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: (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0105(3); 0140; 0200(1); 0205; 0210; 0225(3)-(5); 0235(4) and (5); 0240(1) and (2)(a)-(e). DCYF requires providers in center child care to be tested for tuberculosis (TB) and undergo treatment if needed. Providers are required to show proof of such testing and treatment. Licensed centers are also required to have a plan in place to safely manage blood borne pathogens. Center providers are required to comply with the applicable Washington Industrial Safety and Health Act as well as the state department of Labor and Industry's safety and health regulations. Licensed centers must have procedures for protecting staff and children from, and cleaning up, bodily fluids that includes the use of gloves, disinfection, and proper disposal. DCYF requires handwashing procedures to eliminate the contraction or spread of germs and parasites. DCYF also requires these providers to provide individual storage space for children's belongings to prevent the spread of disease, germs, or parasites through comingling. Additionally, all child care facilities must have a health plan approved by DCYF that addresses what infectious and contagious diseases are and that details processes to prevent infectious and contagious diseases. These plans also require providers to communicate with the parents or guardians of enrolled children and the local health department, e.g., in the event of an outbreak. Licensed centers are required to have immunization records for pets or animals that have contact with children enrolled in care. Licensed centers must, at their annual inspection, show proof of vaccination or acquired immunity to vaccine-preventable diseases for all children in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0105(3); 0140; 0200(1); 0205; 0210; 0225(3)-(5); 0235(4) and (5); 0240(1) and (2)(a)-(e). DCYF requires providers in family home child care to be tested for tuberculosis (TB) and undergo treatment if needed. Providers are required to show proof of such testing and treatment. Family homes are also required to have a plan in place to safely manage blood borne pathogens. Family homes must have procedures for protecting staff and children from, and cleaning up, bodily fluids that includes the use of gloves, disinfection, and proper disposal. DCYF requires handwashing procedures to eliminate the contraction or spread of germs and parasites. DCYF also requires child care providers to provide individual storage space for children's belongings to prevent the spread of disease, germs, or parasites through comingling. Additionally, all child care facilities must have a health plan approved by DCYF that addresses what infectious and contagious diseases are and that details processes to prevent infectious and contagious diseases. These plans also require providers to communicate with the parents or guardians of enrolled children and the local health department, e.g., in the event of an outbreak. Family homes are required to have immunization records for pets or animals that have contact with children enrolled in care. Family homes must, at their annual inspection, show proof of vaccination or acquired immunity to vaccine-preventable diseases for all children in care. iii. All CCDF-eligible licensed in-home care. Provide the standard: NA [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For license exempt FFN providers, see (http://apps.leg.wa.gov/wac/default.aspx?cite=110- 16-0030) WAC 110-16-0030. When FFN care is provided in the child's home by an adult unrelated to the children and there are no other unrelated children on the premises, there is no requirement for proof of child immunizations. If, however, the unrelated provider has his or her own children on the premises, then the provider must show proof of current immunizations. License exempt non-relative FFN providers must comply with handwashing processes described in WAC and encourage and assist children to follow these same procedures. Providers must, at their annual inspection, show proof of vaccination or acquired immunity to vaccine-preventable diseases for all children in care. License exempt non-relative FFN providers must comply with handwashing processes described in WAC and encourage and assist children to follow these same procedures. Providers must, at their annual inspection, show proof of vaccination or acquired immunity to vaccine-preventable diseases for all children in vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0105(3); 0140; 0200(1); 0205; 0210; 0225(3)-(5); 0235(4) and (5); 0240(1) and (2)(a)-(e). DCYF requires both staff and enrolled children to be immunized against contagious diseases. Immunization forms (Certificate of Immunization Status) are required for all enrolled children in licensed facilities. ii. All CCDF-eligible licensed family child care homes. Provide the standard: (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0105(3); 0140; 0200(1); 0205; 0210; 0225(3)-(5); 0235(4) and (5); 0240(1) and (2)(a)-(e). DCYF requires both staff and enrolled children to be immunized against contagious diseases. Immunization forms (Certificate of Immunization Status) are required for all enrolled children in licensed facilities. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For license exempt FFN providers, see (http://apps.leg.wa.gov/wac/default.aspx?cite=110- 16-0030) WAC 110-16-0030. When FFN care is provided in the child's home by an adult unrelated to the children and there are no other unrelated children on the premises, there is no requirement for proof of child immunizations. If, however, the unrelated provider has his or her own children on the premises, then the provider must show proof of current immunizations. License exempt non-relative FFN providers must comply with handwashing processes described in WAC and encourage and assist children to follow these same procedures. Providers must, at their annual inspection, show proof of vaccination or acquired immunity to vaccine-preventable diseases for all children in care. License exempt non-relative FFN providers must comply with handwashing processes described in WAC and encourage and assist children to follow these same procedures. Providers must, at their annual inspection, show proof of vaccination or acquired immunity to vaccine-preventable diseases for all children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: For licensed providers, see (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110- 300-0106(8); 0110(2)(e)(vi)(http://app.leg.wa.gov/wac/default.aspx?cite=110- 300) ; 0290; 0291. DCYF requires licensed center providers to keep records on file of staff and volunteers who completed infant safe sleep training. Center providers are required to have health policies in place that detail how the provider ensures its staff follows safe sleep practices. The standards require that the current standard of American Academy of Pediatrics be followed including: actively supervising ; placing an infant to sleep on their back (including returning them to their back if they roll over while sleeping until they can independently roll in both directions; not using sleep positioning devices; sufficient lighting to observe skin color; monitoring breathing patterns; not allowing blankets, toys, pillows, crib bumpers, etc., inside the sleeping equipment while an infant is occupying the piece of equipment; not allowing blankets or other items to cover or drape over an occupied sleep equipment; not allowing bedding or clothing to cover any portion of an infant’s head or face while sleeping; preventing child from getting too warm. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed providers, see (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0106(8); 0110(2)(e)(vi)(http://app.leg.wa.gov/wac/default.aspx?cite=110-300) ; 0290; 0291. DCYF requires family home providers to keep records on file of staff and volunteers who completed infant safe sleep training. DCYF requires family home providers to include information about safe sleep practices in the parent/guardian handbook of all providers who care for infants. The standards require that the current standard of American Academy of Pediatrics be followed including: actively supervising ; placing an infant to sleep on their back (including returning them to their back if they roll over while sleeping until they can independently roll in both directions; not using sleep positioning devices; sufficient lighting to observe skin color; monitoring breathing patterns; not allowing blankets, toys, pillows, crib bumpers, etc., inside the sleeping equipment while an infant is occupying the piece of equipment; not allowing blankets or other items to cover or drape over an occupied sleep equipment; not allowing bedding or clothing to cover any portion of an infant’s head or face while sleeping; preventing child from getting too warm. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: See (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0025) WAC 110-16-0030. For license exempt FFN providers, the standard requires providers to follow American Academy of Pediatrics standards concerning safe sleep, including, but not limited to, talking with parents about use of appropriate safe sleep equipment, actively supervising infants or toddlers when they sleep or are waking up, placing infants or toddlers on their backs for sleep, not using sleep positioning devices, using sufficient lighting while infants or toddlers sleep to observe skin color, monitoring breathing patterns, allowing infants or toddlers to follow their own sleep patterns, not allowing blankets and other items in occupied cribs, not allowing blankets or other items to drape over an occupied crib, not allowing bedding or clothing to cover an infant or toddler’s head while they sleep, etc. DCYF Outdoor Preschool program does not require infant safe sleep or shaken baby training as this program does not enroll infants, only preschool age. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: For licensed providers see https://app.leg.wa.gov/wac/default.aspx?cite=110-300&full=true#110-300- 0215 WAC 110-300-0215. Providers must administer medication according to the medication label using cleaned and sanitized medication measuring devices. Providers must give prescription medication only to the child named on the prescription. If a child is authorized by the parent, the provider may allow children to take their own medication, but the provider must observe and document. Providers are required to keep and maintain medication notes and must store medication as directed on medication labels and inaccessible to children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed providers see https://app.leg.wa.gov/wac/default.aspx?cite=110- 300&full=true#110-300-0215 WAC 110-300-0215. Providers must administer medication according to the medication label using cleaned and sanitized medication measuring devices. Providers must give prescription medication only to the child named on the prescription. If a child is authorized by the parent, the provider may allow children to take their own medication, but the provider must observe and document. Providers are required to keep and maintain medication notes and must store medication as directed on medication labels and 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: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For license exempt FFN providers see (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16- 0035) WAC 110-16-0035. Providers must administer medication according to the medication label using cleaned and sanitized medication measuring devices. Providers must give prescription medication only to the child named on the prescription. If a child is authorized by the parent, the provider may allow children to take their own medication, but the provider must observe and document. Providers are required to keep and maintain medication notes and must store medication as directed on medication labels and inaccessible to children. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: For licensed providers see https://app.leg.wa.gov/wac/default.aspx?cite=110-300&full=true#110-300- 0215 WAC 110-300-0215. DCYF has requirements around medication storage, labeling, administration, and permissions for both licensed center providers. These include getting written consent from a child's health care provider and parent or guardian before administering prescription or over-the-counter medicines, directions on storing medicine in places that are not accessible to children and at appropriate temperatures, only allowing specific staff members to administer medication to children, rules regarding when a child may be in charge of taking their own medicine, guidelines for administering medicine to children and how to record when medicine was given, rules on informing parents when and what medicines were given to their children, rules on how medicines are to be labeled, and rules on how to respond in case of emergency, i.e. if a child is incorrectly not given medicine, is given the wrong medicine, or is given the wrong amount of medicine. ii. All CCDF-eligible licensed family child care homes. Provide the standard: For licensed providers see https://app.leg.wa.gov/wac/default.aspx?cite=110- 300&full=true#110-300-0215 WAC 110-300-0215 For license exempt FFN providers see (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035) WAC 110-16-0035. DCYF has requirements around medication storage, labeling, administration, and permissions for both licensed family home providers. These include getting written consent from a child's health care provider and parent or guardian before administering prescription or over-the-counter medicines, directions on storing medicine in places that are not accessible to children and at appropriate temperatures, only allowing specific staff members to administer medication to children, rules regarding when a child may be in charge of taking their own medicine, guidelines for administering medicine to children and how to record when medicine was given, rules on informing parents when and what medicines were given to their children, rules on how medicines are to be labeled, and rules on how to respond in case of emergency, i.e. if a child is incorrectly not given medicine, is given the wrong medicine, or is given the wrong amount of medicine. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For license exempt FFN providers see (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16- 0035) WAC 110-16-0035. DCYF has requirements around medication storage, labeling, administration, and permissions for both licensed center and family home providers. These include getting written consent from a child's health care provider and parent or guardian before administering prescription or over-the- counter medicines, directions on storing medicine in places that are not accessible to children and at appropriate temperatures, only allowing specific staff members to administer medication to children, rules regarding when a child may be in charge of taking their own medicine, guidelines for administering medicine to children and how to record when medicine was given, rules on informing parents when and what medicines were given to their children, rules on how medicines are to be labeled, and rules on how to respond in case of emergency, i.e. if a child is incorrectly not given medicine, is given the wrong medicine, or is given the wrong amount of medicine. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC 110-300-0186 and 0480(2)(a). Providers are required to get written directions from a child's health care provider and parent or guardian if that child has a food allergy or special dietary requirements. These directions must be in the child's Individual Care Plan. Additionally, providers are required to receive instructions on proper nutrition in a child's individual health plan, post the food allergies of enrolled children where food is prepared and served, and notify staff of each child's food allergy and the potential reaction. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC 110- 300-0186 and 0480(2)(a). Providers are required to get written directions from a child's health care provider and parent or guardian if that child has a food allergy or special dietary requirements. These directions must be in the child's Individual Care Plan. Additionally, providers are required to receive instructions on proper nutrition in a child's individual health plan, post the food allergies of enrolled children where food is prepared and served, and notify staff of each child's food allergy and the potential reaction. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers must have discussion with, and written guidance from, the parent on the topic of knowledge and treatment of child illnesses and allergies. This guidance must include how to administer medication for allergies and an attestation from the parent or guardian that the provider has all necessary medication, training, and equipment to respond to emergencies caused by food allergies. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC 110-300-0186 and 0480(2)(a). Providers must keep special equipment, plans, and instructions on hand in case of a food allergy, either in the child's file or in an easily accessible location at the time of emergency. Providers are also required to carry each child's emergency medicine and a list of each child's allergies when traveling off-site. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC 110- 300-0186 and 0480(2)(a). Providers must keep special equipment, plans, and instructions on hand in case of a food allergy, either in the child's file or in an easily accessible location at the time of emergency. Providers are also required to carry each child's emergency medicine and a list of each child's allergies when traveling off-site. iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers must have discussion with, and written guidance from, the parent on the topic of knowledge and treatment of child illnesses and allergies. This guidance must include how to administer medication for allergies and an attestation from the parent or guardian that the provider has all necessary medication, training, and equipment to respond to emergencies caused by food allergies. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0130(2) and (4), -0135(2), -0145(1)-(3) and (5)-(12), -0146, -0165, -0170, -0175, -0260, -0410(3)-(6), and -0415. DCYF requires center providers to maintain the safety of child care buildings and premises through proper construction or remodeling and regular inspections. DCYF requires center providers to have a certificate of occupancy from the local building department, to be inspected by the state fire marshal's office, to notify other local and state offices of their intent to operate a child care center, and to comply with local ordinances. Additionally, Providers must maintain a safe environment by identifying areas or objects that present dangers such as burns, drowning, choking, cuts, entrapment, falls, firearms, hearing loss, falling objects, pinching, poisons, punctures, crushing, electric shock, and tripping. Providers are required to eliminate or make inaccessible such hazards. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0130(2) and (4), -0135(2), -0145(1)-(3) and (5)-(12), -0146, -0165, -0170, -0175, -0260, -0410(3)-(6), and -0415. DCYF requires licensed family home providers to maintain the safety of child care buildings and premises through proper construction or remodeling and regular inspections. Additionally, Providers must maintain a safe environment by identifying areas or objects that present dangers such as burns, drowning, choking, cuts, entrapment, falls, firearms, hearing loss, falling objects, pinching, poisons, punctures, crushing, electric shock, and tripping. Providers are required to eliminate or make inaccessible such hazards. iii. All CCDF-eligible licensed in-home care. Provide the standard: na [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers must follow a list of rules to promote building and physical premises safety. (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035) WAC 110-16-0035 This includes proper handling and storage of hazardous materials, and identifying and protecting children from potential hazards including bodies of water and vehicle traffic. These providers must visually inspect all child care areas for potentially hazardous items and circumstances. When a hazard is identified, providers are required to either correct it or make the potentially hazardous item or area inaccessible to children. Additionally, providers are required to actively supervise children to prevent harm. Supervision is particularly critical if the child care area has tobacco products and their storage containers; any sort of weaponry; any equipment, material, or object that poses a risk of choking or strangulation; poisons, toxins, or chemicals; personal grooming products; alcohol; plastic bags; items or equipment that reaches a high heat; equipment and appliances that pose a threat of entrapment; walking areas that present a tripping hazard; large objects that pose a threat of tipping or falling over that could injure children; indoor temperature ranges; windows or openings that pose a risk of falling out of; and electrical components that pose a risk of shock or electrocution. At the FFN annual visit, the provider must demonstrate that they visually scan indoor and outdoor areas to identify potential child safety hazards and discuss, with the parent, removal or easing of that hazard. When it is not possible for the provider to immediately correct or make a hazard completely inaccessible to a child, the provider must take action and actively supervise the child to avoid injury. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0130(2) and (4), -0135(2), -0145(1)-(3) and (5)-(12), -0146, -0165, -0170, -0175, -0260, -0410(3)-(6), and -0415. DCYF rules outline the different types of bodies of water that must be made inaccessible by using a physical barrier and in some cases, a lock. Fencing requirements for outdoor play space and/or plans for offsite play spaces to be accessed. The fencing or barrier is intended to prevent child from exiting and discourages climbing. This would address vehicle traffic or other environmental hazards outside the licensed outdoor space as listed in WAC 115-300-0145. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0130(2) and (4), -0135(2), -0145(1)-(3) and (5)-(12), -0146, -0165, -0170, -0175, -0260, -0410(3)-(6), and -0415. DCYF rules outline the different types of bodies of water that must be made inaccessible by using a physical barrier and in some cases, a lock. Fencing requirements for outdoor play space and/or plans for offsite play spaces to be accessed. The fencing or barrier is intended to prevent child from exiting and discourages climbing. This would address vehicle traffic or other environmental hazards outside the licensed outdoor space as listed in WAC 115-300-0145. iii. All CCDF-eligible licensed in-home care. Provide the standard: na [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers must follow a list of rules to promote building and physical premises safety. (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035) WAC 