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) ￿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; 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 ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: OAR 414-350-0050(10)(b-c)) The provider shall comply with the Department of Human Services' administrative rules relating to: (b) Reporting communicable diseases (OAR 333-018-0000); and (c) Child care restrictable diseases (OAR 333- 019-0010). OAR 414-350-0180(1)(a-b) A provider shall not admit, or retain in care, 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 rules, OAR 333-019-0010; or (b) Has one of the following symptoms, or combination of symptoms, of illness: (A) Diarrhea (more than one abnormally loose, runny, watery or bloody stool); (B) Vomiting; (C) Fever over 100 degrees F taken under the arm; (D) Severe cough; (E) Unusual yellow color to skin or eyes; (F) Skin or eye lesions or rashes that are severe, weeping, or pus-filled; (G) Stiff neck and headache with one or more of the symptoms listed above; (H) Difficult breathing or abnormal wheezing; or (I) Complaints of severe pain. OAR 414-350-0180(2) A child who, after being admitted, shows signs of illness, as defined in subsection (1) of this rule, shall be isolated and the parent(s) notified and asked to remove the child from the home as soon as possible. OAR 414-350-0180(3) If a child has mild cold symptoms that do not impair his/her functioning, the child may remain in the home and the parent(s) notified when they pick up the child. OAR 414-350-0180(11) Parents of all children enrolled in the Certified Family Programs child care home shall be informed of any outbreak of communicable disease within the facility. OAR 414-350-0160(3)(g) Bio-contaminants including, but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children. Registered Family Programs OAR 414-205-0035(15) 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. OAR 414-205-0100(5)(a) 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; Rules for Registered Family Programs Child Care Homes CCLD-0086 | pg. 22 (viii)Stiff neck and headache with one or more of the symptoms listed above; (ix) Difficulty breathing or abnormal wheezing; (x) Complaints of severe pain. OAR 414-205-0100(5)(b) A child, who, after being admitted into child care, shows signs of illness, as defined in this rule, shall be separated from the other children, and the parent(s) notified and asked to remove the child from the provider’s home as soon as possible. OAR 414-205-0100(6) If a child has mild cold symptoms that do not impair his/her normal functioning, the child may remain in the provider’s home and the parent(s) notified when they pick up their child. OAR 414-205-0100(7) Parents must be notified if their child is exposed to an outbreak of a communicable disease. OAR 414-205-0120(13) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure 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(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: Per 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: 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per 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 Family Programs: OAR 414-350-0050(10)(a) The provider shall comply with the Department of Human Services' administrative rules relating to: (a) Immunization of children (OAR 333-050-0010 through 333-050-0140); Registered Family Programs: OAR 414-205-0035(15) 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. 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 Programs (to be aligned with Certified Centers in 2025): OAR 414-350-0220 (7) 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 home and placed on an appropriate sleep surface. OAR 414-350-0100 (3) (d): The Provider: The provider shall provide evidence of the following training prior to being certified: (d) Completed CCLD approved safe sleep training. OAR 414-350-0110 (2)(g): An Assistant I shall: Have completed CCLD approved safe sleep training within 30 days of employment OAR 414-350- 0110(5)(f): An Assistant II shall: Have completed CCLD approved safe sleep training. OAR 414-350-0115 (7) Training Requirements: The provider and all staff, with the exception of Assistant I's, who count in staff to child ratios must complete CCLD approved training on safe sleep prior to having unsupervised access to children. Assistant I's must complete the training within the first 30 days of employment. OAR 414-350-0115(11): When a reopen or address change application is submitted, CCLD shall, prior to approving it, receive evidence that the provider and all staff have completed CCLD-approved safe sleep training. Registered Family Programs (to be aligned with Certified Centers in 2025): OAR 414-205-0090 (11) 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 to the home and placed in an appropriate sleep surface. OAR-414-205-0040 (13)(h): Prior to substituting for the provider, a caregiver must: (h) Have completed CCLD-approved safe sleep training OAR 414-205-0055 (1): When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has: (f) Completed CCLD- approved safe sleep training. OAR 414-205-0055 (3): When a person submits a reopen application, the CCLD shall, prior to approving it, receive evidence from the individual that the individual has: (f): Completed CCLD approved safe sleep training. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-350-0180 (9) No prescription or non-prescription medication, including, but not limited to, pain relievers, sunscreen, cough syrup, diapering and first aid ointments or nose drops, shall be given to a child except under the following conditions: (a) A signed, dated, written authorization from the parent(s) is on file; (b) Prescription medication is in the original container and labeled with the child's name, the name of the drug, dosage, directions for administering, date and physician's name; (c) Non-prescription medication is in the original container, labeled with the child's name, the dosage, and directions for administering; (d) A written record of all medications administered, listing, as a minimum, the name of the child, type of medication, the signature of the caregiver administering the medication, date, time, and dosage given, shall be kept; (e) All medications shall be secured in a tightly-covered container with a child-proof lock or latch and stored so that they are not accessible to children; (f) Medications requiring refrigeration shall be kept in the refrigerator in a separate, tightly-covered container, with a child-proof lock or latch, clearly marked "medication"; and (g) Parent(s) shall be informed daily of medication administered to their child. Registered Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-205-0100 (8) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent, as required in OAR 414-205-0130(2)(b). (9) Prescription and non-prescription medications must be properly labeled and stored. (a) Non-prescription medications or topical substances must be labeled with the child's name. (b) 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. (c) Medication requiring refrigeration must be kept in a separate, tightly covered container, marked "medication," in the refrigerator. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-350-0180 (9) No prescription or non-prescription medication, including, but not limited to, pain relievers, sunscreen, cough syrup, diapering and first aid ointments or nose drops, shall be given to a child except under the following conditions: (a) A signed, dated, written authorization from the parent(s) is on file; Registered Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-205-0100 (8) Prescription and non-prescription medication shall only be given to a child if the provider has written authorization from the parent, as required in OAR 414-205-0130(2)(b). OAR 414-205-0130 (2) The provider must have a written statement from the parent(s) regarding whether or not the provider is authorized to: (a) Obtain emergency medical treatment for a child; (b) Administer medications to 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: 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 414-305-1010(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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-350-0180 (12) A written care plan must be developed 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 well-being. 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. (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 five calendar days of the occurrence. (c) All staff involved in the care of the child must be trained in the written care plan. (d) Specific food allergies must be shared with all staff that prepare and serve food. (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. Registered Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-205-0100 (12) A written care plan must be developed 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 well-being. 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. (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 five calendar days of the occurrence. (c) All staff involved in the care of the child must be trained in the written care plan. (d) Specific food allergies must be shared with all staff that prepare and serve food. (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. 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 (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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-350-0170 (19) The written plan for evacuating and removing children to a safe location in an emergency must be posted in the home and must be familiar to the children and the caregivers. The plan must include: (b) Procedures to address the needs of individual children, including infants and toddlers, children with special needs, and children with chronic medical conditions; OAR 414-350-0180 (12) (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 five calendar days of the occurrence. (c) All staff involved in the care of the child must be trained in the written care plan. (d) Specific food allergies must be shared with all staff that prepare and serve food. (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. Registered Family Programs: (will be aligned with Certified Centers in 2025) OAR 414-205-0100 (12) (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 five calendar days of the occurrence. (c) All staff involved in the care of the child must be trained in the written care plan. (d) Specific food allergies must be shared with all staff that prepare and serve food. (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 414-205-0110 (6) The provider must have a written plan for evacuating and removing children to a safe location in an emergency. The plan must be posted in the home, familiar to the children and the caregivers, and practiced at least every other month and must include: (b) Procedures to address the needs of individual children, including infants and toddlers, children with special needs and children with chronic medical conditions iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 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: 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(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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs (will be aligned with Certified Centers in 2025): OAR 414-350-0170 (1) All floor levels used by children for play and napping shall have two usable exits to ground level. (2) All rooms used by children for play and napping shall have two usable exits. (3) Obstructions, including furniture, storage of supplies, or any other items shall not be placed in a manner that blocks usable exits. The provider must complete a daily inspection to ensure that evacuation routes are clear and usable exits, including doors and escape windows, are operable. (4) There shall 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 414-350-0050 and either mounted or stored along the primary evacuation route. Fire extinguishers must be easily accessible and visible. (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. (5) The provider must inspect the fire extinguishers monthly, and the inspection must be documented. (6) Smoke alarms and carbon monoxide detectors shall be: (a) Installed on each floor level of the home and in any area where children nap; (b) Maintained in operating order; and (c) Tested monthly to ensure they are in working order. The provider must document each test. (7) Candles or other open flame decorative devices are prohibited, except for the brief use of celebratory candles. (8) Matches and lighters shall be kept in locked storage when not in use. (9) A portable light source, to be used in emergencies, shall be: (a) Available in all activity areas used by children; (b) In working conditions; and (c) Stored in an easily accessible place. (10) Items of potential danger (e.g., cleaning supplies and equipment, paints, poisonous and toxic materials, plastic bags, aerosols, detergents) shall be: (a) Kept in the original container or labeled; (b) Stored under child-proof lock; and (c) Kept away from food service supplies. (11) The provider shall protect children from safety hazards, including but not limited to: (a) A rigid screen or guard shall be installed to prevent children from falling into a fireplace or against a heater or wood stove; (b) A movable barrier, such as mesh-type gate, shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers. Gates and enclosures should have the Juvenile Products Manufacturers Assn. (JPMA) certification seal to ensure safety; (c) Child-proof latches shall be installed on all cupboards, closets, and drawers that contain hazardous objects and may be accessible to preschool-age and younger children; (d) Firearms, ammunition, and other potentially hazardous equipment, such as darts, other projectiles, power tools, and knives shall be kept under lock: (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; (e) Hot water heaters shall be equipped with a safety release valve and an overflow pipe that directs water to the floor or to another approved location; (f) Unused appliances, such as old refrigerators or freezers, that present a risk for entrapment, shall be secured so as to prevent entry by children; (g) Clear glass panels in doors shall be clearly marked at child level; (h) All exposed electrical outlets in rooms used by preschool or younger children shall have hard-to-remove protective caps or safety devices when not in use; (i) Extension cords shall not be used as permanent wiring. All appliance cords will be in good condition and multiple connectors for cords will not be used. A grounded power strip outlet with built-in over-current protection may be used; (j) Floors shall be free of splinters, large unsealed cracks, sliding rugs, and other hazards; (k) Devices which generate heat and are hot from recent use shall be inaccessible to children; and (l) After painting or laying carpet, the certified home must be aired out completely for at least 24 hours with good ventilation before children are allowed to return. (12) The provider shall have written evidence that any wood stove in the home has been inspected and approved for use by the local building official. (13) All wood stoves and fireplace flues shall be cleaned as needed or, at a minimum, once a year. A written record of cleaning shall be maintained on site. (14) The use of unvented, fuel-fired space heaters is prohibited. (15) Flammable and combustible materials: (a) Shall 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 one gallon, kept in an unattached storage building. Registered Family Programs (will be aligned with Certified Centers in 2025): OAR 414-205-0110 (1) 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; (h) Smoke alarms and carbon monoxide detectors shall be: (A) Installed on each floor level of the home, unless the floor is not under the direct control of the provider, and in any area where children nap; (B) Maintained in operating order; and (C) Tested monthly to ensure they are in working order. The provider must document each test; (i) There shall 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 414-205-0035 and either mounted or stored along the primary evacuation route. Fire extinguishers must be easily accessible, and visible. (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. (j) 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. (k) The provider must inspect the fire extinguishers monthly, and the inspection must be documented. (l) 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; (m) Cleaning supplies, paints, matches, lighters, and plastic bags kept under child-safety lock; (n) Other potentially dangerous items, such as medicine, drugs, sharp knives and poisonous and toxic materials kept under child-safety lock; (o) Flammable and combustible materials: (A) Shall 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 one gallon, kept in an unattached storage building. (p) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; and (q) All clear glass panels in doors clearly marked at child level. (2) All floor levels used by children must have access to two useable exits, as defined in OAR 414-205-0010(35), to the outdoors. (a) If a basement is used for child care purposes, the requirement for two useable exits may be met by one of the following: (A) A sliding glass door or swinging door to the outside and a window that meets the definition of a useable exit; or (B) A window which meets the definition of a useable exit and an internal stairway to ground level that has unobstructed and direct access to the outdoors. (b) If a window, which meets the definition of a usable exit, is used: (A) Steps must be placed under the window to allow children to exit without assistance; and (B) The window must be kept in good working condition. (c) If a window used as an exit has a window well, a mechanism must be in place to allow children to exit the window well. (d) The provider must complete a daily inspection to ensure that evacuation routes are clear and usable exits, including doors and escape windows, are operable. (3) Second floors (does not apply to providers registered continuously at the same address before 2009, unless the provider has moved the child care license to a new residence): (a) Child care children shall not sleep on the second floor or above; (b) Care shall not be provided for infants and toddlers on the second floor or above; (c) Night care shall not be provided on the second floor or above; (d) Children may be allowed on the second floor to use the bathroom if the only bathroom is on the second floor; (e) Care can be provided for preschool and School-Age children on the second floor or above, if: (A) There are two staircases to the ground level and all children are mobile enough to exit safely; or (B) The designated fire marshal has approved the use of the upper floor. (4) Fire drills shall be practiced monthly at varying times during child care operation hours: (a) Fire drills must include a drill including using an alternate evacuation route at least once per year; (b) An evacuation drill must be conducted when requested by CCLD during an announced visit. (c) The provider 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; 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs (will be aligned with Certified Centers in 2025): OAR 414-350-0150 (3) The outside activity area shall be: (a) Suitably surfaced and well drained. Playground equipment, such as slides, swings, climbing structures and other elevated equipment, shall be surrounded by a resilient surface of an acceptable depth or by rubber mats manufactured for such use, according to standards of the US Consumer Product Safety Commission; (b) Kept free of litter, solid waste and refuse, ditches, or other conditions presenting a potential hazard; and (c) Equipped to provide age-appropriate activities for gross motor development. (4) The outdoor activity area of the home designated for use by child care children shall be enclosed by a barrier (fence, wall, or building) at least four feet high. Certified Family Programs child care homes with certification in effect on September 15, 2002, must comply with a barrier at least three feet high until such time as the existing barrier is replaced. The spacing between vertical slats of a fence shall be no greater than 4 inches. Fences must meet applicable local codes. (5) The provider shall be aware of and protect children from any toxic or other harmful plants, shrubs, or trees. (6) The use of swimming pools shall be in accordance with OAR 414-350-0380. As specified in 414-350-0380(2)(h), portable-style wading pools are not permitted. Registered Family Programs (will be aligned with Certified Centers in 2025): OAR 414-205-0110 (8) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. OAR 414-205-0120 (11) The building and grounds must be maintained in a clean and sanitary manner. (15) Wading pools are prohibited for wading. 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 Programs (will be aligned with Certified Centers in 2025): OAR 414-350-0170 (20) 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. Registered Family Programs (will be aligned with Certified Centers in 2025): OAR 414-205-0110 (11) 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. 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; (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; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs (applies to infants, toddlers, and all children in care): OAR 414-350-0180 (5): All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-350-0115 (6): The provider and all staff, except for Assistant I's, who count in staff to child ratios must complete CCLD approved training on recognizing and reporting child abuse and neglect and child care health and safety, prior to having unsupervised access to children and functioning in their position. Assistant I's must complete the training within the first 30 days of employment. OAR 414-350-0240 (6) Prohibited punishment includes but is not limited to: (a) Hitting, slapping, shaking, striking with hand or instrument, pinching, tying, or binding, or inflicting any other form of corporal punishment; Registered Family Programs: (applies to infants, toddlers, and all children in care). OAR-414-205-0100 (1) All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-205-0035 (16) Any caregiver who has reason to believe that any child has suffered 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. OAR 414-205-0085 (6) 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; OAR 414-205-0055(1)(e): When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has (e) Completed Introduction to Child Care Health & Safety Training OAR 414-205-0100 (2)(d): When a Registered Family Programs child care provider submits a renewal application, the CCLD shall, prior to approving it, receive evidence from the provider that the provider has (d) Completed CCLD approved health and safety training. OAR 414-205-0100(3)(e): When a person submits a reopen application, the CCLD shall, prior to approving it, receive evidence from the individual that the individual has (e) Completed CCLD approved health and safety training. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs (applies to all children in care): OAR 414-350-0050 (5) Caregivers shall report suspected child abuse or neglect immediately, as required by the Child Abuse Reporting Law (ORS 419B.005 through 419B.055) to the Department of Human Services Child Welfare (DHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. OAR 414-350-0180 (5): All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-350-0240 (1) A provider shall have a written policy on guidance and discipline of children. (2) The provider shall make these policies known to all caregivers and parents. (3) The guidance and discipline policy shall: (a) Provide for positive guidance, redirection, and the setting of clear boundaries; and (b) Be designed to help the child develop self-control, self-esteem, and respect for others. (4) Only a caregiver shall provide guidance or discipline to a child. (5) Guidance and discipline shall be fair, consistently applied, timely, and appropriate to the behavior and age of the child. Positive statements or redirection of behaviors shall be used. (6) Prohibited punishment includes, but is not limited to: (a) Hitting, slapping, shaking, striking with hand or instrument, pinching, tying or binding, or inflicting any other form of corporal punishment; (b) Mental or emotional punishment including, but not limited to, name calling, ridicule, yelling, or threats; (c) Non-prescription chemical restraints used for discipline or to control behavior; (d) Confining a child in an enclosed area, (e.g., a locked or closed room, closet, box); (e) Forcing or withholding meals, snacks, rest, or necessary toilet use; or (f) Belittling a child for or forcing a child to clean up after toileting accidents. (7) The provider shall not accept parental permission to use any form of punishment listed in subsection (6) of this rule. OAR 414-350-0115 (6): The provider and all staff, except for Assistant I's, who count in staff to child ratios must complete CCLD approved training on recognizing and reporting child abuse and neglect and child care health and safety [which discusses prevention of child maltreatment], prior to having unsupervised access to children and functioning in their position. Assistant I's must complete the training within the first 30 days of employment. Registered Family Programs (applies to all children in care): OAR 414-205-0035 (16) Any caregiver who has reason to believe that any child has suffered 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. OAR 414-305-0055 (1) When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has: (d) Have completed a minimum of two hours of training on child abuse and neglect that is specific to Oregon law; (e) Completed Introduction to Child Care Health & Safety Training [which discusses prevention of child maltreatment]; OAR 414-205-0085 (1) The provider must have a written policy on guidance and discipline of child care children. The policy must be simple and understandable to the child, the parent(s) and to substitute providers. (2) The written guidance and discipline policy must be given to all parents. (3) The guidance and discipline policy shall: (a) Provide for positive guidance, redirection, and the setting of clear boundaries; and (b) Be designed to help the child develop self-control, self- esteem, and respect for others. (4) Only providers and substitutes shall provide guidance or discipline to child care children. (5) Guidance and discipline shall be fair, consistently applied, timely and appropriate to the behavior and age of the child. Positive statements or redirection of behaviors shall be used. (6) 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) Using inappropriate forms of restraints, including, but not limited to, tying or binding; (c) Using non-prescription chemicals for discipline or to control behavior; (d) Yelling harshly or using profane or abusive language; (e) Using mental or emotional punishment, including, but not limited to: name calling, ridicule or threats; (f) Confining a child in an enclosed area (e.g. a locked or closed room, closet or box); (g) Withdrawal or the threat of withdrawal of food, rest or bathroom opportunities; (h) Punishing a child for toileting accidents or for refusing to eat food; (i) Engaging in any form of public or private humiliation, rejecting, terrorizing, neglecting or corrupting a child or any form of emotional abuse; and (j) Requiring a child to remain silent or inactive for excessive periods of time or removing a child from activities or the group for excessive periods of time. (7) Parental request or permission to use any form of behavior listed in subsection (6) of this rule, does not give the provider or substitute provider permission to do so. 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: Certified Family Programs: (applies to all children in care). OAR 414-350-0050 (5) Caregivers shall report suspected child abuse or neglect immediately, as required by the Child Abuse Reporting Law (ORS 419B.005 through 419B.055) to the Department of Human Services Child Welfare (DHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per day. OAR 414-350-0180 (5): All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma. OAR 414-350-0240 (1) A provider shall have a written policy on guidance and discipline of children. (2) The provider shall make these policies known to all caregivers and parents. (3) The guidance and discipline policy shall: (a) Provide for positive guidance, redirection, and the setting of clear boundaries; and (b) Be designed to help the child develop self-control, self-esteem, and respect for others. (4) Only a caregiver shall provide guidance or discipline to a child. (5) Guidance and discipline shall be fair, consistently applied, timely, and appropriate to the behavior and age of the child. Positive statements or redirection of behaviors shall be used. (6) Prohibited punishment includes, but is not limited to: (a) Hitting, slapping, shaking, striking with hand or instrument, pinching, tying or binding, or inflicting any other form of corporal punishment; (b) Mental or emotional punishment including, but not limited to, name calling, ridicule, yelling, or threats; (c) Non-prescription chemical restraints used for discipline or to control behavior; (d) Confining a child in an enclosed area, (e.g., a locked or closed room, closet, box); (e) Forcing or withholding meals, snacks, rest, or necessary toilet use; or (f) Belittling a child for or forcing a child to clean up after toileting accidents. (7) The provider shall not accept parental permission to use any form of punishment listed in subsection (6) of this rule. OAR 414-350-0115 (6): The provider and all staff, with the exception of Assistant