonous and toxic materials are kept in a secure place out of a child's reach. (F) The building, grounds, any toy, equipment, and furniture are maintained in a clean, sanitary, and hazard free condition. (G) The home or facility has a telephone in operating condition. (H) No one may smoke or carry any lighted smoking instrument, including e- cigarettes or vaporizers, in the home or facility or within ten feet of any entrance, exit, window that opens, or any ventilation intake that serves an enclosed area, during child care operational hours or anytime child care children are present. No one may use smokeless tobacco in the home or facility during child care operational hours or anytime child care children are present. No one may smoke or carry any lighted smoking instrument, including e-cigarettes and vaporizers, or use smokeless tobacco in motor vehicles while child care children are passengers. 414-180-0025 (3) Floors must be free of splinters, large, unsealed cracks, sliding rugs and other hazards. (4) Potentially aggressive animals must not be in the same physical space as the children. (5) Children shall be protected from fire and safety hazards. Providers must have the following protections in place: (a) All exposed electrical outlets in rooms used by preschool or younger children must have hard-to-remove protective caps or safety devices installed when the outlet is not in use. (b) Extension cords shall not be used as permanent wiring; (c) All appliance cords must be in good condition; (d) Multiple connectors for cords shall not be used; (e) A grounded power strip outlet with a built-in over-current protection may be used; (f) A stable barrier shall be installed to prevent children from falling into hazards, including, but not limited to: fireplaces, heaters and woodstoves that are in use when child care children are present; (g) A secure barrier shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers; (6) The child care facility has a working smoke detector on each floor level and in any area where a child naps. (7) Cleaning supplies, paints, matches, lighters, and any plastic bags large enough to fit over a child’s head kept under child-safety lock. (8) Other potentially dangerous items, such as medicine, drugs, sharp knives, and poisonous and toxic materials kept under child-safety lock. (9) Firearms, BB guns, pellet guns and ammunition kept under lock, with ammunition stored and locked separately. Firearms, BB guns and pellet guns must remain unloaded; (10) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; (11) All clear glass panels in doors clearly marked at child level. (12) Each provider must ensure that the child care facility where care is provided meets all of the following standards: (a) Each floor level used by a child has two useable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a useable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (b) The child care facility has a working telephone or telephone service in operating condition. (c) Emergency telephone numbers for fire, ambulance, police and poison control and the child care facility address must be posted in a visible location. (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (e) Broken toys, furniture and equipment must be removed from areas accessible to children. (13) Wading pools are prohibited for wading. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers OAR 414-310-0480 (1) A School-Age Center must ensure that all toxic or potentially dangerous items, such as cleaning supplies and equipment, poisonous and toxic materials, and flammable and corrosive materials, are stored in a manner that prevents use or access by children. (a)Toxic substances must be stored separately from medication, food service equipment, and food supplies. (b) Products including toxic substances must be stored and used according to the manufacturer’s instructions including not storing products near heat sources. (c) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by staff must be labeled with the contents of the container. (2) A School-Age Center must take steps to prevent children’s exposure to the following if they exist on the premises: (a) Lead based paint. Any building or play structure constructed before 1978 that has peeling, flaking, chalking, or failing paint must be tested for lead. If lead-based paint is found, the center must contact the Oregon Health Authority within 5 working days and follow their required procedures for remediation of the lead hazard; (b) Plumbing and fixtures containing lead or lead solders; (c) Asbestos; (d) Toxic mold; and (e) Other identified toxins or hazards. (3) A School-Age Center and staff must recognize, address, or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. A School-Age Center must: (a) Inspect the indoor and outdoor play areas and equipment daily for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; and (b) Ensure open containers of water used for children’s play, such as water tables, are emptied immediately after use. (4) A School-Age Center must not permit any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, illegal drugs, drug paraphernalia, hemp, marijuana, and marijuana infused products, or alcohol on the premises during operating hours or when children are present. This includes: (a) The playground; (b) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (c) In any center vehicles or on any field trip. (5) A School-Age Center must not permit the possession or storage of guns, firearms, weapons, or ammunition on the center premises at any time. (6) A School-Age Center must ensure that all pools and other bodies of water such as hot tubs, spas, ponds, creeks, fountains, ornamental ponds, and rain barrels are inaccessible to all children. (a) Pools and hot tubs must be made inaccessible through one of the following methods: (A) A locking, rigid cover; (B) A minimum 4 foot high fence that begins at ground level, and all gates and doors that allow access are locked; (C) Four foot non-climbable sides with pool ladder removed or inaccessible; or (D) In a locked room or all doors that access the area are locked. (b) If a body of water is in close proximity but not located on the premises, the center must provide a physical barrier on the property to prevent unsupervised access by children. (7) A School-Age Center must keep the center free of insects, rodents, and other pests. (a) Automatic insecticide dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when children are present. After their application, children must not enter the area until indicated by the manufacturer's instructions. 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: Certified Centers: OAR 414-305-0840(7) A certified child care center must prevent access to all pools and other bodies of water such as hot tubs, spas, ponds, creeks, fountains, ornamental ponds, and rain barrels. (a) Pools and hot tubs must be made inaccessible through one of the following methods: (A) A locking, rigid cover; (B) A minimum four foot high fence that begins at ground level, and all gates and doors that allow access are locked; (C) Four foot non-climbable sides with pool ladder removed or inaccessible; or (D) In a locked room or all doors that access the area are locked. (b) If a body of water is in close proximity but not located on the premises, the center must provide a physical barrier on the property to prevent unsupervised access by children. OAR 414-305-1300 (1) A certified child care center must have written permission from each child’s parent before engaging in any swimming activities. (2) A certified child care center must provide constant sight and sound supervision of children around any body of water. (4) In natural bodies of water, such as shallow surf, lakes, rivers, and streams, the center must limit activity to wading by children 36 months of age and older and must not allow swimming. (5) A certified child care center must not permit children to use or have access to a hot tub, spa, portable wading pool, or other similar equipment. ONB Programs: OAR 414-320-0370, Orientation and Initial Training (2) A certified ONB program must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: (d) Premises safety including identification and protection from hazards such as electrical hazards, bodies of water, and vehicular traffic; OAR 414-320-0920, Outdoor Areas (4) A certified ONB program with outdoor classroom space must create barriers between that space and any immediately adjacent hazardous features, such as a ravine, cliff, or body of water more than two feet deep and six feet in diameter. These barriers may be made by natural materials and must be at least 29 inches tall for certified ONB programs enrolling only preschool-age children and 38 inches tall for certified ONB programs that enroll school-age children. If public property used by a certified ONB programs do not meet these requirements, a certified ONB program must submit and follow supervision plans to be reviewed and approved by DELC. OAR 414-320-0930, Swimming Pools and Other Water Hazards (1) A certified ONB program must not use a swimming pool unless it has been licensed by the Oregon Health Authority or delegated agent pursuant to Oregon Health Authority administrative rule Chapter 333, Division 60. (Also see OAR 414- 320-0840, Prevention and Management of Hazards regarding access to pools and other bodies of water.) (a) A swimming pool must not be used if the main drain cover is missing. (b) Swimming pools must be maintained, cleaned, and sanitized according to manufacturer instructions and Oregon Health Authority or local health jurisdiction guidelines. (c) When a swimming pool is located on the certified ONB program premises, emergency telephone numbers and the program's address must be posted near an immediately accessible telephone in the pool area. (2) The following bodies of water must be inaccessible to children in care by using a physical barrier at least four feet tall with a locking mechanism: (a) Swimming pools when not in use as part of the certified ONB program; and (b) Uncovered wells, septic tanks, wastewater, wastewater tanks, below grade storage tanks, farm manure ponds, or other similar hazards. (3) A certified ONB program must not permit children to use or have access to a hot tub, spa, portable wading pool, or other similar equipment. Hot tubs and spas must be secured by a locking cover or physical barrier. (4) A certified ONB program operating near a natural body of water must provide a physical barrier or physical boundary to adjacent bodies of water pursuant to OAR 414-320-0920(4), Outdoor Areas, and must provide supervision pursuant to OAR 414-320-0500, Supervision of Children. OAR 414-320-1300, Swimming and Water Activities (1) A certified ONB program must have written permission from each child’s parent before engaging in any swimming or water activities. (2) A certified ONB program must provide supervision of children around any bodies of water. (3) A certified ONB program located within a quarter mile of an accessible body of water must obtain from the parent or guardian a signed water hazard acknowledgement. (4) For water activities that involve a water depth that is more than 24 inches deep, a certified ONB program must ensure that: (a) A certified lifeguard must be present and on-duty. A staff member or volunteer may be included in the staff-to-child ratio who is also the on-duty certified lifeguard; and (b) All children must wear approved water life jackets or approved water life vests. (5) For each body of water more than 6 feet in width, length, or diameter and when the depth of any portion of the body of water more than 24 inches, a certified ONB program must have immediate access to lifesaving equipment, e.g., a ring buoy and rope, a rescue tube, or a throwing line and a shepherd's hook that is long enough to reach the center of the body of water from the edge of the body of water. (6) At least one ONB staff member in attendance must be able to swim when children are within one quarter mile of an accessible body of water, such as a park located near a lake or stream regardless of whether or not the children are actively engaging in a water activity. (7) If children are at or near a moving body of water, an ONB staff member who can swim or a certified lifeguard must be positioned downstream of where the children are playing or otherwise take into account how water moves and their access to the body of water. (8) If a certified ONB program has on-site swimming or is responsible for off-site swimming, the program’s written emergency plan (required by OAR 414-320- 0210, Emergency Preparedness and Response) must also include water and swimming safety. (9) At all times when children are engaged in swimming and wading activities on or off the premises, a certified ONB program must: (a) Ensure that staff are in or at the water and prepared to enter; (b) Meet the following staff-to-child ratios: (A) Preschool-age ￿ 1:6 (B) School-age ￿ 1:10 (C) The age of the youngest child in a mixed-age group determines the staff-to- child ratio. (c) Verify that all adults counted in the staff-to-child ratios are able to swim if the water is more than 48 inches deep; (d) Ensure that a certified lifeguard is present and on duty at all times. ONB program staff lifeguards may not count in staff-to-child ratios when more than 10 children are present; and (e) Review safety rules with children each time they participate. (10) Children in diapers or toilet training must wear swim pants to lower the risk of contaminating the water. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR414-360-0840 (a) Pools and hot tubs must be made inaccessible through one of the following methods: (A) A locking, rigid cover; (B) A minimum four-foot-high fence that begins at ground level, and all gates and doors that allow access are locked; (C) Four-foot non-climbable sides with pool ladder removed or inaccessible; or (D) In a locked room or all doors that access the area are locked. (b) For certified family child cares with licensure prior to July 1, 2025, ornamental and natural ponds within the child care outdoor play area must be made inaccessible through one of the following methods: (A) Enclosed by a secure barrier and locked with either a key or a combination lock; (B) A grate on top of a small pond of sufficient strength and rigidity to prevent children from falling into the water. The grate must be locked or secured to prevent removal; or (C) A locked door to the outside area where the pond is located as long as the door is always locked during operating hours and children are not using the outside area where the pond is located. (c) For certified family child cares with licensure on or after July 1, 2025, ornamental or natural ponds are prohibited in the child care outdoor play area. Certified family child cares licensed prior to July 1, 2025 are prohibited from adding a new ornamental pond or natural pond to the child care outdoor activity area. OAR414-360-1300 (1) A provider must have written permission from each child’s parent before engaging in any swimming activities. (2) A provider must provide constant sight and sound supervision of children around any bodies of water. (3) A provider must not use a swimming pool unless it has been licensed by the Oregon Health Authority or delegated agent pursuant to OAR Chapter 333, Division 60. (Also see OAR 414- 360-0840, Prevention and Management of Hazards regarding access to pools and other bodies of water.) (4) In natural bodies of water, such as shallow surf, lakes, rivers, and streams, a provider must limit activity to wading by children 36 months of age and older and must not allow swimming. (5) A provider must not permit children to use or have access to a hot tub, spa, portable wading pool, or other similar equipment. (6) If a provider has on-site swimming or is responsible for off-site swimming, the provider’s written emergency plan (required by OAR 414-360-0210, Emergency Preparedness and Response) must also include pool and swimming safety. Registered Family Child Care Homes: OAR 414-210-0840(12)A provider must prevent access to all pools and other bodies of water such as hot tubs, spas, ponds, creeks, fountains, ornamental ponds, rain barrels. (a) Pools and hot tubs must be made inaccessible through one of the following methods: (A) A locking, rigid cover; (B) A minimum four foot high fence that begins at ground level, and all gates and doors that allow access are locked; (C) Four foot non-climbable sides with pool ladder removed or inaccessible; or (D) In a locked room or all doors that access the area are locked. (b) For registered family child cares with licensure prior to July 1, 2025, ornamental and natural ponds within the child care outdoor play area must be made inaccessible through one of the following methods: (A) Enclosed by a secure barrier and locked with either a key or a combination lock; (B) A grate on top of a small pond of sufficient strength and rigidity to prevent children from falling into the water. The grate must be locked or secured to prevent removal; or (C) A locked door to the outside area where the pond is located as long as the door is always locked during operating hours and children are not using the outside area where the pond is located. (c) For registered family child cares with licensure on or after July 1, 2025, ornamental or natural ponds are prohibited in the child care outdoor play area. Registered family child cares licensed prior to July 1, 2025 are prohibited from adding a new ornamental pond or natural pond to the child care outdoor activity area. (d) If the premises has an unfenced bay, creek or other body of water that is accessible to the child care children, the provider must be physically present with children of all ages while outdoors, or the children must play in a specified area from which the body of water is not accessible. OAR 414-210-1300 (1) A provider must have written permission from each child’s parent before engaging in any swimming activities. (2) A provider must provide constant sight and sound supervision of children around any bodies of water. (3) A provider must not use a swimming pool unless it has been licensed by the Oregon Health Authority or delegated agent pursuant to OAR Chapter 333, Division 60. (Also see OAR 414- 360-0840, Prevention and Management of Hazards regarding access to pools and other bodies of water.) (4) In natural bodies of water, such as shallow surf, lakes, rivers, and streams, a provider must limit activity to wading by children 36 months of age and older and must not allow swimming. (5) A provider must not permit children to use or have access to a hot tub, spa, portable wading pool, or other similar equipment. (6) If a provider has on-site swimming or is responsible for off-site swimming, the provider’s written emergency plan (required by OAR 414-360-0210, Emergency Preparedness and Response) must also include pool and swimming safety. 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: Regulated Subsidy Programs OAR 414-180-0025(12) (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (13) Wading pools are prohibited for wading. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0025(12) (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (13) Wading pools are prohibited for wading. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0025(12) (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (13) Wading pools are prohibited for wading. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers OAR 414-310-0480 (6) A School-Age Center must ensure that all pools and other bodies of water such as hot tubs, spas, ponds, creeks, fountains, ornamental ponds, and rain barrels are inaccessible to all children. (a) Pools and hot tubs must be made inaccessible through one of the following methods: (A) A locking, rigid cover; (B) A minimum 4 foot high fence that begins at ground level, and all gates and doors that allow access are locked; (C) Four foot non-climbable sides with pool ladder removed or inaccessible; or (D) In a locked room or all doors that access the area are locked. (b) If a body of water is in close proximity but not located on the premises, the center must provide a physical barrier on the property to prevent unsupervised access by children. OAR 414-310-0680 (1) A School-Age Center must have written permission from each child’s parent before engaging in any swimming activities. (2) A School-Age Center must provide constant sight and sound supervision of children around any body of water. (4) In natural bodies of water, such as shallow surf, lakes, rivers, and streams, activity is limited to wading; swimming is not permitted. (5) A School-Age Center must not permit children to use or have access to a hot tub, spa, portable wading pool, or other similar equipment. 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: Certified Centers: OAR 414-305-0840(9) A certified child care center must take precautions to protect children from vehicular traffic including but not limited to: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. OARs 414-305-1200, 414-305-1210, 414-305-1220, 414-305-1230, and 414-305- 1240 also address a variety of different transportation safety standards. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: 414-360-0840 (15) A provider must take precautions to protect children from vehicular traffic: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Assure that any caregiver who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. Registered Family Child Care Homes: 414-210-0840 (14) A provider must take precautions to protect children from vehicular traffic: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Assure that any caregiver who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. 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: Regulated Subsidy Programs OAR 414-180-0025 (21) The provider must take precautions to protect children from vehicular traffic. The provider shall: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic. (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0025 (21) The provider must take precautions to protect children from vehicular traffic. The provider shall: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic. (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0025 (21) The provider must take precautions to protect children from vehicular traffic. The provider shall: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic. (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For Licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers OAR 414-310-0480 (8) A School-Age Center must take precautions to protect children from vehicular traffic including but not limited to: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic; and (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. 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: : Certified Centers (applies to infants, toddlers, and all children in care): OAR 414-305-0370 (1) A certified child care center must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: (g) Safe sleep practices and prevention of shaken baby syndrome and abusive head trauma; (3) (b) If the center is certified to care for infants, complete the Safe Sleep for Oregon Infants training within the first 30 days of hire and prior to having unsupervised access to infants OAR 414-305-0360 (1) (b) A certified child care center must verify that all substitutes, prior to being left alone (if qualified to be unsupervised) with children:(b) Complete the CCLD Introduction to Child Care Health and Safety training as required under OAR 414-305-0370(2), Orientation and Initial Training; OAR 414-305-0710 A certified child care center must not use or threaten to use any of the following prohibited actions even if requested or agreed to by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; ONB Programs: applies to all children in care OAR 414-320-0370, Orientation and Initial Training (1) A certified ONB program must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: (g) Prevention of abusive head trauma and child maltreatment; OAR 414-320-0360, Other Staff and Volunteers (1) A certified ONB program must ensure that substitutes counted in the staff- to-child ratio meet qualifications and initial training requirements for the position they hold. OAR 414-320-0710,Prohibited Discipline and Actions A certified ONB program must not use or threaten to use any of the following prohibited actions even if requested or agreed to by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes (applies to infants, toddlers, and all children in care): OAR 414-360-0370 (1) Prior to being issued an initial certificate, a provider must complete: (a) Introduction to Child Care Health & Safety Training [includes on shaken baby syndrome on child maltreatment]; (c) Safe Sleep for Oregon’s Infants; (3) A provider must ensure that all caregivers, including substitutes: (a) Receive an orientation within the first 10 business days of working in the home and before caregivers have unsupervised access to children. An orientation must include, but is not limited to: (F) Safe sleep practices, prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (b) Complete the following within 30 days of beginning work in the home and prior to having unsupervised access to children: : (A) Introduction to Child Care Health & Safety Training [includes on shaken baby syndrome on child maltreatment]; (C) Safe Sleep for Oregon's infants. OAR 414-360-0600(8) All caregivers must take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-360-0510 (3) When lifting or moving a child, caregivers must do so in a manner that provides safety and comfort for the child. OAR 414-360-0710 A provider must not use or threaten to use any of the following prohibited actions even if requested by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; Registered Family Child Care Homes: OAR 414-210-0370(1) When a person submits a new application for registration as a registered family child care, CCLD shall, prior to approving the registration, receive evidence from the applicant that the person has completed: (a) Introduction to Child Care Health & Safety Training [includes on shaken baby syndrome on child maltreatment]; (d) Safe Sleep for Oregon’s Infants; (3) A provider must ensure that prior to having unsupervised access to children, substitute providers: (a) Receive an orientation. An orientation must include, but is not limited to: (F) Safe sleep practices, prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (b) Complete the following: (A) Introduction to Child Care Health & Safety Training [includes on shaken baby syndrome on child maltreatment] (C) Safe Sleep for Oregon's infants; OAR 414-210-0600(8) All caregivers must take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-210-0510 (3) When lifting or moving a child, caregivers must do so in a manner that provides safety and comfort for the child. OAR 414-210-0710 A provider must not use or threaten to use any of the following prohibited actions even if requested by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; 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: Regulated Subsidy Programs (applies to infants, toddlers, and all children in care): OAR 414-180-0015 (3) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-180-0030 The following behaviors by caregivers are prohibited: (1) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (2) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-180-0090 Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Oregon Department of Human Services Child Welfare (ODHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs (applies to infants, toddlers, and all children in care): OAR 414-180-0015 (3) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-180-0030 The following behaviors by caregivers are prohibited: (1) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (2) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-180-0090 Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Department of Human Services Child Welfare (DHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs (applies to infants, toddlers, and all children in care): OAR 414-180-0015 (3) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-180-0030 The following behaviors by caregivers are prohibited: (1) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (2) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-180-0090 Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Department of Human Services Child Welfare (DHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers: OAR 414-310-0420 A School-Age Center must not use or threaten to use any of the following prohibited actions even if requested or agreed to by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; 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: Certified Centers (applies to all children in care): Policies: OAR 414-305-0200 (2) A certified child care center must provide the following written information to parents, staff, and volunteers: (q) Prevention of and duty to report suspected child abuse and neglect; Notifications: OAR 414-305-0270 (3) Any staff member who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual, or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. Training: OAR 414-305-0370 (2) A certified child care center must ensure staff, including substitutes, complete the following within 30 days of hire and prior to having unsupervised access to children: (a) Introduction to Child Care Health and Safety [which discusses prevention of child maltreatment]; and (b) A minimum of 2 hours of OCC approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law. Prohibited Discipline and Actions: OAR 414-305-0710 A certified child care center must not use or threaten to use any of the following prohibited actions even if requested or agreed to by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; (2) Bind or restrict a child's movement unless permitted under OAR 414-305- 0720, Physical Restraint; (3) Using unauthorized prescription or non-prescription drugs or chemicals for discipline or to control behavior; (4) Confining or isolating a child in an enclosed or darkened area (e.g., a locked or closed room, bathroom, closet, or box for punishment); (5) Withdrawing, denying or forcing food, rest, or toileting; (6) Forcing or compelling a child to eat or placing soap, food, spices, or foreign substances in the child’s mouth; (7) Exposing a child to extremes of temperature; (8) Yelling harshly or using profane or abusive language; (9) Punishing or demeaning a child for toileting accidents or refusing to eat food; (10) Allowing any form of mental or emotional punishment or verbal abuse, including but not limited to public or private humiliation, name calling, teasing, ridicule, intimidation, making derogatory or sarcastic remarks about a child's family, race, gender, religion, or cultural background, rejecting, frightening, neglecting, or corrupting a child; (11) Demanding excessive physical exercise, excessive rest, or strenuous postures; or (12) Requiring a child to remain silent or inactive or removing a child from all activities or the group for excessive periods of time. ONB Programs: Applies to all children in care OAR 414-320-0200, Policies (2) A certified ONB program must provide the following written information to parents, staff, and volunteers: (q) Prevention of and duty to report suspected child abuse and neglect; OAR 414-320-0270, Notifications (3) Any staff member who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. OAR 414-320-0370, Orientation and Initial Training (1) A certified ONB program must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: (g) Prevention of abusive head trauma and child maltreatment; (l) Procedures for reporting suspected child abuse or neglect. (2) A certified ONB program must ensure staff, including substitutes, complete the following within 30 days of hire and prior to having unsupervised access to children: a. Introduction to Child Care Health and Safety; and b. A minimum of 2 hours of DELC approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law. OAR 414-320-0710, Prohibited Discipline and Actions A certified ONB program must not use or threaten to use any of the following prohibited actions even if requested or agreed to by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; (2) Bind or restrict a child's movement unless permitted under OAR 414-320- 0720, Physical Restraint; (3) Using unauthorized prescription or non-prescription drugs or chemicals for discipline or to control behavior; (4) Confining or isolating a child in an enclosed or darkened area (e.g., a locked or closed room, bathroom, closet, or box for punishment); (5) Withdrawing, denying or forcing food, rest, or toileting; (6) Forcing or compelling a child to eat or placing soap, food, spices, or foreign substances in the child’s mouth; (7) Exposing a child to extremes of temperature; (8) Yelling harshly or using profane or abusive language; (9) Punishing or demeaning a child for toileting accidents or refusing to eat food; (10) Allowing any form of mental or emotional punishment or verbal abuse, including but not limited to public or private humiliation, name calling, teasing, ridicule, intimidation, making derogatory or sarcastic remarks about a child's family, race, gender, religion, or cultural background, rejecting, frightening, neglecting, or corrupting a child; (11) Demanding excessive physical exercise, excessive rest, or strenuous postures; or (12) Requiring a child to remain silent or inactive or removing a child from all activities or the group for excessive periods of time. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes (Applies to all children in care): Policies: OAR 414-360-0200(2)A provider must provide the following written information to parents, caregivers, and volunteers: (h) Prevention of and duty to report suspected child abuse and neglect; Notifications: OAR 414-360-0270(2) Any caregiver who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. Orientation and Initial Training: OAR 414-360-0370(1) Prior to being issued an initial certificate, a provider must complete: (a) Introduction to Child Care Health & Safety Training; (b) A minimum of two hours of training on child abuse and neglect that is specific to Oregon law; OAR 414-360-0370(3) A provider must ensure that all caregivers, including substitutes: (a) Receive an orientation within the first 10 business days of working in the home and before caregivers have unsupervised access to children. An orientation must include, but is not limited to: (G) The provider’s policies, as required under OAR 414-360-0200, Policies; and (H) Procedures for reporting suspected child abuse or neglect. (b) Complete the following within 30 days of beginning work in the home and prior to having unsupervised access to children: (A) Introduction to Child Care Health and Safety; (B) A minimum of 2 hours of CCLD approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law Prohibited Discipline and Actions: OAR 414-360-0710 A provider must not use or threaten to use any of the following prohibited actions even if requested by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; (2) Bind or restrict a child's movement unless permitted under OAR 414-360-0720, Physical Restraint; (3) Using unauthorized prescription or non-prescription drugs or chemicals for discipline or to control behavior; (4) Confining or isolating a child in an enclosed or darkened area (e.g., a locked or closed room, bathroom, closet, or box for punishment); (5) Withdrawing, denying or forcing food, rest, or toileting; (6) Forcing or compelling a child to eat or placing soap, food, spices, or foreign substances in the child’s mouth; (7) Exposing a child to extremes of temperature; (8) Yelling harshly or using profane or abusive language; (9) Punishing or demeaning a child for toileting accidents or refusing to eat food; (10) Allowing any form of mental or emotional punishment or verbal abuse, including but not limited to public or private humiliation, name calling, teasing, ridicule, intimidation, making derogatory or sarcastic remarks about a child's family, race, gender, religion, or cultural background, rejecting, frightening, neglecting, or corrupting a child; (11) Demanding excessive physical exercise, excessive rest, or strenuous postures; or (12) Requiring a child to remain silent or inactive or removing a child from all activities or the group for excessive periods of time. Registered Family Child Care Homes (applies to all children in care): Policies: OAR 414-210-0200(1) A provider must have written information and policies identified in OAR 414-210-0200(1)(a) though (g) and provide them to substitute providers, parents, and volunteers. Information must be provided at the time of enrollment and when information changes (f) Prevention of and duty to report suspected child abuse and neglect; Notifications: OAR 414-210-0270(2) Any caregiver who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. Orientation and Initial Training: OAR 414-210-0370 (1) When a person submits a new application for registration as a registered family child care, CCLD shall, prior to approving (b) Introduction to Child Care Health & Safety Training; (c) A minimum of two hours of training on child abuse and neglect that is specific to Oregon law; OAR 414-210-0370(3) A provider must ensure that prior to having unsupervised access to children, substitute providers: (a) Receive an orientation within the first 10 business days of working in the home and before caregivers have unsupervised access to children. An orientation must include, but is not limited to: (G) The provider’s policies, as required under OAR 414-210-0200, Policies; and (H) Procedures for reporting suspected child abuse or neglect. (b) Complete the following: (A) Introduction to Child Care Health and Safety; (B) A minimum of 2 hours of CCLD approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law Prohibited Discipline and Actions: OAR 414-210-0710 A provider must not use or threaten to use any of the following prohibited actions even if requested by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; (2) Bind or restrict a child's movement unless permitted under OAR 414-360-0720, Physical Restraint; (3) Using unauthorized prescription or non-prescription drugs or chemicals for discipline or to control behavior; (4) Confining or isolating a child in an enclosed or darkened area (e.g., a locked or closed room, bathroom, closet, or box for punishment); (5) Withdrawing, denying or forcing food, rest, or toileting; (6) Forcing or compelling a child to eat or placing soap, food, spices, or foreign substances in the child’s mouth; (7) Exposing a child to extremes of temperature; (8) Yelling harshly or using profane or abusive language; (9) Punishing or demeaning a child for toileting accidents or refusing to eat food; (10) Allowing any form of mental or emotional punishment or verbal abuse, including but not limited to public or private humiliation, name calling, teasing, ridicule, intimidation, making derogatory or sarcastic remarks about a child's family, race, gender, religion, or cultural background, rejecting, frightening, neglecting, or corrupting a child; (11) Demanding excessive physical exercise, excessive rest, or strenuous postures; or (12) Requiring a child to remain silent or inactive or removing a child from all activities or the group for excessive periods of time. 