110-16-0035 This includes proper handling and storage of hazardous materials, and identifying and protecting children from potential hazards including bodies of water and vehicle traffic. These providers must visually inspect all child care areas for potentially hazardous items and circumstances. When a hazard is identified, providers are required to either correct it or make the potentially hazardous item or area inaccessible to children. Additionally, providers are required to actively supervise children to prevent harm. Supervision is particularly critical if the child care area has tobacco products and their storage containers; any sort of weaponry; any equipment, material, or object that poses a risk of choking or strangulation; poisons, toxins, or chemicals; personal grooming products; alcohol; plastic bags; items or equipment that reaches a high heat; equipment and appliances that pose a threat of entrapment; walking areas that present a tripping hazard; large objects that pose a threat of tipping or falling over that could injure children; indoor temperature ranges; windows or openings that pose a risk of falling out of; and electrical components that pose a risk of shock or electrocution. At the FFN annual visit, the provider must demonstrate that they visually scan indoor and outdoor areas to identify potential child safety hazards and discuss, with the parent, removal or easing of that hazard. When it is not possible for the provider to immediately correct or make a hazard completely inaccessible to a child, the provider must take action and actively supervise the child to avoid injury. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC 110-300-0145 and -0165. Licensing standards require providers to ensure outdoor areas are free of hazards, and visually inspect outdoor space daily to do so. Providers are required to take steps to prevent hazards to children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC 110- 300-0145 and -0165. Licensing standards require providers to ensure outdoor areas are free of hazards, and visually inspect outdoor space daily to do so. Providers are required to take steps to prevent hazards to children. iii. All CCDF-eligible licensed in-home care. Provide the standard: na [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers must follow a list of rules to promote building and physical premises safety. (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035) WAC 110-16-0035 This includes potential hazards like vehicle traffic. These providers must visually inspect all child care areas for potentially hazardous items and circumstances. When a hazard is identified, providers are required to either correct it or make the potentially hazardous item or area inaccessible to children. Additionally, providers are required to actively supervise children to prevent harm. At the FFN annual visit, the provider must demonstrate that they visually scan indoor and outdoor areas to identify potential child safety hazards and discuss, with the parent, removal or easing of that hazard. When it is not possible for the provider to immediately correct or make a hazard completely inaccessible to a child, the provider must take action and actively supervise the child to avoid injury. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: Applicable to children of all ages in care, DCYF requires center providers to prohibit anyone from shaking or abusing children in care. DCYF also requires providers to report alleged or suspected child abuse to both DCYF and local authorities. Further, providers are required to use their knowledge of each child's development and behavior to anticipate what may occur to prevent unsafe or unhealthy events or conduct, or to intervene in such circumstances as soon as possible. DCYF requires providers to take steps to prevent and once aware, not tolerate child maltreatment in any form. These requirements are identified in (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0331. See also WAC 110-300-0106(6) as to infants specifically. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Applicable to children of all ages in care, DCYF requires licensed family home providers to prohibit anyone from shaking or abusing children in care. DCYF also requires providers to report alleged or suspected child abuse to both DCYF and local authorities. Further, providers are required to use their knowledge of each child's development and behavior to anticipate what may occur to prevent unsafe or unhealthy events or conduct, or to intervene in such circumstances as soon as possible. DCYF requires providers to take steps to prevent and once aware, not tolerate child maltreatment in any form. These requirements are identified in (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0331. See also WAC 110-300-0106(6) as to infants specifically. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers are required to comply with health and safety practices and criteria in WAC 110-16-0035(3) to prevent shaken baby syndrome, abusive head trauma, and child maltreatment by not shaking, throwing, hitting, or otherwise intentionally inflicting harm, pain, or humiliation upon an infant or child in care; and by taking steps to prevent the physical discipline of children in their care. These providers are further required to engage in health and safety activity practices including recognition and reporting of child abuse and neglect and to comply with mandatory reporting requirements. Further, these providers are required to use their knowledge of each child's development and behavior to anticipate what may occur to prevent unsafe or unhealthy events or conduct, or to intervene in such circumstances as soon as possible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: Applicable to children of all ages in care, DCYF requires center providers to prohibit anyone from shaking or abusing children in care. DCYF also requires providers to report alleged or suspected child abuse to both DCYF and local authorities. Further, providers are required to use their knowledge of each child's development and behavior to anticipate what may occur to prevent unsafe or unhealthy events or conduct, or to intervene in such circumstances as soon as possible. DCYF requires providers to take steps to prevent and once aware, not tolerate child maltreatment in any form. These requirements are identified in (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0331. See also WAC 110-300-0475. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Applicable to children of all ages in care, DCYF requires licensed family home providers to prohibit anyone from shaking or abusing children in care. DCYF also requires providers to report alleged or suspected child abuse to both DCYF and local authorities. Further, providers are required to use their knowledge of each child's development and behavior to anticipate what may occur to prevent unsafe or unhealthy events or conduct, or to intervene in such circumstances as soon as possible. DCYF requires providers to take steps to prevent and once aware, not tolerate child maltreatment in any form. These requirements are identified in (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) WAC 110-300-0331. See also WAC 110-300-0475. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers are required to comply with health and safety practices and criteria in WAC 110-16-0035(3) to prevent shaken baby syndrome, abusive head trauma, and child maltreatment by not shaking, throwing, hitting, or otherwise intentionally inflicting harm, pain, or humiliation upon an infant or child in care; and by taking steps to prevent the physical discipline of children in their care. These providers are further required to engage in health and safety activity practices including recognition and reporting of child abuse and neglect and to comply with mandatory reporting requirements. Further, these providers are required to use their knowledge of each child's development and behavior to anticipate what may occur to prevent unsafe or unhealthy events or conduct, or to intervene in such circumstances as soon as possible. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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. [ ] Shelter-in-place iv. [ ] 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: DCYF received a preliminary notice of noncompliance on May 8, 2024. DCYF requires additional time to meet the requirement. DCYF has requirements in place for CCDF-eligible providers to have an emergency preparedness and response plan for emergencies resulting from a natural disaster, or a man-caused event; however, the requirements for shelter-in-place and lock down include the word ￿or￿ indicating a provider may have procedures for shelter-in- place or lock-down, but not both. Based on this, ACF determined the Lead Agency is not in compliance with 45 CFR 98.41(a)(1)(vii). 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: (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0260 and -0170. WAC (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035) DCYF requires safe labeling, handling, use, storage, and disposal of all hazardous or potentially hazardous materials for centers. In addition, these programs are required to manage children's exposure to toxic or infectious agents such as animal waste, bee or other insect stings or bites, and toxic plants or fungi. These programs must also notify parents and guardians if pesticides are applied to areas used by the program. In addition to details on how to store, licensed center providers are required to have storage areas and/or rooms that are inaccessible to children and have locking doors. Floors in these spaces must be moisture resistant and easily cleanable and centers must have ventilation. ii. All CCDF-eligible licensed family child care homes. Provide the standard: (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0260 and -0170. WAC (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035). DCYF requires safe labeling, handling, use, storage, and disposal of all hazardous or potentially hazardous materials for licensed family homes. In addition, these programs are required to manage children's exposure to toxic or infectious agents such as animal waste, bee or other insect stings or bites, and toxic plants or fungi. These programs must also notify parents and guardians if pesticides are applied to areas used by the program. In addition to details on how to store, family home providers are required to have storage areas and/or rooms that are inaccessible to children and have locking doors. Floors in these spaces must be moisture resistant and easily cleanable and family home providers must assure storage is done in a manner to avoid buildup of fumes, odors or other hazards. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers are required to safely store hazardous materials and make them inaccessible to children, or, if it is not possible to do so, supervise the child to avoid injury from the hazard. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC 110-300-0221 WAC 110-300-0225. DCYF requires safe labeling, handling, use, storage, and disposal of all hazardous or potentially hazardous materials, including bio contaminants for centers and licensed family homes. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC 110- 300-0221 WAC 110-300-0225. DCYF requires safe labeling, handling, use, storage, and disposal of all hazardous or potentially hazardous materials, including bio contaminants for centers and licensed family homes. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers are required to make hazardous materials inaccessible to children, or, if it is not possible to do so, supervise the child to avoid injury from the hazard. Outdoor, nature-based programs are required to follow all of the same rules as center licensed child care providers. WAC 110-16-0035. DCYF received a preliminary notice of noncompliance issued by ACF on this topic on May 8, 2024). DCYF requires additional time to meet the requirement. Though Non-Relative, In-Home (FFN) providers have standards for handling and storage of hazardous materials, they do not have enforceable standards or policies regarding the appropriate disposal of biocontaminants. Though Non-Relative, In-Home (FFN) providers have standards for handling and storage of hazardous materials, they do not have enforceable standards or policies regarding the appropriate disposal of biocontaminants. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0480 discusses transportation and off-site activity requirements for center providers. Providers must have and follow a transportation and off-site activity policy for personal or public transportation service. Providers must have written parent or guardian authorization to transport the parent or guardian's child. During travel to an off- site activity, an early learning provider must have the health history, appropriate medication (if applicable), emergency information, and emergency medical authorization forms accessible for each child being transported; have a phone to call for emergency help; have a complete first-aid kit; maintain the staff-to-child ratio, mixed groupings, and active supervision requirements; have a current first- aid and CPR certification; take attendance using a roll call or other method that assures all children are accounted for each time children begin and end travel to an off-site activity, and every time children enter and exit a vehicle; and never leave children unattended in the vehicle. When a provider supplies the vehicle to transport children in care, the program and provider must follow chapter 46.61 RCW, Rules of the road, and other applicable laws regarding child restraints and car seats; assure that the number of passengers does not exceed the seating capacity of the vehicle; maintain the vehicle in good repair and safe operating condition; maintain the vehicle temperature at a comfortable level to children; assure the vehicle has a current license and registration as required by Washington state transportation laws; assure the vehicle has emergency reflective triangles or other devices to alert other drivers of an emergency; assure the driver has a valid driver's license for the type of vehicle being driven and a safe driving record for at least the last five years; prevent any driver with a known condition that would compromise driving, supervision, or evacuation capabilities from operating program vehicles; and have a current insurance policy that covers the driver, the vehicle, and all occupants. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0480 discusses transportation and off-site activity requirements for family home providers. Providers must have and follow a transportation and off-site activity policy for personal or public transportation service. Providers must have written parent or guardian authorization to transport the parent or guardian's child. During travel to an off-site activity, an early learning provider must have the health history, appropriate medication (if applicable), emergency information, and emergency medical authorization forms accessible for each child being transported; have a phone to call for emergency help; have a complete first-aid kit; maintain the staff- to-child ratio, mixed groupings, and active supervision requirements; have a current first-aid and CPR certification; take attendance using a roll call or other method that assures all children are accounted for each time children begin and end travel to an off-site activity, and every time children enter and exit a vehicle; and never leave children unattended in the vehicle. When a provider supplies the vehicle to transport children in care, the program and provider must follow chapter 46.61 RCW, Rules of the road, and other applicable laws regarding child restraints and car seats; assure that the number of passengers does not exceed the seating capacity of the vehicle; maintain the vehicle in good repair and safe operating condition; maintain the vehicle temperature at a comfortable level to children; assure the vehicle has a current license and registration as required by Washington state transportation laws; assure the vehicle has emergency reflective triangles or other devices to alert other drivers of an emergency; assure the driver has a valid driver's license for the type of vehicle being driven and a safe driving record for at least the last five years; prevent any driver with a known condition that would compromise driving, supervision, or evacuation capabilities from operating program vehicles; and have a current insurance policy that covers the driver, the vehicle, and all occupants. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License exempt FFN providers are required to comply with transportation requirements if transporting children such as complying with all laws concerning child restraint and car seats, possessing a driver's license and car insurance, counting each child when entering and exiting the vehicle, and never leaving children unattended in the vehicle. WAC 110-16-0035 vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC 110-300- 0106(11). Center providers responsible for a group of children are required to have current pediatric CPR/first aid training as to infants, children, and adults certified by the American Red Cross, American Safety and Health Institute, or another nationally recognized organization. These certifications must be kept in the record of each staff member and reviewed and approved by DCYF. Providers are also required to have a one-way CPR barrier or mask in a first aid kit at all times. Providers are also required to carry a first aid kit, and these kits must contain a "CPR barrier with a one-way valve or a pediatric and adult CPR mask with a one-way valve." Outdoor, Nature Based (ONB) programs are required to follow all of the same requirements as licensed center child care providers. In addition, ONB programs that operate more than 30 minutes from emergency medical care must have at least one staff person certified in wilderness first aid. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC 110- 300-0106(11). licensed family home providers responsible for a group of children are required to have current pediatric CPR/first aid training as to infants, children, and adults certified by the American Red Cross, American Safety and Health Institute, or another nationally recognized organization. These certifications must be kept in the record of each staff member and reviewed and approved by DCYF. Providers are also required to have a one-way CPR barrier or mask in a first aid kit at all times. Providers are also required to carry a first aid kit, and these kits must contain a "CPR barrier with a one-way valve or a pediatric and adult CPR mask with a one-way valve." Outdoor, Nature Based (ONB) programs are required to follow all of the same requirements as licensed center child care providers. In addition, ONB programs that operate more than 30 minutes from emergency medical care must have at least one staff person certified in wilderness first aid. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: (WAC 110- 16-0030) In the case of non-relative FFN providers in the child's home, the provider must show proof of the CPR/first aid card at the annual monitoring visit. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC 110-300- 0106(11) Center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; (ii) Include child and adult first-aid and CPR; and (iii) Infant first-aid and CPR, if applicable ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC 110- 300-0106(11) Family home licensees and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; (ii) Include child and adult first-aid and CPR; and (iii) Infant first-aid and CPR, if applicable iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: WAC 110-16- 0030. In the case of non-relative FFN providers in the child's home, the provider must show proof of the CPR/first aid card at the annual monitoring visit. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC (https://app.leg.wa.gov/WAC/default.aspx?cite=110-300-0335) 110-300-0335, and (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0-0475. DCYF requires center providers to prohibit anyone from shaking or abusing children in care. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC (https://app.leg.wa.gov/WAC/default.aspx?cite=110-300-0335) 110-300-0335, and (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0-0475. DCYF requires licensed family home providers to prohibit anyone from shaking or abusing children 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: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: WAC (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0025) 110-16-0035 for license exempt FFN providers. DCYF requires FFN providers to prohibit anyone from shaking or abusing children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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: WAC (https://app.leg.wa.gov/WAC/default.aspx?cite=110-300-0335) 110-300-0335, and (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0-0475. DCYF requires providers to report alleged or suspected child abuse to both DCYF and local authorities. Center providers are considered mandatory reporters for child abuse and neglect. Licensed providers must also have program operations or policies about reporting abuse and neglect and must supply policies regarding abuse and neglect to parents in the parent handbook. This complies with the child abuse reporting requirements of section 106(b)(2)(B)(i) of the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i)) and RCW 26.44.030. ii. All CCDF-eligible licensed family child care homes. Provide the standard: WAC (https://app.leg.wa.gov/WAC/default.aspx?cite=110-300-0335) 110-300-0335, and (http://app.leg.wa.gov/wac/default.aspx?cite=110-300) 110-300-0-0475. DCYF requires providers to report alleged or suspected child abuse to both DCYF and local authorities. Family home providers are considered mandatory reporters for child abuse and neglect. Licensed providers must also have program operations or policies about reporting abuse and neglect and must supply policies regarding abuse and neglect to parents in the parent handbook. This complies with the child abuse reporting requirements of section 106(b)(2)(B)(i) of the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i)) and RCW 26.44.030. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: na v. All CCDF-eligible license-exempt family child care homes. Provide the standard: na vi. All CCDF-eligible license-exempt in-home care. Provide the standard: See WAC (http://apps.leg.wa.gov/wac/default.aspx?cite=110-16-0035) 110-16-0035 for license exempt FFN providers. DCYF requires providers to report alleged or suspected child abuse to both DCYF and local authorities. License exempt FFN providers are required to engage in health and safety activity practices including recognition and reporting of child abuse and neglect. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: na 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? [ ] Yes. [x] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: ii. Access to physical activity. Describe: iii. Caring for children with special needs. Describe: iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: