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: All health reports require a statement that the child is free from contagious disease and a record of the child's immunizations. The facility also must adhere to the Pennsylvania Department of Health regulations relating to immunization requirements. Prevention of infectious disease results, from the regulatory requirement that children receive the proper immunizations pursuant to the recommendations of the Advisory Committee on Immunization Practices (ACIP). Control for infectious disease results, from the regulatory requirements that parents be notified when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency. An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly, and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer a threat to the health of others. The notification shall be retained in the child’s file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Cloth towels shall be labeled with child's name and laundered weekly. The Director shall arrange a laundry schedule with the parent. Paper towels may be used as towels and wash cloth but shall be discarded after every use. Liquid or powdered soap shall be used for handwashing. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All health reports require a statement that the child is free from contagious disease and a record of the child's immunizations. The facility also must adhere to the Pennsylvania Department of Health regulations relating to immunization requirements. Prevention of infectious disease results, from the regulatory requirement that children receive the proper immunizations pursuant to the recommendations of the Advisory Committee on Immunization Practices (ACIP). Control for infectious disease results, from the regulatory requirements that parents be notified when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency. An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly, and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer a threat to the health of others. The notification shall be retained in the child’s file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Cloth towels shall be labeled with child's name and laundered weekly. The Director shall arrange a laundry schedule with the parent. Paper towels may be used as towels and wash cloth but shall be discarded after every use. Liquid or powdered soap shall be used for handwashing. 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: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All health reports require a statement that the child is free from contagious disease and a record of the child's immunizations. The facility also must adhere to the Pennsylvania Department of Health regulations relating to immunization requirements. Prevention of infectious disease results, from the regulatory requirement that children receive the proper immunizations pursuant to the recommendations of the Advisory Committee on Immunization Practices (ACIP). Control for infectious disease results, from the regulatory requirements that parents be notified when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency. An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly, and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer a threat to the health of others. The notification shall be retained in the child’s file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Cloth towels shall be labeled with child's name and laundered weekly. The Director shall arrange a laundry schedule with the parent. Paper towels may be used as towels and wash cloth but shall be discarded after every use. Liquid or powdered soap shall be used for handwashing. 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: All health reports require a statement that the child is free from contagious disease and a record of the child's immunizations. The facility also must adhere to the Pennsylvania Department of Health regulations relating to immunization requirements. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All health reports require a statement that the child is free from contagious disease and a record of the child's immunizations. The facility also must adhere to the Pennsylvania Department of Health regulations relating to immunization requirements. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All health reports require a statement that the child is free from contagious disease and a record of the child's immunizations. The facility also must adhere to the Pennsylvania Department of Health regulations relating to immunization requirements. 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: Infants must be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician assistant or a CRNP and placed in the child’s record at the facility. All cribs must be free of toys, bumper pads, and pillows while an infant is sleeping in the crib. Individual, clean age-appropriate rest equipment must be provided for toddler and infant children as agreed between the child’s parent and the operator. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Infants must be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician assistant or a CRNP and placed in the child’s record at the facility. All cribs must be free of toys, bumper pads, and pillows while an infant is sleeping in the crib. Individual, clean age-appropriate rest equipment must be provided for toddler and infant children as agreed between the child’s parent and the operator. 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: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: School aged only programs do not have a standard in place to prevent sudden infant death syndrome or safe sleep practices. This is due to these programs not caring for children in this age group. 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: All medications must be administered pursuant to current regulations, including but not limited to mandatory signed, written parental consent to administer medication. As a matter of practice, regulations require that medication be accepted only in an original container; is administered by staff pursuant to parental consent; is identified on the label by its name; identifies the name of the child for whom the medication is intended; that medication is stored in a locked area of the facility or in an area that is out of reach of children ,in accordance with the manufacturer's/health professional's instructions; and that medication, once administered, is recorded in a medication log established and maintained by the operator. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All medications must be administered pursuant to current regulations, including but not limited to mandatory signed, written parental consent to administer medication. As a matter of practice, regulations require that medication be accepted only in an original container; is administered by staff pursuant to parental consent; is identified on the label by its name; identifies the name of the child for whom the medication is intended; that medication is stored in a locked area of the facility or in an area that is out of reach of children ,in accordance with the manufacturer's/health professional's instructions; and that medication, once administered, is recorded in a medication log established and maintained by the operator. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All medications must be administered pursuant to current regulations, including but not limited to mandatory signed, written parental consent to administer medication. As a matter of practice, regulations require that medication be accepted only in an original container; is administered by staff pursuant to parental consent; is identified on the label by its name; identifies the name of the child for whom the medication is intended; that medication is stored in a locked area of the facility or in an area that is out of reach of children ,in accordance with the manufacturer's/health professional's instructions; and that medication, once administered, is recorded in a medication log established and maintained by the operator. 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: All medications must be administered pursuant to current regulations, including but not limited to mandatory signed, written parental consent to administer medication. As a matter of practice, regulations require that medication be accepted only in an original container; is administered by staff pursuant to parental consent; is identified on the label by its name; identifies the name of the child for whom the medication is intended; that medication is stored in a locked area of the facility or in an area that is out of reach of children ,in accordance with the manufacturer's/health professional's instructions; and that medication, once administered, is recorded in a medication log established and maintained by the operator. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All medications must be administered pursuant to current regulations, including but not limited to mandatory signed, written parental consent to administer medication. As a matter of practice, regulations require that medication be accepted only in an original container; is administered by staff pursuant to parental consent; is identified on the label by its name; identifies the name of the child for whom the medication is intended; that medication is stored in a locked area of the facility or in an area that is out of reach of children ,in accordance with the manufacturer's/health professional's instructions; and that medication, once administered, is recorded in a medication log established and maintained by the operator. 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: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All medications must be administered pursuant to current regulations, including but not limited to mandatory signed, written parental consent to administer medication. As a matter of practice, regulations require that medication be accepted only in an original container; is administered by staff pursuant to parental consent; is identified on the label by its name; identifies the name of the child for whom the medication is intended; that medication is stored in a locked area of the facility or in an area that is out of reach of children ,in accordance with the manufacturer's/health professional's instructions; and that medication, once administered, is recorded in a medication log established and maintained by the operator. 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: All facility phones must list phone numbers for the nearest hospital, police department, fire department, ambulance, and poison control center. All health reports must list the child's allergies, and regulations require that all facility persons be competent in pediatric first aid and pediatric cardiopulmonary resuscitation. Emergency contact information for the child includes information on the child' s special needs, as specified by the child's parent, physician, physician assistant or CRNP, which is needed in an emergency. During an emergency, a staff person must accompany and stay with the child and document the emergency. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and accompany a staff person who leaves on an excursion with children. Prevention is contemplated in the requirement for providers to establish and regularly update child(ren)s' health reports to specifically include information about allergies. If emergency medical care is needed for a child, the child(ren)'s parent must be contacted per Department regulation as soon as possible by a staff person. ii. All CCDF-eligible licensed family child care homes. Provide the standard: All facility phones must list phone numbers for the nearest hospital, police department, fire department, ambulance, and poison control center. All health reports must list the child's allergies, and regulations require that all facility persons be competent in pediatric first aid and pediatric cardiopulmonary resuscitation. Emergency contact information for the child includes information on the child' s special needs, as specified by the child's parent, physician, physician assistant or CRNP, which is needed in an emergency. During an emergency, a staff person must accompany and stay with the child and document the emergency. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and accompany a staff person who leaves on an excursion with children. Prevention is contemplated in the requirement for providers to establish and regularly update child(ren)s' health reports to specifically include information about allergies. If emergency medical care is needed for a child, the child(ren)'s parent must be contacted per Department regulation as soon as possible by a staff person. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All facility phones must list phone numbers for the nearest hospital, police department, fire department, ambulance, and poison control center. All health reports must list the child's allergies, and regulations require that all facility persons be competent in pediatric first aid and pediatric cardiopulmonary resuscitation. Emergency contact information for the child includes information on the child' s special needs, as specified by the child's parent, physician, physician assistant or CRNP, which is needed in an emergency. During an emergency, a staff person must accompany and stay with the child and document the emergency. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and accompany a staff person who leaves on an excursion with children. Prevention is contemplated in the requirement for providers to establish and regularly update child(ren)s' health reports to specifically include information about allergies. If emergency medical care is needed for a child, the child(ren)'s parent must be contacted per Department regulation as soon as possible by a staff person. 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: Within 90 days of hire all staff must complete professional development training in the prevention and response to emergencies due to food and allergic reactions. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Within 90 days of hire all staff must complete professional development training in the prevention and response to emergencies due to food and allergic reactions. iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Within 90 days of hire all staff must complete professional development training in the prevention and response to emergencies due to food and allergic reactions. 5.3.5 Building and physical premises safety, including the identification of and protection from hazards, bodies of water, and vehicular traffic health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from building and physical premises hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: As a condition precedent for certification, the facility must provide a certificate of occupancy as proof compliance with the applicable requirements of the Department of Labor and Industry. Physical site regulations further address safety, including but not limited to the measurement and use of indoor child care space, the measurement and use of play space, outdoor space, outside walkways, protective electrical covers, toxics, sanitation, smoking, water, indoor temperature, hot water pipes and other sources of heat, paint, lighting, firearms, stairs, glass, and ventilation. Regulations have been promulgated that require all building surfaces be free from visible hazards; that require operators to notify parents and local authorities about vehicular routes, pickup, and drop off points around the facility; that require operators to secure and store toxics such that they are made inaccessible to children and do not contaminate food areas or play surfaces; that require operators to ensure hot water temperatures do not exceed 110° F and that hot water pipes accessible to children be insulated; that require operators to ensure that protective receptacle covers are used in all electrical outlets accessible to children; that require operators to render inaccessible to children access to any in- ground (via fencing with a locked gate), above-ground, and indoor swimming pools, and that require operators to otherwise use fencing or natural barriers to restrict children from unsafe areas or conditions in or near outdoor play spaces. ii. All CCDF-eligible licensed family child care homes. Provide the standard: As a condition precedent for certification, the facility must provide a certificate of occupancy as proof compliance with the applicable requirements of the Department of Labor and Industry. Physical site regulations further address safety, including but not limited to the measurement and use of indoor child care space, the measurement and use of play space, outdoor space, outside walkways, protective electrical covers, toxics, sanitation, smoking, water, indoor temperature, hot water pipes and other sources of heat, paint, lighting, firearms, stairs, glass, and ventilation. Regulations have been promulgated that require all building surfaces be free from visible hazards; that require operators to notify parents and local authorities about vehicular routes, pickup, and drop off points around the facility; that require operators to secure and store toxics such that they are made inaccessible to children and do not contaminate food areas or play surfaces; that require operators to ensure hot water temperatures do not exceed 110° F and that hot water pipes accessible to children be insulated; that require operators to ensure that protective receptacle covers are used in all electrical outlets accessible to children; that require operators to render inaccessible to children access to any in- ground (via fencing with a locked gate), above-ground, and indoor swimming pools, and that require operators to otherwise use fencing or natural barriers to restrict children from unsafe areas or conditions in or near outdoor play spaces. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: As a condition precedent for certification, the facility must provide a certificate of occupancy as proof compliance with the applicable requirements of the Department of Labor and Industry. Physical site regulations further address safety, including but not limited to the measurement and use of indoor child care space, the measurement and use of play space, outdoor space, outside walkways, protective electrical covers, toxics, sanitation, smoking, water, indoor temperature, hot water pipes and other sources of heat, paint, lighting, firearms, stairs, glass, and ventilation. Regulations have been promulgated that require all building surfaces be free from visible hazards; that require operators to notify parents and local authorities about vehicular routes, pickup, and drop off points around the facility; that require operators to secure and store toxics such that they are made inaccessible to children and do not contaminate food areas or play surfaces; that require operators to ensure hot water temperatures do not exceed 110° F and that hot water pipes accessible to children be insulated; that require operators to ensure that protective receptacle covers are used in all electrical outlets accessible to children; that require operators to render inaccessible to children access to any in- ground (via fencing with a locked gate), above-ground, and indoor swimming pools, and that require operators to otherwise use fencing or natural barriers to restrict children from unsafe areas or conditions in or near outdoor play spaces. 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: Regulations have been promulgated that require operators to render inaccessible to children access to any in-ground (via fencing with a locked gate), above-ground, and indoor swimming pools, and that require operators to otherwise use fencing or natural barriers to restrict children from unsafe areas or conditions in or near outdoor play spaces. This would include bodies of water. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Regulations have been promulgated that require operators to render inaccessible to children access to any in-ground (via fencing with a locked gate), above-ground, and indoor swimming pools, and that require operators to otherwise use fencing or natural barriers to restrict children from unsafe areas or conditions in or near outdoor play spaces. This would include bodies of water. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Regulations have been promulgated that require operators to render inaccessible to children access to any in-ground (via fencing with a locked gate), above-ground, and indoor swimming pools, and that require operators to otherwise use fencing or natural barriers to restrict children from unsafe areas or conditions in or near outdoor play spaces. This would include bodies of water. 