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: OAR 414-180- 0030 414-180-0030 (1) The following behaviors by caregivers are prohibited: (a) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (b) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-180-0090 Compliance with Child Abuse Reporting Requirements Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Department of Human Services Child Welfare (DHS) orto a law enforcement agency. By statute, this requirement applies 24 hours per day OAR 414-175-0080(8) Legally exempt providers must complete the "Introduction to Child Care Health and Safety" two-hour, web-based training prior to Department approval. OAR 414-175-0080(12)(a)(B) (B) (12) Legally exempt providers that are not a legally exempt relative to all children in care must meet all of the requirements in this section: (a) Before approval by the Department: (B)Complete the Recognizing and Reporting Child Abuse and Neglect (RRCAN) web-based or classroom training. OAR 414-175- 0080 (7) Each provider must: (j) Report suspected child abuse of any child in the provider’s care to the child abuse and neglect hotline or a law enforcement agency. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: 414-175-0080(8) Legally exempt providers must complete the "Introduction to Child Care Health and Safety" two-hour, web-based training prior to Department approval. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: 414-175- 0080(8) Legally exempt providers must complete the "Introduction to Child Care Health and Safety" two-hour, web-based training prior to Department approval. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers (applies to all children in care): Prohibited Discipline and Actions: OAR 414-310-0420 A School-Age Center must not use or threaten to use any of the following prohibited actions even if requested or agreed to by parents: (1) Rough or harsh handling of children or use of corporal punishment in any form, including, but not limited to hitting, spanking, slapping, shaking, swatting, throwing, jerking, pinching, biting, or other measures that produce physical pain; (2) Bind or restrict a child's movement unless permitted under OAR 414-310- 0430; (3) Using unauthorized prescription or non-prescription drugs or chemicals for discipline or to control behavior; (4) Confining or isolating a child in an enclosed or darkened area (e.g., a locked or closed room, bathroom, closet, or box for punishment); (5) Withdrawing, denying or forcing food, rest or toileting; (6) Forcing or compelling a child to eat or placing soap, food, spices, or foreign substances in the child’s mouth; (7) Exposing a child to extremes of temperature; (8) Yelling harshly or using profane or abusive language; (9) Punishing or demeaning a child for toileting accidents or refusing to eat food; (10) Allowing any form of mental or emotional punishment or verbal abuse, including but not limited to public or private humiliation, name calling, teasing, ridicule, intimidation, making derogatory or sarcastic remarks about a child's family, race, gender, religion, or cultural background, rejecting, frightening, neglecting, or corrupting a child; (11) Demanding excessive physical exercise, excessive rest, or strenuous postures; or (12) Requiring a child to remain silent or inactive or removing a child from all activities or the group for excessive periods of time. Policies: OAR 414-310-0170 (p) Prevention of and duty to report suspected child abuse and neglect; Notifications: OAR 414-310-0260 (3) Any staff member who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline 1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual, or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. OAR 414-310-0320 (1) A School-Age Center must verify that all substitutes, prior to being left alone (if qualified to be unsupervised) with children: (a) Are enrolled in the CBR as required under OAR 414-310-0280, Central Background Registry Enrollment; (b) Complete the CCLD Introduction to Child Care Health and Safety training as required under Training; and (c) Have completed a minimum of 2 hours of training on recognizing and reporting child abuse and neglect that is specific to Oregon law within 30 days of employment.(c) Have completed a minimum of 2 hours of training on recognizing and reporting child abuse and neglect that is specific to Oregon law within 30 days of employment. OAR 414-310-0330(2) A School-Age Center must ensure staff, including substitutes, complete the following within 30 days of hire and prior to having unsupervised access to children: (b) A minimum of 2 hours of CCLD approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law. 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: Certified Centers: OAR 414-305-0840(1) A certified child care center must ensure that all toxic or potentially dangerous items, such as cleaning supplies and equipment, poisonous and toxic materials, and flammable and corrosive materials, are inaccessible to children, as defined in OAR 414-305-0100(25). (a) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (b) Sanitizing and disinfecting solutions must be inaccessible to children. (c) Products including toxic substances must be stored and used according to the manufacturer’s instructions, including not storing products near heat sources. (d) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by staff must be labeled with the contents of the container. OAR 414-305-0840(2) When an environmental concern or potentially harmful environmental pollutants are identified, a certified child care center must evaluate and work collaboratively with appropriate agencies to mitigate the concern. OAR 414-305-0840(3) A certified child care center must take steps to prevent children’s exposure to the following if they exist on the premises: (a) Lead based paint. Any building or play structure constructed before 1978 that has peeling, flaking, chalking, or failing paint must be tested for lead. If lead-based paint is found, the center must contact the Oregon Health Authority within five working days and follow their required procedures for remediation of the lead hazard. (b) Plumbing and fixtures containing lead or lead solders; (c) Asbestos; (d) Toxic mold; and (e) Other identified toxins or hazards. OAR 414-305-0840(4) A certified child care center and staff must recognize, address, or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. A certified child care center must: (a) Inspect the indoor and outdoor play areas and equipment daily for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; (b) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use. (c) Store personal items belonging to staff members according to applicable rules; (d) Store diaper bags out of children’s reach; (e) Securely anchor large, heavy, or unstable objects such as furniture, televisions, bookcases, and wall cabinets into a wall stud with braces, brackets, anchors or wall straps to prevent tipping over; (f) Ensure children under the age of 3 years do not have access to items that have a diameter or overall dimension of one and three quarter (1 ¾) inches or less, such as disc batteries, coins, magnets, toys or parts that may become detached from other equipment or objects; (g) Ensure children under the age of 3 years do not have access to ties, long scarves, necklaces, and boas unless used during a structured learning activity where a staff member is within arm’s reach; (h) Ensure sand boxes are free of animal waste and trash; and (i) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. OAR 414-305-0840(5) A certified child care center must not permit any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, illegal drugs, drug paraphernalia, hemp, marijuana, and marijuana infused products, or alcohol on the premises during operating hours or when children are present. This includes: (a) The playground; (b) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (c) In any center vehicles or on any field trip. OAR 414-305-0840(6) A certified child care center must not permit the possession or storage of guns, firearms, weapons, or ammunition on the center premises at any time. OAR 414-305-0840(8) A certified child care center must keep the center free of insects, rodents, and other pests. (a) Automatic insecticide dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when children are present. After their application, children must not enter the area until indicated by the manufacturer's instructions. ONB Programs: OAR 414-320-0840, Prevention and Management of Hazards (1) A certified ONB program must ensure that all toxic or potentially dangerous items, such as cleaning supplies and equipment, poisonous and toxic materials, and flammable and corrosive materials, are inaccessible to children, as defined in OAR 414-320-0100(26). (a) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (b) Sanitizing and disinfecting solutions must be inaccessible to children. (c) Products including toxic substances must be stored and used according to the manufacturer’s instructions, including not storing products near heat sources. (d) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by staff must be labeled with the contents of the container. (2) When an environmental concern, including potentially harmful environmental pollutants, is identified, a certified ONB program must evaluate and work collaboratively with appropriate agencies to mitigate the concern. (3) If the certified ONB program operates on a site undergoing remedial work by the Oregon Department of Environmental Quality (DEQ), the certified ONB program must take additional steps to ensure children do not ingest contaminated soil. (4) A certified ONB program must take steps to prevent children’s exposure to the following, if they exist on the premises: (a) Lead based paint. Any building or play structure constructed before 1978 that has peeling, flaking, chalking, or failing paint must be tested for lead. If lead-based paint is found, the certified ONB program must contact the Oregon Health Authority within five working days and follow their required procedures for remediation of the lead hazard. (b) Plumbing and fixtures containing lead or lead solders; (c) Asbestos; (d) Toxic mold; and (e) Other identified toxins or hazards. (5) A certified ONB program and staff must recognize, address, or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if determined by DELC to be necessary. A certified ONB program must: (a) Inspect the outdoor play areas and equipment daily for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash. All equipment with broken parts or damage must be repaired as soon as possible and must be inaccessible to children until repairs are made according to the manufacturer's instructions, if available; (b) Inspect and mitigate any hazards related to natural materials of a certified ONB program, such as removing broken limbs from climbing trees; (c) Visually inspect meeting spaces and outdoor classrooms or other commonly used spaces prior to children arriving. A certified ONB program must have a method of removing or mitigating any hazard on ONB licensed space such as, but not limited to, loose overhead branches, hazardous materials or devices left in public spaces, wildlife, or wildlife droppings; (d) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use; (e) Store personal items belonging to staff members according to applicable rules; and (f) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (6) A certified ONB program must not permit any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, illegal drugs, drug paraphernalia, hemp, marijuana and marijuana infused products, or alcohol on the premises during operating hours or when children are present. This includes in any certified ONB program vehicles or on any field trips. If the certified ONB program is operated on public land and the law allows members of the public to smoke in the area, the certified ONB program must reasonably protect children from second-hand smoke. (7) A certified ONB program must not permit the possession or storage of guns, firearms, weapons, or ammunition on the certified ONB program premises at any time, unless the certified ONB program operates on property containing a residential home and the residential home is under the control of the certified ONB program. In this case, firearms, ammunition, and other potentially hazardous equipment within the home shall be kept under lock, such as a key, combination, or biometric lock. A child safety lock or trigger lock does not meet this requirement. In addition: (a) Firearms, pellet or BB guns must be unloaded and kept in areas not used by child care children; and (b) Ammunition shall be stored separately from firearms. (8) A certified ONB program operating in natural environments must prevent and manage the children's exposure to toxic or infectious agents, such as potentially toxic animal waste, bee stings, and potentially toxic plants or fungi. When appropriate, certified ONB program staff must check children for ticks. (9) A certified ONB program must notify staff, parents, and guardians if pesticides or herbicides are applied on or near the ONB program space. (10) A certified ONB program operating on private or public land must work with the owners or park directors or their designees to comply with the following: (a) The certified ONB program must take steps to prevent attracting pests including, but not limited to, identifying and removing food and water sources that attract pests. (b) Indoor and outdoor areas in and around the licensed space must be inspected for evidence of potentially hazardous pests. The certified ONB program must document the date and location if evidence is found and take appropriate pest mitigation measures. (c) If pesticides or herbicides are used, except in the case of an emergency such as the discovery of a wasp nest, the certified ONB program must notify the parents or guardians of enrolled children at least 48 hours before application what pesticide or herbicide will be applied and where it will be applied. (d) Pesticides or herbicides must not be applied to certified ONB program space when children are present. Children must be excluded from areas where pesticides or herbicides are applied per the pesticide or herbicide manufacturer’s instructions. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0810(8) A provider must ensure that children do not have access to heating equipment such as furnaces, fireplaces, stoves, steam and hot water pipes, and electric space heaters. OAR 414-360-0810(9)(b) Fireplaces, fireplace inserts, and wood/corn pellet stoves, if used, must: (A) Have a secure, stable protective barrier; and (B) Be inspected and cleaned annually (11) A certified family child care’s electrical system must not a pose a risk to children. (a) Unused electrical outlets accessible to children preschool-age and younger must be tamper-resistant or have outlet covers that are not easily removed by children. OAR 414-360-0840 (1) A provider must ensure that the following items are inaccessible to children as defined in OAR 414-360-0100(21): (a) All toxic or potentially dangerous items; (b) Cleaning, sanitizing and disinfecting supplies and equipment; (c) Poisonous plants; (d) Tobacco products, smokeless or vaping devices; (e) Alcohol; (f) Flammable materials, including matches and lighters, and corrosive materials; (g) Knives and other sharp objects; and (h) Motorized yard or power tools. (2) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (3) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by caregivers must be labeled with the contents of the container. (4) A provider must take steps to prevent children’s exposure to the following, if they exist on the premises: (a) Any sources of lead and lead based paint. Painted surfaces must be in good condition, both inside and outside, to avoid exposing children to lead-based paint; (b) Asbestos; (c) Toxic mold; and (d) Other identified toxins and hazards (5) A provider must recognize, address or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. Caregivers must: (a) Regularly inspect the indoor and outdoor play areas and equipment for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; (b) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use; (c) Ensure sand boxes are free of animal waste and trash; and (d) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (6) A provider must not permit the use of any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, drug paraphernalia, hemp, marijuana and marijuana infused products on the premises during operating hours or when child care children are present. This includes: (a) In the child care home; (b) In the outdoor play area; (c) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (d) In any vehicles where child care children are present or on any field trip. (7) All marijuana, marijuana derivatives and associated paraphernalia must be stored through one of the following methods: (a) Under a child safety device or child safety lock; or (b) In a locked room. (8) No one shall grow or distribute marijuana on the certified family child care premises. (9) No one shall consume alcohol on the certified family child care premises during operating hours or when child care children are present. (10) Firearms, BB guns, pellet guns and arrows must be kept under lock and stored in an area not used by child care children. (a) Ammunition must be stored and locked separately. (b) Firearms, BB guns, and pellet guns must be kept unloaded (12) A provider must keep the home free of insects, rodents, and other pests. (a) Automatic insecticides dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when child care children are present. After their application, child care children must not enter the area until indicated by the manufacturer's instructions. OAR 414-360-0850(3) A provider must keep all garbage and bodily fluids waste in non-absorbent, easily washable containers with tight-fitting lids. (a) Garbage and waste must be removed from the premises at least once a week. (b) Non-food, non-hazardous items and items that do not cause offensive odors, such as paper towels, may be disposed of separately from garbage and waste inside the home, in an uncovered container. (c) Garbage and waste containers and outdoor storage areas must be kept clean and minimize the presence of rodents, flies, roaches and other vermin. (d) Outdoor garbage storage must be inaccessible to children. OAR 414-360-0860 (2) Flammable and combustible materials: (a) Must be stored in the original container or a safety container; (b) Must not be stored within 4 feet of furnaces, other flame or heat-producing equipment, or fuel-fired water heaters; and (c) If over a gallon, kept in an unattached building, such as a shed or garage. Registered Family Child Care Homes: OAR 414-210-0810(9) A provider must ensure that children do not have access to heating equipment such as furnaces, fireplaces, stoves, steam and hot water pipes, and electric space heaters. OAR 414-360-0810(10)(b) Fireplaces, fireplace inserts, and wood/corn pellet stoves, if used, must: (A) Have a secure, stable protective barrier; and (B) Be inspected and cleaned annually (12) A registered family child care’s electrical system must not a pose a risk to children. (a) Unused electrical outlets accessible to children preschool-age and younger must be tamper-resistant or have outlet covers that are not easily removed by children. OAR 414-210-0840 (1) A provider must ensure that the following items are inaccessible to children as defined in OAR 414-210-0100(19): (a) All toxic or potentially dangerous items; (b) Cleaning, sanitizing and disinfecting supplies and equipment; (c) Poisonous plants; (d) Tobacco products, smokeless or vaping devices; (e) Alcohol; (f) Flammable materials, including matches