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: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; individual storage unit or container for each child’s personal articles; diaper change practices such as sanitation and handwashing; cleaning and sanitizing of toys and equipment; staff and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment with the exception of homeless and foster children who are allowed more time when needed. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; individual storage unit or container for each child’s personal articles; diaper change practices such as sanitation and handwashing; cleaning and sanitizing of toys and equipment; provider and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment with the exception of homeless and foster children who are allowed more time when needed. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; provider and child handwashing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; provider and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; individual storage unit or container for each child’s personal articles; staff and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. 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: Before a child may be admitted to a licensed child care center, the provider must require the child's parent or guardian to submit a statement, signed by a licensed physician, physician's assistant, certified nurse practitioner, or community health nurse, or an immunization record from the South Dakota Immunization Information System, showing that the child meets the minimum immunization requirements according to 45 C.F.R. § 98.41(a)(1)(i)(A), in effect on September 30, 2016. The licensed center provider shall ensure that immunizations of all children are current. For children who begin the series late or are more than one month behind in immunizations, the documentation must show progress toward achieving immunization requirements, as determined by a licensed physician, or other licensed practitioner. A grace period may be approved by the department for a child experiencing homelessness or a child in foster care. A child is exempt from meeting the minimum age-specific immunization levels if: (1) The child's parent or guardian has certification from a licensed physician, or other licensed practitioner, stating that the physical condition of the child is such that an immunization would endanger the child's life or health; or (2) The child's parent or guardian has signed a written statement that the child is an adherent to a religious doctrine whose teachings are opposed to such immunizations. Children from a family experiencing homelessness or foster child placements are offered a grace period to comply with immunization and other health and safety requirements. In SD, a two-week timeframe is set in policy from the date of enrollment for obtaining immunization records; however, there is flexibility if additional time is needed. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Before a child may be admitted to a registered family day care provider, the provider must require the child's parent or guardian to submit a statement, signed by a licensed physician, physician's assistant, certified nurse practitioner, or community health nurse, or an immunization record from the South Dakota Immunization Information System, showing that the child meets the minimum immunization requirements according to 45 C.F.R. § 98.41(a)(1)(i)(A), in effect on September 30, 2016. The family day care provider shall ensure that immunizations of all children are current. For children who begin the series late or are more than one month behind in immunizations, the documentation must show progress toward achieving immunization requirements, as determined by a licensed physician, or other licensed practitioner. A grace period may be approved by the department for a child experiencing homelessness or a child in foster care. A child is exempt from meeting the minimum age-specific immunization levels if: (1) The child's parent or guardian has certification from a licensed physician, or other licensed practitioner, stating that the physical condition of the child is such that an immunization would endanger the child's life or health; or (2) The child's parent or guardian has signed a written statement that the child is an adherent to a religious doctrine whose teachings are opposed to such immunizations. Children from a family experiencing homelessness or foster child placements are offered a grace period to comply with immunization and other health and safety requirements. In SD, a two-week timeframe is set in policy from the date of enrollment for obtaining immunization records; however, there is flexibility if additional time is needed. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Before a child may be admitted to an informal provider’s home, the provider must require the child's parent or guardian to submit a statement, signed by a licensed physician, physician's assistant, certified nurse practitioner, or community health nurse, or an immunization record from the South Dakota Immunization Information System, showing that the child meets the minimum immunization requirements according to 45 C.F.R. § 98.41(a)(1)(i)(A), in effect on September 30, 2016. The informal provider shall ensure that immunizations of all children are current. For children who begin the series late or are more than one month behind in immunizations, the documentation must show progress toward achieving immunization requirements, as determined by a licensed physician, or other licensed practitioner. A grace period may be approved by the department for a child experiencing homelessness or a child in foster care. A child is exempt from meeting the minimum age-specific immunization levels if: (1) The child's parent or guardian has certification from a licensed physician, or other licensed practitioner, stating that the physical condition of the child is such that an immunization would endanger the child's life or health; or (2) The child's parent or guardian has signed a written statement that the child is an adherent to a religious doctrine whose teachings are opposed to such immunizations. Children from a family experiencing homelessness or foster child placements are offered a grace period to comply with immunization and other health and safety requirements. In SD, a two-week timeframe is set in policy from the date of enrollment for obtaining immunization records; however, there is flexibility if additional time is needed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Before a child may be admitted to an in-home provider, the provider must require the parent has exemption on file. Children receiving care in their own homes, do not have other unrelated children present and cared for in the home by the provider; therefore, in accordance with 98 (a)(1)(i)(A) this category is exempt from the immunization requirement in South Dakota. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Before a child may be admitted to a licensed school age care provider, the provider must require the child's parent or guardian to submit a statement, signed by a licensed physician, physician's assistant, certified nurse practitioner, or community health nurse, or an immunization record from the South Dakota Immunization Information System, showing that the child meets the minimum immunization requirements according to 45 C.F.R. § 98.41(a)(1)(i)(A), in effect on September 30, 2016. The school age care provider shall ensure that immunizations of all children are current. For children who begin the series late or are more than one month behind in immunizations, the documentation must show progress toward achieving immunization requirements, as determined by a licensed physician, or other licensed practitioner. A grace period may be approved by the department for a child experiencing homelessness or a child in foster care. A child is exempt from meeting the minimum age-specific immunization levels if: (1) The child's parent or guardian has certification from a licensed physician, or other licensed practitioner, stating that the physical condition of the child is such that an immunization would endanger the child's life or health; or (2) The child's parent or guardian has signed a written statement that the child is an adherent to a religious doctrine whose teachings are opposed to such immunizations. Children from a family experiencing homelessness or foster child placements are offered a grace period to comply with immunization and other health and safety requirements. In SD, a two-week timeframe is set in policy from the date of enrollment for obtaining immunization records; however, there is flexibility if additional time is needed. 