I's, who count in staff to child ratios must complete CCLD approved training on recognizing and reporting child abuse and neglect and child care health and safety [which discusses prevention of child maltreatment], prior to having unsupervised access to children and functioning in their position. Assistant I's must complete the training within the first 30 days of employment. Registered Family Programs (applies to all children in care): OAR 414-205-0035 (16) Any caregiver who has reason to believe that any child has suffered 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. OAR 414-305-0055 (1) When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has: (d) Have completed a minimum of two hours of training on child abuse and neglect that is specific to Oregon law; (e) Completed Introduction to Child Care Health & Safety Training [which discusses prevention of child maltreatment]; OAR 414-205-0085 (1) The provider must have a written policy on guidance and discipline of child care children. The policy must be simple and understandable to the child, the parent(s) and to substitute providers. (2) The written guidance and discipline policy must be given to all parents. (3) The guidance and discipline policy shall: (a) Provide for positive guidance, redirection, and the setting of clear boundaries; and (b) Be designed to help the child develop self-control, self- esteem, and respect for others. (4) Only providers and substitutes shall provide guidance or discipline to child care children. (5) Guidance and discipline shall be fair, consistently applied, timely and appropriate to the behavior and age of the child. Positive statements or redirection of behaviors shall be used. (6) 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) Using inappropriate forms of restraints, including, but not limited to, tying or binding; (c) Using non-prescription chemicals for discipline or to control behavior; (d) Yelling harshly or using profane or abusive language; (e) Using mental or emotional punishment, including, but not limited to: name calling, ridicule or threats; (f) Confining a child in an enclosed area (e.g. a locked or closed room, closet or box); (g) Withdrawal or the threat of withdrawal of food, rest or bathroom opportunities; (h) Punishing a child for toileting accidents or for refusing to eat food; (i) Engaging in any form of public or private humiliation, rejecting, terrorizing, neglecting or corrupting a child or any form of emotional abuse; and (j) Requiring a child to remain silent or inactive for excessive periods of time or removing a child from activities or the group for excessive periods of time. (7) Parental request or permission to use any form of behavior listed in subsection (6) of this rule, does not give the provider or substitute provider permission to do so. 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: Rules for Certified Child Care Centers CCLD-0084 | pg. 68 (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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: OAR 414-350-0170(7) Candles or other open flame decorative devices are prohibited, except for the brief use of celebratory candles. OAR 414-350-0170(8) Matches and lighters shall be kept in locked storage when not in use. OAR 414-350-0170(10) Items of potential danger (e.g., cleaning supplies and equipment, paints, poisonous and toxic materials, plastic bags, aerosols, detergents) shall be: (a) Kept in the original container or labeled; (b) Stored under child-proof lock; and (c) Kept away from food service supplies. OAR 414-350-0170(11) The provider shall protect children from safety hazards, including but not limited to: (a) A rigid screen or guard shall be installed to prevent children from falling into a fireplace or against a heater or wood stove; (b) A movable barrier, such as mesh-type gate, shall be placed at the top and/or bottom of all stairways accessible to infants and toddlers. Gates and enclosures should have the Juvenile Products Manufacturers Assn. (JPMA) certification seal to ensure safety; (c) Child-proof latches shall be installed on all cupboards, closets, and drawers that contain hazardous objects and may be accessible to preschool- age and younger children; (d) Firearms, ammunition, and other potentially hazardous equipment, such as darts, other projectiles, power tools, and knives shall be kept under lock: (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; (e) Hot water heaters shall be equipped with a safety release valve and an overflow pipe that directs water to the floor or to another approved location; (f) Unused appliances, such as old refrigerators or freezers, that present a risk for entrapment, shall be secured so as to prevent entry by children; (g) Clear glass panels in doors shall be clearly marked at child level; (h) All exposed electrical outlets in rooms used by preschool or younger children shall have hard-to-remove protective caps or safety devices when not in use; (i) Extension cords shall not be used as permanent wiring. All appliance cords will be in good condition and multiple connectors for cords will not be used. A grounded power strip outlet with built-in over-current protection may be used; (j) Floors shall be free of splinters, large unsealed cracks, sliding rugs, and other hazards; (k) Devices which generate heat and are hot from recent use shall be inaccessible to children; and (l) After painting or laying carpet, the certified home must be aired out completely for at least 24 hours with good ventilation before children are allowed to return. OAR 414-350-0170(12) The provider shall have written evidence that any wood stove in the home has been inspected and approved for use by the local building official. OAR 414-350-0170(14) The use of unvented, fuel-fired space heaters is prohibited. OAR 414-350-0170(15) Flammable and combustible materials: (a) Shall 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 one gallon, kept in an unattached storage building. OAR 414-350-0170(21) Other hazards observed in the certification process must be corrected. Registered Family Programs: OAR 414-205-0110(1) 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; (h) Smoke alarms and carbon monoxide detectors shall be: (A) Installed on each floor level of the home, unless the floor is not under the direct control of the provider, and in any area where children nap; (B) Maintained in operating order; and (C) Tested monthly to ensure they are in working order. The provider must document each test; (i) There shall 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 414-205-0035 and either mounted or stored along the primary evacuation route. Fire extinguishers must be easily accessible, and visible. (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. (j) 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. k) The provider must inspect the fire extinguishers monthly, and the inspection must be documented. (l) 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; (m)Cleaning supplies, paints, matches, lighters, and plastic bags kept under child-safety lock; (n) Other potentially dangerous items, such as medicine, drugs, sharp knives and poisonous and toxic materials kept under child- safety lock; (o) Flammable and combustible materials: (A) Shall 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 one gallon, kept in an unattached storage building. (p) If any preschool age or younger children are in care, poisonous plants must be kept out of the reach of children; and (q) All clear glass panels in doors clearly marked at child level. OAR 414-205-0110(8) The building, grounds, water supply, and toys, equipment and furniture used by children must be maintained in a hazard-free condition. (a) Broken toys, furniture and equipment must be removed from areas accessible to children. (b) Both the exterior and interior of the home must be maintained in good repair. (c) Painted surfaces must be in good condition, both inside and outside, to avoid exposing children to lead paint. (d) The provider shall report to CCLD any damage to the building that affects the provider’s ability to comply with these requirements, within 48 hours after the occurrence. 