and lighters, and corrosive materials; (g) Knives and other sharp objects; and (h) Motorized yard or power tools. (2) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (3) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by caregivers must be labeled with the contents of the container. (4) A provider must take steps to prevent children’s exposure to the following, if they exist on the premises: (a) Any sources of lead and lead based paint. Painted surfaces must be in good condition, both inside and outside, to avoid exposing children to lead-based paint; (b) Asbestos; (c) Toxic mold; and (d) Other identified toxins and hazards (5) A provider must recognize, address or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. Caregivers must: (a) Regularly inspect the indoor and outdoor play areas and equipment for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; (b) Ensure open containers of water such as bathtubs, buckets, and mop pails are emptied immediately after use; (c) Ensure sand boxes are free of animal waste and trash; and (d) Ensure that all plastic bags that are large enough to fit over a child’s head are inaccessible to children. (6) A provider must not permit the use of any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, drug paraphernalia, hemp, marijuana and marijuana infused products on the premises during operating hours or when child care children are present. This includes: (a) In the child care home; (b) In the outdoor play area; (c) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (d) In any vehicles where child care children are present or on any field trip. (7) All marijuana, marijuana derivatives and associated paraphernalia must be stored through one of the following methods: (a) Under a child safety device or child safety lock; or (b) In a locked room. (8) No one shall grow or distribute marijuana on the certified family child care premises. (9) No one shall consume alcohol on the certified family child care premises during operating hours or when child care children are present. (10) No one shall possess, use or store illegal controlled substances on the registered family child care premises. (11) Firearms, BB guns, pellet guns and arrows must be kept under lock, such as a key, combination, or biometric lock. A child safety lock or trigger lock does not meet this requirement (13) A provider must keep the home free of insects, rodents, and other pests. (a) Automatic insecticides dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when child care children are present. After their application, child care children must not enter the area until indicated by the manufacturer's instructions. OAR 414-360-0850 (1) The registered family child care home and grounds shall be kept clean and free of litter or rubbish and unused or inoperable equipment, and vehicles. (a) All garbage, solid waste, and refuse must be disposed of regularly, in a safe and sanitary manner. (b) Outdoor garbage storage must be inaccessible to children. OAR 414-360-0860 (2) Flammable and combustible materials: (a) Must be stored in the original container or a safety container; (b) Must not be stored within 4 feet of furnaces, other flame or heat-producing equipment, or fuel-fired water heaters; and (c) If over a gallon, kept in an unattached building, such as a shed or garage. 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: Regulated Subsidy Programs: OAR 414-180-0025(3) Floors must be free of splinters, large, unsealed cracks, sliding rugs and other hazards. OAR 414-180-0025(4) Potentially aggressive animals must not be in the same physical space as the children. OAR 414-180-0025(5) Children shall be protected from fire and safety hazards. Providers must have the following protections in place (a) All exposed electrical outlets in rooms used by preschool or younger children must have hard-to- remove protective caps or safety devices installed when the outlet is not in use. (b) Extension cords shall not be used as permanent wiring; (c) All appliance cords must be in good condition; (d) Multiple connectors for cords shall not be used; (e) A grounded power strip outlet with a built-in over-current protection may be used; (f) A stable barrier shall be installed to prevent children from falling into hazards, including, but not limited to: fireplaces, heaters and woodstoves that are in use when child care children are present; (g) A secure barrier shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers; OAR 414-180-0025(6) The child care facility has a working smoke detector on each floor level and in any area where a child naps. OAR 414-180-0025(7) Cleaning supplies, paints, matches, lighters, and any plastic bags large enough to fit over a child’s head kept under child-safety lock. OAR 414-180-0025(8) Other potentially dangerous items, such as medicine, drugs, sharp knives, and poisonous and toxic materials kept under child-safety lock. OAR 414-180-0025(9) Firearms, BB guns, pellet guns and ammunition kept under lock, with ammunition stored and locked separately. Firearms, BB guns and pellet guns must remain unloaded; OAR 414-180-0025(10) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; OAR 414-180-0025(11) All clear glass panels in doors clearly marked at child level. OAR 414-180-0025(12) Each provider must ensure that the child care facility where care is provided meets all of the following standards: (a) Each floor level used by a child has two useable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a useable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (b) The child care facility has a working telephone or telephone service in operating condition. (c) Emergency telephone numbers for fire, ambulance, police and poison control and the child care facility address must be posted in a visible location. (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (e) Broken toys, furniture and equipment must be removed from areas accessible to children. OAR 414-180-0025(13) Wading pools are prohibited for wading. OAR 414-180-0025(14) The provider is responsible for the children in care. At all times the provider must: (a) Be within sight or sound of all children; (b) Be aware of what each child is doing; (c) Be near enough to children to respond when needed. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs: OAR 414-180-0025(3) Floors must be free of splinters, large, unsealed cracks, sliding rugs and other hazards. OAR 414-180-0025(4) Potentially aggressive animals must not be in the same physical space as the children. OAR 414-180-0025(5) Children shall be protected from fire and safety hazards. Providers must have the following protections in place (a) All exposed electrical outlets in rooms used by preschool or younger children must have hard-to- remove protective caps or safety devices installed when the outlet is not in use. (b) Extension cords shall not be used as permanent wiring; (c) All appliance cords must be in good condition; (d) Multiple connectors for cords shall not be used; (e) A grounded power strip outlet with a built-in over-current protection may be used; (f) A stable barrier shall be installed to prevent children from falling into hazards, including, but not limited to: fireplaces, heaters and woodstoves that are in use when child care children are present; (g) A secure barrier shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers; OAR 414-180-0025(6) The child care facility has a working smoke detector on each floor level and in any area where a child naps. OAR 414-180-0025(7) Cleaning supplies, paints, matches, lighters, and any plastic bags large enough to fit over a child’s head kept under child-safety lock. OAR 414-180-0025(8) Other potentially dangerous items, such as medicine, drugs, sharp knives, and poisonous and toxic materials kept under child-safety lock. OAR 414-180-0025(9) Firearms, BB guns, pellet guns and ammunition kept under lock, with ammunition stored and locked separately. Firearms, BB guns and pellet guns must remain unloaded; OAR 414-180-0025(10) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; OAR 414-180-0025(11) All clear glass panels in doors clearly marked at child level. OAR 414-180-0025(12) Each provider must ensure that the child care facility where care is provided meets all of the following standards: (a) Each floor level used by a child has two useable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a useable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (b) The child care facility has a working telephone or telephone service in operating condition. (c) Emergency telephone numbers for fire, ambulance, police and poison control and the child care facility address must be posted in a visible location. (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (e) Broken toys, furniture and equipment must be removed from areas accessible to children. OAR 414-180-0025(13) Wading pools are prohibited for wading. OAR 414-180-0025(14) The provider is responsible for the children in care. At all times the provider must: (a) Be within sight or sound of all children; (b) Be aware of what each child is doing; (c) Be near enough to children to respond when needed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs: OAR 414-180-0025(3) Floors must be free of splinters, large, unsealed cracks, sliding rugs and other hazards. OAR 414-180-0025(4) Potentially aggressive animals must not be in the same physical space as the children. OAR 414-180-0025(5) Children shall be protected from fire and safety hazards. Providers must have the following protections in place (a) All exposed electrical outlets in rooms used by preschool or younger children must have hard-to- remove protective caps or safety devices installed when the outlet is not in use. (b) Extension cords shall not be used as permanent wiring; (c) All appliance cords must be in good condition; (d) Multiple connectors for cords shall not be used; (e) A grounded power strip outlet with a built-in over-current protection may be used; (f) A stable barrier shall be installed to prevent children from falling into hazards, including, but not limited to: fireplaces, heaters and woodstoves that are in use when child care children are present; (g) A secure barrier shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers; OAR 414-180-0025(6) The child care facility has a working smoke detector on each floor level and in any area where a child naps. OAR 414-180-0025(7) Cleaning supplies, paints, matches, lighters, and any plastic bags large enough to fit over a child’s head kept under child-safety lock. OAR 414-180-0025(8) Other potentially dangerous items, such as medicine, drugs, sharp knives, and poisonous and toxic materials kept under child-safety lock. OAR 414-180-0025(9) Firearms, BB guns, pellet guns and ammunition kept under lock, with ammunition stored and locked separately. Firearms, BB guns and pellet guns must remain unloaded; OAR 414-180-0025(10) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; OAR 414-180-0025(11) All clear glass panels in doors clearly marked at child level. OAR 414-180-0025(12) Each provider must ensure that the child care facility where care is provided meets all of the following standards: (a) Each floor level used by a child has two useable exits to the outdoors (a sliding door or window that can be used to evacuate a child is considered a useable exit). If a second floor is used for child care, the provider must have a written plan for evacuating occupants in the event of an emergency. (b) The child care facility has a working telephone or telephone service in operating condition. (c) Emergency telephone numbers for fire, ambulance, police and poison control and the child care facility address must be posted in a visible location. (d) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (e) Broken toys, furniture and equipment must be removed from areas accessible to children. OAR 414-180-0025(13) Wading pools are prohibited for wading. OAR 414-180-0025(14) The provider is responsible for the children in care. At all times the provider must: (a) Be within sight or sound of all children; (b) Be aware of what each child is doing; (c) Be near enough to children to respond when needed. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Certified School-Age Centers: OAR 414-310-0480(1) A School-Age Center must ensure that all toxic or potentially dangerous items, such as cleaning supplies and equipment, poisonous and toxic materials, and flammable and corrosive materials, are stored in a manner that prevents use or access by children. (a) Toxic substances must be stored separately from medication, food service equipment, and food supplies. (b) Products including toxic substances must be stored and used according to the manufacturer’s instructions including not storing products near heat sources. (c) Products must be stored in the original labeled containers. Any smaller containers or solutions mixed by staff must be labeled with the contents of the container. OAR 414-310-0480(2) A School-Age Center must take steps to prevent children’s exposure to the following if they exist on the premises: (a) Lead based paint. Any building or play structure constructed before 1978 that has peeling, flaking, chalking, or failing paint must be tested for lead. If lead-based paint is found, the center must contact the Oregon Health Authority within 5 working days and follow their required procedures for remediation of the lead hazard; (b) Plumbing and fixtures containing lead or lead solders; (c) Asbestos; (d) Toxic mold; and (e) Other identified toxins or hazards. OAR 414-310-0480(3) A School-Age Center and staff must recognize, address, or remove potentially dangerous items and situations, using protective barriers to prevent children’s access, if needed. A School-Age Center must: (a) Inspect the indoor and outdoor play areas and equipment daily for hazards, such as missing parts or broken equipment, sharp edges, splinters, and trash; and (b) Ensure open containers of water used for children’s play, such as water tables, are emptied immediately after use. OAR 414-310-0480(4) A School-Age Center must not permit any tobacco products such as cigarettes, cigars, and smokeless or vaping devices, illegal drugs, drug paraphernalia, hemp, marijuana, and marijuana infused products, or alcohol on the premises during operating hours or when children are present. This includes: (a) The playground; (b) Within 10 feet of any entrance, exit, or window that opens or any ventilation intake that serves an enclosed area; or (c) In any center vehicles or on any field trip. OAR 414-310-0480(5) A School-Age Center must not permit the possession or storage of guns, firearms, weapons, or ammunition on the center premises at any time. OAR 414-310-0480(6) A School-Age Center must ensure that all pools and other bodies of water such as hot tubs, spas, ponds, creeks, fountains, ornamental ponds, and rain barrels are inaccessible to all children. (a) Pools and hot tubs must be made inaccessible through one of the following methods: (A) A locking, rigid cover; (B) A minimum 4 foot high fence that begins at ground level, and all gates and doors that allow access are locked; (C) Four foot non-climbable sides with pool ladder removed or inaccessible; or (D) In a locked room or all doors that access the area are locked. (b) If a body of water is in proximity but not located on the premises, the center must provide a physical barrier on the property to prevent unsupervised access by children. OAR 414-310-0480(7) A School-Age Center must keep the center free of insects, rodents, and other pests. (a) Automatic insecticide dispensers, vaporizers, or fumigants must not be used. (b) Pest control products must not be applied or used when children are present. After their application, children must not enter the area until indicated by the manufacturer's instructions. OAR 414-310-0480(9) Personal items belonging to staff members must be stored according to applicable rules. 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: Certified Centers: OAR 414-305-0850(4)(a-e) A certified child care center must immediately clean up any spills of bio contaminants, such as urine, feces, blood, saliva, nasal discharge, eye discharge, and other bodily fluids as follows: (a) Staff must use disposable, nonporous gloves when handling bio contaminants; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a plastic bag with a secure tie or container with a disposable liner; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. ONB Programs: OAR 414-320-0850, Maintenance and Sanitation (5) A certified ONB program must immediately clean up any spills of bodily fluids, such as urine, feces, blood, vomit, saliva, nasal discharge, eye discharge, or other bodily fluids as follows: (a) Staff must use disposable, nonporous gloves when handling bodily fluids; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a plastic bag with a secure tie or container with a disposable liner; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. (6) A certified ONB program must keep all garbage and bodily fluid waste in non- absorbent, easily washable containers with tight-fitting lids. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0850 (3) A provider must keep all garbage and bodily fluids waste in non-absorbent, easily washable containers with tight-fitting lids. (a) Garbage and waste must be removed from the premises at least once a week. (b) Non-food, non-hazardous items and items that do not cause offensive odors, such as paper towels, may be disposed of separately from garbage and waste inside the home, in an uncovered container. (c) Garbage and waste containers and outdoor storage areas must be kept clean and minimize the presence of rodents, flies, roaches and other vermin. (d) Outdoor garbage storage must be inaccessible to children. (7) A provider must immediately clean up any spills of bodily fluids, such as urine, feces, blood, and vomit as follows: (a) Caregivers must use disposable, nonporous gloves when handling bodily fluids; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a tied or sealed plastic bag and discarded immediately; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. Registered Family Child Care Homes OAR 414-210-0850 (1) The registered family child care home and grounds shall be kept clean and free of litter or rubbish and unused or inoperable equipment, and vehicles. (a) All garbage, solid waste, and refuse must be disposed of regularly, in a safe and sanitary manner. (b) Outdoor garbage storage must be inaccessible to children. (5) A provider must immediately clean up any spills of bodily fluids, such as urine, feces, blood, vomit, and other bodily fluids as follows: (a) Caregivers must use disposable, nonporous gloves when handling bodily fluids; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a tied or sealed plastic bag and discarded immediately; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves 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: Regulated Subsidy Programs: OAR 414-180-0020(8) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs: OAR 414-180-0020(8) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs: OAR 414-180-0020(8) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Certified School-Age Centers: OAR 414-310-0490(3) A School-Age Center must immediately clean up any spills of bio contaminants, such as urine, feces, blood, saliva, nasal discharge, eye discharge, and other bodily fluids as follows: (a) Staff must use disposable, nonporous gloves when handling bio contaminants; (b) Surfaces must be cleaned and disinfected; (c) Blood-contaminated material must be disposed of in a plastic bag with a secure tie or container with a disposable liner; (d) Gloves must be removed immediately after use, placed in a tied, sealed, or otherwise closed plastic bag and discarded immediately; and (e) Hands must be washed after using and disposing of the gloves. 