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: Regulations have been promulgated for Child Care Centers that require an operator to notify local traffic safety authorities annually in writing of the location of the facility and the program’s use of pedestrian and vehicular routes around the child care facility. The operator must also determine safe pedestrian crossways, pick up and drop-off points and bike routes in the vicinity of the facility and this must be communicated to the children and parents in writing. The operator is required to post written notification of safe routes at a conspicuous location in the child care facility and children are only able to be picked up and discharged at locations specified by the facility as safe locations. For Group Child Care, the operator must notify local traffic safety authorities in writing of the location of the facility and about the program’s use of pedestrian and vehicular routes around the group child care facility and determine safe pedestrian crossways, pick-up and drop-off points, and bike routes in the vicinity of the facility and communicate to children and parents in writing. Written notification of safe routes must be posted in the facility in a conspicuous location. Children must only be picked up and discharged at locations specified by the operator as safe locations. ii. All CCDF-eligible licensed family child care homes. Provide the standard: This standard is not applicable to licensed family child care homes in Pennsylvania. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Regulations have been promulgated for Child Care Centers that require an operator to notify local traffic safety authorities annually in writing of the location of the facility and the program’s use of pedestrian and vehicular routes around the child care facility. The operator must also determine safe pedestrian crossways, pick-up and drop-off points, and bike routes in the vicinity of the facility, and this must be communicated to the children and parents in writing. The operator is required to post written notification of safe routes at a conspicuous location in the child care facility and children are only able to be picked up and discharged at locations specified by the facility as safe locations. For Group Child Care, the operator must notify local traffic safety authorities in writing of the location of the facility and about the program’s use of pedestrian and vehicular routes around the group child care facility and determine safe pedestrian crossways, pick-up and drop-off points, and bike routes in the vicinity of the facility and communicate to children and parents in writing. Written notification of safe routes must be posted in the facility in a conspicuous location. Children must only be picked up and discharged at locations specified by the operator as safe locations. 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: Staff may not use any form of physical discipline, including spanking a child; they may not single out a child for ridicule or otherwise degrade or threaten a child or the child's family; they may not use harsh, demeaning or abusive language in the presence of children; they may not restrain a child by using bonds, ties or straps to restrict a child's movement nor may staff enclose a child in a confined space, closet, or locked room. Additionally, staff must obtain training regarding child abuse and mistreatment as required by the child protective services law. Announcement C- 22-03 "Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment" issued on January 24, 2022, demonstrates compliance with 98.41 (a)(1)(vi). This announcement addresses new certification requirements for child care providers to develop a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Announcement C-22- 03 also addressed that prevention of shaken baby syndrome, abusive head trauma, and child maltreatment is a required health and safety training topic that must be completed before a child care staff can care for children unsupervised. This means untrained child care staff must be supervised at all times by a trained, qualified child care staff person (at a minimum assistant group supervisor or primary staff person) until the untrained staff have obtained required training. This requirement was outlined in Announcement C-22-02 "Updates to Health and Safety Training and Professional Development Requirements. "Beginning April 29, 2022, the citations for non-compliance with federal requirements at 45 CFR 98.41(a)(1)(vi) will be issued under 55 Pa. Code § 3270.14, § 3270.21, § 3280.14, § 3280.20, and § 3290.18, all pertaining to compliance with pertinent laws and regulations. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Staff may not use any form of physical discipline, including spanking a child; they may not single out a child for ridicule or otherwise degrade or threaten a child or the child's family; they may not use harsh, demeaning or abusive language in the presence of children; they may not restrain a child by using bonds, ties or straps to restrict a child's movement nor may staff enclose a child in a confined space, closet, or locked room. Additionally, staff must obtain training regarding child abuse and mistreatment as required by the child protective services law. Announcement C-22-03 "Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment" issued on January 24, 2022, demonstrates compliance with 98.41 (a)(1)(vi). This announcement addresses new certification requirements for child care providers to develop a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Announcement C-22- 03 also addressed that prevention of shaken baby syndrome, abusive head trauma, and child maltreatment is a required health and safety training topic that must be completed before a child care staff can care for children unsupervised. This means untrained child care staff must be supervised at all times by a trained, qualified child care staff person (at a minimum assistant group supervisor or primary staff person) until the untrained staff have obtained required training. This requirement was outlined in Announcement C-22-02 "Updates to Health and Safety Training and Professional Development Requirements. "Beginning April 29, 2022, the citations for non- compliance with federal requirements at 45 CFR 98.41(a)(1)(vi) will be issued under 55 Pa. Code § 3270.14, § 3270.21, § 3280.14, § 3280.20, and § 3290.18, all pertaining to compliance with pertinent laws and regulations. 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: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Staff may not use any form of physical discipline, including spanking a child; they may not single out a child for ridicule or otherwise degrade or threaten a child or the child's family; they may not use harsh, demeaning or abusive language in the presence of children; they may not restrain a child by using bonds, ties or straps to restrict a child's movement nor may staff enclose a child in a confined space, closet, or locked room. Additionally, staff must obtain training regarding child abuse and mistreatment as required by the child protective services law. Announcement C-22-03 "Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment" issued on January 24, 2022, demonstrates compliance with 98.41 (a)(1)(vi). This announcement addresses new certification requirements for child care providers to develop a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Announcement C-22- 03 also addressed that prevention of shaken baby syndrome, abusive head trauma, and child maltreatment is a required health and safety training topic that must be completed before a child care staff can care for children unsupervised. This means untrained child care staff must be supervised at all times by a trained, qualified child care staff person (at a minimum assistant group supervisor or primary staff person) until the untrained staff have obtained required training. This requirement was outlined in Announcement C-22-02 "Updates to Health and Safety Training and Professional Development Requirements. "Beginning April 29, 2022, the citations for non-compliance with federal requirements at 45 CFR 98.41(a)(1)(vi) will be issued under 55 Pa. Code § 3270.14, § 3270.21, § 3280.14, § 3280.20, and § 3290.18, all pertaining to compliance with pertinent laws and regulations. 