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs: OAR 414-350-0160(3)(g) Bio-contaminants including, but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure to children. Registered Family Programs: OAR 414-205-0120(13) Bio-contaminants including but not limited to bodily fluids and blood shall be disposed of in a manner that prevents exposure 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 414-180-0020(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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Registered Family Programs: OAR 414-205-0100(3) (b) A first aid kit and a copy of each child’s emergency medical information including a medical release form shall be taken any time the caregiver is transporting child care children or taking child care children on field trips. 414-205-0110 (9) If a caregiver is transporting children, the caregiver must have a valid driver's license and proof of appropriate insurance. (10) The number of children transported shall not exceed the number of seat belts or child safety systems available in the vehicle. (11) 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. (12) 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 CCLD or on a form provided by the inspector which contains the same information. Certified Family Programs: OAR 414-350-0250 Transportation When transportation is provided by or arranged for by the Certified Family Programs child care home, the following requirements must be met. (1) Drivers shall be at least 18 years of age and hold a current driver's license. (2) The vehicle shall be: (a) In compliance with all applicable state and local motor vehicle laws, and (b) Maintained in a safe operating condition. (3) If transportation is provided between the Certified Family Programs child care home and the child's school or other destination, the provider shall have in writing an acknowledgment from the parent(s) that they are aware of the time of day their child is to be picked up and/or delivered by the provider. If the pick-up schedule results in children being unsupervised at school or other location, the provider shall notify parents of this fact. (4) When transporting children: (a) The emergency information for each child who is being transported shall be in the vehicle. (b) Children shall be transported only in sections of vehicles designed for and equipped to carry passengers. (c) A seat that fully supports the passenger shall be provided for each child. (d) The number of children transported shall not exceed the number of seat belts or child safety systems available in the vehicle. (e) All children shall be transported in accordance with ORS 811.210. The child safety system and safety belts shall comply with ORS 815.055 and the standards adopted by the Oregon Department of Transportation. A child under four years of age and weighing 40 pounds or less shall be in an approved child safety system. A child between the ages of 4 and 6 years AND children who weigh between 40 and 60 pounds, regardless of age, must use a booster seat. (f) Staff/child ratios, as specified in OAR 414-350-0120, shall be maintained in vehicles, as well as in the Certified Family Programs child care home, when one caregiver is transporting children. (g) Infants, toddlers, and preschool age children shall leave the vehicle on the same side of the street as the building they will enter. (h) Drivers delivering children to their homes shall not depart until the child has been received by an authorized person. (i) No child shall be left unattended inside or outside a vehicle. (j) If firearms and ammunition are stored in a vehicle, they must be stored as specified in OAR 414-350-0170(10)(d). (5) 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 Child Care Licensing Division or on a form provided by the inspector which contains the same information. 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: OAR 414-305-0385 4) A certified child care 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: (a) Up to 2 hours of orientation at the first renewal period after the staff person’s hire date; (b) First aid and pediatric CPR training; (5) During subsequent years of employment, a certified child care 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; 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Registered Family Programs The Provider and Other Persons in the Home OAR 414-205-0040 (13) Prior to substituting for the provider, a caregiver must: (d) Have current certification in first aid and infant and child cardiopulmonary resuscitation (CPR). The certifications must be current while the caregiver is substituting for the provider. CPR training must have practical hands-on instruction. CPR courses that involve an on-line component with hands-on instruction may be accepted. Strictly online CPR training is not acceptable; (2) When a Registered Family Programs child care provider submits a renewal application, the CCLD shall, prior to approving it, receive evidence from the provider that the provider has: (a) A current certification in first aid and infant and child CPR. 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) When a person submits a reopen application, the CCLD shall, prior to approving it, receive evidence from the individual that the individual has: (a) A current certification in first aid and infant and child CPR. 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. (4) While the Registered Family Programs child care license is active, the provider must maintain current certification in first aid, infant and child CPR, food handler training, and must complete one hour of training in the category of Health, Safety & Nutrition (HSN) during each year of the two-year license period. (6) Notwithstanding OAR 414-205-0040(13)(d), 414-205-0055(1)(b), 414-205- 0055(2)(a), 414-205-0055(3)(a), an online-only CPR certification obtained between March 24, 2020, and June 30, 2022, will be accepted to meet the training requirement until the certification expires. Training Requirements 414-205-0055 (1) When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has: (b) A current certification in first aid and infant and child CPR. 