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: Certified Child Care Centers: Transportation Overview OAR 414-305-1200 (1) If a certified child care center transports children, the center must be in compliance with all applicable state laws, including current vehicle insurance that covers the driver, the vehicle, and all occupants. (a) If a certified child care center contracts for transportation for children while they are in care, the center is responsible for ensuring the contracted entity meets OCC’s transportation requirements including OAR 414-305-1200 through OAR 414-305-1240. The use of public-school transportation on behalf of the certified child care center is exempt from OAR 414-305-1200 through OAR 414-305- 1240. (b) Documentation must be maintained as specified in OAR 414-305-0250, Program Records. (c) A certified child care center must not transport children in vehicles or parts of vehicles not designed for transporting people, such as truck beds, campers, and trailers. (2) When children are taken on field trips, the center must ensure that: (a) When children are transported for long distances, the center provides rest and stretch stops as needed; (b) Staff check a written list of children on the field trip frequently to account for the presence of all children and: (A) Prior to boarding and exiting the vehicle; and (B) Any time the group changes locations on site (e.g. when moving from one exhibit to the next); (c) Each child wears an easily identifiable item, such as a label, shirt or wristband, listing the name and telephone number of the child care center; (d) Caregivers are easily identifiable; and (e) A notice of field trips, including the date, destination, and estimated times of departure and return, is posted at least 48 hours in advance of a field trip in a prominent place where parents and others may view it (also see OAR 414- 305- 0230, Parental Permissions and OAR 414-305-0260, Items Available to View). Transportation Staffing OAR 414-305-1210 (1) If a driver is the only adult in the vehicle, a certified child care center must ensure that the driver: (a) Meets teacher or aide II qualifications and training requirements; and (b) Meets additional driver and ratio requirements under OAR 414-305- 1210(2) through (3), Transportation Staffing. (2) A certified child care center must ensure that drivers of a vehicle used to transport children: (a) Are at least 21 years of age; (b) Have a valid driver’s license appropriate for the type of vehicle driven; (c) Are certified in first aid and CPR or accompanied by someone with certification; (d) Do not have any medical condition or use alcohol, drugs, tobacco or any medication that could compromise driving, supervision, or evacuation abilities; (e) Operate the vehicle in a legal and safe manner; and (f) Eliminate distractions such as the use of earphones or cell phones. (3) A certified child care center must ensure that there are sufficient staff to meet the required staff-to-child ratios for each age group of children being transported. (a) The driver may count in the staff-to-child ratios (also see OAR 414-305- 0400, Staff-to-Child Ratios and Group Size). (b) One staff member must be at least aide II qualified (also see OAR 414- 305- 0350 Duties and Qualifications of Aides). (c) A certified child care center may allow a parent to transport children other than the parent’s own children without a qualified staff member present in the vehicle, only if the parent meets aide II qualifications and transportation requirements as provided in these rules and is enrolled in the CBR. (4) A certified child care center must provide adequate supervision to protect children during transportation. (a) A certified child care center’s responsibility begins at the pre-arranged pick- up time or when the child is picked up, whichever is earlier, and ends at the pre- arranged drop-off time or when the child is actually dropped off with the person designated by the parent, whichever is later. (b) A certified child care center must never leave children unattended inside or outside of a vehicle. (c) A certified child care center must immediately document attendance each time a child enters and exits the vehicle. Transportation Safety OAR 414-305-1220 (1) A certified child care center must maintain the following items in the vehicle as well as at the center: (a) An operable phone; (b) Program information including center name, address, and phone number; (c) Proof of vehicle insurance; (d) A checklist of all children being transported with any pick-up and delivery times and locations; (e) Emergency medical information on each child including parents’ contact information, special medical needs, medications, allergies, the name and phone number of the child’s doctor, and emergency medical authorization forms; (f) When transporting children with chronic medical conditions (such as asthma, diabetes, or seizures), their emergency care treatment plans, supplies and medication; and (g) A first aid kit that is easily accessible to staff and not children, and with contents specified in OAR 414-305-1020, Injuries). (2) A certified child care center must ensure the following safety practices are followed: (a) The vehicle doors are locked when the vehicle is moving and when not in use. (b) The motor is turned off, the brake set, and the keys removed whenever the driver leaves the vehicle. (c) No vehicle window, except that of the driver, must be opened to more than 50 percent of its capacity when children are on board. (d) Children's entire bodies must remain in the vehicle. (e) Safe conduct to and from the vehicles and safe off-street loading spaces must be provided. (A) Children must be loaded and unloaded only at the curb or at an off- street area protected from traffic on the same side of the street as the building they will enter. (B) If children must cross a street, they must be accompanied by an adult. (f) Staff must have clear instructions on handling emergency breakdowns and accidents, including vehicle evacuation procedures, supervision of the children, and contacting emergency help. (g) Staff at the center must know the routine arrival and departure times of the vehicle and take action if the vehicle does not return at a scheduled time. (h) Before leaving the vehicle, the driver or the last personnel in the vehicle must inspect all areas of the vehicle to prevent a child from being left in the vehicle. ONB Programs OAR 414-320-1200, Transportation Overview (1) If a certified ONB program transports children, the certified ONB program must be in compliance with all applicable state laws, including current vehicle insurance that covers the driver, the vehicle, and all occupants. (a) If a certified ONB program contracts for transportation for children while they are in care, the certified ONB program is responsible for ensuring the contracted entity meets DELC’s transportation requirements including OAR 414- 320-1200 through OAR 414-320-1240. The use of public school transportation on behalf of the certified ONB program is exempt from OAR 414-320-1200 through OAR 414-320-1240 . (b) Documentation must be maintained as specified in OAR 414-320-0250 , Program Records. (c) A certified ONB program must not transport children in vehicles or parts of vehicles not designed for transporting people, such as truck beds, campers, and trailers. (2) When children are taken on field trips, the certified ONB program must ensure that: (a) When children are transported for long distances, the program provides rest and stretch stops as needed; (b) Staff check a written list of children on the field trip frequently to account for the presence of all children and: (A) Prior to boarding and exiting the vehicle; and (B) Any time the group changes locations on site (e.g. when moving from one exhibit to the next); (c) Each child wears an easily identifiable item, such as a label, shirt or wristband, listing the name and telephone number of the ONB program; (d) Caregivers are easily identifiable; and (e) A notice of field trips, including the date, destination, and estimated times of departure and return, is posted at least 48 hours in advance of a field trip in a prominent place where parents and others may view it (also see OAR 414-320- 0230, Parental Permissions and OAR 414-320-0260, Items Available to View). OAR 414-320-1210, Transportation Staffing (1) If a driver is the only adult in the vehicle, a certified ONB program must ensure that the driver: (a) Meets teacher or aide II qualifications and training requirements; and (b) Meets additional driver and ratio requirements under OAR 414-320-1210(2) through (3), Transportation Staffing. (2) A certified ONB program must ensure that drivers of a vehicle used to transport children: (a) Are at least 21 years of age; (b) Have a valid driver’s license appropriate for the type of vehicle driven; (c) Are certified in first aid and CPR or accompanied by someone with certification; (d) Do not have any medical condition or use alcohol, drugs, tobacco or any medication that could compromise driving, supervision, or evacuation abilities; (e) Operate the vehicle in a legal and safe manner; and (f) Eliminate distractions such as the use of earphones or cell phones. (3) A certified ONB program must ensure that there are sufficient staff to meet the required staff-to-child ratios for each age group of children being transported. (a) The driver may count in the staff-to-child ratios (also see OAR 414-320-0400, Staff-to-Child Ratios and Group Size). (b) One staff member must be at least aide II qualified (also see OAR 414-320- 0350 Duties and Qualifications of Aides). (c) A certified ONB program may allow a parent to transport children other than the parent’s own children without a qualified staff member present in the vehicle, only if the parent meets aide II qualifications and transportation requirements as provided in these rules, and is enrolled in the CBR. (4) A certified ONB program must provide adequate supervision to protect children during transportation. A certified ONB program must: (a) Never leave children unattended inside or outside the vehicle; (b) Immediately document attendance each time a child enters and exits the vehicle; and (c) Follow notification requirements listed in OAR 414-320-0270(5)(b) if a child is not at a designated pick-up location. OAR 414-320-1220, Transportation Safety (1) A certified ONB program must maintain the following items in the vehicle as well as on the premises of the certified ONB program: (a) An operable phone; (b) Program information including ONB program name, address, and phone number; (c) Proof of vehicle insurance; (d) A checklist of all children being transported with any pick-up and delivery times and locations; (e) Emergency medical information on each child including parents’ contact information, special medical needs, medications, allergies, the name and phone number of the child’s doctor, and emergency medical authorization forms; (f) When transporting children with chronic medical conditions (such as asthma, diabetes, or seizures), their emergency care treatment plans, supplies and medication; and (g) A first aid kit that is easily accessible to staff and not children, and with contents specified in OAR 414-320-1020, Injuries. (2) A certified ONB program must ensure the following safety practices are followed: (a) The vehicle doors are locked when the vehicle is moving and when not in use. (b) The motor is turned off, the brake set, and the keys removed whenever the driver leaves the vehicle. (c) No vehicle window, except that of the driver, is opened to more than 50 percent of its capacity when children are on board. (d) Children's entire bodies remain in the vehicle. (e) Safe conduct to and from the vehicles and safe off-street loading spaces is provided. (A) Children must be loaded and unloaded only at the curb or at an off-street area protected from traffic on the same side of the street as the building they will enter; and (B) If children must cross a street, they must be accompanied by an adult. (f) Staff must have clear instructions on handling emergency breakdowns and accidents, including vehicle evacuation procedures, supervision of the children, and contacting emergency help. (g) Staff at the certified ONB program must know the routine arrival and departure times of the vehicle and take action if the vehicle does not return at a scheduled time. (h) Before leaving the vehicle, the driver or the last personnel in the vehicle must inspect all areas of the vehicle to prevent a child from being left in the vehicle. OAR 414-320-1230, Passenger Restraints and Seating A certified ONB program must meet the following passenger restraint and seating rules to ensure children’s safety during transportation: (1) The manufacturer’s maximum seating capacity for the vehicle is not exceeded; (2) Child passenger restraint systems and seat belts must be used according to law, meet federal motor vehicle standards and installed in accordance with the manufacturer’s instructions; (3) Restraint systems are properly maintained, such as not expired, recalled, or previously involved in a crash; (4) Child care children are not permitted to ride in the front seat of a vehicle; (5) All adult passengers in a vehicle transporting children, other than a large school bus, must be properly restrained by safety belts before starting the vehicle and at all times the vehicle is in motion; and (6) Vehicles that meet the definition of a school bus that transport passengers in wheelchairs must comply with manufacturer’s instructions and specifications. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: (1) If a provider transports children, the provider must be in compliance with all applicable state laws, including current vehicle insurance that covers the driver, the vehicle, and all occupants. (2) A provider must not transport children in vehicles or parts of vehicles not designed for transporting people, such as truck beds, campers, and trailers. (3) When children are taken on field trips, a provider must ensure that: (a) Caregivers check a written list of children on the field trip frequently to account for the presence of all children and: (A) Prior to boarding and exiting the vehicle; and (B) Any time the group changes locations on site (e.g. when moving from one exhibit to the next). (b) When 6 or more children are taken on a field trip: (A) Each child must wear an easily identifiable item, such as a label, shirt or wristband, listing the name and telephone number of the certified family child care; and (B) Caregivers are easily identifiable. (4) If firearms and ammunition are stored in the vehicle, they must be stored as specified in OAR 414-360-0840(11). (5) If the driver is the only adult in the vehicle, a provider must ensure that the driver: (a) Meets assistant II qualifications and training requirements (also see OAR 414-360- 0340(3)); and (b) Meets additional driver and ratio requirements under OAR 414-360-1200(6) and (7). (6) A provider must ensure that drivers of a vehicle used to transport children: (a) Are at least 18 years of age; (b) Have a valid driver’s license appropriate for the type of vehicle driven; (c) Do not have any medical condition or use alcohol, drugs, tobacco or any medication that could compromise driving, supervision, or evacuation abilities; (d) Operate the vehicle in a legal and safe manner; and (e) Eliminate distractions such as the use of earphones or cell phones. (7) A provider must ensure that there are sufficient caregivers to meet the required caregiver-tochild ratios for children being transported. (a) The driver may also count in caregiver-to-child ratios. (b) One caregiver must be at least assistant II qualified (also see OAR 414-360-0340(3)). (8) A provider may allow a parent to transport children other than the parent’s own children without a qualified caregiver present in the vehicle, only if the parent meets assistant II qualifications and transportation requirements as provided in these rules, and is enrolled in the CBR. (9) A provider must never leave children unattended inside or outside of a vehicle. (10) A provider must maintain the following items in the vehicle as well as at the home: (a) An operable phone; (b) Proof of vehicle insurance; (c) Emergency medical information on each child including parents’ contact information, special medical needs, medications, allergies, the name and phone number of the child’s doctor, and emergency medical authorization forms; (d) When transporting children with chronic medical conditions (such as asthma, diabetes, or seizures), their emergency care treatment plans, supplies and medication; and (e) A first aid kit that is easily accessible to staff and not children, and with contents specified in OAR 414-360-1020(2), Injuries). (11) A provider must ensure the following safety practices are followed: (a) The vehicle doors are locked when the vehicle is moving and when not in use. (b) The motor is turned off, the brake set, and the keys removed whenever the driver leaves the vehicle. (c) No vehicle window, except that of the driver, must be opened to more than 50 percent of its capacity when children are on board. (d) Children's entire bodies must remain in the vehicle. (e) Safe conduct to and from the vehicles and safe off-street loading spaces must be provided. (A) Children must be loaded and unloaded only at the curb or at an off-street area protected from traffic on the same side of the street as the building they will enter. (B) If children must cross a street, they must be accompanied by an adult. OAR 414-360-1230 (1) A provider must meet the following passenger restraint and seating rules to ensure children’s safety during transportation: (a) The manufacturer’s maximum seating capacity for the vehicle is not exceeded; (b) Child passenger restraint systems and seat belts must be used according to law, meet federal motor vehicle standards and installed in accordance with the manufacturer’s instructions; (c) Restraint systems are properly maintained, such as not expired, recalled, or previously involved in a crash; (d) Child care children are not permitted to ride in the front seat of a vehicle; and (e) All adult passengers in a vehicle transporting children, other than a large school bus, must be properly restrained by safety belts before starting the vehicle and at all times the vehicle is in motion. (2) A provider must ensure that all vehicles used for transportation meet the following: (a) Vehicles, including school buses, are in compliance with all applicable state and local motor vehicle laws. (b) If a provider uses vans designed for 10 or more passengers and manufactured prior to 2010: (A) Travel speed may not exceed 50 mph; and (B) The vehicle must have an annual safety inspection by a garage, dealership or auto repair shop. Proof of inspection must be on the form provided by CCLD or on a form provided by the inspector which contains the same information. (c) Vehicles have a current license plate and registration as required by Oregon state transportation laws, including vehicles driven by volunteers. (d) Vehicles are maintained in good repair and safe operating condition at all times Registered Family Child Care Homes: OAR 414-210-1200(1) If a provider transports children, the provider must be in compliance with all applicable state laws, including current vehicle insurance that covers the driver, the vehicle, and all occupants. (2) A provider must not transport children in vehicles or parts of vehicles not designed for transporting people, such as truck beds, campers, and trailers. (3) When children are taken on field trips, a provider must ensure that: (a) Caregivers