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: The Child Protective Services Law (CPSL) requires child abuse reporting and does not address the prevention of the acts defined in the law as child abuse, including shaking a baby, abusive head trauma and child maltreatment. Child abuse includes, but is NOT limited to intentionally, knowingly, or recklessly: • Causing bodily injury to a child through any recent act or failure to act; • Creating a reasonable likelihood of bodily injury to a child through any recent actor failure to act; and • Forcefully shaking a child under one year of age. In addition to 55 Pa. Code § 3270.32(a), § 3280.32(a), and § 3290.32(a) relating to suitability of persons in the facility and compliance with CPSL, and Chapter 3490, certified child care providers must ensure that they are compliant with the federal requirements at 45 CFR 98.41(a)(1)(vi) relating to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: • Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; • Strategies for coping with a crying, fussing, or distraught child; and • Address the prevention and identification of child maltreatment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Child Protective Services Law (CPSL) requires child abuse reporting and does not address the prevention of the acts defined in the law as child abuse, including shaking a baby, abusive head trauma and child maltreatment. Child abuse includes, but is NOT limited to intentionally, knowingly, or recklessly: • Causing bodily injury to a child through any recent act or failure to act; • Creating a reasonable likelihood of bodily injury to a child through any recent actor failure to act; and • Forcefully shaking a child under one year of age. In addition to 55 Pa. Code § 3270.32(a), § 3280.32(a), and § 3290.32(a) relating to suitability of persons in the facility and compliance with CPSL, and Chapter 3490, certified child care providers must ensure that they are compliant with the federal requirements at 45 CFR 98.41(a)(1)(vi) relating to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: • Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; • Strategies for coping with a crying, fussing, or distraught child; and • Address the prevention and identification of child maltreatment. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Child Protective Services Law (CPSL) requires child abuse reporting and does not address the prevention of the acts defined in the law as child abuse, including shaking a baby, abusive head trauma and child maltreatment. Child abuse includes, but is NOT limited to intentionally, knowingly, or recklessly: • Causing bodily injury to a child through any recent act or failure to act; • Creating a reasonable likelihood of bodily injury to a child through any recent actor failure to act; and • Forcefully shaking a child under one year of age. In addition to 55 Pa. Code § 3270.32(a), § 3280.32(a), and § 3290.32(a) relating to suitability of persons in the facility and compliance with CPSL, and Chapter 3490, certified child care providers must ensure that they are compliant with the federal requirements at 45 CFR 98.41(a)(1)(vi) relating to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: • Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; • Strategies for coping with a crying, fussing, or distraught child; and • Address the prevention and identification of child maltreatment. 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Department's regulations require operators to secure and store all toxic materials (with the contents listed) and ensure that they are inaccessible to children, and do not contaminate food areas or play surfaces. Trash must be removed from the facility at least once a day and be removed from the facility grounds at least once per week. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Department regulations require that when children are diapered, the facility must use disposable diapers, a diaper service, or arrange for a daily diaper supply with the parent. All soiled diapers must be disposed of in accordance with requirements depending on whether the diapers are disposable or cloth material. Diaper changing surfaces must be cleaned after each use by wiping it with a sanitizing solution or by changing any surface covering. Diapering surfaces may not be used for food preparation or food service. Staff must check a child's diaper at least every two hours and whenever there is indication of a soiled diaper, staff must change a child's diaper when the diaper is soiled. A training chair may be used, if emptied and sanitized after each use. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Department's regulations require operators to secure and store all toxic materials (with the contents listed) and ensure that they are inaccessible to children, and do not contaminate food areas or play surfaces. Trash must be removed from the facility at least once a day and be removed from the facility grounds at least once per week. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Department regulations require that when children are diapered, the facility must use disposable diapers, a diaper service, or arrange for a daily diaper supply with the parent. All soiled diapers must be disposed of in accordance with requirements depending on whether the diapers are disposable or cloth material. Diaper changing surfaces must be cleaned after each use by wiping it with a sanitizing solution or by changing any surface covering. Diapering surfaces may not be used for food preparation or food service. Staff must check a child's diaper at least every two hours and whenever there is indication of a soiled diaper, staff must change a child's diaper when the diaper is soiled. A training chair may be used, if emptied and sanitized after each use. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Department's regulations require operators to secure and store all toxic materials (with the contents listed) and ensure that they are inaccessible to children, and do not contaminate food areas or play surfaces. Trash must be removed from the facility at least once a day and be removed from the facility grounds at least once per week. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Department regulations require that when children are diapered, the facility must use disposable diapers, a diaper service, or arrange for a daily diaper supply with the parent. All soiled diapers must be disposed of in accordance with requirements depending on whether the diapers are disposable or cloth material. Diaper changing surfaces must be cleaned after each use by wiping it with a sanitizing solution or by changing any surface covering. Diapering surfaces may not be used for food preparation or food service. Staff must check a child's diaper at least every two hours and whenever there is indication of a soiled diaper, staff must change a child's diaper when the diaper is soiled. A training chair may be used, if emptied and sanitized after each use. 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: The Department’s regulations require operators to secure and store all toxic materials (with contents listed) and ensure that they are inaccessible to children, and do not contaminate food areas or play surfaces. Trash must be removed from the facility at least once a day and be removed from the facility grounds at least once per week. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Department regulations require that when children are diapered, the facility must use disposable diapers, a diaper service, or arrange for a daily diaper supply with the parent. All soiled diapers must be disposed of in accordance with requirements depending on whether the diapers are disposable or cloth material. Diaper changing surfaces must be cleaned after each use by wiping it with a sanitizing solution or by changing any surface covering. Diapering surfaces may not be used for food preparation or food service. Staff must check a child’s diaper at least every two hours and whenever there is indication of a soiled diaper, staff must change a child’s diaper when the diaper is soiled. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Department’s regulations require operators to secure and store all toxic materials (with contents listed) and ensure that they are inaccessible to children, and do not contaminate food areas or play surfaces. Trash must be removed from the facility at least once a day and be removed from the facility premises at least once per week. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Department regulations require that when children are diapered, the facility must use disposable diapers, a diaper service, or arrange for a daily diaper supply with the parent. All soiled diapers must be disposed of in accordance with requirements depending on whether the diapers are disposable or cloth material. Diaper changing surfaces must be cleaned after each use by wiping it with a sanitizing solution or by changing any surface covering. Diapering surfaces may not be used for food preparation or food service. Staff must check a child’s diaper at least every two hours and whenever there is indication of a soiled diaper, staff must change a child’s diaper when the diaper is soiled. 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: Pennsylvania does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: OCDEL received notice of non-compliance in this area on May 28, 2024. The citation noted the agency did not have established standards or requirements for the appropriate disposal of biocontaminants for Center and Group School-Age providers in a school building. To address this noncompliance by October 1, 2024, OCDEL will release an announcement addressing, the requirement for School aged only program operators to secure and store all toxic materials (with contents listed) and ensure that they are inaccessible to children, and do not contaminate food areas or play surfaces. Trash must be removed from the facility at least once a day and be removed from the facility grounds at least once per week. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Department regulations require that when children are diapered, the facility must use disposable diapers, a diaper service, or arrange for a daily diaper supply with the parent. All soiled diapers must be disposed of in accordance with requirements depending on whether the diapers are disposable or cloth material. Diaper changing surfaces must be cleaned after each use by wiping it with a sanitizing solution or by changing any surface covering. Diapering surfaces may not be used for food preparation or food service. Staff must check a child’s diaper at least every two hours and whenever there is indication of a soiled diaper, staff must change a child’s diaper when the diaper is soiled. 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: Department regulations require a facility to notify local traffic authorities as well as parents in writing of its location, the use of pedestrian and vehicular routes around the facility, all pick-up and drop-off points, bike routes, and crossways. All transportation by the facility requires written parental consent, and there shall be written notification of safe routes posted conspicuously by the operator in the facility. When transporting children, regulations require that specific staff-child ratios be used by the operator to ensure the proper supervision of children, with the driver considered a part of such ratio only when school-age children are being transported. When children are being transported, all safety restraints installed in the vehicle at the time of manufacturing must be used by all occupants, with instructions for their use to be always kept in the vehicle. As well, children 7 years of age or younger must be transported pursuant to the Pennsylvania vehicle code as it relates to requirements for all parents and guardians. Regulations further require that all vehicles used to transport children must be insured; the doors locked when in motion; with no more than three persons in the front seat. There is also a regulatory prohibition against the use of the back of pick-up trucks or the cargo areas of station wagons to transport children; as well as against the use of 11-15 passenger vans. Finally, a first-aid kit that meets Department requirements must be stored in any vehicle with children being transported. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Department regulations require a facility to notify local traffic authorities as well as parents in writing of its location, the use of pedestrian and vehicular routes around the facility, all pick-up and drop-off points, bike routes, and crossways. All transportation by the facility requires written parental consent, and there shall be written notification of safe routes posted conspicuously by the operator in the facility. When transporting children, regulations require that specific staff-child ratios be used by the operator to ensure the proper supervision of children, with the driver considered a part of such ratio only when school-age children are being transported. When children are being transported, all safety restraints installed in the vehicle at the time of manufacturing must be used by all occupants, with instructions for their use to be always kept in the vehicle. As well, children 7 years of age or younger must be transported pursuant to the Pennsylvania vehicle code as it relates to requirements for all parents and guardians. Regulations further require that all vehicles used to transport children must be insured; the doors locked when in motion; with no more than three persons in the front seat. There is also a regulatory prohibition against the use of the back of pick-up trucks or the cargo areas of station wagons to transport children; as well as against the use of 11-15 passenger vans. Finally, a first-aid kit that meets Department requirements must be stored in any vehicle with children being transported. 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: Pennsylvania does not have license-exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have license-exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have license-exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Department regulations require a facility to notify local traffic authorities as well as parents in writing of its location, the use of pedestrian and vehicular routes around the facility, all pick-up and drop-off points, bike routes, and crossways. All transportation by the facility requires written parental consent, and there shall be written notification of safe routes posted conspicuously by the operator in the facility. When transporting children, regulations require that specific staff-child ratios be used by the operator to ensure the proper supervision of children, with the driver considered a part of such ratio only when school-age children are being transported. When children are being transported, all safety restraints installed in the vehicle at the time of manufacturing must be used by all occupants, with instructions for their use to be always kept in the vehicle. As well, children 7 years of age or younger must be transported pursuant to the Pennsylvania vehicle code as it relates to requirements for all parents and guardians. Regulations further require that all vehicles used to transport children must be insured; the doors locked when in motion; with no more than three persons in the front seat. There is also a regulatory prohibition against the use of the back of pick-up trucks or the cargo areas of station wagons to transport children; as well as against the use of 11-15 passenger vans. Finally, a first-aid kit that meets Department requirements must be stored in any vehicle with children being transported. 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: Regulation requires all staff persons to renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. In instances where a facility has all new staff, the requirement is to have one or more facility persons competent in pediatric first aid and pediatric CPR resuscitation techniques be at the facility when one or more children are in care. In all facility types, staff are required to complete Pediatric First Aid and Pediatric CPR training within first 90 days of hire and prior caring for children unsupervised. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A Family Child Care Home provider is required to present documentation of Pediatric First Aid and Pediatric CPR at application, prior to being issued a Certificate of Compliance. In all facility types, staff are required to complete Pediatric First Aid and Pediatric CPR training within first 90 days of hire and prior caring for children unsupervised. 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: Pennsylvania does not have any license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have any license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have any license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Regulation requires all staff persons to renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. In instances where a facility has all new staff, the requirement is to have one or more facility persons competent in pediatric first aid and pediatric CPR resuscitation techniques be at the facility when one or more children are in care. A Family Child Care Home provider is required to present documentation of Pediatric First Aid and Pediatric CPR at application, prior to being issued a Certificate of Compliance. In all facility types, staff are required to complete Pediatric First Aid and Pediatric CPR training within first 90 days of hire and prior caring for children unsupervised. 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: Regulation requires all staff persons to renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. In instances where a facility has all new staff, the requirement is to have one or more facility persons competent in pediatric first aid and pediatric CPR resuscitation techniques be at the facility when one or more children are in care. In all facility types, staff are required to complete Pediatric First Aid and Pediatric CPR training within first 90 days of hire and prior caring for children unsupervised. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A Family Child Care Home provider is required to present documentation of Pediatric First Aid and Pediatric CPR at application, prior to being issued a Certificate of Compliance. In all facility types, staff are required to complete Pediatric First Aid and Pediatric CPR training within first 90 days of hire and prior caring for children unsupervised. 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: Pennsylvania does not have any license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pennsylvania does not have any license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pennsylvania does not have any license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Regulation requires all staff persons to renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. In instances where a facility has all new staff, the requirement is to have one or more facility persons competent in pediatric first aid and pediatric CPR resuscitation techniques be at the facility when one or more children are in care. A Family Child Care Home provider is required to present documentation of Pediatric First Aid and Pediatric CPR at application, prior to being issued a Certificate of Compliance. In all facility types, staff are required to complete Pediatric First Aid and Pediatric CPR training within first 90 days of hire and prior caring for children unsupervised. 