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 Certified Family Programs Child Care Homes Records OAR 414-350-0080 (1) The provider shall keep the following records: (3) The provider shall provide evidence of the following training prior to being certified: (a) A current certification in first aid and infant and child cardiopulmonary resuscitation. CPR training must have practical hands-on instruction; therefore, strictly online training is not acceptable. CPR courses that involve an on-line component with hands-on instruction may be acceptable. (8) A caregiver substituting for the provider shall: (b) Have current certification in first aid and infant and child cardiopulmonary resuscitation (CPR). Training must have practical hands-on instruction; therefore, online training is not acceptable. Assistants OAR 414-350-0110 (2) An Assistant I shall: (b) Have current certification in first aid and pediatric CPR; (A) CPR courses must have practical hands-on instruction; (B) CPR courses that involve an on-line component with hands-on instruction may be accepted; (C) Strictly on-line CPR training is not acceptable; and (D) New Assistant I's must complete the training within 90 days of employment. (5) An Assistant II shall: (d) Have current certification in first aid and CPR. Training must have practical hands- on instruction; therefore, online training is not acceptable; (3) During the first year of certification and the first year of employment staff may count up to two hours of orientation and their most recent training in first aid and CPR, food handler's and recognizing and reporting child abuse and neglect training, as part of the 15 clock hours of training required in OAR 414-350-0115(2), but may not use these toward the eight hours required in child development or early childhood education. (4) During subsequent years of certification and subsequent years of employment staff may count five hours of first aid and CPR training or food handler's training as part of the 15 clock hours of training. Duplicate training on recognizing and reporting child abuse and neglect training can be accepted again after three years, and every three years thereafter towards the 15 clock hours of staff training required for licensing. (12) Notwithstanding OAR 414-350- 0100(3)(a), 414-350-0100(8)(b), 414-350-0110(2)(b)(A)(C), 414-350-0110(5)(d), an online-only CPR certification obtained between March 24, 2020, and June 30, 2022, will be accepted to meet the training requirement until the certification expires. 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 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: OAR 414-305-0385 4) A certified child care 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: (a) Up to 2 hours of orientation at the first renewal period after the staff person’s hire date; (b) First aid and pediatric CPR training; (5) During subsequent years of employment, a certified child care 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; 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; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Registered Family Programs The Provider and Other Persons in the Home OAR 414-205-0040 (13) Prior to substituting for the provider, a caregiver must: (d) Have current certification in first aid and infant and child cardiopulmonary resuscitation (CPR). The certifications must be current while the caregiver is substituting for the provider. CPR training must have practical hands-on instruction. CPR courses that involve an on-line component with hands-on instruction may be accepted. Strictly online CPR training is not acceptable; (2) When a Registered Family Programs child care provider submits a renewal application, the CCLD shall, prior to approving it, receive evidence from the provider that the provider has: (a) A current certification in first aid and infant and child CPR. 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) When a person submits a reopen application, the CCLD shall, prior to approving it, receive evidence from the individual that the individual has: (a) A current certification in first aid and infant and child CPR. 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. (4) While the Registered Family Programs child care license is active, the provider must maintain current certification in first aid, infant and child CPR, food handler training, and must complete one hour of training in the category of Health, Safety & Nutrition (HSN) during each year of the two-year license period. (6) Notwithstanding OAR 414-205-0040(13)(d), 414-205-0055(1)(b), 414-205- 0055(2)(a), 414-205-0055(3)(a), an online-only CPR certification obtained between March 24, 2020, and June 30, 2022, will be accepted to meet the training requirement until the certification expires. Training Requirements OAR 414-205-0055 (1) When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has: (b) A current certification in first aid and infant and child CPR. 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 Certified Family Programs: Records OAR 414-350-0080 (1) The provider shall keep the following records: (3) The provider shall provide evidence of the following training prior to being certified: (a) A current certification in first aid and infant and child cardiopulmonary resuscitation. CPR training must have practical hands-on instruction; therefore, strictly online training is not acceptable. CPR courses that involve an on-line component with hands-on instruction may be acceptable. (8) A caregiver substituting for the provider shall: (b) Have current certification in first aid and infant and child cardiopulmonary resuscitation (CPR). Training must have practical hands-on instruction; therefore, online training is not acceptable. Assistants OAR 414-350-0110 (2) An Assistant I shall: (b) Have current certification in first aid and pediatric CPR; (A) CPR courses must have practical hands-on instruction; (B) CPR courses that involve an on-line component with hands-on instruction may be accepted; (C) Strictly on-line CPR training is not acceptable; and (D) New Assistant I's must complete the training within 90 days of employment. (5) An Assistant II shall: (d) Have current certification in first aid and CPR. Training must have practical hands- on instruction; therefore, online training is not acceptable; (3) During the first year of certification and the first year of employment staff may count up to two hours of orientation and their most recent training in first aid and CPR, food handler's and recognizing and reporting child abuse and neglect training, as part of the 15 clock hours of training required in OAR 414-350-0115(2), but may not use these toward the eight hours required in child development or early childhood education. (4) During subsequent years of certification and subsequent years of employment staff may count five hours of first aid and CPR training or food handler's training as part of the 15 clock hours of training. Duplicate training on recognizing and reporting child abuse and neglect training can be accepted again after three years, and every three years thereafter towards the 15 clock hours of staff training required for licensing. (12) Notwithstanding OAR 414-350- 0100(3)(a), 414-350-0100(8)(b), 414-350-0110(2)(b)(A)(C), 414-350-0110(5)(d), an online-only CPR certification obtained between March 24, 2020, and June 30, 2022, will be accepted to meet the training requirement until the certification expires. 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 infants, toddlers, and all children in care): 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. (c) Complete the CCLD approved Child Development Training within 90 days of hire. 