check a written list of children on the field trip frequently to account for the presence of all children and: (A) Prior to boarding and exiting the vehicle; and (B) Any time the group changes locations on site (e.g. when moving from one exhibit to the next) (b) When 6 or more children are taken on a field trip: (A) Each child must wear an easily identifiable item, such as a label, shirt or wristband, listing the name and telephone number of the registered family child care; and (B) Caregivers are easily identifiable. (4) If firearms and ammunition are stored in the vehicle, they must be stored as specified in OAR 414-210-0840(11). (5) Only the provider or a substitute provider may transport child care children and must meet the following requirements: (a) Have a valid driver’s license appropriate for the type of vehicle driven; (b) Do not have any medical condition or use alcohol, drugs, tobacco or any medication that could compromise driving, supervision, or evacuation abilities; (c) Operate the vehicle in a legal and safe manner; and (d) Eliminate distractions such as the use of earphones or cell phones. (6) A provider may allow a parent to transport children other than the parent’s own children without a provider or substitute provider present in the vehicle, only if the parent meets substitute provider qualifications and transportation requirements as provided in these rules, and is enrolled in the CBR. (7) A provider must never leave children unattended inside or outside of a vehicle. (8) A provider must maintain the following items in the vehicle as well as at the home: (a) An operable phone; (b) Proof of vehicle insurance; (c) Emergency medical information on each child including parents’ contact information, special medical needs, medications, allergies, the name and phone number of the child’s doctor, and emergency medical authorization forms; (d) When transporting children with chronic medical conditions (such as asthma, diabetes, or seizures), their emergency care treatment plans, supplies and medication; and (e) A first aid kit that is easily accessible to staff and not children, and with contents specified in OAR 414-210-1020(2), Injuries). (9) A provider must ensure the following safety practices are followed: (a) The vehicle doors are locked when the vehicle is moving and when not in use. (b) The motor is turned off, the brake set, and the keys removed whenever the driver leaves the vehicle. (c) No vehicle window, except that of the driver, must be opened to more than 50 percent of its capacity when children are on board. (d) Children's entire bodies must remain in the vehicle. (e) Safe conduct to and from the vehicles and safe off-street loading spaces must be provided. (A) Children must be loaded and unloaded only at the curb or at an off-street area protected from traffic on the same side of the street as the building they will enter. (B) If children must cross a street, they must be accompanied by an adult. OAR 414-210-1230 (1) A provider must meet the following passenger restraint and seating rules to ensure children’s safety during transportation: (a) The manufacturer’s maximum seating capacity for the vehicle is not exceeded; (b) Child passenger restraint systems and seat belts must be used according to law, meet federal motor vehicle standards and installed in accordance with the manufacturer’s instructions; (c) Restraint systems are properly maintained, such as not expired, recalled, or previously involved in a crash; (d) Child care children are not permitted to ride in the front seat of a vehicle; and (e) All adult passengers in a vehicle transporting children, other than a large school bus, must be properly restrained by safety belts before starting the vehicle and at all times the vehicle is in motion. (2) A provider must ensure that all vehicles used for transportation meet the following: (a) Vehicles, including school buses, are in compliance with all applicable state and local motor vehicle laws. (b) If a provider uses vans designed for 10 or more passengers and manufactured prior to 2010: (A) Travel speed may not exceed 50 mph; and (B) The vehicle must have an annual safety inspection by a garage, dealership or auto repair shop. Proof of inspection must be on the form provided by CCLD or on a form provided by the inspector which contains the same information. (c) Vehicles have a current license plate and registration as required by Oregon state transportation laws, including vehicles driven by volunteers. (d) Vehicles are maintained in good repair and safe operating condition at all times. 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: Regulated Subsidy Programs OAR 414-180-0025 (19) If a caregiver is transporting children, the caregiver must have a valid driver's license and proof of appropriate insurance. (20) The number of children transported shall not exceed the number of seat belts or child safety systems available in the vehicle. (21) The provider must take precautions to protect children from vehicular traffic. The provider shall: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic. (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. (22) The following vehicles may be used to transport child care children: (a) A vehicle manufactured to carry fewer than ten passengers; (b) A school bus or a multi- function school activity bus; (c) A vehicle manufactured to carry ten or more passengers that was manufactured in 2010 or after; or (d) A vehicle manufactured to carry ten or more passengers that was manufactured before 2010, with the following conditions: (A) Travel speed may not exceed 50 mph; and (B) The vehicle must have an annual safety inspection by a garage, dealership or auto repair shop. Proof of inspection must be on the form provided by the Department or on a form provided by the inspector which contains the same information. (23) The provider must have a written statement from the parent(s) regarding whether or not the provider is authorized to: (a) Take a child on a field trip or other activity outside the child care facility or participate in any water activity; and (b) Transport a child to or from school or allow a child to bus or walk to or from school or child care facility. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-180-0025 (19) If a caregiver is transporting children, the caregiver must have a valid driver's license and proof of appropriate insurance. (20) The number of children transported shall not exceed the number of seat belts or child safety systems available in the vehicle. (21) The provider must take precautions to protect children from vehicular traffic. The provider shall: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic. (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. (22) The following vehicles may be used to transport child care children: (a) A vehicle manufactured to carry fewer than ten passengers; (b) A school bus or a multi- function school activity bus; (c) A vehicle manufactured to carry ten or more passengers that was manufactured in 2010 or after; or (d) A vehicle manufactured to carry ten or more passengers that was manufactured before 2010, with the following conditions: (A) Travel speed may not exceed 50 mph; and (B) The vehicle must have an annual safety inspection by a garage, dealership or auto repair shop. Proof of inspection must be on the form provided by the Department or on a form provided by the inspector which contains the same information. (23) The provider must have a written statement from the parent(s) regarding whether or not the provider is authorized to: (a) Take a child on a field trip or other activity outside the child care facility or participate in any water activity; and (b) Transport a child to or from school or allow a child to bus or walk to or from school or child care facility. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-180-0025 (19) If a caregiver is transporting children, the caregiver must have a valid driver's license and proof of appropriate insurance. (20) The number of children transported shall not exceed the number of seat belts or child safety systems available in the vehicle. (21) The provider must take precautions to protect children from vehicular traffic. The provider shall: (a) Require drop off and pick up only at the curb or at an off-street location protected from traffic. (b) Assure that any adult who supervises drop-off and loading can see and assure that children are clear of the perimeter of all vehicles before any vehicle moves. (22) The following vehicles may be used to transport child care children: (a) A vehicle manufactured to carry fewer than ten passengers; (b) A school bus or a multi- function school activity bus; (c) A vehicle manufactured to carry ten or more passengers that was manufactured in 2010 or after; or (d) A vehicle manufactured to carry ten or more passengers that was manufactured before 2010, with the following conditions: (A) Travel speed may not exceed 50 mph; and (B) The vehicle must have an annual safety inspection by a garage, dealership or auto repair shop. Proof of inspection must be on the form provided by the Department or on a form provided by the inspector which contains the same information. (23) The provider must have a written statement from the parent(s) regarding whether or not the provider is authorized to: (a) Take a child on a field trip or other activity outside the child care facility or participate in any water activity; and (b) Transport a child to or from school or allow a child to bus or walk to or from school or child care facility. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers OAR 414-310-0210 (1)(e) A School-Age Center must have signed parent permission prior to transporting a child that includes: (A) The child’s name; (B) The purpose of transportation; (C) Whether a center or personal vehicle is used and whether the driver is staff or a volunteer; and (D) A specific pick-up and drop-off plan that addresses the location, times, and transfer of supervision. Transportation Overview OAR 414-310-0630 1) If a School-Age Center transports children, the center must follow all applicable state laws, including current vehicle insurance that covers the driver, the vehicle, and all occupants. (a) If a School-Age Center contracts for transportation for children while they are in care, the center is responsible for ensuring the contracted entity meets CCLD’s transportation requirements including OAR 414-310-0630 through OAR 414-310- 0670. The use of public-school transportation on behalf of the School-Age Center is exempt from OAR 414-310-0630 through OAR 414-310-0670. (b) Documentation must be maintained as specified in OAR 414-310-0240 Program Records. (c) A School-Age Center must not transport children in vehicles or parts of vehicles not designed for transporting people, such as truck beds, campers, and trailers. (2) When children are taken on field trips, the center must ensure that: (a) When children are transported for long distances, the center provides rest and stretch stops as needed. (b) Staff check a written list of children on the field trip frequently to account for the presence of all children and: (A) Prior to boarding and exiting the vehicle; and (B) Any time the group changes locations on site (e.g. when moving from one exhibit to the next) (c) Each child wears an easily identifiable item, such as a label, shirt or wristband, listing the name and telephone number of the center; (d) Caregivers are easily identifiable; and (e) A notice of field trips, including the date, destination, and estimated times of departure and return, is posted at least 48 hours in advance of a field trip in a prominent place where parents and others may view it (also see OAR 414-310- 0210 Parental Permissions and OAR 414-310-0250 Items Available to View). Transportation Staffing OAR 414-310-0640 (1) If a driver is the only adult in the vehicle, a School-Age Center must ensure that the driver: (a) Meets Program Leader qualifications and training requirements; and (b) Meets additional driver and ratio requirements under OAR 414-310-0640, Transportation Staffing. (2) A School-Age Center must ensure that drivers of a vehicle used to transport children: (a) Are at least 21 years of age; (b) Have a valid driver’s license appropriate for the type of vehicle driven; (c) Are certified in first aid and CPR or accompanied by someone with certification; (d) Do not have any medical condition or use alcohol, drugs, tobacco or any medication that could compromise driving, supervision, or evacuation abilities; (e) Operate the vehicle in a legal and safe manner; and (f) Eliminate distractions such as the use of earphones or cell phones. (3) A School-Age Center must ensure that there are sufficient staff to meet the required staff-to-child ratios for each age group of children being transported. (a) The driver may count in the staff-to-child ratios (also see OAR 414-310-0360 Staff-to-Child Ratios and Group Size). (b) One staff member must be at least Program Leader qualified (also see OAR 414-310-0300, Program Leaders). (c) A School-Age Center may allow a parent to transport children other than the parent’s own children without a qualified staff member present in the vehicle, only if the parent meets Program Leader qualifications and transportation requirements as provided in these rules and is enrolled in the CBR. (4) A School-Age Center must provide adequate supervision to protect children during transportation. A School-Age Center must: (a) Never leave children unattended inside or outside the vehicle; (b) Immediately document each time a child enters and exits the vehicle; and (c) Follow notification requirements listed in OAR 414-310-0260(5) if a child is not at a designated pick-up location. Transportation Safety OAR 414-310-0650 (1) A School-Age Center must maintain the following items in the vehicle as well as at the center: (a) An operable phone; (b) Program information including center name, address, and phone number; (c) Proof of vehicle insurance; (d) A checklist of all children being transported with any pick-up and delivery times and locations; (e) Emergency medical information on each child including parents’ contact information, special medical needs, medications, allergies, the name and phone number of the child’s doctor, and emergency medical authorization forms; (f) When transporting children with chronic medical conditions (such as asthma, diabetes, or seizures), their emergency care treatment plans, supplies and medication; and (g) A first aid kit that is easily accessible to staff and not to children with contents specified in OAR 414-310-0560, Injuries). (2) A School-Age Center must ensure the following safety practices are followed: (a) The vehicle doors are locked when the vehicle is moving and when not in use. (b) The motor is turned off, the brake set, and the keys removed whenever the driver leaves the vehicle. (c) No vehicle window, except that of the driver, must be opened to more than 50 percent of its capacity when children are on board. (d) Children's entire bodies must remain in the vehicle. (e) Safe conduct to and from the vehicles and safe off-street loading spaces must be provided. (A) Children must be loaded and unloaded only at the curb or at an off-street area protected from traffic on the same side of the street as the building they will enter. (B) If children must cross a street, they must be accompanied by an adult. (f) Staff must have clear instructions on handling emergency breakdowns and accidents, including vehicle evacuation procedures, supervision of the children, and contacting emergency help. (g) Staff at the center must know the routine arrival and departure times of the vehicle and act if the vehicle does not return at a scheduled time. (h) Before leaving the vehicle, the driver or the last personnel in the vehicle must inspect all areas of the vehicle to prevent a child from being left in the vehicle. 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: Child Care Centers: Staffing Requirements OAR 414-305-0300 (3) A certified child care center must ensure that at least one person who has current certification in first aid and Pediatric Cardiopulmonary Resuscitation (CPR) is present in the center at all times, during transportation, and on field trips. Orientation and Initial Training OAR 414-305-0370 (3) A certified child care center’s staff and substitutes, with the exception of cooks, must: (a) Have current certification in first aid and pediatric CPR within the first 90 days of hire. On-line CPR training is only acceptable if it includes hands-on instruction. First aid and pediatric CPR must be kept current during employment at the center. Transportation Staffing 414-305-1210 (2) A certified child care center must ensure that drivers of a vehicle used to transport children: (c) Are certified in first aid and CPR or accompanied by someone with certification. ONB Programs: OAR 414-320-0300, General Staffing Requirements (3) A certified ONB program must ensure that at least one individual who has current certification in pediatric Cardiopulmonary Resuscitation (CPR) and first aid is present with each group of children at the ONB program at all times, including during transportation, and on field trips. (4) If a certified ONB program is operating in a location where it would take more than 30 minutes to reach emergency medical care, including the time it would take an emergency responder to walk from the trailhead or parking area to the potential location, there must be at least one staff person certified in wilderness first aid and CPR present with each group of children. OAR 414-320-0370, Orientation and Initial Training (3) A certified ONB program’s staff and substitutes, with the exception of cooks, must complete the following within 90 days of hire and prior to having unsupervised access to children: (a) Have current certification in pediatric CPR and first aid. Online CPR training is only acceptable if it includes hands-on instruction. Pediatric CPR and first aid must be kept current during employment at the certified ONB program. OAR 414-320-1210, Transportation Staffing (1) If a driver is the only adult in the vehicle, a certified ONB program must ensure that the driver: (c) Are certified in first aid and CPR or accompanied by someone with certification; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0370(1) Prior to being issued an initial certificate, a provider must complete: (d) Current certification in pediatric CPR and first aid. CPR training must have practical hands-on instruction. CPR courses that involve an on-line component with hands-on instruction may be accepted. Strictly on-line CPR training is not acceptable; (3) A provider must ensure that all caregivers, including substitutes: (c) Complete the following within 90 days of beginning work in the home and prior to having unsupervised access to children: (A) Current certification in pediatric CPR and first aid. On-line CPR training is only acceptable if it includes hands-on instruction. Pediatric CPR and first aid must be kept current during employment at the certified family child care home; Registered Family Child Care Homes: OAR 414-210-0370 (1) When a person submits a new application for registration as a registered family child care, CCLD shall, prior to approving the registration, receive evidence from the applicant that the person has completed: (e) Current certification in pediatric CPR and first aid. CPR training must have practical hands- on instruction. CPR courses that involve an on-line component with hands-on instruction may be accepted. Strictly on-line CPR training is not acceptable (3) A provider must ensure that prior to having unsupervised access to children, substitute providers: (b) Complete the following: (D) Current certification in pediatric CPR and first aid within the first 90 days of hire. On-line CPR training is only acceptable if it includes hands-on instruction. Pediatric CPR and first aid certification must be kept current while working in the registered family child care home; 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: Regulated Subsidy Programs: Initially Regulated Subsidy Program providers must take the Introduction to child care health & safety class, provider Orientation part one and two, Recognizing and Reporting Child Abuse and Neglect, and Infant CPR/First Aid Training. RS providers (license exempt non-relative providers) must take a child development training, Foundation for Learning, through the Oregon Registry within 90 days of becoming approved by ERDC, to remain an approved provider. RS providers will also need to take six additional hours in each two-year period. The six hours include: two hours in Human Growth and Development (HGD), two hours in Understanding and Guiding Behavior (UGB), and providers must complete a one- hour training annually (each year) in Health, Safety & Nutrition (HSN). License exempt facility staff must also take these training courses. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs: Initially Regulated Subsidy Program providers must take the Introduction to child care health & safety class, provider Orientation part one and two, Recognizing and Reporting Child Abuse and Neglect, and Infant CPR/First Aid Training. RS providers (license exempt non-relative providers) must take a child development training, Foundation for Learning, through the Oregon Registry within 90 days of becoming approved by ERDC, to remain an approved provider. RS providers will also need to take six additional hours in each two-year period. The six hours include: two hours in Human Growth and Development (HGD), two hours in Understanding and Guiding Behavior (UGB), and providers must complete a one- hour training annually (each year) in Health, Safety & Nutrition (HSN). License exempt facility staff must also take these training courses. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs: Initially Regulated Subsidy Program providers must take the Introduction to child care health & safety class, provider Orientation part one and two, Recognizing and Reporting Child Abuse and Neglect, and Infant CPR/First Aid Training. RS providers (license exempt non-relative providers) must take a child development training, Foundation for Learning, through the Oregon Registry within 90 days of becoming approved by ERDC, to remain an approved provider. RS providers will also need to take six additional hours in each two-year period. The six hours include: two hours in Human Growth and Development (HGD), two hours in Understanding and Guiding Behavior (UGB), and providers must complete a one- hour training annually (each year) in Health, Safety & Nutrition (HSN). License exempt facility staff must also take these training courses. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. School-Age Child Care Centers: Staff Records General Staffing Requirements OAR 414-310-0270 (1) A School-Age Center must ensure that at least one person who has current certification in first aid and Pediatric Cardiopulmonary Resuscitation (CPR) is present in the center at all times, during transportation, and on field trips. Orientation and Initial Training 414-310-0330 (3) A school-age center must ensure that staff and substitutes complete the following within 90 days of hire: (a) Current certification in first aid and pediatric CPR.Online CPR training is only acceptable if it includes hands-on instruction. First aid and pediatric CPR must be kept current during employment at the center; OAR 414-310-0300(2) A Program Leader must: (b) Meet the initial and annual training requirements(also see OAR414-310-0340, Annual Training and OAR 414- 310- 0330, Orientation and Initial Training); OAR 414-310-0310(2) An Assistant Program Leader must: (d) Meet the initial training requirements (also see 414-310-0330, Orientation and Initial Training). Transportation Staffing OAR 414-310-0640 (2) A School-Age Center must ensure that drivers of a vehicle used to transport children: (c) Are certified in first aid and CPR or accompanied by someone with certification; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs: Initially Regulated Subsidy Program providers must take the Introduction to child care health & safety class, provider Orientation part one and two, Recognizing and Reporting Child Abuse and Neglect, and Infant CPR/First Aid Training. RS providers (license exempt non-relative providers) must take a child development training, Foundation for Learning, through the Oregon Registry within 90 days of becoming approved by ERDC, to remain an approved provider. RS providers will also need to take six additional hours in each two-year period. The six hours include: two hours in Human Growth and Development (HGD), two hours in Understanding and Guiding Behavior (UGB), and providers must complete a one- hour training annually (each year) in Health, Safety & Nutrition (HSN). License exempt facility staff must also take these training courses. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. School-Age Child Care Centers: Staff Records OAR 414-310-0230 A School-Age Center must maintain current personnel records for each staff, in paper or electronic format, which include: (8) Current first aid and CPR training certificate; (1) A School-Age Center must maintain records that demonstrate compliance with all rules for 2 years following the record’s creation, such as parent permissions, attendance records, emergency preparedness drills, and pet vaccinations. (a) A School-Age Center may store records off-site that are older than one year, but they must be made available within 48 hours, upon request. A School-Age Center must make all other records available to CCLD at all times. (C) Documentation that the staff has completed an orientation, first aid and CPR training, and food handler certifications, as appropriate. General Staffing Requirements OAR 414-310-0270 (3) A School-Age Center must ensure that at least one person who has current certification in first aid and Pediatric Cardiopulmonary Resuscitation (CPR) is present in the center at all times, during transportation, and on field trips. Orientation and Initial Training 414-310-0330 4) A School-Age Center may count the following initial required staff training toward the 15 clock hours of annual training during the first year of employment. These hours, with the exception of (g) cannot be applied toward the requirement of 8 hours in child development or early childhood education: (b) First aid and pediatric CPR training; (5) During subsequent years of employment, a School-Age Center may count the following repeated training as part of the 15 clock hours of training: (a) 5 hours of first aid and pediatric CPR training; (3) A School-Age Center must ensure that staff and substitutes complete the following within 90 days of hire: (a) Current certification in first aid and pediatric CPR. Online CPR training is only acceptable if it includes hands-on instruction. First aid and pediatric CPR must be kept current during employment at the center; Transportation Staffing OAR 414-310-0640 (2) A School-Age Center must ensure that drivers of a vehicle used to transport children: (c) Are certified in first aid and CPR or accompanied by someone with certification; 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: Certified Child Care Centers: General Staffing Requirements OAR 414-305-0300 (3) A certified child care center must ensure that at least one person who has current certification in first aid and Pediatric Cardiopulmonary Resuscitation (CPR) is present in the center at all times, during transportation, and on field trips. Orientation and Initial Training OAR 414-305-0370 (3) A certified child care center’s staff and substitutes, with the exception of cooks, must: (a) Have current certification in first aid and pediatric CPR within the first 90 days of hire. On-line CPR training is only acceptable if it includes hands-on instruction. First aid and pediatric CPR must be kept current during employment at the center. Transportation Staffing 414-305-1210 (2) A certified child care center must ensure that drivers of a vehicle used to transport children: (c) Are certified in first aid and CPR or accompanied by someone with certification; ONB Programs: OAR 414-320-0300, General Staffing Requirements (3) A certified ONB program must ensure that at least one individual who has current certification in pediatric Cardiopulmonary Resuscitation (CPR) and first aid is present with each group of children at the ONB program at all times, including during transportation, and on field trips. (4) If a certified ONB program is operating in a location where it would take more than 30 minutes to reach emergency medical care, including the time it would take an emergency responder to walk from the trailhead or parking area to the potential location, there must be at least one staff person certified in wilderness first aid and CPR present with each group of children. OAR 414-320-0370, Orientation and Initial Training (3) A certified ONB program’s staff and substitutes, with the exception of cooks, must complete the following within 90 days of hire and prior to having unsupervised access to children: (a) Have current certification in pediatric CPR and first aid. Online CPR training is only acceptable if it includes hands-on instruction. Pediatric CPR and first aid must be kept current during employment at the certified ONB program. OAR 414-320-1210, Transportation Staffing (1) If a driver is the only adult in the vehicle, a certified ONB program must ensure that the driver: (c) Are certified in first aid and CPR or accompanied by someone with certification; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0370(1) Prior to being issued an initial certificate, a provider must complete: (d) Current certification in pediatric CPR and first aid. CPR training must have practical hands-on instruction. CPR courses that involve an on-line component with hands-on instruction may be accepted. Strictly on-line CPR training is not acceptable; (3) A provider must ensure that all caregivers, including substitutes: (c) Complete the following within 90 days of beginning work in the home and prior to having unsupervised access to children: (A) Current certification in pediatric CPR and first aid. On-line CPR training is only acceptable if it includes hands-on instruction. Pediatric CPR and first aid must be kept current during employment at the certified family child care home; Registered Family Child Care Homes: OAR 414-210-0370 (1) When a person submits a new application for registration as a registered family child care, CCLD shall, prior to approving the registration, receive evidence from the applicant that the person has completed: (e) Current certification in pediatric CPR and first aid. CPR training must have practical hands- on instruction. CPR courses that involve an on-line component with hands-on instruction may be accepted. Strictly on-line CPR training is not acceptable (3) A provider must ensure that prior to having unsupervised access to children, substitute providers: (b) Complete the following: (D) Current certification in pediatric CPR and first aid within the first 90 days of hire. On-line CPR training is only acceptable if it includes hands-on instruction. Pediatric CPR and first aid certification must be kept current while working in the registered family child care home; 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: Regulated Subsidy Programs: OAR 414-175-0080 (12) Legally exempt providers that are not a legally exempt relative to all children in care must meet all of the requirements in this section: (a) Before approval by the Department: (A) Have an up-to-date, in-person infant and child CPR and first aid certification or have a currently valid waiver of this requirement from the Child Care Resource and Referral program. (B) Complete the Recognizing and Reporting Child Abuse and Neglect (RRCAN) web-based or classroom training. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs: OAR 414-175-0080 (12) Legally exempt providers that are not a legally exempt relative to all children in care must meet all of the requirements in this section: (a) Before approval by the Department: (A) Have an up-to-date, in-person infant and child CPR and first aid certification or have a currently valid waiver of this requirement from the Child Care Resource and Referral program. (B) Complete the Recognizing and Reporting Child Abuse and Neglect (RRCAN) web-based or classroom training. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs: OAR 414-175-0080 (12) Legally exempt providers that are not a legally exempt relative to all children in care must meet all of the requirements in this section: (a) Before approval by the Department: (A) Have an up-to-date, in-person infant and child CPR and first aid certification or have a currently valid waiver of this requirement from the Child Care Resource and Referral program. (B) Complete the Recognizing and Reporting Child Abuse and Neglect (RRCAN) web-based or classroom training. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Regulated Subsidy Programs: OAR 414-175-0080 (12) Legally exempt providers that are not a legally exempt relative to all children in care must meet all of the requirements in this section: (a) Before approval by the Department: (A) Have an up-to-date, in-person infant and child CPR and first aid certification or have a currently valid waiver of this requirement from the Child Care Resource and Referral program. (B) Complete the Recognizing and Reporting Child Abuse and Neglect (RRCAN) web-based or classroom training. 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: Certified Centers (applies to all children in care): OAR 414-305-0200(2) A certified child care center must provide the following written information to parents, staff, and volunteers: (q) Prevention of and duty to report suspected child abuse and neglect; OAR 414-305-0370 (2) A certified child care center must ensure staff, including substitutes, complete the following within 30 days of hire and prior to having unsupervised access to children: (a) Introduction to Child Care Health and Safety; and (b) A minimum of 2 hours of OCC approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes (applies to all children in care): OAR 414-360-0200(2) A provider must provide the following written information to parents, caregivers, and volunteers: (h) Prevention of and duty to report suspected child abuse and neglect; OAR 414-360-0300(2) All caregivers, including the provider must (f) Report suspected abuse, neglect, and exploitation in accordance with Oregon law (also see OAR 414-360-0270, Notifications); OAR 414-360-0370(1) Prior to being issued an initial certificate, a provider must complete: (b) A minimum of two hours of training on child abuse and neglect that is specific to Oregon law; OAR 414-360-0370(3) A provider must ensure that all caregivers, including substitutes: (b) Complete the following within 30 days of beginning work in the home and prior to having unsupervised access to children: (B) A minimum of 2 hours of CCLD approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law; Registered Family Child Care Homes (applies to all children in care): OAR 414-210-0200(1) A provider must have written information and policies identified in OAR 414-210-0200(1)(a) though (g) and provide them to substitute providers, parents, and volunteers. Information must be provided at the time of enrollment and when information changes. (f) Prevention of and duty to report suspected child abuse and neglect OAR 414-210-0370(1) When a person submits a new application for registration as a registered family child care, CCLD shall, prior to approving the registration, receive evidence from the applicant that the person has completed: (c) A minimum of two hours of training on child abuse and neglect that is specific to Oregon law; (3) A provider must ensure that prior to having unsupervised access to children, substitute providers: (a) Receive an orientation. An orientation must include, but is not limited to: (H) Procedures for reporting suspected child abuse or neglect. (b) Complete the following: (B) A minimum of 2 hours of CCLD approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law; 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: Regulated Subsidy Programs OAR 414-175-0080(7)(j) Report suspected child abuse of any child in the provider’s care to the child abuse and neglect hotline or a law enforcement agency. OAR 414-180-0030 The following behaviors by caregivers are prohibited: (1) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (2) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-305-0015 (1) The provider must give the children’s needs priority, assuring that they get adequate care and attention. (2) The child care facility must be a healthy environment for children. (3) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs OAR 414-175-0080(7)(j) Report suspected child abuse of any child in the provider’s care to the child abuse and neglect hotline or a law enforcement agency. OAR 414-180-0030 The following behaviors by caregivers are prohibited: (1) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (2) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-305-0015 (1) The provider must give the children’s needs priority, assuring that they get adequate care and attention. (2) The child care facility must be a healthy environment for children. (3) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs OAR 414-175-0080(7)(j) Report suspected child abuse of any child in the provider’s care to the child abuse and neglect hotline or a law enforcement agency. OAR 414-180-0030 The following behaviors by caregivers are prohibited: (1) Using any form of corporal punishment, including, but not limited to: hitting, spanking, slapping, beating, shaking, pinching or other measures that produce physical pain, or threatening to use any form of corporal punishment. (2) Parental request or permission to use any form of behavior listed in subsection (a) of this section, does not give the provider or substitute provider permission to do so. OAR 414-305-0015 (1) The provider must give the children’s needs priority, assuring that they get adequate care and attention. (2) The child care facility must be a healthy environment for children. (3) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers: Orientation and Initial Training OAR 414-310-0330 (1) A School-Age Center must ensure that all staff, including substitutes, receive an orientation within the first 10 days of hire and before staff have unsupervised access to children. An orientation must include, but is not limited to: (a) A review of the rules for Certified School-Age Centers; (2) A School-Age Center must ensure staff, including substitutes, complete the following within 30 days of hire and prior to having unsupervised access to children: (a) CCLD Introduction to Child Care Health and Safety; and (b) A minimum of 2 hours of CCLD approved training on recognizing and reporting child abuse and neglect that is specific to Oregon law. (3) A School-Age Center must ensure that staff and substitutes complete the following within 90 days of hire: (a) Current certification in first aid and pediatric CPR. Online CPR training is only acceptable if it includes hands-on instruction. First aid and pediatric CPR must be kept current during employment at the center; and; (b) The CCLD approved Child Development Training. 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: Certified Centers: OAR 414-305-0270 (3) Any staff member who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual, or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. ONB Programs: OAR 414-320-0270, Notifications (3) Any staff member who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Child Care Homes: OAR 414-360-0270 (2) Any caregiver who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. Registered Family Child Care Homes: OAR 414-210-0270(2) Any caregiver who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline (1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. 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: Regulated Subsidy Programs: Compliance with Child Abuse Reporting Requirements OAR 414-180-0090 Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Oregon Department of Human Services Child Welfare (ODHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Regulated Subsidy Programs: Compliance with Child Abuse Reporting Requirements OAR 414-180-0090 Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Oregon Department of Human Services Child Welfare (ODHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Regulated Subsidy Programs: Compliance with Child Abuse Reporting Requirements OAR 414-180-0090 Any caregiver who has reason to believe that any child has suffered or is currently suffering from abuse (physical injury, mental injury, neglect that leads to physical harm, sexual abuse and/or exploitation, or threat of harm) must report the information to the Oregon Department of Human Services Child Welfare (ODHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For licensed programs, see Certified School-Age Centers and for license-exempt programs see Regulated Subsidy Programs. Certified School-Age Centers: OAR 414-310-0260 (3) Any staff member who has reason to believe a child has been abused or neglected is required to report the matter immediately to the Oregon Child Abuse Hotline 1-855-503-7233), Department of Human Services Child Welfare, or a law enforcement agency. This requirement applies 24 hours a day. This requirement applies to any suspected physical, sexual, or emotional abuse; child neglect, child endangerment, or child exploitation; inappropriate sexual contact between two or more children; or attempted suicide or threats of suicide by a child. 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: All licensed child care providers are required by administrative rule to comply with USDA-CACFP meal patterns and portion sizes. ii. Access to physical activity. Describe: Certified Centers and Certified School- Age Centers require a minimum amount of physical activity per day based on the age of the children and length of time in care. Daily schedules for Certified Centers, Certified School-Age Centers, and Certified ONB Programs must include physical activity time and must make a variety of developmentally appropriate physical activity equipment available to children. Certified and Registered Family Programs rules both require a balance of active and quiet activities and play materials as well as daily outdoor activities. iii. Caring for children with special needs. Describe: Certified School-Age Centers, Certified Centers, and certified ONB Program, Certified and Registered Family administrative rules all address caring for children with special needs. The sets of rules require child care programs have a plan of care for any child that has or is at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who requires health and related services of a type or amount beyond that required by children generally The rule specifies what types of information may be included in the plan (medications, allergies, individualized services, modifications, etc.). iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Creating a Healthy Climate for Child Development: Certified School-Age Centers, Certified Centers, and certified ONB Program, Certified and Registered Family administrative rules all address Creating a Healthy Climate for Child Development. These rules require staff to communicate and interact with children in a healthy, culturally responsive manner, such as: using a calm tone of voice, using positive language to explain what children can do, greeting children upon arrival, validating children’s feelings, and modelling and teaching social skills. Guidance and Behavior Policy Requirements. Certified School-Age Centers, Certified Centers, and Certified ONB Program, Certified and Registered Family administrative rules all required that programs develop and implement a behavior and guidance policy. These rules require that the policy include the use of positive guidance to help children develop self-regulation, self-direction, and respect for others through these approaches: (a) Setting and teaching simple, consistent, clear and positive rules and limits that children can understand; (b) Setting up the environment for success with engaging activities that encourage positive behavior and self-regulation; (c) Reinforcing positive behaviors with encouragement and descriptive praise; (d) Taking steps to prevent problems before they occur and explaining safe, natural and logical consequences related to a child’s behavior; (e) Helping children recognize and appropriately express their feelings and understand the feelings of others; (f) Modeling and teaching social skills such as taking turns, cooperation, waiting, treating others kindly, and problem solving; and (g) Redirecting or helping a child change their focus when necessary. (a) ( ONB Programs: Outdoor Nature-Based Program rules include additional health and safety rules for certain types of outdoor activities, such as swimming, tool use, campfire activities, and climbing natural features (such as trees). OAR 414-320-1300, Swimming and Water Activities (1) A certified ONB program must have written permission from each child’s parent before engaging in any swimming or water activities. (2) A certified ONB program must provide supervision of children around any bodies of water. (3) A certified ONB program located within a quarter mile of an accessible body of water must obtain from the parent or guardian a signed water hazard acknowledgement. (4) For water activities that involve a water depth that is more than 24 inches deep, a certified ONB program must ensure that: (a) A certified lifeguard must be present and on-duty. A staff member or volunteer may be included in the staff-to-child ratio who is also the on-duty certified lifeguard; and (b) All children must wear approved water life jackets or approved water life vests. (5) For each body of water more than 6 feet in width, length, or diameter and when the depth of any portion of the body of water more than 24 inches, a certified ONB program must have immediate access to lifesaving equipment, e.g., a ring buoy and rope, a rescue tube, or a throwing line and a shepherd's hook that is long enough to reach the center of the body of water from the edge of the body of water. (6) At least one ONB staff member in attendance must be able to swim when children are within one quarter mile of an accessible body of water, such as a park located near a lake or stream regardless of whether or not the children are actively engaging in a water activity. (7) If children are at or near a moving body of water, an ONB staff member who can swim or a certified lifeguard must be positioned downstream of where the children are playing or otherwise take into account how water moves and their access to the body of water. (8) If a certified ONB program has on-site swimming or is responsible for off-site swimming, the program’s written emergency plan (required by OAR 414-320-0210, Emergency Preparedness and Response) must also include water and swimming safety. (9) At all times when children are engaged in swimming and wading activities on or off the premises, a certified ONB program must: (a) Ensure that staff are in or at the water and prepared to enter; (b) Meet the following staff-to-child ratios: (A) Preschool-age ￿ 1:6 (B) School-age ￿ 1:10 (C) The age of the youngest child in a mixed-age group determines the staff-to-child ratio. (c) Verify that all adults counted in the staff-to-child ratios are able to swim if the water is more than 48 inches deep; (d) Ensure that a certified lifeguard is present and on duty at all times. ONB program staff lifeguards may not count in staff-to-child ratios when more than 10 children are present; and (e) Review safety rules with children each time they participate. (10) Children in diapers or toilet training must wear swim pants to lower the risk of contaminating the water. OAR 414-320-1310, Plant Foraging Activities (1) A certified ONB program must have written permission from each child’s parent before children may consume foraged plant materials. (2) All plants gathered by children or staff that are intended to be consumed by children must be clean and safe to eat. The requirements described in OAR 414-320-1130, Food Storage and Preparation, through OAR 414-320-1140, Meals and Snacks, apply to plants gathered by children or staff that are intended to be consumed by children. (3) Certified ONB program staff must be able to demonstrate they have the level of knowledge necessary to: (a) Properly identify the different plant species that are native to the area and region where the ONB program is located; (b) Identify and avoid poisonous plants and plants that look similar to poisonous plants; and (c) Ensure that plants are harvested during the correct time of year and season. (4) A certified ONB program must ensure the area where plants are being harvested, for example an adjacent road or field, has not been sprayed with pesticides, herbicides, or other pollutants. If ONB program staff do not know or cannot determine if areas have been sprayed with pesticides, herbicides, or other pollutants, plants should not be harvested from those areas. (5) Mushrooms and other fungi of any variety must not be touched, picked, harvested, or consumed by children. (6) A certified ONB program must ensure that children do not touch, pick, harvest, or consume plants without the permission of ONB program staff. Before a child eats any type of wild vegetation, ONB program staff must ensure the vegetation has been approved for consumption by a staff person who is able to correctly identify the source plant. Prior approval by the appropriate ONB program staff person is required even if a child thinks they can correctly identify the plant. OAR 414-320-1320, Climbing Natural Feature Activities (1) Certified ONB programs may allow children to climb natural features, including trees and boulders. (2) Before allowing children to climb natural features, a certified ONB program must follow the program’s written policies and procedures to determine the appropriate methods to remove or mitigate the possibility of injury. (3) To prevent injury to children, a certified ONB program must comply with the requirements described in this subsection. (a) ONB Staff members must remove hazardous objects and mitigate hazards whenever possible from the surrounding area where children might fall. This includes, but is not limited to, removing rocks and covering sharp edges or potentially harmful protrusions including harmful protrusions or branches that may extend from trees or stumps. (b) Before a child or children climb on trees, a certified ONB program must inspect the trees for weak or loose branches or other potential hazards. (c) ONB staff members must be able to provide immediate assistance to any climbing child. To ensure adequate supervision and after conducting the benefit risk assessments described in OAR 414-320-0215, it may be necessary for ONB programs to limit the number of children climbing at one time. (d) At all times, an ONB staff member must be within reach of the midriff of a child who is climbing a natural feature 30 inches above the ground. A climbing child must not be allowed to climb out of reach of staff. (4) For school-age children and activities that involve climbing natural features or challenge courses 48 inches or higher from the ground, certified ONB programs must comply with the requirements described in the American National Standard Institute/Association for Challenge Course Technology (ANSI/ACCT) Challenge Course Standards. ONB program staff that provide climbing and challenge course activities must possess a valid and current Association for Challenge Course Technology (ACCT) Practitioner Certification. OAR 414-320-1330, Campfire Activity Supervision and Safety (1) To engage in a campfire activity, certified ONB programs must comply with this section and have permission from the landowner or park personnel to engage in campfire activities. (2) A certified ONB program must have signed written permission for campfire activities from each child's parent or guardian prior to children participating in campfire activities. Parents must be provided a copy of the ONB program's campfire activity policies and procedures. (3) Certified ONB program staff must receive training on ONB program campfire policies and procedures before the staff may lead any campfire activity. To ensure the staff are able to properly build and extinguish a fire as described in this section, the ONB program director must observe staff members' ability to properly build and extinguish a fire before the staff member may lead any campfire activities. Documentation of staff members’ training and ability to properly build and extinguish a campfire must be documented per OAR 414-320-0240, Staff Records. (4) For each campfire activity, a certified ONB program staff member must prepare and retain a record that the safe campfire practices required under this section were followed. Compliance with this subsection may include the creation of a checklist by the certified ONB program that describes the safe campfire practices that were followed before and after each campfire activity. (5) A certified ONB program must have and properly maintain a fire safety kit near the campfire that contains first-aid supplies made specifically to treat fire related injuries including, but not limited to, a fire blanket and sterile, non-adhesive bandages. ONB program staff must be prepared to smother a fire on a child's clothing or hair using equipment including, but not limited to, water, a fire suppression blanket, or 2A:10 BC fire extinguisher. (6) A certified ONB program must create a clearly visible boundary at least three feet away from the outer edge of the structure containing the fire. A certified ONB program must ensure that: (a) The area within the three-foot boundary is clear of tripping hazards such as bags or other materials; and (b) Seating is outside of the three-foot boundary and arranged so that children and adults may easily move into and out of the seating area. (7) Prior to any campfire activity, a certified ONB program must use developmentally appropriate teaching practices to ensure children understand safe behavior around a campfire. (8) Campfires must be built and extinguished according to safe fire practices provided by the U.S. Forest Service. Campfires: (a) Must not be built during periods of high, very high, or extreme fire danger in the area, or when local authorities have fire restrictions in place; (b) Must not be more than two feet in diameter; (c) Must be in a fire pit or structure that is designed for the express purpose of safely containing a campfire including, when applicable, the fire pit or structure must contain an approved bottom; and (d) Must not burn materials that release toxic substances, such as chemically treated wood, rubber, or plastics. (9) Campfires must not be left unattended for any length of time. (10) Each ONB program group may only have one campfire activity at any time. (11) Before starting a campfire activity, a certified ONB program must have the necessary equipment and supplies to safely extinguish a campfire. For purposes of this subsection, equipment and supplies include, but are not limited to, sufficient water and a shovel. Fire extinguishers must be kept on- site and comply with the requirements described in OAR 414-320-320-0860, Fire Protection. (12) While campfires are burning, ONB program staff must remain within the three-foot boundary around the fire to respond to any fire-tending needs and to prevent children from coming into close contact with the fire. (13) There must be a one-to-one (1:1) staff-to-child ratio for any child within the three-foot boundary around the fire. A staff member must remain within arms' reach of that child and the child may only assist in setting up or tending to the fire in a developmentally appropriate way, such as by placing kindling or small sticks before the fire is started. (14) Adults and children who tend to the fire must tie back long hair and secure loose clothing to reduce the risk of catching fire. (15) A certified ONB program must prevent children from: (a) Entering the three-foot boundary around the campfire without one-to- one supervision; and (b) Running or pushing within six feet of the edge of the fire-pit. OAR 414-320-1340, Tool Activity Supervision and Safety (1) During tool activities, a certified ONB program must comply with all supervision requirements described in this section. (2) A certified ONB program using developmentally appropriate outdoor nature based tools or equipment as part of their curriculum must make such tools inaccessible to children when not in use. (3) Before a child can participate in tool activities, a certified ONB program must obtain written permission from the children's parents or guardians that allows them to participate in such activities. (4) Power tools may not be used by children and must be kept inaccessible to children. (5) Folding whittling knives must be equipped with a locking feature to keep knives open when in use. (6) There must be a one-to-one (1:1) staff-to-child ratio for: (a) Any preschool-age child who is engaged in a tool activity; and (b) Any school-age child who is not proficient in using the tool for the activity. (7) There must be a one-to-three (1:3) staff-to-child ratio for any school- age children who have previously demonstrated proficiency in specific tool use. (8) Before engaging in and leading a tool activity, staff must be trained in the ONB program's tool use policies and procedures and benefit-risk assessments. (9) The ONB program director must observe, confirm, and document staff members' ability to properly use ONB tools before the staff member may lead tool use activities. (10) A certified ONB program must have a first-aid kit near the tool activity that is in compliance with the requirements described in OAR 414-320-1020, Injuries, and is equipped with first-aid supplies made specifically to treat sharp cuts, punctures, or other injuries related to the use of tools. (11) Prior to any tool use activity, a certified ONB program must use developmentally appropriate teaching practices to ensure children understand and can demonstrate safe tool use. Teaching techniques must include, but not be limited to: (a) Safe whittling practices, including using a push stroke away from the body and hand holding the piece of wood; (b) Holding a piece of wood past one's knees, to the side of one's body, or on the top of a table; (c) Wearing work or gardening gloves, especially on the hand that is not holding the tool; (d) Wearing safety goggles and other protective clothing, when appropriate; (e) Children sitting on their knees with their legs tucked under, sitting cross-legged, or at a table; (f) Allowing appropriate space between children using tools; and (g) Demonstrated understanding and proficiency of less risky tools prior to the use of tools that may pose a greater risk. (12) When using tools, the children must remain in an area designated for tool activities.