health-and-safety-prevention-and-control-of-infectious-diseases

Reason(s) for non-compliance: • The Lead Agency has not established a standard for school-age children attending child care programs to be age-appropriately immunized, for licensed centers, licensed family child care homes, license-exempt centers, license-exempt family child care homes, license-exempt in-home care, or out-of-school programs, as required by 98.41(a)(1)(i). (Plan Questions 5.3.1bi, 5.3.1bii, 5.3.1biv, 5.3.1bv, 5.3.1bvi, and 5.3.1bvii) • The Lead Agency does not require pre-service or orientation training on prevention and control of infectious diseases (including immunizations) for licensed centers, licensed family child care homes, license-exempt centers, license-exempt family child care homes, or license-exempt in-home providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1a) • 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 or license-exempt family child care providers for compliance with a standard for the prevention and control of infectious diseases (including immunizations) 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: 07/01/2026 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency has not established a standard for school-age children attending child care programs to be age-appropriately immunized, for licensed centers, licensed family child care homes, license-exempt centers, license-exempt family child care homes, license-exempt in-home care, or out-of-school programs, as required by 98.41(a)(1)(i). (Plan Questions 5.3.1bi, 5.3.1bii, 5.3.1biv, 5.3.1bv, 5.3.1bvi, and 5.3.1bvii) 05/30/2025 2 The Department of Health and Human Services - Office of Licensing (DHHS-OL) will have discussions with the Lead Agency and internally to determine what steps are needed to come into compliance in this area around verifying immunization records and exemptions for school- age children. DHHS-OL will determine whether a statute change is needed or an administrative rule change only. 05/30/2025 3 If it is determined that only an administrative rule change is needed, a draft amendment of the administrative rule will be developed with opportunities for feedback from stakeholders, advisory committees and the public. The administrative rule will then become effective, and DHHS-OL will implement the rule, including updating their interpretation manual. Child care providers will be notified of the changes. 11/30/2025 4 If it is determined that a state statute change is needed, DHHS-OL will coordinate with the Lead Agency and the state legislature to determine 07/01/2026 changes needed and draft language for a bill to move through Utah’s 2026 legislative session. 5 The Lead Agency does not require pre-service or orientation training on prevention and control of infectious diseases (including immunizations) for licensed centers, licensed family child care homes, license-exempt centers, license-exempt family child care homes, or license-exempt in- home providers, as required by 98.44(b)(1)(i). (Plan Question 5.4.1a) 05/30/2025 6 The Department of Health and Human Services - Office of Licensing (DHHS-OL) will have discussions with the Lead Agency and internally to determine what steps are needed to come into compliance in this area around verifying immunization records and exemptions for school- age children. DHHS-OL will determine whether a statute change is needed or an administrative rule change only. DHHS-OL will review current training procedures used for other age groups in care to determine whether a similar process could be replicated for school-age children. 05/30/2025 7 If it is determined that only an administrative rule change is needed, a draft amendment of the administrative rule will be developed with opportunities for feedback from stakeholders, advisory committees and the public. The administrative rule will then become effective, and DHHS-OL will implement the rule, including updating training. 11/30/2025 8 If it is determined that a state statute change is needed, DHHS-OL will coordinate with the Lead Agency and the state legislature to determine changes needed and draft language for a bill to move through Utah’s 2026 legislative session. Provider training would then be updated to align with a statutory change. 07/01/2026 9 The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers or an annual 05/30/2025 inspection for license-exempt centers or license- exempt family child care providers for compliance with a standard for the prevention and control of infectious diseases (including immunizations) 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) 10 The Department of Health and Human Services - Office of Licensing (DHHS-OL) will have discussions with the Lead Agency and internally to determine what steps are needed to come into compliance in this area around verifying immunization records and exemptions for school- age children. DHHS-OL will determine whether a statute change is needed or an administrative rule change only. DHHS-OL will review current inspection procedures and checklists used for other age groups in care to determine whether a similar process could be replicated for school-age children. 05/30/2025 11 If it is determined that only an administrative rule change is needed, a draft amendment of the administrative rule will be developed with opportunities for feedback from stakeholders, advisory committees and the public. The administrative rule will then become effective, and DHHS-OL will implement the rule, including updating inspection procedures and checklists. 11/30/2025 12 If it is determined that a state statute change is needed, DHHS-OL will coordinate with the Lead Agency and the state legislature to determine changes needed and draft language for a bill to move through Utah’s 2026 legislative session. Inspection procedures and checklists would then be updated to align with a statutory change. Child care providers will be notified of the changes. 07/01/2026