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; ii. All CCDF-eligible licensed family child care homes. Provide the standard: Certified Family Programs (applies to infants, toddlers, and all children in care): OAR 414-350-0115 (3) (a) Recognizing and reporting child abuse and neglect training must be based on Oregon law and practice, so information is relevant to reporting in Oregon. (b) Recognizing and reporting child abuse and neglect training must be two clock hours or more in duration to be accepted. (4) Duplicate training on recognizing and reporting child abuse and neglect training can be accepted again after three years, and every three years thereafter towards the 15 clock hours of staff training required for licensing. (6): The provider and all staff, except for Assistant I's, who count in staff to child ratios must complete CCLD approved training on recognizing and reporting child abuse and neglect and child care health and safety, prior to having unsupervised access to children and functioning in their position. Assistant I's must complete the training within the first 30 days of employment. (9) After September 30, 2022, staff members must complete CCLD-approved child development training within 90 days of employment unless the training was completed previously. Registered Family Programs (applies to infants, toddlers, and all children in care): OAR 414-205-0055(1)(e): When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has (e) Completed Introduction to Child Care Health & Safety Training. (5) After September 30, 2022, staff members must complete CCLD-approved child development training within 90 days of employment unless the training was completed previously. OAR 414-205-0035(1) When a person submits a new application for registration as a family child care provider, CCLD shall, prior to approving the registration, receive evidence from the person that the person has: (d) Have completed a minimum of two hours of training on child abuse and neglect that is specific to Oregon law; (3)(c) A training on recognizing and reporting child abuse and neglect will be accepted again after five years (and every five years thereafter) as part of the ten clock hours of training required for licensing, but will not be accepted as part of the required child development training hours. 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. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Registered Family Programs (applies to infants, toddlers, and all children in care): OAR 414-205-0035 (16) Any caregiver who has reason to believe that any child has suffered 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. Certified Family Programs: OAR 414-350-0050 (5) Caregivers shall report suspected child abuse or neglect immediately, as required by the Child Abuse Reporting Law (ORS 419B.005 through 419B.055) to the Department of Human Services Child Welfare (DHS) or to a law enforcement agency. By statute, this requirement applies 24 hours per 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: 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 must include physical activity time and centers 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. iii. Caring for children with special needs. Describe: Certified School-Age Centers and Certified Centers administrative rules both address caring for children with special needs. Both 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.). Certified Family Programs require care plans for any child enrolled with special needs. 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 OAR 414-305-0510 (1) When communicating or interacting with children, a certified child care center must ensure staff maintain a climate for healthy, culturally responsive child development such as: (a) Using a calm and encouraging tone of voice; (b) Using positive language to explain what children can do and give descriptive feedback; (c) Having relaxed conversations with children by listening and responding to what they say. Adult conversations must not dominate the overall sound of the group; (d) Greeting children upon arrival and acknowledging their departure; (e) Using facial expressions such as smiling, laughing, and enthusiasm to match a child’s mood; (f) Using physical proximity in a culturally responsive way to speak to children at their eye level; (g) Validating children’s feelings and showing tolerance for mistakes; (h) Being responsive, listening to children’s requests and questions, and encouraging children to share experiences, ideas, and feelings; (i) Observing children in order to learn about their families, cultures, individual interests, ideas, questions, and theories; (j) Modeling and teaching emotional skills such as recognizing feelings, expressing them appropriately, accepting others' feelings, and controlling impulses to act out feelings; (k) Being respectful of cultural traditions, values, religion and beliefs of enrolled families; and (l) Interacting with staff and other adults in a positive, respectful manner. (2) A certified child care center must ensure staff encourage positive interactions between and among children with techniques such as: (a) Giving children several chances a day to interact with each other while playing or completing routine tasks; (b) Modeling social skills; (c) Encouraging socially isolated children to find friends; (d) Helping children understand feelings of others; and (e) Encouraging interactions between children of all abilities. and Increased guidance and behavior policy requirements OAR 414-305-0700 A certified child care center must have a written policy on behavior and guidance of children that is simple and understandable to the child, the parent(s), and all staff (also see OAR 414-305-0200, Policies). (2) A certified child care center must have the behavior and guidance policy available in a prominent and frequently visited location for the parents and public to view. (3) A certified child care center’s behavior and guidance policy must include the use of positive guidance to help children develop self-control, 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) Following a predictable daily routine and schedule with planned transitions; (d) Reinforcing positive behaviors with encouragement and descriptive praise; (e) Supervising actively, taking steps to prevent problems before they occur and explaining safe, natural and logical consequences related to a child’s behavior; (f) Helping children recognize and appropriately express their feelings and understand the feelings of others; (g) Modeling and teaching social skills such as taking turns, cooperation, waiting, treating others kindly, and problem solving; and (h) Redirecting or helping a child change their focus to something appropriate when their behavior is unacceptable. (4) A certified child care center must ensure that only staff shall provide guidance to a child. (5) A certified child care center must provide guidance that is fair, consistently applied, timely, and appropriate to the behavior, age, and development of the child. (6) When other methods have not been effective, a certified child care center may remove a preschool or School-Age child from an activity or group for the time necessary to regain self-control. Staff must be actively responsive to the child’s needs. When the child has regained self-control, the child may rejoin a group or ongoing activity. (7) A certified child care center must have a policy that addresses how staff must proceed if a child is displaying inappropriate behaviors that could endanger themselves or the safety of others (see OAR 414-305-0200, Policies). (8) A certified child care center must intervene appropriately to stop biased behavior displayed by children or adults, including but not limited to: (a) Redirecting an inappropriate conversation or behavior; (b) Being aware of situations that may involve bias, responding appropriately, taking actions to prevent future occurrences; and (c) Refusing to ignore bias