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: The provider shall keep the building, furnishings, equipment, and outdoor area clean and sanitary including: a. walls and flooring clean and free of spills, dirt, and grime; b. areas and equipment used for the storage, preparation, and service of food clean and sanitary; c. surfaces free of rotting food or a build-up of food; d. the building and grounds free of a build-up of litter, trash, and garbage; e. frequently touched surfaces, including doorknobs and light switches, cleaned and sanitized; and f. the facility free of animal feces. The provider shall take safe and effective measures to prevent and eliminate the presence of insects, rodents, and other pests. The provider shall clean and sanitize any toys and materials used by children: a. at least once a week or more often if needed; b. after being put in a child's mouth and before another child plays with the toy; and c. after being contaminated by body fluid. The provider shall ensure that fabric toys and items including stuffed animals, cloth dolls, pillow covers, and dress-up clothes are machine washable and if used, washed at least each week or as needed. The provider shall clean and sanitize highchair trays before each use. The provider shall clean and sanitize water play tables or tubs daily if used by the children. The provider shall clean and sanitize bathroom surfaces including toilets, sinks, faucets, toilet and sink handles, and counters each day the facility is open for business. The provider shall clean and sanitize potty chairs after each use. The provider shall keep toilet paper in a dispenser that is accessible to children. The provider shall post handwashing procedures that are readily visible from each handwashing sink and shall ensure that each staff follow the procedures. The provider shall ensure that staff and volunteers wash their hands thoroughly with liquid soap and running water: a. upon arrival; b. before handling or preparing food or bottles; c. before and after eating meals and snacks or feeding a child; d. after using the toilet or helping a child use the toilet; e. after contact with a body fluid; f. when coming in from outdoors; and g. after cleaning up or taking out garbage. The provider shall ensure that caregivers teach children how to wash their hands thoroughly and oversee handwashing when possible. The provider shall ensure that children wash their hands thoroughly with liquid soap and running water: a. upon arrival; b. before and after eating meals and snacks; c. after using the toilet; d. after contact with a body fluid; e. before using a water play table or tub; and f. when coming in from outdoors. g. The provider shall ensure that only single-use towels from a covered dispenser or an electric hand dryer are used to dry hands. The provider shall store personal hygiene items, including toothbrushes, combs, and hair accessories separate, so they do not touch each other, and ensure they are not shared or they are sanitized between each use. The provider shall ensure that pacifiers, bottles, and non-disposable drinking cups are: a. labeled with each child's name or individually identified; and b. not shared, or washed and sanitized before being used by another child. The provider shall ensure the prompt change of a child's clothing if the child has a toileting accident. The provider shall ensure that children's clothing that is wet or soiled from a body fluid is: a. not rinsed or washed at the center; b. placed in a leakproof container that is labeled with the child's name; and c. returned to the parent, or thrown away with parental consent. The provider shall take precautions when cleaning floors, furniture, and other surfaces contaminated by blood, urine, feces, or vomit, and ensure that, except for diaper changes and toileting accidents, staff cleaning these bodily fluids: a. wear waterproof gloves; b. clean the surface using a detergent solution; c. rinse the surface with clean water; d. sanitize the surface; e. throw away in a leakproof plastic bag the disposable materials, including paper towels, that were used to clean up the body fluid; f. wash and sanitize any non disposable materials used to clean up the body fluid, including cleaning cloths, mops, or reusable rubber gloves, before reusing them; and g. wash their hands after cleaning up the body fluid. The provider may not care for a child who is ill with an infectious disease at the center except when the child shows signs of illness after arriving at the center. If a child becomes ill while in care: a. the provider shall contact the child's parent or, if the parent cannot be reached, an individual listed as the emergency contact to immediately pick up the child; and b. If the child is ill with an infectious disease, the provider shall make the child comfortable in a safe, supervised area that is separated from the other children until the parent arrives. If any child or employee has an infectious disease, an unusual or serious illness, or a sudden onset of an illness, the provider shall notify the local health department on the day the provider discovers the illness. If any staff member or child has an infectious disease or parasite, the provider shall post a notice at the center that: a. does not disclose any personal identifiable information; b. is posted in a conspicuous place where it can be seen by parents; c. is posted and dated on the same day that the disease or parasite is discovered; and d. remains posted for at least five business days. To prevent contamination of food, the spread of foodborne illnesses, and other diseases, the provider shall ensure that: a. individuals who prepare food in the kitchen do not change diapers or help in toileting children; b. caregivers who care for diapered children only prepare food for the children in their care, and they do not prepare food outside of the room used by the diapered children or prepare food for other children and adults in the facility; and c. individuals with an infectious disease or showing symptoms including diarrhea, fever, coughing, or vomiting do not prepare or serve foods. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall keep the building, furnishings, equipment, and outdoor area clean and sanitary including: a. walls and flooring clean and free of spills, dirt, and grime; b. areas and equipment used for the storage, preparation, and service of food clean and sanitary; c. surfaces free of rotting food or a build-up of food; d. the building and grounds free of a build-up of litter, trash, and garbage; e. frequently touched surfaces, including doorknobs and light switches, cleaned and sanitized; and f. the facility free of animal feces. The provider shall take safe and effective measures to prevent and eliminate the presence of insects, rodents, and other pests. The provider shall clean and sanitize any toys and materials used by children: a. at least once a week or more often if needed; b. after being put in a child's mouth and before another child plays with the toy; and c. after being contaminated by a body fluid. The provider shall ensure that fabric toys and items including stuffed animals, cloth dolls, pillow covers, and dress-up clothes are machine washable and if used, washed at least each week or as needed. The provider shall clean and sanitize highchair trays before each use. The provider shall clean and sanitize water play tables or tubs daily if used by the children. The provider shall clean and sanitize bathroom surfaces including toilets, sinks, faucets, toilet and sink handles, and counters each day the facility is open for business. The provider shall clean and sanitize potty chairs after each use. The provider shall keep toilet paper in a dispenser that is accessible to children. The provider shall ensure that staff and volunteers wash their hands thoroughly with soap and running water: a. upon arrival; b. before handling or preparing food or bottles; c. before and after eating meals and snacks or feeding a child; d. after using the toilet or helping a child use the toilet; e. after contact with a body fluid; f. when coming in from outdoors; and g. after cleaning up or taking out garbage. The provider shall ensure that caregivers teach children how to wash their hands thoroughly and oversee handwashing when possible. The provider shall ensure that children wash their hands thoroughly with soap and running water: a. upon arrival; b. before and after eating meals and snacks; c. after using the toilet; d. after contact with a body fluid; e. before using a water play table or tub; and f. when coming in from outdoors. The provider shall ensure that only single-use towels, an electric hand dryer, or individually labeled cloth towels are used to dry hands. The provider shall ensure that if cloth towels are used, cloth towels are: a. not shared; and b. washed daily. The provider shall store personal hygiene items, including toothbrushes, combs, and hair accessories separate, so they do not touch each other, and ensure they are not shared or they are sanitized between each use. The provider shall ensure that pacifiers, bottles, and non-disposable drinking cups are: a. labeled with each child's name or individually identified; and b. not shared, or washed and sanitized before being used by another child. The provider shall ensure that a child's clothing is promptly changed if the child has a toileting accident. The provider shall ensure that children's clothing that is wet or soiled from a body fluid is: a. washed and dried; or b. placed in a leakproof container that is labeled with the child's name and returned to the parent. The provider shall take precautions when cleaning floors, furniture, and other surfaces contaminated by blood, urine, feces, or vomit, and ensure that, except for diaper changes and toileting accidents, staff cleaning these bodily fluids: a. wear waterproof gloves; b. clean the surface using a detergent solution; c. rinse the surface with clean water; d. sanitize the surface; e. throw away in a leakproof plastic bag the disposable materials, including paper towels, that were used to clean up the body fluid; f. wash and sanitize any non-disposable materials used to clean up the body fluid, including cleaning cloths, mops, or reusable rubber gloves, before reusing them; and g. wash their hands after cleaning up the body fluid. If a child becomes ill while in care, the provider shall: a. as soon as the illness is observed or suspected, contact the child's parent or, if the parent cannot be reached, an individual listed as the emergency contact; and b. if the child is ill with an infectious disease, make the child comfortable in a safe, supervised area that is separated from the other children until the parent arrives. The provider shall notify the parents of each child in care if any child, employee, or person in the home has an infectious disease or parasite, on the day the illness is discovered. If any child or employee has an infectious disease, an unusual or serious illness, or a sudden onset of an illness, the provider shall notify the local health department on the day the illness is discovered. To prevent contamination of food, the spread of foodborne illnesses, and other diseases, the provider shall ensure that individuals with an infectious disease or showing symptoms including diarrhea, fever, coughing, or vomiting do not prepare or serve foods. 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: The provider must ensure all areas of the facility used for care are clean and sanitary. To prevent and control infectious diseases, the provider must ensure all employees, volunteers, and children in care wash their hands thoroughly with liquid soap and warm running water: a. upon arrival; b. before handling and/or preparing food; c. before serving and/or eating meals and snacks; d. after using the toilet; e. before administering and/or taking medication; f. after coming into contact with body fluids (blood, urine, feces, vomit, mucus, and saliva); g. after playing with or handling animals; and h. after cleaning and/or taking out garbage. 