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: Providers are required to have documentation of a child's immunization history on file at the program. There are standards that address handwashing, universal precautions, diapering, care of mildly ill children, and other infection control measures included as part of the licensing group center rules. Communicable Disease: DCF 251.07 (6)(e). Immunization Record: DCF 251.04 (6)(a)6m. Handwashing: DCF 251.07(6)(i). Universal & Other Health Precautions: DCF 251.07(6)(g), DCF 251.09(4) ii. All CCDF-eligible licensed family child care homes. Provide the standard: Providers are required to have documentation of a child's immunization history on file at the program. There are standards that address handwashing, universal precautions, diapering, care of mildly ill children, and other infection control measures included as part of the licensing family child care rules. Communicable Disease: DCF 250.04 (3)(m) and DCF 250.07(6)(a). Immunization Record: DCF 250.04(6)(a)4m. Handwashing: DCF 250.07 (6)(g). Universal & Other Health Precautions: DCF 250.07(6)(g)&(h), DCF 250.09(4). 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: Pursuant to Wis. Statutes, s.120.13(14), a child care program established and provided by a school board must comply with the applicable standards governing the operation of licensed child care centers in Wisconsin, as provided under Wis. Admin. Code DCF 251. Providers are required to have documentation of a child's immunization history on file at the program. There are standards that address handwashing, universal precautions, diapering, care of mildly ill children, and other infection control measures included as part of the licensing group center rules. Communicable Disease: DCF 251.07 (6)(e). Immunization Record: DCF 251.04 (6)(a)6m. Handwashing: DCF 251.07(6)(i). Universal & Other Health Precautions: DCF 251.07(6)(g), DCF 251.09(4) v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Providers are required to have documentation of a child's immunization history on file at the program. There are standards that address handwashing, universal precautions, diapering, care of mildly ill children, and other infection control measures included as part of the licensing group center rules. Communicable Disease: DCF 202.08(4)(k) & (L). Immunization Record: DCF 202.08(4)(e). Handwashing: DCF 202.08(4)(g)&(h). Health Precautions: DCF 202.08(4)(i), DCF 202.08(4)(o). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Providers are required to have documentation of a child's immunization history on file at the program. There are standards that address handwashing, universal precautions, diapering, care of mildly ill children, and other infection control measures included as part of the licensing group center rules. Communicable Disease: DCF 202.08(4)(k) & (L). Immunization Record: DCF 202.08(4)(e). Handwashing: DCF 202.08(4)(g)&(h). Health Precautions: DCF 202.08(4)(i), DCF 202.08(4)(o). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Providers are required to have documentation of a child's immunization history on file at the program. There are standards that address handwashing, universal precautions, diapering, care of mildly ill children, and other infection control measures included as part of the licensing group center rules. Communicable Disease: DCF 252.44(6)(d). Immunization Record: DCF 252.41(4)(a)6m. Handwashing: DCF 252.44(6)(i). Universal & Other Health Precautions: DCF 252.44(6)(i). 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: All child care programs must document a child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144. DCF 251.04(4)(a)6m. Licensing rules require child care providers to have on file a written record verifying that each child in care has been immunized in accordance with DHS rules (or a signed waiver/statement indicating why the child is not immunized). Licensors monitor to ensure an immunization record (or waiver) to be on file but do not ensure children are immunized according to the DHS schedule. Unless the operator requires all enrolled children be up-to-date on immunizations, per the operator’s contract/policies, the operator cannot force a parent to immunize their child. The parent, in consultation with the child’s physician, is responsible to determine if/when to immunize a child. DHS 144.03(2)(a): Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules. Wis. Stat. 252.04(2): Any student admitted to any elementary, middle, junior, or senior high school or into any child care center or nursery school shall, within 30 school days after the date on which the student is admitted, present written evidence to the school, child care center, or nursery school of having completed the first immunization for each vaccine required for the student's grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus, and other diseases that the department specifies by rule or shall present a written waiver under sub. (3). ii. All CCDF-eligible licensed family child care homes. Provide the standard: All child care programs must document a child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144. DCF 250.04(6)(a)4m. Licensing rules require child care providers to have on file a written record verifying that each child in care has been immunized in accordance with DHS rules (or a signed waiver/statement indicating why the child is not immunized). Licensors monitor to ensure an immunization record (or waiver) to be on file but do not ensure children are immunized according to the DHS schedule. Unless the operator requires all enrolled children be up-to-date on immunizations, per the operator’s contract/policies, the operator cannot force a parent to immunize their child. The parent, in consultation with the child’s physician, is responsible to determine if/when to immunize a child. DHS 144.03(2)(a): Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules. Wis. Stat. 252.04(2): Any student admitted to any elementary, middle, junior, or senior high school or into any child care center or nursery school shall, within 30 school days after the date on which the student is admitted, present written evidence to the school, child care center, or nursery school of having completed the first immunization for each vaccine required for the student's grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus, and other diseases that the department specifies by rule or shall present a written waiver under sub. (3). 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: Pursuant to Wis. Statutes, s.120.13(14), a child care program established and provided by a school board must comply with the applicable standards governing the operation of licensed child care centers in Wisconsin, as provided under Wis. Admin. Code DCF 251. All child care programs must document a child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144. DCF 251.04(4)(a)6m. Licensing rules require child care providers to have on file a written record verifying that each child in care has been immunized in accordance with DHS rules (or a signed waiver/statement indicating why the child is not immunized). Licensors monitor to ensure an immunization record (or waiver) to be on file but do not ensure children are immunized according to the DHS schedule. Unless the operator requires all enrolled children be up-to-date on immunizations, per the operator’s contract/policies, the operator cannot force a parent to immunize their child. The parent, in consultation with the child’s physician, is responsible to determine if/when to immunize a child. DHS 144.03(2)(a): Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules. Wis. Stat. 252.04(2): Any student admitted to any elementary, middle, junior, or senior high school or into any child care center or nursery school shall, within 30 school days after the date on which the student is admitted, present written evidence to the school, child care center, or nursery school of having completed the first immunization for each vaccine required for the student's grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus, and other diseases that the department specifies by rule or shall present a written waiver under sub. (3). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All child care programs must document a child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144. DCF 202.08(4)(e) Certification rules require child care providers to have on file a written record verifying that each child in care has been immunized in accordance with DHS rules (or a signed waiver/statement indicating why the child is not immunized). Certifiers monitor to ensure an immunization record (or waiver) to be on file but do not ensure children are immunized according to the DHS schedule. Unless the operator requires all enrolled children be up-to-date on immunizations, per the operator’s contract/policies, the operator cannot force a parent to immunize their child. The parent, in consultation with the child’s physician, is responsible to determine if/when to immunize a child. DHS 144.03(2)(a): Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules. Wis. Stat. 252.04(2): Any student admitted to any elementary, middle, junior, or senior high school or into any child care center or nursery school shall, within 30 school days after the date on which the student is admitted, present written evidence to the school, child care center, or nursery school of having completed the first immunization for each vaccine required for the student's grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus, and other diseases that the department specifies by rule or shall present a written waiver under sub. (3). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All child care programs must document a child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144. DCF 202.08(4)(e) Certification rules require child care providers to have on file a written record verifying that each child in care has been immunized in accordance with DHS rules (or a signed waiver/statement indicating why the child is not immunized). Certifiers monitor to ensure an immunization record (or waiver) to be on file but do not ensure children are immunized according to the DHS schedule. Unless the operator requires all enrolled children be up-to-date on immunizations, per the operator’s contract/policies, the operator cannot force a parent to immunize their child. The parent, in consultation with the child’s physician, is responsible to determine if/when to immunize a child. DHS 144.03(2)(a): Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules. Wis. Stat. 252.04(2): Any student admitted to any elementary, middle, junior, or senior high school or into any child care center or nursery school shall, within 30 school days after the date on which the student is admitted, present written evidence to the school, child care center, or nursery school of having completed the first immunization for each vaccine required for the student's grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus, and other diseases that the department specifies by rule or shall present a written waiver under sub. (3). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All child care programs must document a child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144. DCF 252.41(4)(a)6m. Licensing rules require child care providers to have on file a written record verifying that each child in care has been immunized in accordance with DHS rules (or a signed waiver/statement indicating why the child is not immunized). Licensors monitor to ensure an immunization record (or waiver) to be on file but do not ensure children are immunized according to the DHS schedule. Unless the operator requires all enrolled children be up-to-date on immunizations, per the operator’s contract/policies, the operator cannot force a parent to immunize their child. The parent, in consultation with the child’s physician, is responsible to determine if/when to immunize a child. DHS 144.03(2)(a): Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules. Wis. Stat. 252.04(2): Any student admitted to any elementary, middle, junior, or senior high school or into any child care center or nursery school shall, within 30 school days after the date on which the student is admitted, present written evidence to the school, child care center, or nursery school of having completed the first immunization for each vaccine required for the student's grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus, and other diseases that the department specifies by rule or shall present a written waiver under sub. (3). 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: Before work commences, caregivers who provide care and supervision to children under one year of age are required to complete training in Sudden Infant Death Syndrome risk reduction. Licensing rules require children under age one to be placed to sleep on their backs in a safe crib. A child under one year of age may not sleep in a crib or playpen that contains soft or loose materials, such as sheepskins, pillows, blankets, flat sheets, bumper pads, bibs, pacifiers with attached soft objects, or stuffed animals. No blankets or other items may be hung on the sides of a crib or playpen. There is no specific training requirement related to safe sleep for children who are age one or older, however, there are health and safety standards for rest/sleep of children of all ages. Wis. Statutes, s. 48.67(1); DCF 251.09(1)(j)- (m), DCF 251.09(2)(bm), DCF 251.04(2)(h)5, DCF 251.05(4)(a)14. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Before work commences, caregivers who provide care and supervision to children under one year of age are required to complete training in Sudden Infant Death Syndrome risk reduction. Licensing rules require children under age one to be placed to sleep on their backs in a safe crib. A child under one year of age may not sleep in a crib or playpen that contains soft or loose materials, such as sheepskins, pillows, blankets, flat sheets, bumper pads, bibs, pacifiers with attached soft objects, or stuffed animals. No blankets or other items may be hung on the sides of a crib or playpen. There is no specific training requirement related to safe sleep for children who are age one or older, however, there are health and safety standards for rest/sleep of children of all ages. Wis. Statutes, s. 48.67(1); DCF 250.07(4)(cm), DCF 250.07(4)(e), DCF 250.09(1)(c)2-4g, DCF 250.09(2)(c). 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: Pursuant to Wis. Statutes, s.120.13(14), a child care program established and provided by a school board must comply with the applicable standards governing the operation of licensed child care centers in Wisconsin, as provided under Wis. Admin. Code DCF 251. Before work commences, caregivers who provide care and supervision to children under one year of age are required to complete training in Sudden Infant Death Syndrome risk reduction. Licensing rules require children under age one to be placed to sleep on their backs in a safe crib. A child under one year of age may not sleep in a crib or playpen that contains soft or loose materials, such as sheepskins, pillows, blankets, flat sheets, bumper pads, bibs, pacifiers with attached soft objects, or stuffed animals. No blankets or other items may be hung on the sides of a crib or playpen. There is no specific training requirement related to safe sleep for children who are age one or older, however, there are health and safety standards for rest/sleep of children of all ages. Wis. Statutes, s. 48.67(1); DCF 251.09(1)(j)-(m), DCF 251.09(2)(bm), DCF 251.04(2)(h)5, DCF 251.05(4)(a)14. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Before work commences, caregivers who provide care and supervision to children under one year of age are required to complete training in Sudden Infant Death Syndrome risk reduction. Licensing rules require children under age one to be placed to sleep on their backs in a safe crib. A child under one year of age may not sleep in a crib or playpen that contains soft or loose materials, such as sheepskins, pillows, blankets, flat sheets, bumper pads, bibs, pacifiers with attached soft objects, or stuffed animals. No blankets or other items may be hung on the sides of a crib or playpen. There is no specific training requirement related to safe sleep for children who are age one or older, however, there are health and safety standards for rest/sleep of children of all ages. Wis. Statutes, s. 48.651(1d)(b)1.b; DCF 202.08(11)(c) & (d) vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Before work commences, caregivers who provide care and supervision to children under one year of age are required to complete training in Sudden Infant Death Syndrome risk reduction. Licensing rules require children under age one to be placed to sleep on their backs in a safe crib. A child under one year of age may not sleep in a crib or playpen that contains soft or loose materials, such as sheepskins, pillows, blankets, flat sheets, bumper pads, bibs, pacifiers with attached soft objects, or stuffed animals. No blankets or other items may be hung on the sides of a crib or playpen. There is no specific training requirement related to safe sleep for children who are age one or older, however, there are health and safety standards for rest/sleep of children of all ages. Wis. Statutes, s. 48.651(1d)(b)1.b; DCF 202.08(11)(c) & (d) vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: Licensing rules specify that all medication (prescription and OTC) must be in the original container and labeled with the child's name and dosing instructions. Parental authorization is required. Medication administration must be logged in the center medical log book. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover the administration of medications. Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication. :DCF 251.07 (6)(dm)3.c, DCF 251.05(4)(a)6., DCF 251.07(6)(f). ii. All CCDF-eligible licensed family child care homes. Provide the standard: License- exempt family child care rules require medication to be in the original container and labeled with the child's name, dosage, and administration directions; and a provider may administer medication if the child's parent has given written and signed permission to administer the medication to the child as directed on the label. Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication. Orientation of employees, volunteers, and substitutes. shall be documented on a form initialed and dated by the staff person and trainer and shall cover specific information relating to each child’s health care needs, including medications, disabilities, or special health conditions :DCF 250.07 (6)(b)3.c, DCF 250.05(4)(a)4 & 11, DCF 250.07(6)(b)3.c., DCF 250.07(6)(f) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Licensing rules specify that all medication (prescription and OTC) must be in the original container and labeled with the child's name and dosing instructions. Parental authorization is required. Medication administration must be logged in the center medical log book. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover the administration of medications. Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication. DCF 251.07 (6)(dm)3.c, DCF 251.05(4)(a)6., DCF 251.07(6)(f). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: License-exempt family child care rules require medication to be in the original container and labeled with the child's name, dosage, and administration directions; and a provider may administer medication if the child's parent has given written and signed permission to administer the medication to the child as directed on the label. DCF 202.08 (4)(f), Wis. Statutes, s. 48.651(1d)(b)1.c. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License- exempt family child care rules require medication to be in the original container and labeled with the child's name, dosage, and administration directions; and a provider may administer medication if the child's parent has given written and signed permission to administer the medication to the child as directed on the label. DCF 202.08 (4)(f), Wis. Statutes, s. 48.651(1d)(b)1.c. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Licensing rules specify that all medication (prescription and OTC) must be in the original container and labeled with the child's name and dosing instructions. Parental authorization is required. Medication administration must be logged in the center medical log book. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover the administration of medications. Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication. DCF 252.44(6)(g), DCF 252.44(6)(e). 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: Center staff may give prescription or non-prescription medication, such as pain relievers, teething gels or cough syrup, to a child only under the following conditions: A written authorization that includes the child’s name and birthdate, name of medication, administration instructions, medication intervals and length of the authorization dated and signed by the parent is on file. Blanket authorizations that exceed the length of time specified on the label are prohibited. DCF 251.07(6)(f)1. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A provider may give prescription or non-prescription medications such as pain relievers, teething gels or cough syrup to a child only under the following conditions: A completed written authorization on a form provided by the department, dated and signed by the parent is on file. Authorizations that exceed the period of time specified on the label are prohibited. DCF 250.07(6)(f)1. 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Center staff may give prescription or non-prescription medication, such as pain relievers, teething gels or cough syrup, to a child only under the following conditions: A written authorization that includes the child’s name and birthdate, name of medication, administration instructions, medication intervals and length of the authorization dated and signed by the parent is on file. Blanket authorizations that exceed the length of time specified on the label are prohibited. DCF 251.07(6)(f)1. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: A child care provider may administer prescription or non− prescription medication to a child only if all of the following conditions are met: The child’s parent has given written and signed permission to administer the medication to the child as directed on the label. DCF 202.08(4)(f)2.b. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: A child care provider may administer prescription or non− prescription medication to a child only if all of the following conditions are met: The child’s parent has given written and signed permission to administer the medication to the child as directed on the label. DCF 202.08(4)(f)2.b. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Licensing rules specify that all medication (prescription and OTC) must be in the original container and labeled with the child's name and dosing instructions. Parental authorization is required. Medication administration must be logged in the center medical log book. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover the administration of medications. Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication. DCF 252.44(6)(g), DCF 252.44(6)(e). 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: Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover prevention and response to emergencies due to food and allergic reactions. Each center shall have a written plan for taking appropriate action in the event of emergency, including allergic reactions. A group child care center licensee shall develop, submit to the department, and implement written policies consistent with the requirements of this chapter on all of the following subjects: Nutrition, including accommodating children with food allergies. The licensee shall maintain a current written record obtained prior to the child’s first day of attendance or subsequent re-enrollment at the center on each child enrolled and shall make the record available to the licensing representative on request. Each record shall include the child’s health history information that includes the child’s medical conditions, such as asthma, cerebral palsy, diabetes, epilepsy, food allergies, or gastrointestinal or feeding concerns. If the child has a milk allergy, a statement from a medical professional indicating an acceptable alternative. A special diet based on a food allergy may be served upon the written request of the parent. Cooks, staff members, child care workers and substitutes having direct contact with the children shall be informed about food allergies and other allergies of specific children. DCF 251.04(2)(h)7., DCF 251.05(4)(a)4., DCF 251.06(3)(a), DCF 251.04(6)(a)6.e., DCF 251.07(5)(a)9m and 10. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover Prevention and response to emergencies due to food and allergic reactions. Each center shall have a written plan for taking appropriate action in the event of emergency, including allergic reactions. The licensee shall maintain a current written record at the center on each child enrolled, including the provider’s own children under age 7, and shall make the record available to the licensing representative on request. Each record shall include the child’s medical conditions, such as asthma, cerebral palsy, diabetes, epilepsy, food allergies, or gastrointestinal or feeding concerns. A special diet based on a food allergy may be served upon the written request of the parent. DCF 250.05(4)(a)7, DCF 250.06(3)(a), DCF 250.04(6)(a)1m.e., DCF 250.06(9)(n) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover prevention and response to emergencies due to food and allergic reactions. Each center shall have a written plan for taking appropriate action in the event of emergency, including allergic reactions. A group child care center licensee shall develop, submit to the department, and implement written policies consistent with the requirements of this chapter on all of the following subjects: Nutrition, including accommodating children with food allergies. The licensee shall maintain a current written record obtained prior to the child’s first day of attendance or subsequent re-enrollment at the center on each child enrolled and shall make the record available to the licensing representative on request. Each record shall include the child’s health history information that includes the child’s medical conditions, such as asthma, cerebral palsy, diabetes, epilepsy, food allergies, or gastrointestinal or feeding concerns. If the child has a milk allergy, a statement from a medical professional indicating an acceptable alternative. A special diet based on a food allergy may be served upon the written request of the parent. Cooks, staff members, child care workers and substitutes having direct contact with the children shall be informed about food allergies and other allergies of specific children. DCF 251.04(2)(h)2.c.7., DCF 251.05(4)(a)4., DCF 251.06(3)(a), DCF 251.04(6)(a)6.e., DCF 251.07(5)(a)9m and 10. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: An operator shall have a written plan for taking appropriate action in the event of an emergency including allergic reactions. Prior to a child’s first day of attendance for any child in care, obtaining information on a form prescribed by the department with enrollment and health history information, including health history, including information relating to a child’s special health care needs and emergency care plan (the prescribed form includes food and non-food allergies). An operator shall ensure that each provider, volunteer, substitute, and emergency back−up provider receives an orientation before beginning work that covers specific information relating to a child’s special health care needs, including administration of medications, disabilities, allergies, or other special health conditions. A certified family child care provider or an employee or volunteer of a level I or level II certified family child care provider who is not the primary provider of care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include training in all of the following topics: The prevention of and response to emergencies due to allergic reactions to food or other allergens. DCF 202.08(4m)(a)1. Wis. Stat. 48.651(1d)(b)1.d., DCF 202.08(4m)(e)3., DCF 202.08(12)(f)2 vi. All CCDF-eligible license-exempt in-home care. Provide the standard: An operator shall have a written plan for taking appropriate action in the event of an emergency including allergic reactions. An operator shall ensure that each provider, volunteer, substitute, and emergency back−up provider receives an orientation before beginning work that covers specific information relating to a child’s special health care needs, including administration of medications, disabilities, allergies, or other special health conditions. Prior to a child’s first day of attendance for any child in care, obtaining information on a form prescribed by the department with enrollment and health history information, including health history, including information relating to a child’s special health care needs and emergency care plan (the prescribed form includes food and non-food allergies). A certified family child care provider or an employee or volunteer of a level I or level II certified family child care provider who is not the primary provider of care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include training in all of the following topics: The prevention of and response to emergencies due to allergic reactions to food or other allergens. DCF 202.08(4m)(a)1. Wis. Stat. 48.651(1d)(b)1.d., DCF 202.08(4m)(e)3, DCF 202.08(12)(f)2. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover prevention and response to emergencies due to food and allergic reactions. Each center shall have a written plan for taking appropriate action in the event of emergency, including allergic reactions. A group child care center licensee shall develop, submit to the department, and implement written policies consistent with the requirements of this chapter on all of the following subjects: Nutrition, including accommodating children with food allergies. The licensee shall maintain a current written record obtained prior to the child’s first day of attendance or subsequent re-enrollment at the center on each child enrolled and shall make the record available to the licensing representative on request. Each record shall include the child’s health history information that includes the child’s medical conditions, such as asthma, cerebral palsy, diabetes, epilepsy, food allergies, or gastrointestinal or feeding concerns. If the child has a milk allergy, a statement from a medical professional indicating an acceptable alternative. A special diet based on a food allergy may be served upon the written request of the parent. Cooks, staff members, child care workers and substitutes having direct contact with the children shall be informed about food allergies and other allergies of specific children. DCF 252.41(4)(a)5.e., 252.43(3)(a), 252.44(5)(c), 252.44(5)(g). 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: Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover Prevention and response to emergencies due to food and allergic reactions. Each center shall also have a written plan for taking appropriate action in the event of emergency, including allergic reactions and must have procedures in place to ensure the needs of children under age 2 years are met. The center administrator shall notify the parents of an enrolled child if the child consumes food or drink that may contain the child’s allergen and if they consume the incorrect breastmilk (birth to age 2). Notification shall be made immediately and shall provide sufficient detail to reasonably apprise the parent of the situation. DCF 251.05(4)(a)4., DCF 251.06(3)(a), DCF 251.04(4)(a)2.c. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover Prevention and response to emergencies due to food and allergic reactions. Each center shall also have a written plan for taking appropriate action in the event of emergency, including allergic reactions and must have procedures in place to ensure the needs of children under age 2 years are met. The licensee shall notify a parent of a child in care if the child consumes incorrect breastmilk, consumes food or drink that may contain the child’s allergen and if they consume the incorrect breastmilk (birth to age 2). Notification shall be made immediately and shall provide sufficient detail to apprise the parent in all of the situations. DCF 250.05(4)(a)7, DCF 250.06(3)(a), DCF 250.04(4)(c)2.c. 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover Prevention and response to emergencies due to food and allergic reactions. Each center shall have a written plan for taking appropriate action in the event of emergency, including allergic reactions. The center administrator shall notify the parents of an enrolled child if the child consumes food or drink that may contain the child’s allergen. Notification shall be made immediately and shall provide sufficient detail to reasonably apprise the parent of the situation. DCF 251.05(4)(a)4., DCF 251.06(3)(a), DCF 251.04(4)(a)2.c. Licensing rules require providers to have emergency procedures that ensure that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions. The rule does not specify specific age groups, other than a reference to ￿all children, including children under 2,￿ but rather brings attention to the special needs infants and toddlers with regard to emergency planning/preparation. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: An operator shall have a written plan for taking appropriate action in the event of an emergency including allergic reactions. Prior to a child’s first day of attendance for any child in care, obtaining information on a form prescribed by the department with enrollment and health history information, including health history, including information relating to a child’s special health care needs and emergency care plan (the prescribed form includes food and non-food allergies). An operator shall ensure that each provider, volunteer, substitute, and emergency back−up provider receives an orientation before beginning work that covers specific information relating to a child’s special health care needs, including administration of medications, disabilities, allergies, or other special health conditions. A certified family child care provider or an employee or volunteer of a level I or level II certified family child care provider who is not the primary provider of care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include training in all of the following topics: The prevention of and response to emergencies due to allergic reactions to food or other allergens. DCF 202.08(4m)(a)1. Wis. Stat. 48.651(1d)(b)1.d., DCF 202.08(4m)(e)3, DCF 202.08(12)(f)2. Certification rules require providers to have emergency procedures that ensure that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions. The rule does not specify specific age groups, other than a reference to ￿all children, including children under 2,￿ but rather brings attention to the special needs infants and toddlers with regard to emergency planning/preparation. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: An operator shall have a written plan for taking appropriate action in the event of an emergency including allergic reactions. Prior to a child’s first day of attendance for any child in care, obtaining information on a form prescribed by the department with enrollment and health history information, including health history, including information relating to a child’s special health care needs and emergency care plan (the prescribed form includes food and non-food allergies). An operator shall ensure that each provider, volunteer, substitute, and emergency back−up provider receives an orientation before beginning work that covers specific information relating to a child’s special health care needs, including administration of medications, disabilities, allergies, or other special health conditions. A certified family child care provider or an employee or volunteer of a level I or level II certified family child care provider who is not the primary provider of care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include training in all of the following topics: The prevention of and response to emergencies due to allergic reactions to food or other allergens. DCF 202.08(4m)(a)1. Wis. Stat. 48.651(1d)(b)1.d., DCF 202.08(4m)(e)3., DCF 202.08(12)(f)2. Certification rules require providers to have emergency procedures that ensure that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions. The rule does not specify specific age groups, other than a reference to ￿all children, including children under 2,￿ but rather brings attention to the special needs infants and toddlers with regard to emergency planning/preparation. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover Prevention and response to emergencies due to food and allergic reactions. Each center shall have a written plan for taking appropriate action in the event of emergency, including allergic reactions. The center administrator shall notify the parents of an enrolled child if the child consumes food or drink that may contain the child’s allergen. Notification shall be made immediately and shall provide sufficient detail to reasonably apprise the parent of the situation. DCF 252.41(4)(a)5.e., 252.43(3)(a), 252.44(5)(c), 252.44(5)(g). Licensing rules require providers to have emergency procedures that ensure that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions. The rule does not specify specific age groups, other than a reference to ￿all children, including children under 2,￿ but rather brings attention to the special needs infants and toddlers with regard to emergency planning/preparation. 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: DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. Licensing rules cover building and premises safety. Buildings must comply with all applicable codes and the building and premises must be in compliance with safety standards. "Hazard" means a potential source of harm that can jeopardize the health, safety or well-being of children in care. A child care program shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover several topics including building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. The indoor and outdoor premises shall be free of hazards including any recalled products. An off-premises outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced in-ground swimming pools, heavily wooded areas and nearby highways and main thoroughfares. DCF 251.06(1), (2), (11) and (12). ii. All CCDF-eligible licensed family child care homes. Provide the standard: DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. Because family child care is usually located in a home setting, the licensing rules incorporate the applicable residential building codes. Buildings must comply with all applicable codes and the building and premises must be in compliance with safety standards. "Hazard" means a potential source of harm that can jeopardize the health, safety or well-being of children in care. A permanent enclosure of the outdoor play space, not less than four feet high shall be provided to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. A child care program shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover several topics including building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. The indoor and outdoor premises shall be free of hazards including any recalled products. An off-premises outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced in-ground swimming pools, heavily wooded areas and nearby highways and main thoroughfares. DCF 250.06 (1), (2), (7), (11) and (12). 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Licensing rules cover building and premises safety. Buildings must comply with all applicable codes and the building and premises must be in compliance with safety standards. Programs serving school-age children in school buildings are exempt from the requirement for documentation of compliance with the commercial building codes. "Hazard" means a potential source of harm that can jeopardize the health, safety or well-being of children in care. A child care program shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover several topics including building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. The indoor and outdoor premises shall be free of hazards including any recalled products. An off-premises outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced in-ground swimming pools, heavily wooded areas and nearby highways and main thoroughfares. DCF 251.06(1), (2), (11) and (12). DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DCF rules related to this question do not identify ages of children. Certification rules require play areas to be free of hazards and have a permanent enclosure. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. The indoor and outdoor areas of the home shall be free of hazards. Outdoor play areas shall be well−drained and be free of hazards. An outdoor play area shall have a permanent enclosure not less than 4 feet high to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. If the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. DCF 202.08(2)(c) and (e) vi. All CCDF-eligible license-exempt in-home care. Provide the standard: License- exempt care provided in a child's home (in-home) is exempt from several family child care rules related to the physical premises as found in Wis. Admin. Code DCF 202.08 (3). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. Licensing rules cover building and premises safety. Buildings must comply with all applicable codes and the building and premises must be in compliance with safety standards. "Hazard" means a potential source of harm that can jeopardize the health, safety or well-being of children in care. A child care program shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover several topics including building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. The indoor and outdoor premises shall be free of hazards including any recalled products. An off-premises outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced in-ground swimming pools, heavily wooded areas and nearby highways and main thoroughfares. DCF 252.42(3)(a)7. And 9., 252.43(1)(c), 252.43(2)(a) and (b). The Lead Agency has submitted a corrective action plan to ACF-OCC to further define and include requirements regarding the identification and protection from vehicular traffic at licensed day camps. 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: DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. The boundaries of the outdoor play space shall be defined by a permanent enclosure not less than four feet high to protect the children. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. An off premise outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced in-ground swimming pools, heavily wooded areas and nearby highways and main thoroughfares. Above ground and in-ground swimming pools on the premises may not be used by children in care. Swimming pools shall be enclosed by a four foot fence with a self-closing, self-latching door. Spaces between the vertical posts of the fence shall be four inches or less. A beach on the premises may not be used by children in care. Access to a beach shall be controlled so that children may not enter the area. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. DCF 251.06(11)(b)7, DCF 251.06&11)(c)3, DCF 251.06(12), DCF 251.05(4)(a)17. ii. All CCDF-eligible licensed family child care homes. Provide the standard: "DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside." A permanent enclosure not less than four feet high shall be provided to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. An off premise outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced swimming pools, heavily wooded areas and nearby highways and main thoroughfares. Swimming pools on the premises of the center may not be used by children in care. Swimming pools on the premises shall be enclosed by a four foot fence with a self- closing, self-latching door. In addition, all of the following restrictions apply: 1. If access to the pool is through a gate, the gate shall be closed and locked during the center’s hours of operation. 2. If access to the pool is through a door, the door shall be closed, visibly locked and equipped with an alarm at the door that signals when someone has entered the pool area. The door may not be used as an exit. 3. Locks shall be located so that the locks cannot be opened by the children. 4. The free-standing wall of an aboveground pool may not serve as an enclosure unless it is at least 4 feet in height and not climbable. If a ladder is present, the ladder shall be removed or raised up so that it is inaccessible to children. 5. The area around the pool enclosure shall be free of toys or equipment that would allow a child to climb or otherwise gain access to the pool. DCF 250.06(11)(b)4. and (12) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. The boundaries of the outdoor play space shall be defined by a permanent enclosure not less than four feet high to protect the children. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. An off premise outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced in-ground swimming pools, heavily wooded areas and nearby highways and main thoroughfares. Above ground and in-ground swimming pools on the premises may not be used by children in care. Swimming pools shall be enclosed by a four foot fence with a self-closing, self-latching door. Spaces between the vertical posts of the fence shall be four inches or less. A beach on the premises may not be used by children in care. Access to a beach shall be controlled so that children may not enter the area. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. DCF 251.06(11)(b)7, DCF 251.06&11)(c)3, DCF 251.06(12), DCF 251.05(4)(a)17. DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DCF rules related to this question do not identify ages of children. Certification rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. On−ground or in−ground swimming pools on the premises may not be used by children in care and shall be inaccessible to children in care by use of a permanent enclosure or other protective measure. On−ground or in−ground swimming pools on the premises may not be used by children in care and shall be inaccessible to children in care by use of a permanent enclosure or other protective measure DCF 202.08(2)(e)5 and 7. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. On−ground or in−ground swimming pools on the premises may not be used by children in care and shall be inaccessible to children in care by use of a permanent enclosure or other protective measure. On−ground or in−ground swimming pools on the premises may not be used by children in care and shall be inaccessible to children in care by use of a permanent enclosure or other protective measure DCF 202.08(2)(e)5 and 7. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DCF rules related to this question do not identify ages of children. Licensing rules require play areas to be free of hazards and have a permanent enclosure. Licensed programs serving children school-age children only are not required to have the permanent enclosure of the outdoor play space. If hazards exist, such as traffic or bodies of water, the boundaries of the outdoor play space shall be known to the children. In certified programs, if the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. Above ground and in-ground swimming pools on the premises may not be used by children in care. Swimming pools shall be enclosed by a 4-foot fence with a self- closing, self-latching door. Spaces between the vertical posts of the fence shall be 4 inches or less. A beach on the premises may not be used by children in care. Access to a beach shall be controlled so that children may not enter the area. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. DCF 252.44(7) and (8). 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: A permanent enclosure not less than four feet high shall be provided to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. An off premise outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced swimming pools, heavily wooded areas and nearby highways and main thoroughfares. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. DCF 251.05(4)(a)17, DCF 251.06(11)(b)7. DCF 251.095 allows for school-age only programs (serving children age 5 and older, with some exceptions for 4 year olds), to not have a permanent enclosure. The rule requires that if there are hazards, such as traffic or bodies of water, the boundaries of outdoor play space shall be known to the children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: A permanent enclosure not less than four feet high shall be provided to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. The off-premises outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced swimming pools, heavily wooded areas and nearby highways and main thoroughfares. DCF 250.06(11)(c)4, DCF 250.06(11)(b)4. Information listed above pertains to all ages of children in care. iii. All CCDF-eligible licensed in-home care. Provide the standard: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. A permanent enclosure not less than four feet high shall be provided to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. An off premise outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced swimming pools, heavily wooded areas and nearby highways and main thoroughfares. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. DCF 251.05(4)(a)17 and DCF 251.06(11)(b.7. DCF 251.095 allows for school-age only programs (serving children age 5 and older, with some exceptions for 4 year olds), to not have a permanent enclosure. The rule requires that if there are hazards, such as traffic or bodies of water, the boundaries of outdoor play space shall be known to the children. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. A permanent enclosure not less than four feet high shall be provided to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. The permanent enclosure may not have any open areas that are greater than four inches. An off premise outdoor play space shall be free of hazards such as bodies of water, railroad tracks, unfenced swimming pools, heavily wooded areas and nearby highways and main thoroughfares. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall cover building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic. DCF 251.05(4)(a)17 and DCF 251.06(11)(b.7. DCF 251.095 allows for school-age only programs (serving children age 5 and older, with some exceptions for 4 year olds), to not have a permanent enclosure. The rule requires that if there are hazards, such as traffic or bodies of water, the boundaries of outdoor play space shall be known to the children. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: An outdoor play area shall have a permanent enclosure not less than 4 feet high to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. If the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. A certified child care provider or employee/volunteer shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include training including building and physical premises safety, including identification of and protection from electrical hazards, bodies of water, vehicular traffic, and other hazards that can cause bodily injury. DCF 202.08(2)(e)7., Wis. Stats., 48.651 (1d)(b) vi. All CCDF-eligible license-exempt in-home care. Provide the standard: An outdoor play area shall have a permanent enclosure not less than four feet high to protect the safety of children in care. Fencing, plants, or landscaping may be used to create a permanent enclosure. If the outdoor play area does not have a permanent enclosure, a provider shall be outside with children providing sight and sound supervision when children are outside. A certified child care provider or employee/volunteer shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include training including building and physical premises safety, including identification of and protection from electrical hazards, bodies of water, vehicular traffic, and other hazards that can cause bodily injury. DCF 202.08(2)(e)7., Wis. Stats., 48.651 (1d)(b) Information listed above pertains to all ages of children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All licensed day camps are required to protect children, all ages in care, from outdoor hazards, including vehicular traffic hazards. Additionally, each child shall be supervised at all times to prevent harm and ensure safety. DCF 252.43(2)(a). 252.425(1). 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: All persons working with children under age five are required to have Lead Agency approved training in child abuse and neglect and Shaken Baby Syndrome (SBS)/Abusive Head Trauma (AHT) Prevention prior to working with children. A certificate of completion used to document the required SBS/AHT prevention training must contain all of the following: printed (typed) name of student; printed (typed) name of training agency; printed (typed) date the training was completed; printed (typed) name of approved trainer; printed (typed) name of training; and signature of trainer. Department-approved training in the prevention of shaken baby syndrome/ AHT is included in the department-approved noncredit courses called Introduction to the Child Care Profession and Fundamentals of Infant and Toddler or the credit-based course called Health, Safety and Nutrition offered by a Wisconsin technical college, if the course was taken after 7/1/05. Licensing and certification workers monitor for compliance with training requirements as part of their monitoring of staff files. All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. DCF 251.05(3)(b), DCF 251.04(8) ii. All CCDF-eligible licensed family child care homes. Provide the standard: Prior to obtaining a license or working with children in care under 5 years of age, a licensee, provider, substitute, volunteer, emergency back-up, or any other person providing care and supervision shall satisfactorily complete department-approved training in shaken baby syndrome and abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children. A certificate of completion used to document the required SBS/AHT prevention training must contain all of the following: printed (typed) name of student; printed (typed) name of training agency; printed (typed) date the training was completed; printed (typed) name of approved trainer; printed (typed) name of training; and signature of trainer. Department-approved training in the prevention of shaken baby syndrome/ AHT is included in the department-approved noncredit courses called Introduction to the Child Care Profession and Fundamentals of Infant and Toddler or the credit- based course called Health, Safety and Nutrition offered by a Wisconsin technical college, if the course was taken after 7/1/05. Licensing workers monitor for compliance with training requirements as part of their monitoring of staff files. DCF 250.05 (3)(g), DCF 250.07 (2), DCF 250.04(8) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. All persons working with children under age five are required to have Lead Agency approved training in child abuse and neglect and Shaken Baby Syndrome (SBS)/Abusive Head Trauma (AHT) Prevention prior to working with children. A certificate of completion used to document the required SBS/AHT prevention training must contain all of the following: printed (typed) name of student; printed (typed) name of training agency; printed (typed) date the training was completed; printed (typed) name of approved trainer; printed (typed) name of training; and signature of trainer. Department-approved training in the prevention of shaken baby syndrome/ AHT is included in the department-approved noncredit courses called Introduction to the Child Care Profession and Fundamentals of Infant and Toddler or the credit-based course called Health, Safety and Nutrition offered by a Wisconsin technical college, if the course was taken after 7/1/05. Licensing and certification workers monitor for compliance with training requirements as part of their monitoring of staff files. All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. DCF 251.05(3)(b), DCF 251.04(8) v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Department−approved training on shaken baby syndrome, abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children is required, as follows: a. Prior to certification for each child care operator. b. Prior to beginning to work with children in care for each provider, including volunteers, substitutes, and emergency back− up providers, or any other person who provides care and supervision for children under five years of age. Each provider shall complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect. A provider who knows or has reasonable cause to suspect that a child in care has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. DCF 202.08(14), DCF 202.08(1)(b)1.b., DCF 202.08(1)b)3.c. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Department−approved training on shaken baby syndrome, abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children is required, as follows: a. Prior to certification for each child care operator. b. Prior to beginning to work with children in care for each provider, including volunteers, substitutes, and emergency back− up providers, or any other person who provides care and supervision for children under five years of age. Each provider shall complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect. A provider who knows or has reasonable cause to suspect that a child in care has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. DCF 202.08(14), DCF 202.08(1)(b)1.b., DCF 202.08(1)b)3.c. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All persons working with children under age five are required to have Lead Agency approved training in child abuse and neglect and Abusive Head Trauma (AHT) Prevention prior to working with children. A certificate of completion used to document the required SBS/AHT prevention training must contain all of the following: printed (typed) name of student; printed (typed) name of training agency; printed (typed) date the training was completed; printed (typed) name of approved trainer; printed (typed) name of training; and signature of trainer. Department-approved training in the prevention of AHT is included in the department-approved noncredit courses called Introduction to the Child Care Profession and Fundamentals of Infant and Toddler or the credit-based course called Health, Safety and Nutrition offered by a Wisconsin technical college, if the course was taken after 7/1/05. Licensing and certification workers monitor for compliance with training requirements as part of their monitoring of staff files. All providers and substitutes working in licensed day camps shall receive an annual training in child abuse and neglect laws, how to identify children who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. DCF 252.07(3)(b)1., 252.42(1)(a)2., 252.42(3)(a)10., 252.42(3)(a)13. 