health-and-safety-prevention-of-shaken-baby-syndrome-abusive-head-trauma-and-child-maltreatment TRAUMA, AND CHILD MALTREATMENT

Reason(s) for non-compliance: • The Lead Agency has not established a standard for the prevention of shaken baby syndrome and abusive head trauma for licensed centers and licensed family child care homes and has not established a standard for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment for license-exempt centers, license- exempt family child care homes, or license-exempt in-home providers, as required by 98.41(a)(1)(vi). (Plan Questions 5.3.6ai, 5.3.6aii, 5.3.6aiv, 5.3.6av, 5.3.6avi, 5.3.6biv, 5.3.6bv, and 5.3.6bvi) • The Lead Agency does not require pre-service or orientation training on prevention of shaken baby syndrome, abusive head trauma, and child maltreatment for licensed centers, licensed family child care providers, license-exempt centers, license-exempt family child care providers, or license-exempt in-home providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers, or an annual inspection for license- exempt centers and license-exempt family child care providers for compliance with a standard for prevention of shaken baby syndrome, abusive head trauma, and child maltreatment and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, 5.5.2ai, and 5.5.2bi) Overall Target Completion Date: 10/31/2025 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency standard and supporting documentation is being reviewed by the OCC Regional Office and National Center on Early Childhood Quality Assurance (NCECQA). The Lead Agency is awaiting the outcome of this review. 02/28/2025 2 The Lead Agency may update its contract for all child care providers that participate in the Child Care Payment Assistance/Certificate Program to ensure all CCDF standards and requirements are addressed. 10/31/2025 3 The Lead Agency may complete policy revisions, update monitoring tools, and deliver refresher training for staff to ensure all CCDF standards and requirements are addressed during monitoring inspections. 10/31/2025 4 Regarding licensed agencies, the Lead Agency has drafted licensing rules revisions to address this issue. The Lead Agency had previously begun the rules promulgation process but withdrew the revisions due to unrelated issues. 10/31/2025 The Lead Agency has restarted and will complete the rules promulgation process. 5 Regarding license-exempt agencies, the Lead Agency may submit an amendment to its State Plan to describe the standard and monitoring tool used to evaluate the standard for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment for each provider type. 10/31/2025