1466 v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must ensure there is a clean and sanitary environment for the children in care. To prevent and control infectious diseases, the provider and children in care must wash their hands thoroughly with liquid soap and warm running water: a. upon arrival; b. before handling and/or preparing food; c. before serving and/or eating meals and snacks; d. after using the toilet; e. before administering and/or taking medication; f. after coming into contact with body fluids (blood, urine, feces, vomit, mucus, and saliva); g. after playing with or handling animals; and h. after cleaning and/or taking out garbage. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must ensure there is a clean and sanitary environment for the children in care. To prevent and control infectious diseases, the provider and children in care must wash their hands thoroughly with liquid soap and warm running water: a. upon arrival; b. before handling and/or preparing food; c. before serving and/or eating meals and snacks; d. after using the toilet; e. before administering and/or taking medication; f. after coming into contact with body fluids (blood, urine, feces, vomit, mucus, and saliva); g. after playing with or handling animals; and h. after cleaning and/or taking out garbage. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure all areas of the facility used for care are clean and sanitary. To prevent and control infectious diseases, the provider must ensure all employees, volunteers, and children in care wash their hands thoroughly with liquid soap and warm running water: a. upon arrival; b. before handling and/or preparing food; c. before serving and/or eating meals and snacks; d. after using the toilet; e. before administering and/or taking medication; f. after coming into contact with body fluids (blood, urine, feces, vomit, mucus, and saliva); g. after playing with or handling animals; and h. after cleaning and/or taking out garbage. 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 admitting any child younger than five years old into the child care program, including the provider's and employees' own children, the provider shall get the following documentation from the child's parent: a. current immunizations; b. a medical schedule to receive required immunizations; c. a legal exemption; or d. a 90-day exemption for foster children and children who are homeless. For each child younger than five years old, including the provider's and employees' own children, the provider shall keep their current immunization records on-site for review by the department. The provider shall submit the annual immunization report to the Immunization Program in the Utah Department of Health and Human Services by the date specified by the department. Child Care Licensing does not require child care programs to collect or report immunization information for children ages 5 and older who are attending school or will be entering school during the current year. The responsibility of reporting the immunization information is assigned to the schools where the children are attending. Information about required immunizations for children enrolled in a child care program can be found in the School & Early Childhood Program Requirements section of the Utah Department of Health Immunization Program. Proof of immunization is a requirement for attendance at any school (kindergarten ￿ 12th grade), Head Start, or childcare facility in Utah. An exemption may be granted for medical, religious, or personal reasons. Families with children experiencing homelessness who need help with obtaining immunizations are referred to the McKinney-Vento liaison to assist in obtaining the necessary immunizations. Children, including those experiencing homelessness or in foster care, may attend school on a conditional enrollment for 30 calendar days while the family is working toward meeting immunization requirements. If needed, additional extensions may be granted by the school administrator. Refer to Utah Code 53G- 9 Part 3, Utah Code 53G-9-308 and Utah Administrative Rule on Immunizations specified in R396-100 for more information. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Before admitting any child younger than five years old into the child care program, including the provider's and employees' own children, the provider shall get the following documentation from the child's parent: a. current immunizations; b. a medical schedule to receive required immunizations; c. a legal exemption; or d. a 90-day exemption for foster children and children who are homeless. For each child younger than five years old, including the provider's and employees' own children, the provider shall keep their current immunization records on-site for review by the department. The provider shall submit the annual immunization report to the Immunization Program in the Utah Department of Health and Human Services by the date specified by the department. Child Care Licensing does not require child care programs to collect or report immunization information for children ages 5 and older who are attending school or will be entering school during the current year. The responsibility of reporting the immunization information is assigned to the schools where the children are attending. Information about required immunizations for children enrolled in a child care program can be found in the School & Early Childhood Program Requirements section of the Utah Department of Health Immunization Program. Proof of immunization is a requirement for attendance at any school (kindergarten ￿ 12th grade), Head Start, or childcare facility in Utah. An exemption may be granted for medical, religious, or personal reasons. Families with children experiencing homelessness who need help with obtaining immunizations are referred to the McKinney-Vento liaison to assist in obtaining the necessary immunizations. Children, including those experiencing homelessness or in foster care, may attend school on a conditional enrollment for 30 calendar days while the family is working toward meeting immunization requirements. If needed, additional extensions may be granted by the school administrator. Refer to Utah Code 53G- 9 Part 3, Utah Code 53G-9-308 and Utah Administrative Rule on Immunizations specified in R396-100 for more information. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Before admitting any child younger than five years old into the child care program, including the provider's and employees' own children, the provider shall get the following documentation from the child's parent: a. current immunizations; b. a medical schedule to receive required immunizations; c. a legal exemption; or d. a 90-day exemption for foster children and children who are homeless. For each child younger than five years old, including the provider's and employees' own children, the provider shall keep their current immunization records on-site for review by the department. The provider shall submit the annual immunization report to the Immunization Program in the Utah Department of Health and Human Services by the date specified by the department. Child Care Licensing does not require child care programs to collect or report immunization information for children ages 5 and older who are attending school or will be entering school during the current year. The responsibility of reporting the immunization information is assigned to the schools where the children are attending. Information about required immunizations for children enrolled in a child care program can be found in the School & Early Childhood Program Requirements section of the Utah Department of Health Immunization Program. Proof of immunization is a requirement for attendance at any school (kindergarten ￿ 12th grade), Head Start, or childcare facility in Utah. An exemption may be granted for medical, religious, or personal reasons. Families with children experiencing homelessness who need help with obtaining immunizations are referred to the McKinney-Vento liaison to assist in obtaining the necessary immunizations. Children, including those experiencing homelessness or in foster care, may attend school on a conditional enrollment for 30 calendar days while the family is working toward meeting immunization requirements. If needed, additional extensions may be granted by the school administrator. Refer to Utah Code 53G- 9 Part 3, Utah Code 53G-9-308 and Utah Administrative Rule on Immunizations specified in R396-100 for more information. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must ensure each child in care has current immunizations. The provider must have documentation of current immunizations for each child in care who does not attend school (children who are homeless or in foster care may have a 90 day exemption) and have the documentation available for review by Child Care Licensing staff. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must ensure each child in care has current immunizations. The provider must have documentation of current immunizations for each child in care who does not attend school (children who are homeless or in foster care may have a 90 day exemption) and have the documentation available for review by Child Care Licensing staff. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure each child in care who is younger than school-age has current immunizations. If the documentation is not maintained by another agency or organization, the provider must ensure there is documentation of current immunizations for each child in care younger than school-age (children who are homeless or in foster care may have a 90 day exemption) available for review by Child Care Licensing staff. Child Care Licensing does not require child care programs to collect or report immunization information for children ages 5 and older who are attending school or will be entering school during the current year. The responsibility of reporting the immunization information is assigned to the schools where the children are attending. Information about required immunizations for children enrolled in a child care program can be found in the School & Early Childhood Program Requirements section of the Utah Department of Health Immunization Program. Proof of immunization is a requirement for attendance at any school (kindergarten ￿ 12th grade), Head Start, or childcare facility in Utah. An exemption may be granted for medical, religious, or personal reasons. Families with children experiencing homelessness who need help with obtaining immunizations are referred to the McKinney-Vento liaison to assist in obtaining the necessary immunizations. Children, including those experiencing homelessness or in foster care, may attend school on a conditional enrollment for 30 calendar days while the family is working toward meeting immunization requirements. If needed, additional extensions may be granted by the school administrator. Refer to Utah Code 53G- 9 Part 3, Utah Code 53G-9-308 and Utah Administrative Rule on Immunizations specified in R396-100 for more information. 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: The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j, prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m, precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-7(16)(a) through (o). The provider shall ensure that when video cameras or mirrors are used to supervise napping children: a. the napping room is adjacent to a non-napping room; b. there is a staff member in the non-napping room; c. cameras or mirrors are positioned so that the staff member can see and hear each child; d. there is an open door without a barrier, including a gate, between the napping room and the non-napping room; and e. the staff member moves children who wake up to the non-napping room. The provider shall ensure that a blanket or other item is not placed over sleeping equipment in a way that prevents the caregiver from seeing the sleeping child. The provider shall ensure that infants sleep in equipment designed for sleep including a crib, bassinet, porta-crib or playpen, and that infants are not placed to sleep on a mat, cot, pillow, bouncer, swing, car seat, or other similar piece of equipment. The provider shall place infants on their backs for sleeping unless there is documentation from a health care provider requiring a different sleep position. The provider may not place soft toys, loose blankets, or other objects in sleep equipment while in use by sleeping infants. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department which includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j, prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that a caregiver monitors each sleeping infant by: a. placing each infant to sleep within the sight and hearing of a caregiver; or b. personally observing each sleeping infant at least once every 15 minutes. The provider shall ensure that infants sleep in equipment designed for sleep including a crib, bassinet, porta-crib or playpen, and that infants are not placed to sleep on a mat, cot, pillow, bouncer, swing, car seat, or other similar piece of equipment. The provider shall place infants on their backs for sleeping unless there is documentation from a health care provider requiring a different sleep position. The provider may not place soft toys, loose blankets, or other objects in sleep equipment while in use by sleeping infants. 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: CCL will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure infants sleep in equipment designed for sleep, such as a crib, bassinet, porta-crib or play pen and are not placed to sleep on mats or cots or in bouncers, swings, car seats, or other pieces of similar equipment. The provider must ensure soft toys, loose blankets, or other objects are not placed in sleep equipment while in use by sleeping infants. The provider must ensure infants are placed on their backs for sleeping unless there is documentation from a health care provider for the treatment of a medical condition. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must ensure infants sleep in equipment designed for sleep, such as a crib, bassinet, porta-crib, or playpen. Equipment designed for sleep does not include mats, cots, bouncers, swings, or car seats. The provider shall not place soft toys, loose blankets, or other objects in sleep equipment while in use by sleeping infants. The provider must place infants on their backs for sleeping, unless the provider has written instructions from a health care provider for a different sleep position. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must ensure infants sleep in equipment designed for sleep, such as a crib, bassinet, porta-crib, or playpen. Equipment designed for sleep does not include mats, cots, bouncers, swings, or car seats. The provider shall not place soft toys, loose blankets, or other objects in sleep equipment while in use by sleeping infants. The provider must place infants on their backs for sleeping, unless the provider has written instructions from a health care provider for a different sleep position. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: CCL will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a, disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure infants sleep in equipment designed for sleep, such as a crib, bassinet, porta-crib or play pen and are not placed to sleep on mats or cots or in bouncers, swings, car seats, or other pieces of similar equipment. The provider must ensure soft toys, loose blankets, or other objects are not placed in sleep equipment while in use by sleeping infants. The provider must ensure infants are placed on their backs for sleeping unless there is documentation from a health care provider for the treatment of a medical condition. 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: The provider shall ensure that the staff administering the medication: a. washes their hands; b. check the medication label to confirm the child's name if the parent supplied the medication; c. checks the medication label or the package to ensure that a child is not given a dosage larger than that recommended by the health care professional or manufacturer; and d. administers the medication. The provider shall ensure that immediately after administering a medication, the staff giving the medication records the following information: a. the date, time, and dosage of the medication given; b. any error in administering the medication or adverse reactions; and c. their signature or initials. The provider shall report to the parent a child's adverse reaction to a medication or error in administration of the medication immediately upon recognizing the reaction or error, or after notifying emergency personnel if the reaction is life- threatening. The provider shall notify the parent before the scheduled medication dosage to a child if the provider chooses not to administer medication as instructed by the parent. The provider shall keep a six-week record of medication permission and administration forms on-site for review by the department. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that the staff administering the medication: a. washes their hands; b. check the medication label to confirm the child's name if the parent supplied the medication; c. checks the medication label or the package to ensure that a child is not given a dosage larger than that recommended by the health care professional or manufacturer; and d. administers the medication. The provider shall ensure that immediately after administering a medication, the staff giving the medication records the following information: a. the date, time, and dosage of the medication given; b. any error in administering the medication or adverse reactions; and c. their signature or initials. The provider shall report to the parent a child's adverse reaction to a medication or error in administration of the medication immediately upon recognizing the reaction or error, or after notifying emergency personnel if the reaction is life- threatening. The provider shall notify the parent before the scheduled medication dosage to a child if the provider chooses not to administer medication as instructed by the parent. The provider shall keep a six-week record of medication permission and administration forms on-site for review 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: The provider must ensure there is parental permission before administering medication to children in care. Immediately upon the recognition of the error, the provider must ensure parents are notified of any adverse reaction to a medication or an error in the administration of medication for their child(ren). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must ensure there is parental permission before administering medication to children in care. Immediately upon the recognition of the error, the provider must ensure parents are notified of any adverse reaction to a medication or an error in the administration of medication for their child(ren). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must have permission from parents before administering medication to children in care. Immediately upon recognizing it, the provider must report to the parent any adverse reaction a child in care has to a medication, or any error in the administration of a medication to a child in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure there is parental permission before administering medication to children in care. Immediately upon the recognition of the error, the provider must ensure parents are notified of any adverse reaction to a medication or an error in the administration of medication for their child(ren). 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: If parents supply any over-the-counter or prescription medications, the provider shall ensure those medications: a. are labeled with the child's full name; b. are stored in the original or pharmacy container; c. have the original label; and d. have child safety caps. The provider shall have a written medication permission form completed and signed by the parent before administering any medication supplied by the parent for their child. The provider shall ensure that the medication permission form includes at least: a. the name of the child; b. the name of the medication; c. written instructions for administration; and d. the parent signature and the date signed. The provider shall ensure that instructions for administering the medication include at least: a. the dosage; b. how the medication will be given; c. the times and dates to administer the medication; and d. the disease or condition being treated. If the provider supplies an over-the-counter medication for children's use, the provider shall ensure that no staff administers the medication to any child without previous parental consent for each instance it is given. The provider shall ensure that the consent is: a. written; or b. verbal, if the date and time of the consent is documented and signed by the parent upon picking up their child. ii. All CCDF-eligible licensed family child care homes. Provide the standard: If parents supply any over-the-counter or prescription medications, the provider shall ensure those medications: a. are labeled with the child's full name; b. are stored in the original or pharmacy container; c. have the original label; and d. have child safety caps. The provider shall have a written medication permission form completed and signed by the parent before administering any medication supplied by the parent for their child. The provider shall ensure that the medication permission form includes at least: a. the name of the child; b. the name of the medication; c. written instructions for administration; and d. the parent signature and the date signed. The provider shall ensure that instructions for administering the medication include at least: a. the dosage; b. how the medication will be given; c. the times and dates to administer the medication; and d. the disease or condition being treated. If the provider supplies an over-the-counter medication for children's use, the provider shall ensure that no staff administers the medication to any child without previous parental consent for each instance it is given. The provider shall ensure that the consent is: a. written; or b. verbal, if the date and time of the consent is documented and signed by the parent upon picking up 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: The provider must ensure there is parental permission before administering medication to children in care. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must have permission from parents before administering medication to children in care. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must have permission from parents before administering medication to children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure there is parental permission before administering medication to children in care. 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: The provider shall ensure that a parent completes an admission and health assessment form for their child before the child is admitted into the child care program. The provider shall ensure that each child's admission and health assessment form includes the following information: a. child's name; b. child's date of birth; c. parent's name, address, and phone number, including a daytime phone number; d. names of individuals authorized by the parent to sign the child out from the facility; e. name, address, and phone number of an individual to be contacted if an emergency happens and the provider cannot contact the parent; f. if available, the name, address, and phone number of an out-of-area emergency contact individual for the child; g. parent's permission for emergency transportation and emergency medical treatment; h. any known allergies of the child; i. any known food sensitivities of the child; j. any chronic medical conditions that the child may have; k. instructions for special or nonroutine daily health care of the child; l. current ongoing medications that the child may be taking; and m. any other special health instructions for the caregiver. The provider shall ensure that the admission and health assessment form is: a. reviewed, updated, and signed or initialed by the parent at least annually; and b. kept on-site for review by the department. The provider shall ensure that caregivers: a. are at least 16 years old; b. are considered eligible by a CCL background check before becoming involved with child care; c. complete the 2-1/2 hour preservice training offered by the department before caring for children; d. know and follow any applicable laws and requirements under Rule R381-100; e. are introduced to other program staff and to the caregiver's assigned group of children; f. review the information in each child's health assessment in the caregiver's assigned group, including allergies, food sensitivities, and other individual needs; and g. complete at least 20 hours of child care training each year, based on the facility's license date, or at least 1-1/2 hours of child care training each month they work if hired partway through the facility's licensing year. The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-7(16)(a) through (o). The provider shall develop and follow a written emergency preparedness, response, and recovery plan that: a. includes procedures for evacuation, relocation, shelter in place, lockdown, communication with and reunification of families, and continuity of operations; b. includes procedures for accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions; c. includes instructions to follow in case of an allergy or serious reaction to food or any other trigger that may affect the child's health; d. is available for review by parents, staff, and the department during business hours; and e. is followed if an emergency happens, unless otherwise instructed by emergency personnel. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that a parent completes an admission and health assessment form for their child before the child is admitted into the child care program. The provider shall ensure that each child's admission and health assessment form includes the following information: a. child's name; b. child's date of birth; c. parent's name, address, and phone number, including a daytime phone number; d. names of individuals authorized by the parent to sign the child out from the facility; e. name, address, and phone number of an individual to be contacted if an emergency happens and the provider cannot contact the parent; f. if available, the name, address, and phone number of an out-of-area emergency contact individual for the child; g. parent's permission for emergency transportation and emergency medical treatment; h. any known allergies of the child; i. any known food sensitivities of the child; j. any chronic medical conditions that the child may have; k. instructions for special or nonroutine daily health care of the child; l. current ongoing medications that the child may be taking; and m. any other special health instructions for the caregiver. The provider shall ensure that the admission and health assessment form is: a. reviewed, updated, and signed or initialed by the parent at least annually; and b. on-site for review by the department. The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department which includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and biocontaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall develop and follow a written emergency preparedness, response, and recovery plan that: a. includes procedures for evacuation, relocation, shelter in place, lockdown, communication with and reunification of families, and continuity of operations; b. includes procedures for accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions; c. includes instructions to follow in case of an allergy or serious reaction to food or any other trigger that may affect the child's health; d. is available for review by parents, staff, and the department during business hours; and e. is followed if an emergency happens, unless otherwise instructed by emergency personnel. 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: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure there is a record of known food allergies of children in care. Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must have parents inform them of any known food allergies of children in care. Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must have parents inform them of any known food allergies of children in care. Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure there is a record of known food allergies of children in care. Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. 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: Providers are required to develop and follow a written emergency preparedness, response, and recovery plan that: a. includes procedures for evacuation, relocation, shelter in place, lockdown, communication with and reunification of families, and continuity of operations; b. includes procedures for accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions; c. includes instructions to follow in case of an allergy or serious reaction to food or any other trigger that may affect the child's health; d. is available for review by parents, staff, and the department during business hours; and e. is followed if an emergency happens, unless otherwise instructed by emergency personnel. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Providers are required to develop and follow a written emergency preparedness, response, and recovery plan that: a. includes procedures for evacuation, relocation, shelter in place, lockdown, communication with and reunification of families, and continuity of operations; b. includes procedures for accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions; c. includes instructions to follow in case of an allergy or serious reaction to food or any other trigger that may affect the child's health; d. is available for review by parents, staff, and the department during business hours; and e. is followed if an emergency happens, unless otherwise instructed by emergency personnel. 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: Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Immediately upon recognizing it, the provider must report to the parent any allergic reaction a child in care has to a particular food. 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: The provider shall ensure that children and staff use the building, outdoor area, toys, and equipment safely and as intended by the manufacturer to prevent injury to children. The provider shall ensure that poisonous and harmful plants are inaccessible to children. The provider shall ensure that sharp objects, edges, corners, or points that could cut or puncture skin are inaccessible to children. The provider shall ensure that choking hazards are inaccessible to children younger than three years old. The provider shall ensure that strangulation hazards including ropes, cords, chains, and wires attached to a structure and long enough to encircle a child's neck are inaccessible to children. The provider shall ensure that tripping hazards including unsecured flooring, rugs with curled edges, or cords in walkways are inaccessible to children. The provider shall ensure that empty plastic bags large enough for a child's head to fit inside, latex gloves, and balloons are inaccessible to children younger than five years old. The provider shall ensure that standing water that measures two inches or deeper and five by five inches or greater in diameter is inaccessible to children. The provider shall ensure that toxic or hazardous chemicals including cleaners, insecticides, lawn products, and flammable, corrosive, and reactive materials are: a. inaccessible to children; b. used according to manufacturer instructions; c. stored in containers labeled with the contents of the container; and d. disposed of properly. The provider shall ensure that the following items are inaccessible to children: a. matches or cigarette lighters; b. open flames; c. hot wax or other hot substances; and d. when in use, portable space heaters, wood burning stoves, and fireplaces. The provider shall ensure that the following items are inaccessible to children: a. live electrical wires; and b. for children younger than five years old, electrical outlets and surge protectors without protective caps or safety devices when not in use. Unless used and stored as allowed by any state or federal law, the provider shall ensure that firearms including guns, muzzleloaders, rifles, shotguns, hand guns, pistols, and automatic guns are: a. locked in a cabinet or area using a key, combination lock, or fingerprint lock; and b. stored unloaded and separate from ammunition. The provider shall ensure that weapons including paintball guns, BB guns, airsoft guns, sling shots, arrows, and mace are inaccessible to children. The provider shall ensure that alcohol, illegal substances, and sexually explicit material are inaccessible, and not used on the premises, during offsite activities, or in center vehicles any time a child is in care. The provider shall ensure that an outdoor source of drinking water, including individually labeled water bottles, a pitcher of water and individual cups, or a working water fountain is available to each child when the outside temperature is 75 degrees or higher. The provider shall ensure that areas accessible to children are free of heavy or unstable objects that children could pull down on themselves, including furniture, unsecured televisions, and standing ladders. The provider shall ensure that hot water accessible to children does not exceed 120 degrees Fahrenheit. The provider shall ensure that highchairs that are used by children have T-shaped safety straps or safety devices that are used when a child is in the chair. The provider shall ensure that infant walkers with wheels are inaccessible to children. The provider shall ensure that tobacco, e-cigarettes, e-juice, e-liquids, and similar products are inaccessible and, in compliance with Title 26, Chapter 38, Utah Indoor Clean Air Act, are not used: a. in the facility or any other building when a child is in care; b. in any vehicle that is being used to transport a child in care; c. within 25 feet of any entrance to the facility or other building occupied by a child in care; or d. in any outdoor area or within 25 feet of any outdoor area occupied by a child in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that children and staff use the building, outdoor area, toys, and equipment safely and as intended by the manufacturer to prevent injury to children. The provider shall ensure that poisonous and harmful plants are inaccessible to children. The provider shall ensure that sharp objects, edges, corners, or points that could cut or puncture skin are inaccessible to children. The provider shall ensure that choking hazards are inaccessible to children younger than three years old. The provider shall ensure that strangulation hazards including ropes, cords, chains, and wires attached to a structure and long enough to encircle a child's neck are inaccessible to children. The provider shall ensure that tripping hazards including unsecured flooring, rugs with curled edges, or cords in walkways are inaccessible to children. The provider shall ensure that empty plastic bags large enough for a child's head to fit inside, latex gloves, and balloons are inaccessible to children younger than five years old. The provider shall ensure that standing water that measures two inches or deeper and five by five inches or greater in diameter is inaccessible to children. The provider shall ensure that toxic or hazardous chemicals including cleaners, insecticides, lawn products, and flammable, corrosive, and reactive materials are: a. inaccessible to children; b. used according to manufacturer instructions; c. stored in containers labeled with the contents of the container; and d. disposed of properly. The provider shall ensure that the following items are inaccessible to children: a. matches or cigarette lighters; b. open flames; c. hot wax or other hot substances; and d. when in use, portable space heaters, wood burning stoves, and fireplaces. The provider shall ensure that the following items are inaccessible to children: a. live electrical wires; and b. for children younger than five years old, electrical outlets and surge protectors without protective caps or safety devices when not in use. Unless used and stored as allowed by any state or federal law, the provider shall ensure that firearms including guns, muzzleloaders, rifles, shotguns, hand guns, pistols, and automatic guns are: a. locked in a cabinet or area using a key, combination lock, or fingerprint lock; and b. stored unloaded and separate from ammunition. The provider shall ensure that weapons including paintball guns, BB guns, airsoft guns, sling shots, arrows, and mace are inaccessible to children. The provider shall ensure that alcohol, illegal substances, and sexually explicit material are inaccessible, and not used on the premises, during offsite activities, or in center vehicles any time a child is in care. The provider shall ensure that an outdoor source of drinking water, including individually labeled water bottles, a pitcher of water and individual cups, or a working water fountain is available to each child when the outside temperature is 75 degrees or higher. The provider shall ensure that areas accessible to children are free of heavy or unstable objects that children could pull down on themselves, including furniture, unsecured televisions, and standing ladders. The provider shall ensure that hot water accessible to children does not exceed 120 degrees Fahrenheit. The provider shall ensure that highchairs that are used by children have T-shaped safety straps or safety devices that are used when a child is in the chair. The provider shall ensure that infant walkers with wheels are inaccessible to children. The provider shall ensure that tobacco, e-cigarettes, e-juice, e-liquids, and similar products are inaccessible and, in compliance with Title 26, Chapter 38, Utah Indoor Clean Air Act, are not used: a. in the facility or any other building when a child is in care; b. in any vehicle that is being used to transport a child in care; c. within 25 feet of any entrance to the facility or other building occupied by a child in care; or d. in any outdoor area or within 25 feet of any outdoor area occupied by a child in care. 