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: Prevention of sudden infant death syndrome and use of safe-sleep practices standards help reduce the risk infant death during sleep. Standards included are: A nap mat, blanket, or other sleep surface, other than the floor, for children over one year of age must be available for each child during nap time. A sleep surface must be maintained in good repair. A provider shall follow the safe sleep practices contained in Caring for Our Children: National Health and Safety Performance Standards, 4th Edition, for infants under the age of one. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Prevention of sudden infant death syndrome and use of safe-sleep practices standards help reduce the risk infant death during sleep. Standards included are: A nap mat, blanket, or other sleep surface, other than the floor, for children over one year of age must be available for each child during nap time. A sleep surface must be maintained in good repair. A provider shall follow the safe sleep practices contained in Caring for Our Children: National Health and Safety Performance Standards, 4th Edition, for infants under the age of one. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of sudden infant death syndrome and use of safe-sleep practices standards help reduce the risk infant death during sleep. Standards included are: Infants up to one year of age are to sleep in a play pen or crib. Infants are to be placed on their back to sleep, and with no soft bedding such as blankets, pillows, etc. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Prevention of sudden infant death syndrome and use of safe-sleep practices standards help reduce the risk infant death during sleep. Standards included are: Infants up to one year of age are to sleep in a play pen or crib. Infants are to be placed on their back to sleep, and with no soft bedding such as blankets, pillows, etc. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: There are no requirements related to safe sleep or SIDS for school age programs as they do not provide care for infants. 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: Standards for medication administration include: Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be provided by the parent and kept in the original container, with the original label. The label for a prescription medication must contain the child’s name, the amount and frequency of dosage, the expiration date, the physician or other licensed practitioner’s name, and instructions for storage. The medication must be returned to the parent when no longer needed or expired. The provider shall document, in the child’s record, any medication administered to a child and shall include the dose, the name of the child, the time and date administered, and the name of the person administering the medication. The documentation must be retained for at least six months and be made available to the child's parent upon request. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Standards for medication administration include: Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be provided by the parent and kept in the original container, with the original label. The label for a prescription medication must contain the child’s name, the amount and frequency of dosage, the expiration date, the physician or other licensed practitioner’s name, and instructions for storage. The medication must be returned to the parent when no longer needed or expired. The provider shall document, in the child’s record, any medication administered to a child and shall include the dose, the name of the child, the time and date administered, and the name of the person administering the medication. The documentation must be retained for at least six months and be made available to the child's parent upon request. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Standards for medication administration include: Medications are to be kept inaccessible to children in care. Medications are to remain in their original container with clear directions and expiration dates. All prescriptions are to have the child’s and doctor’s name on them. A signed permission to administer medication is to be completed by a child’s parent. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Standards for medication administration include: Medications are to be kept inaccessible to children in care. Medications are to remain in their original container with clear directions and expiration dates. All prescriptions are to have the child’s and doctor’s name on them. A signed permission to administer medication is to be completed by a child’s parent. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Standards for medication administration include: Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be provided by the parent and kept in the original container, with the original label. The label for a prescription medication must contain the child’s name, the amount and frequency of dosage, the expiration date, the physician or other licensed practitioner’s name, and instructions for storage. The medication must be returned to the parent when no longer needed or expired. The provider shall document, in the child’s record, any medication administered to a child and shall include the dose, the name of the child, the time and date administered, and the name of the person administering the medication. The documentation must be retained for at least six months and be made available to the child's parent upon request. 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: Standards for obtaining parental permission to administer medication include: Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be provided by the parent and kept in the original container, with the original label. The label for a prescription medication must contain the child’s name, the amount and frequency of dosage, the expiration date, the physician or other licensed practitioner’s name, and instructions for storage. The medication must be returned to the parent when no longer needed or expired. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Standards for obtaining parental permission to administer medication include: Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be provided by the parent and kept in the original container, with the original label. The label for a prescription medication must contain the child’s name, the amount and frequency of dosage, the expiration date, the physician or other licensed practitioner’s name, and instructions for storage. The medication must be returned to the parent when no longer needed or expired. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Standards for obtaining parental permission to administer medication include: A signed permission to administer medication is required by the child’s parent prior to administering medication. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Standards for obtaining parental permission to administer medication include: A signed permission to administer medication is required by the child’s parent prior to administering medication. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Standards for obtaining parental permission to administer medication include: Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be provided by the parent and kept in the original container, with the original label. The label for a prescription medication must contain the child’s name, the amount and frequency of dosage, the expiration date, the physician or other licensed practitioner’s name, and instructions for storage. The medication must be returned to the parent when no longer needed or expired. 