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: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the Child Protective Services Law (CPSL). A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932- 0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Questions relating to the requirements of the CPSL shall be directed to the appropriate regional child care office. The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence, or moral corruptness. DHS regulations require adherence to the CPSL, which requires all mandated reporters to be trained on an approved curriculum every five years. Approved training is provided on the Keep Kids Safe website. Upon successful completion, participants are provided with a certificate to document compliance with the law. In addition to training requirements, the CPSL codifies the regulatory requirement that employees of child care services who have direct contact with children in the course of employment are mandated reporters; they must make a report of suspected child abuse if the person has reasonable cause to suspect that a child is a victim of child abuse, with reporting procedures codified in the CPSL, to include submission of a written report within 48 hours. ii. All CCDF-eligible licensed family child care homes. Provide the standard: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the Child Protective Services Law (CPSL). A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Questions relating to the requirements of the CPSL shall be directed to the appropriate regional child care office. The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence, or moral corruptness. DHS regulations require adherence to the CPSL, which requires all mandated reporters to be trained on an approved curriculum every five years. Approved training is provided on the Keep Kids Safe website. Upon successful completion, participants are provided with a certificate to document compliance with the law. In addition to training requirements, the CPSL codifies the regulatory requirement that employees of child care services who have direct contact with children in the course of employment are mandated reporters; they must make a report of suspected child abuse if the person has reasonable cause to suspect that a child is a victim of child abuse, with reporting procedures codified in the CPSL, to include submission of a written report within 48 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: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the Child Protective Services Law (CPSL). A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Questions relating to the requirements of the CPSL shall be directed to the appropriate regional child care office. The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence, or moral corruptness. DHS regulations require adherence to the CPSL, which requires all mandated reporters to be trained on an approved curriculum every five years. Approved training is provided on the Keep Kids Safe website. Upon successful completion, participants are provided with a certificate to document compliance with the law. In addition to training requirements, the CPSL codifies the regulatory requirement that employees of child care services who have direct contact with children in the course of employment are mandated reporters; they must make a report of suspected child abuse if the person has reasonable cause to suspect that a child is a victim of child abuse, with reporting procedures codified in the CPSL, to include submission of a written report within 48 hours. 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: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. DHS regulations require adherence to the CPSL, which requires all mandated reporters to be trained on an approved curriculum every five years. Approved training is provided on the Keep Kids Safe website. Upon successful completion, participants are provided with a certificate to document compliance with the law. In addition to training requirements, the CPSL codifies the regulatory requirement that employees of child care services who have direct contact with children in the course of employment are mandated reporters; they must make a report of suspected child abuse if the person has reasonable cause to suspect that a child is a victim of child abuse, with reporting procedures codified in the CPSL, to include submission of a written report within 48 hours. ii. All CCDF-eligible licensed family child care homes. Provide the standard: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. DHS regulations require adherence to the CPSL, which requires all mandated reporters to be trained on an approved curriculum every five years. Approved training is provided on the Keep Kids Safe website. Upon successful completion, participants are provided with a certificate to document compliance with the law. In addition to training requirements, the CPSL codifies the regulatory requirement that employees of child care services who have direct contact with children in the course of employment are mandated reporters; they must make a report of suspected child abuse if the person has reasonable cause to suspect that a child is a victim of child abuse, with reporting procedures codified in the CPSL, to include submission of a written report within 48 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: PA does not have license exempt providers. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: PA does not have license exempt providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: PA does not have license exempt providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. DHS regulations require adherence to the CPSL, which requires all mandated reporters to be trained on an approved curriculum every five years. Approved training is provided on the Keep Kids Safe website. Upon successful completion, participants are provided with a certificate to document compliance with the law. In addition to training requirements, the CPSL codifies the regulatory requirement that employees of child care services who have direct contact with children in the course of employment are mandated reporters; they must make a report of suspected child abuse if the person has reasonable cause to suspect that a child is a victim of child abuse, with reporting procedures codified in the CPSL, to include submission of a written report within 48 hours. 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: Nutritional and appropriately timed meals and snacks must be served to children. Additionally, lunch and breakfast served by the facility require certain food groups be included. 55 Pa Code 3270.161-.166; 3280.161-.166; and 3290.161-.166. Pennsylvania has trainings available through the PD Registry that address this standard. Providers participating in the Child and Adult Care Food Program (CACFP) must participate in technical assistance for administration of the program and annual training/workshops for staff. All CACFP Sponsors must complete annual training which counts towards the required 12 hours of annual training. Division of Food and Nutrition provides this training with renewal applications through an e- Learning vendor. The website is www.childnutritiontoolbox.com. ii. Access to physical activity. Describe: Facility is required to provide safe play space to be used for large muscle activity. 55 Pa. Code 3270.62 and .101 and 3280.101 and 3290.101. iii. Caring for children with special needs. Describe: The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws. 55 Pa. Code 3270.17, 104, 113(e), 122, 124(5). 55 Pa. Code 3280.16, 108, 113(e), 122, 124(5) 55 Pa. Code 3290.15, 113(e), 122, 124(5) Pennsylvania has volunteer PQAS approved trainings made available through the PD Registry that address this standard. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: N/A