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: The provider must ensure firearms are stored separately from ammunition and in a cabinet or area that is locked with a key, combination, or fingerprint lock, unless the use is in accordance with the Utah Concealed Weapons Act, or as otherwise allowed by law. The provider must ensure toxic or hazardous substances are inaccessible to children in care. The provider must ensure tobacco, e-cigarettes, and e-juice are inaccessible to children in care. The provider must ensure open flames are inaccessible to children in care. The provider must ensure trampolines are inaccessible to children in care. The provider must ensure open containers of alcohol are inaccessible to children in care. The provider must ensure sexually explicit materials are inaccessible to children in care. The provider must ensure illegal items are inaccessible to children in care. The provider must ensure children in care are protected from unintended access to vehicular traffic. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: When there are firearms on the premises, the provider must ensure the firearms are not loaded and are in a cabinet, safe, or area that is locked with a key, combination, or fingerprint lock, unless their use is in accordance with the Utah Concealed Weapons Act or as otherwise allowed by law. The provider must ensure empty refrigerators and freezers are inaccessible to children in care. The provider must ensure exposed live electrical wires are inaccessible to children in care. The provider must ensure portable space heaters, fireplaces, and wood burning stoves, when in use, are inaccessible to children in care. The provider must ensure toxic substances are inaccessible to children in care. The provider must ensure poisonous plants are inaccessible to children in care. The provider must ensure open flames are inaccessible to children in care. The provider must ensure open containers of alcohol are inaccessible to children in care. The provider must ensure illegal substances are inaccessible to children in care. The provider must ensure children in care are protected from unintended access to pools that are not emptied after each use. The provider must ensure children in care are protected from unintended access to hot tubs with water in them. The provider must ensure children in care are protected from unintended access to water hazards such as ponds, streams and fountains with more than 2 inches of water in them. The provider must ensure children in care are protected from unintended access to vehicular traffic. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: When there are firearms on the premises, the provider must ensure the firearms are not loaded and are in a cabinet, safe, or area that is locked with a key, combination, or fingerprint lock, unless their use is in accordance with the Utah Concealed Weapons Act or as otherwise allowed by law. The provider must ensure empty refrigerators and freezers are inaccessible to children in care. The provider must ensure exposed live electrical wires are inaccessible to children in care. The provider must ensure portable space heaters, fireplaces, and wood burning stoves, when in use, are inaccessible to children in care. The provider must ensure toxic substances are inaccessible to children in care. The provider must ensure poisonous plants are inaccessible to children in care. The provider must ensure open flames are inaccessible to children in care. The provider must ensure open containers of alcohol are inaccessible to children in care. The provider must ensure illegal substances are inaccessible to children in care. The provider must ensure children in care are protected from unintended access to pools that are not emptied after each use. The provider must ensure children in care are protected from unintended access to hot tubs with water in them. The provider must ensure children in care are protected from unintended access to water hazards such as ponds, streams and fountains with more than 2 inches of water in them. The provider must ensure children in care are protected from unintended access to vehicular traffic. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure firearms are stored separately from ammunition and in a cabinet or area that is locked with a key, combination, or fingerprint lock, unless the use is in accordance with the Utah Concealed Weapons Act, or as otherwise allowed by law. The provider must ensure toxic or hazardous substances are inaccessible to children in care. The provider must ensure tobacco, e-cigarettes, and e-juice are inaccessible to children in care. The provider must ensure open flames are inaccessible to children in care. The provider must ensure trampolines are inaccessible to children in care. The provider must ensure open containers of alcohol are inaccessible to children in care. The provider must ensure sexually explicit materials are inaccessible to children in care. The provider must ensure illegal items are inaccessible to children in care. The provider must ensure children in care are protected from unintended access to vehicular traffic. 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: If there is a swimming pool on the premises that the provider does not empty after each use, the provider shall: a. meet applicable state and local laws and ordinances related to the operation of a swimming pool; b. maintain the pool in a safe manner; and c. when not in use, cover the pool with a commercially-made safety enclosure that is installed according to the manufacturer's instructions, or enclose the pool within at least a four-foot-high fence or solid barrier that is kept locked and that separates the pool from any other areas on the premises. The provider shall ensure that standing water that measures two inches or deeper and five by five inches or greater in diameter is inaccessible to children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: If there is a swimming pool on the premises that is not emptied after each use, the provider shall: a. meet applicable state and local laws and ordinances related to the operation of a swimming pool; b. maintain the pool in a safe manner; and c. when not in use, cover the pool with a commercially-made safety enclosure that is installed according to the manufacturer's instructions, or enclose the pool within at least a four-foot-high fence or solid barrier that is locked and that separates the pool from any other areas on the premises. If there is a hot tub with water in it on the premises, the provider shall make the hot tub inaccessible to children by: a. keeping the hot tub locked with a properly working cover; or b. enclosing the hot tub within at least a four-foot-high fence or solid barrier that is locked and that separates the hot tub from any other areas on the premises. The provider shall ensure that standing water that measures two inches or deeper and five by five inches or greater in diameter is inaccessible to children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: If there is an outdoor area that is used by children in care and that is maintained by the provider, the provider must ensure standing water is inaccessible (surrounded by a barrier that is at least 48 inches high) to children in care. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: When a wading pool is used by children in care, the provider, not other individuals in the home or outdoor area, must be at the pool supervising the children in care whenever there is water in the pool. When there is a swimming pool that is not emptied after each use on the premises, the provider, not other individuals in the home or outdoor area, must be at the pool supervising children in care whenever they are using the pool or have access to the pool. The provider must ensure children in care are protected from unintended access to pools that are not emptied after each use. The provider must ensure children in care are protected from unintended access to hot tubs with water in them. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: When a wading pool is used by children in care, the provider, not other individuals in the home or outdoor area, must be at the pool supervising the children in care whenever there is water in the pool. When there is a swimming pool that is not emptied after each use on the premises, the provider, not other individuals in the home or outdoor area, must be at the pool supervising children in care whenever they are using the pool or have access to the pool. The provider must ensure children in care are protected from unintended access to pools that are not emptied after each use. The provider must ensure children in care are protected from unintended access to hot tubs with water in them. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: If there is an outdoor area that is used by children in care and that is maintained by the provider, the provider must ensure standing water is inaccessible (surrounded by a barrier that is at least 48 inches high) to children in care. 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: The provider shall ensure that there is an outdoor area that is safely accessible to children. The provider shall ensure that a fence encloses the outdoor area, wall, or solid natural barrier that is at least four feet high. The provider shall ensure that there is no gap five by five inches or greater in or under the fence or barrier. The provider shall ensure that children are in an enclosed area when children are outdoors, except during offsite activities. The provider shall ensure that caregivers provide and maintain active supervision of each child, including: a. for children younger than five years old, a caregiver is physically present in the room or area with the children; b. for school-age children, a caregiver can hear the children and is close enough to intervene; c. caregivers know the number of children in their care at any time; d. caregivers' attention is focused on the children and not on caregivers' personal interests; e. caregivers are aware of the entire group of children even when interacting with a smaller group or an individual child; and f. caregivers position themselves so each child in their assigned group is actively supervised. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that there is an outdoor area that is safely accessible to children. The provider shall ensure that the outdoor area is enclosed within a fence, wall, or solid natural barrier that is at least four feet high if the facility is on a street or within a half mile of a street that: a. has a speed of 25 miles per hour or higher; or b. has more than two lanes of traffic. The provider shall ensure that the following hazards are separated from the children's outdoor area with a fence, wall, or solid a. natural barrier that is at least four feet high: b. barbed wire that is within 30 feet of the children's play area; c. livestock on or within 50 yards of the property line; d. dangerous machinery, including farm equipment, on or within 50 yards of the property line; e. a drop-off of more than five feet on or within 50 yards of the property line; and a water hazard, including a swimming pool, pond, ditch, lake, reservoir, river, stream, creek, or animal watering trough, on or within 100 yards of the property line. The provider shall ensure that there is no gap five by five inches or greater in or under the fence or barrier. The provider shall ensure that caregivers provide and maintain active supervision of each child, including: a. a caregiver is inside the home when a child in care is inside the home; b. a caregiver is in the outdoor area when a child younger than five years old is in the outdoor area; c. caregivers know the number of children in their care at any time; and d. caregivers' attention is focused on the children and not on caregivers' personal interests. The provider may allow school-age children to be outdoors while caregivers are indoors if: a. a caregiver can hear the children when children are outdoors; and b. the children are in an area completely enclosed within a fence, wall, or solid natural barrier that is at least four feet high. 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: If there is an outdoor area that is used by children in care and that is maintained by the provider, the provider must ensure the area is safely accessible. If there is an outdoor area that is used by children in care and that is maintained by the provider and there are children younger than school age in care, the provider must ensure: a. The area is enclosed within a 4 foot high fence or wall, or a solid natural barrier that is at least 4 feet high. b. Fences do not have gaps greater than 5 by 5 inches and gaps between the bottom of the fence and the ground cannot be more than 5 inches. The provider must ensure caregivers maintain active supervision of all children in care at all times. Active supervision means caregivers must be physically in the room/area with children younger than school age and must be able to hear school age children and be near enough to intervene; must know the number of children in their care at all times; must be focused on the children and not their personal interests; and must be aware of the entire group even when interacting with a small group or individual child. The provider must ensure children in care are protected from unintended access to vehicular traffic. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider, not other individuals in the home or outdoor area, must be awake, physically onsite, and actively supervising children in care at all times. Actively supervising children in care means being inside the home when children in care are inside the home, being outside when children in care younger than 5 years old are outside, knowing the number of children in care at all times, and focusing on the children and not on personal interests. The provider must ensure children in care are protected from unintended access to vehicular traffic. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider, not other individuals in the home or outdoor area, must be awake, physically onsite, and actively supervising children in care at all times. Actively supervising children in care means being inside the home when children in care are inside the home, being outside when children in care younger than 5 years old are outside, knowing the number of children in care at all times, and focusing on the children and not on personal interests. The provider must ensure children in care are protected from unintended access to vehicular traffic. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: If there is an outdoor area that is used by children in care and that is maintained by the provider, the provider must ensure the area is safely accessible. If there is an outdoor area that is used by children in care and that is maintained by the provider and there are children younger than school age in care, the provider must ensure: a. The area is enclosed within a 4 foot high fence or wall, or a solid natural barrier that is at least 4 feet high. b. Fences do not have gaps greater than 5 by 5 inches and gaps between the bottom of the fence and the ground cannot be more than 5 inches. The provider must ensure caregivers maintain active supervision of all children in care at all times. Active supervision means caregivers must be physically in the room/area with children younger than school age and must be able to hear school age children and be near enough to intervene; must know the number of children in their care at all times; must be focused on the children and not their personal interests; and must be aware of the entire group even when interacting with a small group or individual child. The provider must ensure children in care are protected from unintended access to vehicular traffic. 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: The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-7(16)(a) through (o). The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department which includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. 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: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. 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 provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall inform parents, children, and those who interact with the children of the center's behavioral expectations and how any misbehavior will be handled. The provider shall ensure that individuals who interact with the children guide children's behavior by using positive reinforcement, redirection, and by setting clear limits that promote children's ability to become self-disciplined. The provider shall ensure that caregivers use gentle, passive restraint with children only when it is needed to protect children from injuring themselves or others, or to stop them from destroying property. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. The provider shall inform parents, children, and those who interact with the children of the center's behavioral expectations and how any misbehavior will be handled. The provider shall ensure that individuals who interact with the children guide children's behavior by using positive reinforcement, redirection, and by setting clear limits that promote children's ability to become self-disciplined. The provider shall ensure that caregivers use gentle, passive restraint with children only when it is needed to protect children from injuring themselves or others, or to stop them from destroying property. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. 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: The provider must ensure children in care are not subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must ensure children in care are not subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must ensure children in care are not subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure children in care are not subjected to physical, emotional, or sexual abuse while in care. The provider shall ensure that interactions with the children do not include: a. any form of corporal punishment or any action that produces physical pain or discomfort including hitting, spanking, shaking, biting, or pinching; b. restraining a child's movement by binding, tying, or any other form of restraint that exceeds gentle, passive restraint; c. shouting at children; d. any form of emotional abuse; e. forcing or withholding food, rest, or toileting; or f. confining a child in a closet, locked room, or other enclosure including a box, cupboard, or cage. 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 provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-7(16)(a) through (o). The provider shall ensure that toxic or hazardous chemicals including cleaners, insecticides, lawn products, and flammable, corrosive, and reactive materials are: a. inaccessible to children; b. used according to manufacturer instructions; c. stored in containers labeled with the contents of the container; and d. disposed of properly. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that toxic or hazardous chemicals including cleaners, insecticides, lawn products, and flammable, corrosive, and reactive materials are: a. inaccessible to children; b. used according to manufacturer instructions; c. stored in containers labeled with the contents of the container; and d. disposed of properly. 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: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure toxic or hazardous substances are inaccessible to children in care. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must ensure toxic substances are inaccessible to children in care. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must ensure toxic substances are inaccessible to children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure toxic or hazardous substances are inaccessible to children in care. 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 provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-15(1)(a) through (f). The provider shall keep the building, furnishings, equipment, and outdoor area clean and sanitary including: a. walls and flooring clean and free of spills, dirt, and grime; b. areas and equipment used for the storage, preparation, and service of food clean and sanitary; c. surfaces free of rotting food or a build-up of food; d. the building and grounds free of a build-up of litter, trash, and garbage; e. frequently touched surfaces, including doorknobs and light switches, cleaned and sanitized; and f. the facility free of animal feces. The provider shall take precautions when cleaning floors, furniture, and other surfaces contaminated by blood, urine, feces, or vomit, and ensure that, except for diaper changes and toileting accidents, staff cleaning these bodily fluids: a. wear waterproof gloves; b. clean the surface using a detergent solution; c. rinse the surface with clean water; d. sanitize the surface; e. throw away in a leakproof plastic bag the disposable materials, including paper towels, that were used to clean up the body fluid; f. wash and sanitize any non-disposable materials used to clean up the body fluid, including cleaning cloths, mops, or reusable rubber gloves, before reusing them; and g. wash their hands after cleaning up the body fluid. The provider shall ensure that caregivers clean and sanitize the diapering surface after each diaper change, or use a disposable, waterproof diapering surface that is thrown away after each diaper change. The provider shall ensure that caregivers who change diapers wash their hands after each diaper change. The provider shall ensure that caregivers place wet and soiled disposable diapers: a. in a container that has a disposable plastic lining and a tight-fitting lid; b. directly in an outdoor garbage container that has a tight-fitting lid; or c. in a container that is inaccessible to children. Each day, the provider shall clean and sanitize indoor containers where wet and soiled diapers are placed. If cloth diapers are used, the provider shall: a. not rinse cloth diapers at the facility; and b. place cloth diapers directly into a leakproof container that is inaccessible to any child and labeled with the child's name; or c. place the cloth diapers in a leakproof diapering service container. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department which includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall keep the building, furnishings, equipment, and outdoor area clean and sanitary including: a. walls and flooring clean and free of spills, dirt, and grime; b. areas and equipment used for the storage, preparation, and service of food clean and sanitary; c. surfaces free of rotting food or a build-up of food; d. the building and grounds free of a build-up of litter, trash, and garbage; e. frequently touched surfaces, including doorknobs and light switches, cleaned and sanitized; and f. the facility free of animal feces. The provider shall take precautions when cleaning floors, furniture, and other surfaces contaminated by blood, urine, feces, or vomit, and ensure that, except for diaper changes and toileting accidents, staff cleaning these bodily fluids: a. wear waterproof gloves; b. clean the surface using a detergent solution; c. rinse the surface with clean water; d. sanitize the surface; e. throw away in a leakproof plastic bag the disposable materials, including paper towels, that were used to clean up the body fluid; f. wash and sanitize any non-disposable materials used to clean up the body fluid, including cleaning cloths, mops, or reusable rubber gloves, before reusing them; and g. wash their hands after cleaning up the body fluid. The provider shall ensure that caregivers clean and sanitize the diapering surface after each diaper change, or use a disposable, waterproof diapering surface that is thrown away after each diaper change. The provider shall ensure that caregivers who change diapers wash their hands after each diaper change. The provider shall ensure that caregivers place wet and soiled disposable diapers: a. in a container that has a disposable plastic lining and a tight-fitting lid; b. directly in an outdoor garbage container that has a tight-fitting lid; or c. in a container that is inaccessible to children. Each day, the provider shall clean and sanitize indoor containers where wet and soiled diapers are placed. If cloth diapers are used, the provider shall: a. not rinse cloth diapers at the facility; and b. place cloth diapers directly into a leakproof container that is inaccessible to any child and labeled with the child's name; or c. place the cloth diapers in a leakproof diapering service container. 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: The provider must ensure all areas of the facility are maintained and used in a safe manner to prevent injury to children. This includes the proper handling, storage, and disposal of hazardous materials and bio-contaminants. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must maintain the home, outdoor play area, toys, and equipment in a safe manner to prevent injury to children in care. This includes the proper handling, storage, and disposal of hazardous materials and bio-contaminants. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must maintain the home, outdoor play area, toys, and equipment in a safe manner to prevent injury to children in care. This includes the proper handling, storage, and disposal of hazardous materials and bio-contaminants. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure all areas of the facility are maintained and used in a safe manner to prevent injury to children. This includes the proper handling, storage, and disposal of hazardous materials and bio-contaminants. 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: For each child that the licensee transports, the provider shall obtain a transportation permission form: a. signed by the parent; and b. on-site for review by the department. The provider shall ensure that each vehicle used for transporting children: a. is enclosed with a roof or top; b. is equipped with safety restraints; c. has a current vehicle registration; d. is maintained in a safe and clean condition; and e. contains first aid supplies, including at least antiseptic, bandages, and tweezers. The provider shall ensure that the safety restraints in each vehicle that transports children are: a. appropriate for the age and size of each child who is transported, as required by Utah law; b. properly installed; and c. in safe condition and working order. The provider shall ensure that the driver of each vehicle who is transporting children: a. is at least 18 years old; b. has and carries with them a current, valid driver's license for the type of vehicle being driven; c. has with them the emergency contact information for each child being transported; d. ensures that each child being transported is in an individual safety restraint that is used according to Utah law; e. ensures that the inside vehicle temperature is between 60-85 degrees Fahrenheit; f. never leaves a child in the vehicle unattended by an adult; g. ensures that children stay seated while the vehicle is moving; h. never leaves the keys in the ignition when not in the driver's seat; and i. ensures that the vehicle is locked during transport. If the provider walks or uses public transportation to transport children to or from the facility, the provider shall ensure that: a. each child being transported has a completed transportation permission form signed by their parent; b. a caregiver goes with the children and actively supervises the children; c. the caregiver-to-child ratio is maintained; and d. a caregiver with the children has emergency contact information and releases for the children being transported. The provider shall: a. have transport liability insurance; or b. inform parents in writing that the provider does not have transport liability insurance. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For each child that the licensee transports, the provider shall obtain a transportation permission form: a. signed by the parent; and b. on-site for review by the department. The provider shall ensure that each vehicle used for transporting children: a. is enclosed with a roof or top; b. is equipped with safety restraints; c. has a current vehicle registration; d. is maintained in a safe and clean condition; and e. contains first aid supplies, including at least antiseptic, bandages, and tweezers. The provider shall ensure that the safety restraints in each vehicle that transports children are: a. appropriate for the age and size of each child who is transported, as required by Utah law; b. properly installed; and c. in safe condition and working order. The provider shall ensure that the driver of each vehicle who is transporting children: a. is at least 18 years old; b. has and carries with them a current, valid driver's license for the type of vehicle being driven; c. has with them the emergency contact information for each child being transported; d. ensures that each child being transported is in an individual safety restraint that is used according to Utah law; e. ensures that the inside vehicle temperature is between 60-85 degrees Fahrenheit; f. never leaves a child in the vehicle unattended by an adult; g. ensures that children stay seated while the vehicle is moving; h. never leaves the keys in the ignition when not in the driver's seat; and i. ensures that the vehicle is locked during transport. If the provider walks or uses public transportation to transport children to or from the facility, the provider shall ensure that: a. each child being transported has a completed transportation permission form signed by their parent; b. a caregiver goes with the children and actively supervises the children; c. the caregiver-to-child ratio is maintained; and d. a caregiver with the children has emergency contact information and releases for the children being transported. The provider shall: a. have transport liability insurance; or b. inform parents in writing that the provider does not have transport liability insurance. 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: While transporting children in care, the provider must ensure the driver has children in care in appropriate individual safety restraints. While transporting children in care, the provider must ensure the driver never leaves the children in care unattended in the vehicle. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: While transporting children in care, the provider must ensure that children in care are wearing appropriate individual safety restraints. While transporting children in care, the provider must never leave the children in care unattended in the vehicle. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: While transporting children in care, the provider must ensure that children in care are wearing appropriate individual safety restraints. While transporting children in care, the provider must never leave the children in care unattended in the vehicle. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: While transporting children in care, the provider must ensure the driver has children in care in appropriate individual safety restraints. While transporting children in care, the provider must ensure the driver never leaves the children in care unattended in the vehicle. 5.3.10 Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address pediatric first aid for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The provider shall ensure that the director designee: a. is at least 18 years old; b. is considered eligible by a CCL background check before becoming involved with child care; c. if hired after January 1, 2023, has completed the 2-1/2 hour preservice training offered by the department before beginning job duties; d. knows and follows any applicable laws and requirements under Rule R381-100; e. completes at least 20 hours of child care training each year based on the facility's license date, or at least 1-1/2 hours of child care training each month they work if hired partway through the facility's licensing year; and f. has current first aid and cardiopulmonary resuscitation (CPR) certification. The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-7(16)(a) through (o). The provider shall ensure that at least one staff member with a current Red Cross, American Heart Association, or equivalent pediatric first aid and CPR certification is present when children are in care: a. at the facility; b. in each vehicle transporting children; and c. at each offsite activity. The provider shall ensure that CPR certification includes hands-on testing. The provider shall ensure that the following records for each covered individual are on-site for review by the department: a. the date of initial employment or association with the program; b. a current pediatric first aid and CPR certification, if required in this rule; and c. a six-week record of the times worked each day. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that, before being left alone with the children, the provider designee: a. completes the department's new provider training; and b. has current first aid and pediatric CPR certifications. The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department which includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that at least one covered individual with a current Red Cross, American Heart Association, or equivalent pediatric first aid and CPR certification is present when children are in care: a. at the facility; b. in each vehicle transporting children; and c. at each offsite activity. The provider shall ensure that CPR certification includes hands-on testing. The provider shall ensure that the following records for each caregiver and volunteer are on-site for review by the department: a. the date of initial employment or association with the program; b. a current pediatric first aid and CPR certification, if required in this rule; and c. a six-week record of the times worked each day. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure at least one person at the facility at all times children are in care, at least one person in each vehicle transporting children, and at least one person present during off-site activities has current Red Cross, American Heart Association, or equivalent pediatric First Aid and CPR certification. The provider must ensure the CPR certification is from a class that included hands-on testing. The provider must ensure documentation of current First Aid and CPR certification is available for review by the Child Care Licensing staff. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must have current Red Cross, American Heart Association, or equivalent certification in pediatric First Aid CPR. The provider must ensure the CPR class included hands-on testing. The provider must have documentation of current First Aid and CPR certifications and have the documentation available for review by Child Care Licensing staff. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must have current Red Cross, American Heart Association, or equivalent certification in pediatric First Aid CPR. The provider must ensure the CPR class included hands-on testing. The provider must have documentation of current First Aid and CPR certifications and have the documentation available for review by Child Care Licensing staff. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure at least one person at the facility at all times children are in care, at least one person in each vehicle transporting children, and at least one person present during off-site activities has current Red Cross, American Heart Association, or equivalent pediatric First Aid and CPR certification. The provider must ensure the CPR certification is from a class that included hands-on testing. The provider must ensure documentation of current First Aid and CPR certification is available for review by the Child Care Licensing staff. 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: The provider shall ensure that the director designee: a. is at least 18 years old; b. is considered eligible by a CCL background check before becoming involved with child care; c. if hired after January 1, 2023, has completed the 2-1/2 hour preservice training offered by the department before beginning job duties; d. knows and follows any applicable laws and requirements under Rule R381-100; e. completes at least 20 hours of child care training each year based on the facility's license date, or at least 1-1/2 hours of child care training each month they work if hired partway through the facility's licensing year; and f. has current first aid and cardiopulmonary resuscitation (CPR) certification. The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department that includes at least the following topics: a. applicable laws and requirements under Rule R381-100; b. children whose special needs may include a disability; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R381-100-7 through R381-100-24; and b. each topic listed in Subsections R381-100-7(16)(a) through (o). The provider shall ensure that at least one staff member with a current Red Cross, American Heart Association, or equivalent pediatric first aid and CPR certification is present when children are in care: a. at the facility; b. in each vehicle transporting children; and c. at each offsite activity. The provider shall ensure that CPR certification includes hands-on testing. The provider shall ensure that the following records for each covered individual are on-site for review by the department: a. the date of initial employment or association with the program; b. a current pediatric first aid and CPR certification, if required in this rule; and c. a six-week record of the times worked each day. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The provider shall ensure that, before being left alone with the children, the provider designee: a. completes the department's new provider training; and b. has current first aid and pediatric CPR certifications. The provider shall ensure that each covered individual required to complete preservice training receives the 2-1/2 hour preservice training offered by the department which includes at least the following topics: a. applicable laws and requirements under Rule R430-90; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that annual child care training includes at least the following topics: a. current department rule Sections R430-90-7 through R430-90-24; b. children with special needs; c. recognizing the signs of homelessness and available assistance; d. building and physical premises safety; e. prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. pediatric first aid and CPR; g. emergency preparedness, response, and recovery plan; h. prevention of and response to emergencies due to food and allergy reactions; i. safe handling and disposal of hazardous materials and bio-contaminants; j. prevention and control of infectious diseases including immunizations; k. administration of medication; l. child and brain development, including the social, emotional, physical, cognitive, and language principles of child growth; m. precautions in transporting children; n. prevention of shaken baby syndrome, abusive head trauma, child maltreatment, and coping with crying babies; and o. prevention of sudden infant death syndrome and the use of safe sleeping practices. The provider shall ensure that at least one covered individual with a current Red Cross, American Heart Association, or equivalent pediatric first aid and CPR certification is present when children are in care: a. at the facility; b. in each vehicle transporting children; and c. at each offsite activity. The provider shall ensure that CPR certification includes hands-on testing. The provider shall ensure that the following records for each caregiver and volunteer are on-site for review by the department: a. the date of initial employment or association with the program; b. a current pediatric first aid and CPR certification, if required in this rule; and c. a six-week record of the times worked each day. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure at least one person at the facility at all times children are in care, at least one person in each vehicle transporting children, and at least one person present during off-site activities has current Red Cross, American Heart Association, or equivalent pediatric First Aid and CPR certification. The provider must ensure the CPR certification is from a class that included hands-on testing. The provider must ensure documentation of current First Aid and CPR certification is available for review by the Child Care Licensing staff. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must have current Red Cross, American Heart Association, or equivalent certification in pediatric First Aid CPR. The provider must ensure the CPR class included hands-on testing. The provider must have documentation of current First Aid and CPR certifications and have the documentation available for review by Child Care Licensing staff. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: At least 30 calendar days before the expiration date of their approval, the provider must complete at least 5 hours of ongoing child care training and ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. a review of the Emergency Preparedness, Response, and Recovery Plan; and k. a review of the DWS FFN Approval Requirements. The provider must have current Red Cross, American Heart Association, or equivalent certification in pediatric First Aid CPR. The provider must ensure the CPR class included hands-on testing. The provider must have documentation of current First Aid and CPR certifications and have the documentation available for review by Child Care Licensing staff. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Child Care Licensing will ensure the preservice training includes at least the following topics: a. children with special needs; b. recognizing the signs of homelessness and available assistance; c. building and physical premises safety; d. prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements; e. pediatric first aid and CPR training; f. emergency preparedness, response, and recovery planning; g. prevention and response to emergencies due to food and allergic reactions; h. safe handling and disposal of hazardous materials and bio-contaminants; i. prevention and control of infectious diseases, including immunizations; j. administration of medications; k. child development, including the social, emotional, physical, cognitive and language principals of growth and brain development; l. precautions in transporting children m. prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment; n. coping with crying babies; and o. prevention of Sudden Infant Death Syndrome (SIDS) and use of safe sleeping practices. The provider must ensure directors, director designees, caregivers, and assistant caregivers complete at least 1 hour of ongoing child care training for each month they have been employed or volunteered or at least 10 hours each exemption year (between the start and end date of the exemption). The provider must ensure the training includes at least the following topics: a. disaster preparedness, response, and recovery; b. pediatric first aid and CPR; c. children with special needs; d. safe handling and disposal of hazardous materials; e. the prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements; f. principles of child growth and development, including brain development; g. prevention of shaken baby syndrome and abusive head trauma, and coping with crying babies; h. prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices; i. recognizing the signs of homelessness and available assistance; j. review of the program’s Emergency Preparedness, Response, and Recovery Plan; and k. review of the LE DWS Approval Requirements. The provider must ensure at least one person at the facility at all times children are in care, at least one person in each vehicle transporting children, and at least one person present during off-site activities has current Red Cross, American Heart Association, or equivalent pediatric First Aid and CPR certification. The provider must ensure the CPR certification is from a class that included hands-on testing. The provider must ensure documentation of current First Aid and CPR certification is available for review by the Child Care Licensing staff. 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: R381-100-7(16) requires preservice and ongoing training on prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements. R381-100-12(1) The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: R430-90- 7(11) requires preservice and ongoing training on prevention, signs, and symptoms of child abuse and neglect, including child sexual abuse, and legal reporting requirements. R430-90-12(1) The provider shall ensure that no child is subjected to physical, emotional, or sexual abuse while in care. 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: ledws-7(9) requires training on prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: dwsffn-7(6) requires training on prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: dwsffn-7(6) requires training on prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For license-exempt out-of-school time programs: ledws-7(9) requires training on prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements. For licensed out-of-school time programs: R381-70-7(16) requires training on prevention, signs, and symptoms of child abuse and neglect, and legal reporting requirements. 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: Any individual who witnesses or suspects that a child has been subjected to abuse, neglect, or exploitation shall immediately notify Child Protective Services or law enforcement as required in Section 80-2-602. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Any individual who witnesses or suspects that a child has been subjected to abuse, neglect, or exploitation shall immediately notify Child Protective Services or law enforcement as required in state law. 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: The provider must ensure all employees and volunteers follow the reporting requirements for witnessing or suspicion of abuse, neglect, and exploitation found in Utah Code, Section 62A-4a-403 and 62A-4a-411. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The provider must follow the reporting requirements for the witnessing or suspicion of abuse, neglect, and exploitation found in Section 62A-4a-403 and 62A of the Utah Code. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The provider must follow the reporting requirements for the witnessing or suspicion of abuse, neglect, and exploitation found in Section 62A-4a-403 and 62A of the Utah Code. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The provider must ensure all employees and volunteers follow the reporting requirements for witnessing or suspicion of abuse, neglect, and exploitation found in Utah Code, Section 62A-4a-403 and 62A- 4a-411. 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: Section 16 of the rules and requirements for all CCDF- eligible licensed and license exempt child care providers addresses food and nutrition requirements. ii. Access to physical activity. Describe: Section 18 of the rules and requirements for all CCDF-eligible licensed and license exempt child care providers addresses activities. iii. Caring for children with special needs. Describe: N/A iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: N/A