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: Prevention of emergencies due to food and allergic reactions standards included are: A provider shall have a written care plan for each child who has a known food allergy. The plan must contain instructions regarding any food allergens, steps to be taken to avoid that food, and a detailed treatment plan to be implemented if the child has an allergic reaction. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Prevention of emergencies due to food and allergic reactions standards included are: A provider shall have a written care plan for each child who has a known food allergy. The plan must contain instructions regarding any food allergens, steps to be taken to avoid that food, and a detailed treatment plan to be implemented if the child has an allergic reaction. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of emergencies due to food and allergic reactions standards included are: Providers are to understand the need to ensure any food allergy requirements of the child/children in care are adhered to and proper procedures in case of an emergency. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Prevention of emergencies due to food and allergic reactions standards included are: Providers are to understand the need to ensure any food allergy requirements of the child/children in care are adhered to and proper procedures in case of an emergency. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prevention of emergencies due to food and allergic reactions standards included are: A provider shall have a written care plan for each child who has a known food allergy. The plan must contain instructions regarding any food allergens, steps to be taken to avoid that food, and a detailed treatment plan to be implemented if the child has an allergic reaction. 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: Response to emergencies due to food and allergic reactions standards included are: A provider shall have a written care plan for each child who has a known food allergy. The plan must contain instructions regarding any food allergens, steps to be taken to avoid that food, and a detailed treatment plan to be implemented if the child has an allergic reaction. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Response to emergencies due to food and allergic reactions standards included are: A provider shall have a written care plan for each child who has a known food allergy. The plan must contain instructions regarding any food allergens, steps to be taken to avoid that food, and a detailed treatment plan to be implemented if the child has an allergic reaction. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Response to emergencies due to food and allergic reactions standards included are: Providers are to understand the need to ensure any food allergy requirements of the child/children in care are adhered to and proper procedures in case of an emergency. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Response to emergencies due to food and allergic reactions standards included are: Providers are to understand the need to ensure any food allergy requirements of the child/children in care are adhered to and proper procedures in case of an emergency. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Response to emergencies due to food and allergic reactions standards included are: A provider shall have a written care plan for each child who has a known food allergy. The plan must contain instructions regarding any food allergens, steps to be taken to avoid that food, and a detailed treatment plan to be implemented if the child has an allergic reaction. 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: Licensed center standards for building and physical premises safety, including the identification of and protection from hazards are as follows: Building requirements include: All walls, ceilings, floors, and equipment must be easily cleanable, kept clean, and in good repair. Heating and cooling systems must maintain a temperature between sixty-five degrees Fahrenheit and seventy-five degrees Fahrenheit. For a child care center all heating and cooling systems must be inspected annually, by a certified technician. Food preparation areas, including tables and countertops, must be made of a smooth, nonporous material, kept clean and sanitized, be free of cracks, and be in good repair. Center programs, in which more than twenty children are cared for, must provide a ventilation hood over all cooking areas. The hood must be appropriate for the type of appliance and intended use, as required in § 61:15:01:01. Playground requirements include: Playgrounds for all child care settings must be safe, in good repair, and free of debris, trash, and weeds. Playground equipment must be installed according to the manufacturer’s instructions and maintained in good repair. For a center program, a fence that measures at least four feet high is required around the center’s outdoor play space. Construction and fire safety requirements include: Center programs operating outside of a school building shall follow applicable construction and fire safety requirements, as outlined in chapters 61:15:05 and 61:15:06. These are specific SD Fire code requirements for buildings occupying children for the purposes of child care. Hazardous conditions requirements include: The following must be inaccessible to a child: (1) Firearms; (2) Pellet guns, BB guns, and cap guns; (3) Matches and lighters; (4) Tobacco products; (5) Choking and strangulation hazards; (6) Items capable of being pulled or tipped onto a child; (7) A platform measuring more than thirty inches above ground level, unless surrounded by a railing that is at least thirty-six inches tall with no more than five inches between openings; and (8) Other hazardous condition as identified by the department. The department may direct a provider to remove or correct a hazardous condition or circumstance not covered in this chapter, if the department considers the conditions or circumstances to have the potential to cause injury or illness to the children in care. Electrical outlet requirements include: For center programs, unused electrical outlets must have a self-closing outlet cover or tamper-resistant cover. These regulations are aimed at ensuring a safe and secure environment for children in the licensed center setting, covering various aspects of physical safety and cleanliness. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family Child Care standards for building and physical premises safety, including the identification of and protection from hazards are as follows: Smoke Detectors: Each level of the home must have a working smoke detector. Fire Extinguisher: A fully charged, portable fire extinguisher with a minimum 2A rating must be kept in or within fifteen feet of the kitchen or food preparation area. Carbon Monoxide Detector: If there's a fuel-burning appliance in the home, a carbon monoxide detector must be installed according to the manufacturer's instructions. Exits: Each level of the home must have at least two remote exits that remain clear of obstructions. One exit must be a standard-sized door, and the other can be either a standard-sized door or an unobstructed, operable window with specific size requirements. Heater/Stove/Fireplace Safety: Portable space heaters, wood-burning stoves, or fireplaces must be inaccessible to children when in use. Inaccessibility of Hazardous Items: Firearms, ammunition, matches, lighters, and archery equipment must be kept inaccessible to children. Storm Windows and Screens: Storm windows and screens should be easily opened to facilitate evacuation in case of a fire. Doors and Windows Maintenance: Doors and windows must be in good repair. Electrical Outlet Safety: Electrical wall outlets are to be covered using a plug, tamper resistant cover or made inaccessible to children. Cleanliness: The home must be clean and free of litter and rubbish. Food Preparation Area Hygiene: Food storage and preparation areas must be clean. Appropriate Temperature: The temperature of the home is to be maintained between 65-75 degrees Fahrenheit. These regulations are aimed at ensuring a safe and secure environment for children in the registered family child care setting, covering various aspects of physical safety and cleanliness. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: License exempt family child care home standards for building and physical premises safety, including the identification of and protection from hazards are as follows: Inaccessibility of Hazardous Items: Firearms, ammunition, matches, lighters, and archery equipment must be kept inaccessible to children. Storm Windows and Screens: Storm windows and screens should be easily opened to facilitate evacuation in case of a fire. Doors and Windows Maintenance: Doors and windows must be in good repair. Electrical Outlet Safety: Electrical wall outlets should be covered when children under the age of 4 are in care. Ventilation for Fuel-fired Room Heaters: Fuel-fired room heaters must be vented to the outside. Cleanliness: The home must be clean and free of litter and rubbish. Food Preparation Area Hygiene: Food storage and preparation areas must be clean. Appropriate Temperature: The temperature of the home should be appropriate to meet the needs of children in care. These regulations are aimed at ensuring a safe and secure environment for children in the license exempt informal family day care setting, covering various aspects of physical safety and cleanliness. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt in-home care standards for building and physical premises safety, including the identification of and protection from hazards are as follows: Inaccessibility of Hazardous Items: Firearms, ammunition, matches, lighters, and archery equipment must be kept inaccessible to children. Storm Windows and Screens: Storm windows and screens should be easily opened to facilitate evacuation in case of a fire. Doors and Windows Maintenance: Doors and windows must be in good repair. Electrical Outlet Safety: Electrical wall outlets should be covered when children under the age of 4 are in care. Ventilation for Fuel-fired Room Heaters: Fuel-fired room heaters must be vented to the outside. Cleanliness: The home must be clean and free of litter and rubbish. Food Preparation Area Hygiene: Food storage and preparation areas must be clean. Appropriate Temperature: The temperature of the home should be appropriate to meet the needs of children in care. These regulations are aimed at ensuring a safe and secure environment for children in the license exempt in-home care setting, covering various aspects of physical safety and cleanliness. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Licensed school age program standards for building and physical premises safety, including the identification of and protection from hazards are as follows: Building requirements include: All walls, ceilings, floors, and equipment must be easily cleanable, kept clean, and in good repair. Heating and cooling systems must maintain a temperature between sixty-five degrees Fahrenheit and seventy-five degrees Fahrenheit. For a school age program all heating and cooling systems must be inspected annually, by a certified technician. Food preparation areas, including tables and countertops, must be made of a smooth, nonporous material, kept clean and sanitized, be free of cracks, and be in good repair. School age programs, in which more than twenty children are cared for, must provide a ventilation hood over all cooking areas. The hood must be appropriate for the type of appliance and intended use, as required in § 61:15:01:01. Playground requirements include: Playgrounds for all child care settings must be safe, in good repair, and free of debris, trash, and weeds. Playground equipment must be installed according to the manufacturer’s instructions and maintained in good repair. For a school age program, a fence that measures at least forty-two inches high may be required to separate the outdoor play space, if the department determines a body of water, vehicular traffic, or other hazard poses a risk of injury or death to a child. Construction and fire safety requirements include: School age programs operating outside of a school building shall follow applicable construction and fire safety requirements, as outlined in chapters 61:15:05 and 61:15:06. School-age Programs Operating in a School Building: Follow applicable construction and fire safety requirements outlined in ARSD chapters 61:15:01, 61:15:02, and 61:15:07. Hazardous conditions requirements include: The following must be inaccessible to a child: (1) Firearms; (2) Pellet guns, BB guns, and cap guns; (3) Matches and lighters; (4) Tobacco products; (5) Choking and strangulation hazards; (6) Items capable of being pulled or tipped onto a child; (7) A platform measuring more than thirty inches above ground level, unless surrounded by a railing that is at least thirty-six inches tall with no more than five inches between openings; and (8) Other hazardous condition as identified by the department. The department may direct a provider to remove or correct a hazardous condition or circumstance not covered in this chapter, if the department considers the conditions or circumstances to have the potential to cause injury or illness to the children in care. Electrical outlet requirements include: For school age programs, unused electrical outlets must have a self-closing outlet cover or tamper-resistant cover. These regulations are aimed at ensuring a safe and secure environment for children in the licensed school age program setting, covering various aspects of physical safety and cleanliness. 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: Licensed center standards for the identification of and protection from bodies of water are as follows: A provider shall meet the following water safety requirements: (1) If an outdoor swimming pool is on the premises, it must be emptied after each use or enclosed with a five-foot fence and a self-closing, latching gate that can be locked while not in use; (2) If an indoor swimming pool is on the premises, it must have an access door that restricts entry; (3) A child may not play in an area where there is a body of water, unless the provider can see and hear the child, and is close enough to intervene, at all times; and (4) A hot tub must be securely covered. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family child care home standards for the identification of and protection from bodies of water are as follows: A provider shall meet the following water safety requirements: (1) If an outdoor swimming pool is on the premises, it must be emptied after each use or enclosed with a five-foot fence and a self-closing, latching gate that can be locked while not in use; (2) If an indoor swimming pool is on the premises, it must have an access door that restricts entry; (3) A child may not play in an area where there is a body of water, unless the provider can see and hear the child, and is close enough to intervene, at all times; and (4) A hot tub must be securely covered. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Informal child care provider standards for the identification of and protection from bodies of water are as follows: A provider shall meet the following water safety requirements: (1) If an outdoor swimming pool is on the premises, it must be emptied after each use or enclosed with a five-foot fence and a self-closing, latching gate that can be locked while not in use; (2) If an indoor swimming pool is on the premises, it must have an access door that restricts entry; (3) A child may not play in an area where there is a body of water, unless the provider can see and hear the child, and is close enough to intervene, at all times; and (4) A hot tub must be securely covered. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: In-home care provider standards for the identification of and protection from bodies of water are as follows: A provider shall meet the following water safety requirements: (1) If an outdoor swimming pool is on the premises, it must be emptied after each use or enclosed with a five-foot fence and a self-closing, latching gate that can be locked while not in use; (2) If an indoor swimming pool is on the premises, it must have an access door that restricts entry; (3) A child may not play in an area where there is a body of water, unless the provider can see and hear the child, and is close enough to intervene, at all times; and (4) A hot tub must be securely covered. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Licensed school age program standards for the identification of and protection from bodies of water are as follows: A provider shall meet the following water safety requirements: (1) If an outdoor swimming pool is on the premises, it must be emptied after each use or enclosed with a five-foot fence and a self-closing, latching gate that can be locked while not in use; (2) If an indoor swimming pool is on the premises, it must have an access door that restricts entry; (3) A child may not play in an area where there is a body of water, unless the provider can see and hear the child, and is close enough to intervene, at all times; and (4) A hot tub must be securely covered. 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: Licensed center standards for the identification of and protection from vehicular traffic hazards are as follows: A fence that measures at least four feet high is required around the center's outdoor play space. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Family Child Care home standards for the identification of and protection from vehicular traffic hazards are as follows: A fence measuring at least forty-two inches high may be required to separate the outdoor play space if there's a risk of injury or death due to vehicular traffic or other hazards determined by the department. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Informal child care standards for the identification of and protection from vehicular traffic hazards are as follows: A fence measuring at least forty-two inches high may be required to separate the outdoor play space if there's a risk of injury or death due to vehicular traffic or other hazards determined by the department. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: In-home provider standards for the identification of and protection from vehicular traffic hazards are as follows: A fence measuring at least forty-two inches high may be required to separate the outdoor play space if there's a risk of injury or death due to vehicular traffic or other hazards determined by the department. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: School Age program standards for the identification of and protection from vehicular traffic hazards are as follows: A fence measuring at least forty-two inches high may be required to separate the outdoor play space if there's a risk of injury or death due to vehicular traffic or other hazards determined by the department. 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: Prevention of shaken baby syndrome and abusive head trauma standards included are: Behavior management strategies must offer limits, with positive guidance and direction, to help a child develop self-control and respect for the rights of others, be appropriate to a child's age and developmental level, and include strategies to prevent shaken baby syndrome and abusive head trauma. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Prevention of shaken baby syndrome and abusive head trauma standards included are: Behavior management strategies must offer limits, with positive guidance and direction, to help a child develop self-control and respect for the rights of others, be appropriate to a child's age and developmental level, and include strategies to prevent shaken baby syndrome and abusive head trauma. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of shaken baby syndrome and abusive head trauma standards included are: License exempt informal providers are prohibited from using physical, humiliating, or frightening punishment such as spanking, shaking, or hitting a child. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Prevention of shaken baby syndrome and abusive head trauma standards included are: License exempt in-home providers are prohibited from using physical, humiliating, or frightening punishment such as spanking, shaking, or hitting a child. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prevention of shaken baby syndrome and abusive head trauma standards included are: Behavior management strategies must offer limits, with positive guidance and direction, to help a child develop self-control and respect for the rights of others, be appropriate to a child's age and developmental level, and include strategies to prevent shaken baby syndrome and abusive head trauma. 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: Prevention of child maltreatment standards include: Meeting Child's Needs: Providers must address the physical, social, emotional, and cognitive needs of each child in their care. Behavior Management Strategies: Providers must develop procedures for implementing behavior management strategies that cater to the individual needs of the child. Limitations on Delegation: Behavior management strategies cannot be delegated to older children or peers. Supervision during Separation: If separation is used as a behavior management strategy, it must be within sight or hearing of the provider. Prohibited Discipline Techniques: The following methods of discipline are prohibited: Spanking, hitting, pinching, biting, shaking, or any other form of physical punishment. Verbal abuse, shouting, threats, humiliation, or derogatory remarks about the child or their family. Restriction of movement or confinement. Isolating a child in a place where they cannot be seen or supervised. Punishment related to toilet training. Withholding or forcing of meals, snacks, naps, or outdoor time as a means of behavior correction. Demanding excessive physical exercise or rest. Placing substances in a child’s mouth to cause discomfort, such as soap, food, or spices. Additionally, it's stated explicitly that a parent working at the program may not use prohibited discipline techniques on their own child. These regulations aim to ensure the safety and well-being of children in childcare settings, promoting positive behavior management practices and prohibiting harmful disciplinary methods. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Prevention of child maltreatment standards include: Meeting Child's Needs: Providers must address the physical, social, emotional, and cognitive needs of each child in their care. Behavior Management Strategies: Providers must develop procedures for implementing behavior management strategies that cater to the individual needs of the child. Limitations on Delegation: Behavior management strategies cannot be delegated to older children or peers. Supervision during Separation: If separation is used as a behavior management strategy, it must be within sight or hearing of the provider. Prohibited Discipline Techniques: The following methods of discipline are prohibited: Spanking, hitting, pinching, biting, shaking, or any other form of physical punishment. Verbal abuse, shouting, threats, humiliation, or derogatory remarks about the child or their family. Restriction of movement or confinement. Isolating a child in a place where they cannot be seen or supervised. Punishment related to toilet training. Withholding or forcing of meals, snacks, naps, or outdoor time as a means of behavior correction. Demanding excessive physical exercise or rest. Placing substances in a child’s mouth to cause discomfort, such as soap, food, or spices. Additionally, it's stated explicitly that a parent working at the program may not use prohibited discipline techniques on their own child. These regulations aim to ensure the safety and well-being of children in childcare settings, promoting positive behavior management practices and prohibiting harmful disciplinary methods. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of child maltreatment standards include: License exempt informal providers are prohibited from using physical, humiliating, or frightening punishment such as spanking, shaking, or hitting a child. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Prevention of child maltreatment standards include: License exempt in-home providers are prohibited from using physical, humiliating, or frightening punishment such as spanking, shaking, or hitting a child. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prevention of child maltreatment standards include: Meeting Child's Needs: Providers must address the physical, social, emotional, and cognitive needs of each child in their care. Behavior Management Strategies: Providers must develop procedures for implementing behavior management strategies that cater to the individual needs of the child. Limitations on Delegation: Behavior management strategies cannot be delegated to older children or peers. Supervision during Separation: If separation is used as a behavior management strategy, it must be within sight or hearing of the provider. Prohibited Discipline Techniques: The following methods of discipline are prohibited: Spanking, hitting, pinching, biting, shaking, or any other form of physical punishment. Verbal abuse, shouting, threats, humiliation, or derogatory remarks about the child or their family. Restriction of movement or confinement. Isolating a child in a place where they cannot be seen or supervised. Punishment related to toilet training. Withholding or forcing of meals, snacks, naps, or outdoor time as a means of behavior correction. Demanding excessive physical exercise or rest. Placing substances in a child’s mouth to cause discomfort, such as soap, food, or spices. Additionally, it's stated explicitly that a parent working at the program may not use prohibited discipline techniques on their own child. These regulations aim to ensure the safety and well-being of children in childcare settings, promoting positive behavior management practices and prohibiting harmful disciplinary methods. 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: For licensed centers, all toxic or hazardous substances must be: (1) Inaccessible to children; (2) Used according to manufacturer’s instructions; (3) Stored in the original or other labeled container; and (4) Disposed of according to manufacturer recommendations. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The standards for handling and storage of toxic materials includes the following: For licensed family child care homes, all toxic or hazardous substances must be: (1) Inaccessible to children; (2) Used according to manufacturer’s instructions. (3) Stored in the original or other labeled container; and (4) Disposed of according to manufacturer recommendations. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For license-exempt informal provider care, all toxic or hazardous substances must be: (1) Inaccessible to children; (2) Used according to manufacturer’s instructions; (3) Stored in the original or other labeled container; and (4) Disposed of according to manufacturer recommendations. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For license- exempt in-home providers, all toxic or hazardous substances must be: (1) Inaccessible to children; (2) Used according to manufacturer’s instructions; (3) Stored in the original or other labeled container; and (4) Disposed of according to manufacturer recommendations. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For school age programs, all toxic or hazardous substances must be: (1) Inaccessible to children; (2) Used according to manufacturer’s instructions; (3) Stored in the original or other labeled container; and (4) Disposed of according to manufacturer recommendations. 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: For licensed center care, bio-contaminants must be handled and disposed of properly. Soiled diapers must be changed promptly, in a designated area, on a non-porous surface. The diaper changing area must be clean and disinfected with a sanitizing solution approved by the department. Soiled diapers must be kept in a leakproof, nonabsorbent container that is covered with a tight-fitting lid. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed family child care homes, bio-contaminants must be handled and disposed of properly. Soiled diapers must be changed promptly, in a designated area, on a non-porous surface. The diaper changing area must be clean and disinfected with a sanitizing solution approved by the department. Soiled diapers must be kept in a leakproof, nonabsorbent container that is covered with a tight-fitting lid. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For license exempt informal providers, bio-contaminants must be handled and disposed of properly. Soiled diapers must be changed promptly, in a designated area, on a non-porous surface. The diaper changing area must be clean and disinfected with a sanitizing solution approved by the department. Soiled diapers must be kept in a leakproof, nonabsorbent container that is covered with a tight-fitting lid. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For license exempt in-home providers, bio-contaminants must be handled and disposed of properly. Soiled diapers must be changed promptly, in a designated area, on a non-porous surface. The diaper changing area must be clean and disinfected with a sanitizing solution approved by the department. Soiled diapers must be kept in a leakproof, nonabsorbent container that is covered with a tight-fitting lid. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For school age programs, bio- contaminants must be handled and disposed of properly. If applicable, soiled diapers must be changed promptly, in a designated area, on a non-porous surface. The diaper changing area must be clean and disinfected with a sanitizing solution approved by the department. Soiled diapers must be kept in a leakproof, nonabsorbent container that is covered with a tight-fitting lid. 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: The standards for precautions in transporting children includes the following: (1) A parent or guardian shall provide written permission for the transportation of their child; (2) The vehicle may not carry more people than its passenger capacity, as stated on the label affixed to the vehicle under 49 C.F.R. Parts 567 and 568, in effect on March 9, 2022; (3) The required staff-child ratio must be maintained when children are being transported; (4) The driver must be at least eighteen years of age and have a driver license to operate the vehicle being driven; (5) When a child is being transported in a vehicle other than a bus, the child must be restrained in a car seat, booster seat, or seat belt appropriate for the child's weight and age; and (6) Proof of liability insurance must be provided to the department, upon request, for any vehicle used for transporting children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The standards for precautions in transporting children includes the following: (1) A parent or guardian shall provide written permission for the transportation of their child; (2) The vehicle may not carry more people than its passenger capacity, as stated on the label affixed to the vehicle under 49 C.F.R. Parts 567 and 568, in effect on March 9, 2022; (3) The required staff-child ratio must be maintained when children are being transported; (4) The driver must be at least eighteen years of age and have a driver license to operate the vehicle being driven; (5) When a child is being transported in a vehicle other than a bus, the child must be restrained in a car seat, booster seat, or seat belt appropriate for the child's weight and age; and (6) Proof of liability insurance must be provided to the department, upon request, for any vehicle used for transporting children. A parent or guardian shall provide written permission for the transportation of their 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: It's important for all informal providers to adhere to state laws concerning the transportation of children to ensure their safety while in transit. Here are some key points related to transporting children: Vehicle Capacity: informal providers must ensure that the number of children transported does not exceed the vehicle's passenger capacity. This is essential for the safety and comfort of all passengers. Safety Belt Requirement: Each passenger must have access to a safety belt, and these belts should not be shared. Sharing belts can lead to serious injuries, especially in the event of a crash. Child Passenger Safety Seats: Children under 40 pounds must be transported in a child passenger safety seat. This is crucial for protecting young children in the event of a collision. Seat Belt Laws: Providers must comply with South Dakota laws regarding seat belt usage, as outlined in SDCL 32-37-1 and 32-37-1.1. These laws require that: Children under five years of age must be properly secured in a child passenger restraint while being transported on streets and highways. If a child under five years of age weighs at least forty pounds, they can be secured with a seat belt. Passengers aged five to eighteen years must wear properly adjusted and fastened safety seat belts. Adhering to these laws and regulations is essential for ensuring the safety and well-being of children while they are being transported by informal child care providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: It's important for all in-home providers to adhere to state laws concerning the transportation of children to ensure their safety while in transit. Here are some key points related to transporting children: Vehicle Capacity: In-home providers must ensure that the number of children transported does not exceed the vehicle's passenger capacity. This is essential for the safety and comfort of all passengers. Safety Belt Requirement: Each passenger must have access to a safety belt, and these belts should not be shared. Sharing belts can lead to serious injuries, especially in the event of a crash. Child Passenger Safety Seats: Children under 40 pounds must be transported in a child passenger safety seat. This is crucial for protecting young children in the event of a collision. Seat Belt Laws: Providers must comply with South Dakota laws regarding seat belt usage, as outlined in SDCL 32-37-1 and 32-37-1.1. These laws require that: Children under five years of age must be properly secured in a child passenger restraint while being transported on streets and highways. If a child under five years of age weighs at least forty pounds, they can be secured with a seat belt. Passengers aged five to eighteen years must wear properly adjusted and fastened safety seat belts. Adhering to these laws and regulations is essential for ensuring the safety and well-being of children while they are being transported by in-home child care providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The standards for precautions in transporting children includes the following: (1) A parent or guardian shall provide written permission for the transportation of their child; (2) The vehicle may not carry more people than its passenger capacity, as stated on the label affixed to the vehicle under 49 C.F.R. Parts 567 and 568, in effect on March 9, 2022; (3) The required staff-child ratio must be maintained when children are being transported; (4) The driver must be at least eighteen years of age and have a driver license to operate the vehicle being driven; (5) When a child is being transported in a vehicle other than a bus, the child must be restrained in a car seat, booster seat, or seat belt appropriate for the child's weight and age; and (6) Proof of liability insurance must be provided to the department, upon request, for any vehicle used for transporting children. A parent or guardian shall provide written permission for the transportation of their child. 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: Pediatric first aid for all staff standards include: All licensed center providers shall within ninety days after the date of employment and prior to caring for children without supervision, complete training in each of the orientation topics outlined in ARSD 67:42:17:17. Pediatric first aid is a training topic required under this rule requirement. The supervisor shall have completed their pediatric first aid training prior to an initial license issued by the Department. First aid training is required every five years. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Pediatric first aid for all staff standards include: All licensed family child care providers complete training in each of the orientation topics outlined in ARSD 67:42:17:17 prior to receiving CCDF funding or an initial license issued by the Department. Pediatric first aid is a training topic required under this rule requirement. First aid training is required every five years. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pediatric first aid for all staff standards include: All license exempt informal providers must have pediatric first aid on file with the Department before receiving payment for care of the child(ren) of the family eligible for CCDF. First aid training is required every five years. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pediatric first aid for all staff standards include: All license exempt in-home providers must have pediatric first aid on file with the Department before receiving payment for care of the child(ren) of the family eligible for CCDF. First aid training is required every five years. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Pediatric first aid for all staff standards include: All out-of-school program providers shall within ninety days after the date of employment and prior to caring for children without supervision, complete training in each of the orientation topics outlined in ARSD 67:42:17:17. Pediatric first aid is a training topic required under this rule requirement. The supervisor shall have completed their pediatric first aid training prior to an initial license issued by the Department. First aid training is required every five years. 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: Pediatric cardiopulmonary resuscitation for all staff standards include: All licensed center providers must be certified in pediatric cardiopulmonary resuscitation (CPR). The certification must include a hands-on skills test. A provider shall work under supervision until the provider has completed the training required by this section. The supervisor shall be certified in pediatric cardiopulmonary resuscitation prior to an initial license issued by the Department. CPR certification is to remain current. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Pediatric cardiopulmonary resuscitation for all staff standards include: All licensed family day care providers must be certified in pediatric cardiopulmonary resuscitation (CPR). The certification must include a hands-on skills test. A provider must have documentation of certification on file prior to receiving CCDF funds or an initial license issued by the Department. CPR certification is to remain current. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pediatric cardiopulmonary resuscitation for all staff standards include: All license exempt informal providers must have pediatric CPR certification on file with the Department before receiving payment for care of the child(ren) of the family eligible for CCDF. CPR certification is to remain current vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Pediatric cardiopulmonary resuscitation for all staff standards include: All license exempt in-home providers must have pediatric CPR certification on file with the Department before receiving payment for care of the child(ren) of the family eligible for CCDF. CPR certification is to remain current. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Pediatric cardiopulmonary resuscitation for all staff standards include: All licensed out-of-school program providers must be certified in pediatric cardiopulmonary resuscitation (CPR). The certification must include a hands-on skills test. A provider shall work under supervision until the provider has completed the training required by this section. The supervisor shall be certified in pediatric cardiopulmonary resuscitation prior to an initial license issued by the Department. CPR certification is to remain current. 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: Identification of child abuse and neglect standards include: The State of South Dakota mandates that all center child care providers undergo training on the recognition and reporting of child abuse and neglect. Here are the key points regarding this requirement: Mandatory Training: Child care providers in South Dakota are required to obtain training on the recognition and reporting of child abuse and neglect. Timing of Training: This training is included in the orientation training required within the first 90 days of employment for child care providers. Content of Training: The training specifically focuses on providing information on the identification of child abuse and neglect. This includes signs and symptoms of abuse, reporting procedures, and legal obligations. By ensuring that child care providers receive training on recognizing and reporting child abuse and neglect, the State aims to protect children from harm and ensure that appropriate actions are taken if abuse or neglect is suspected. This requirement reflects a commitment to safeguarding the welfare of children in child care settings. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Identification of child abuse and neglect standards include: The State of South Dakota mandates that all state licensed family child care providers undergo training on the recognition and reporting of child abuse and neglect. Here are the key points regarding this requirement: Mandatory Training: Child care providers in South Dakota are required to obtain training on the recognition and reporting of child abuse and neglect. Timing of Training: This training is included in the orientation training required prior to caring for children. Content of Training: The training specifically focuses on providing information on the identification of child abuse and neglect. This includes signs and symptoms of abuse, reporting procedures, and legal obligations. By ensuring that child care providers receive training on recognizing and reporting child abuse and neglect, the State aims to protect children from harm and ensure that appropriate actions are taken if abuse or neglect is suspected. This requirement reflects a commitment to safeguarding the welfare of children in child care settings. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Identification of child abuse and neglect standards include: The State of South Dakota mandates that all license-exempt family child care providers undergo training on the recognition and reporting of child abuse and neglect. Here are the key points regarding this requirement: Mandatory Training: Child care providers in South Dakota are required to obtain training on the recognition and reporting of child abuse and neglect. Timing of Training: This training is included in the orientation training required prior to caring for children. Content of Training: The training specifically focuses on providing information on the identification of child abuse and neglect. This includes signs and symptoms of abuse, reporting procedures, and legal obligations. By ensuring that child care providers receive training on recognizing and reporting child abuse and neglect, the State aims to protect children from harm and ensure that appropriate actions are taken if abuse or neglect is suspected. This requirement reflects a commitment to safeguarding the welfare of children in child care settings. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Identification of child abuse and neglect standards include: The State of South Dakota mandates that all license-exempt in-home providers undergo training on the recognition and reporting of child abuse and neglect. Here are the key points regarding this requirement: Mandatory Training: Child care providers in South Dakota are required to obtain training on the recognition and reporting of child abuse and neglect. Timing of Training: This training is included in the orientation training required prior to caring for children. Content of Training: The training specifically focuses on providing information on the identification of child abuse and neglect. This includes signs and symptoms of abuse, reporting procedures, and legal obligations. By ensuring that child care providers receive training on recognizing and reporting child abuse and neglect, the State aims to protect children from harm and ensure that appropriate actions are taken if abuse or neglect is suspected. This requirement reflects a commitment to safeguarding the welfare of children in child care settings. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Identification of child abuse and neglect standards include: The State of South Dakota mandates that all licensed school age program providers undergo training on the recognition and reporting of child abuse and neglect. Here are the key points regarding this requirement: Mandatory Training: Child care providers in South Dakota are required to obtain training on the recognition and reporting of child abuse and neglect. Timing of Training: This training is included in the orientation training required prior to caring for children. Content of Training: The training specifically focuses on providing information on the identification of child abuse and neglect. This includes signs and symptoms of abuse, reporting procedures, and legal obligations. By ensuring that child care providers receive training on recognizing and reporting child abuse and neglect, the State aims to protect children from harm and ensure that appropriate actions are taken if abuse or neglect is suspected. This requirement reflects a commitment to safeguarding the welfare of children in child care settings. 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: Reporting of child abuse and neglect standards include: A child care provider shall immediately report any suspected abuse or neglect of a child to child protective services, law enforcement, or the States Attorney’s office, and cooperate fully in the investigation of any incident. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Reporting of child abuse and neglect standards include: A child care provider shall immediately report any suspected abuse or neglect of a child to child protective services, law enforcement, or the States Attorney’s office, and cooperate fully in the investigation of any incident. 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: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Reporting of child abuse and neglect standards include: Suspicions of child abuse and neglect are immediately reported to the Department of Social Services at 1- 877-244-0864, law enforcement, or the State's Attorney. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Reporting of child abuse and neglect standards include: Suspicions of child abuse and neglect are immediately reported to the Department of Social Services at 1-877-244-0864, law enforcement, or the State's Attorney. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Reporting of child abuse and neglect standards include: A child care provider shall immediately report any suspected abuse or neglect of a child to child protective services, law enforcement, or the States Attorney’s office, and cooperate fully in the investigation of any incident. 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: Nutrition standards include: Providers shall post a weekly menu that indicates meals and snacks to be served that week. An infant shall be fed according to the infant's schedule. The provider shall hold the infant's bottle when feeding the infant. The provider may not feed an infant by propping up the infant's bottle. Food, including breast milk and formula, must be properly stored, kept at the proper temperature, and protected from potential contamination according to the preparing, feeding, and storing standards contained in Caring for Our Children: National Health and Safety Performance Standards, 4th Edition. ii. Access to physical activity. Describe: Na iii. Caring for children with special needs. Describe: NA iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: NA