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: Prior to obtaining a license or working with children in care under five years of age, a licensee, provider, substitute, volunteer, emergency back-up, or any other person providing care and supervision shall satisfactorily complete department-approved training in shaken baby syndrome and abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures. Each child care center shall develop and implement a written policy that provides for positive guidance, redirection, and the setting of clear-cut limits for the children. The policy shall be designed to help a child develop self-control, self-esteem, and respect for the rights of others. Actions that may be psychologically, emotionally or physically painful, discomforting, dangerous or potentially injurious are prohibited. DCF 251.07(2), DCF 251.04(8), DCF 251.05(3)(cm), DCF 251.08(4)(b)4. & 8. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Each family child care center shall provide positive guidance and redirection for the children and shall set clearly specified limits for the children. A provider shall help each child develop self-control, self-esteem and respect for the rights of others. Actions that may be psychologically, emotionally or physically painful, discomforting, dangerous or potentially injurious are prohibited. DCF 250.07(2)(a) and (2)(c). Prior to obtaining a license or working with children in care under 5 years of age, a licensee, provider, substitute, volunteer, emergency back-up, or any other person providing care and supervision shall satisfactorily complete department-approved training in shaken baby syndrome and abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures. DCF 250.08(4)(c), DCF 250.04(8), DCF 250.04(3)(i), DCF 250.05(3)(fm), DCF 250.07(2) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Prior to obtaining a license or working with children in care under five years of age, a licensee, provider, substitute, volunteer, emergency back-up, or any other person providing care and supervision shall satisfactorily complete department-approved training in shaken baby syndrome and abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures. Each child care center shall develop and implement a written policy that provides for positive guidance, redirection, and the setting of clear-cut limits for the children. The policy shall be designed to help a child develop self-control, self-esteem, and respect for the rights of others. Actions that may be psychologically, emotionally, or physically painful, discomforting, dangerous or potentially injurious are prohibited. DCF 251.07(2), DCF 251.04(8), DCF 251.05(3)(cm), DCF 251.08(4)(b)4. & 8. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Each certified child care operator and each provider shall comply with s. 48.651 (1d) (b), Stats., and successfully complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect, child development, positive child guidance. A provider shall provide positive guidance and redirection for the children and set clear limits for the children. A provider shall help each child develop self−control, self− esteem, and respect for the rights of others. A child care provider shall interact with the children in a caring and positive manner. No provider may act in a manner that may be psychologically, emotionally, or physically painful, discomforting, dangerous, or potentially injurious to a child. A provider who knows or has reasonable cause to suspect that a child in care has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. Before a driver who is not the operator first transports children, the operator shall review all of the following with the driver: Behavior management techniques for use with children being transported. DCF 202.08(14), DCF 202.08(1)(b)3.c, DCF 202.08(7)(a)-(e), DCF 202.08(9)(e)4. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Each certified child care operator and each provider shall comply with s. 48.651 (1d) (b), Stats., and successfully complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect, child development, positive child guidance. A provider shall provide positive guidance and redirection for the children and set clear limits for the children. A provider shall help each child develop self−control, self− esteem, and respect for the rights of others. A child care provider shall interact with the children in a caring and positive manner. No provider may act in a manner that may be psychologically, emotionally, or physically painful, discomforting, dangerous, or potentially injurious to a child. A provider who knows or has reasonable cause to suspect that a child in care has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. Before a driver who is not the operator first transports children, the operator shall review all of the following with the driver: Behavior management techniques for use with children being transported. DCF 202.08(14), DCF 202.08(1)(b)3.c, DCF 202.08(7)(a)-€, DCF 202.08(9)€4. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prior to working with children in care under five years of age, a licensee, provider, substitute, volunteer, emergency back-up, or any other person providing care and supervision shall satisfactorily complete department-approved training in shaken baby syndrome and abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect can be included in the required pre-camp training. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. Child abuse and neglect laws and center reporting procedures. Each child care center shall develop and implement a written policy that provides for positive guidance, redirection, and the setting of clear-cut limits for the children. The policy shall be designed to help a child develop self-control, self-esteem, and respect for the rights of others. Actions that may be psychologically, emotionally, or physically painful, discomforting, dangerous or potentially injurious are prohibited. DCF 252.42(1)(a)2., 252.42(3)(a)13., 252.44(6)(g), 252.07(3)(b)1., 252.09(4)(b)8. 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: The Lead Agency has submitted a corrective action plan to ACF-OCC to further define and come into compliance with all federally required Emergency Preparedness and Response Planning (EPR) subcomponents for all CCDF-eligible provider types (Licensed Family Child Care Centers, Licensed Group Child Care Centers, License-Exempt Public School Programs, Licensed Day Camps, and Certified Child Care). 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: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. In this subdivision, ￿biocontaminants￿ includes blood, body fluids, or excretions that may spread infectious disease. DCF 251.03(13m), DCF 251.05(4)(a)8 & 18, DCF 251.09(4)(a), DCF 251.07(6)(g)5-7, DCF 251.07(6)(i)2. ii. All CCDF-eligible licensed family child care homes. Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. In this subdivision, ￿biocontaminants￿ includes blood, body fluids, or excretions that may spread infectious disease. DCF 250.07(6)(g)4-7, DCF 250.07(6)(h)1.& 4, DCF 250.09(4) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. In this subdivision, ￿biocontaminants￿ includes blood, body fluids, or excretions that may spread infectious disease. DCF 251.03(13m), DCF 251.05(4)(a)8 & 18, DCF 251.09(4)(a), DCF 251.07(6)(g)5-7, DCF 251.07(6)(i)2. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Certification rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. A family child care provider, employees, volunteers who provide care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Wis. Stats., 48.651(1d)(b)1.h., DCF 202.08(4)(g)-(j) and (o). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Certification rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. A family child care provider, employees, volunteers who provide care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Wis. Stats., 48.651(1d)(b)1.h., DCF 202.08(4)(g)-(j) and (o). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. DCF 252.42.(3)(a)9., 252.43(2)(a) and (b), 252.42(3)(a)4., 252.44(6)(i)8., 252.44(6)(j). 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: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. In this subdivision, ￿biocontaminants￿ includes blood, body fluids, or excretions that may spread infectious disease. DCF 251.03(13m), DCF 251.05(4)(a)8 & 18, DCF 251.09(4)(a), DCF 251.07(6)(g)5-7, DCF 251.07(6)(i)2. ii. All CCDF-eligible licensed family child care homes. Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. In this subdivision, ￿biocontaminants￿ includes blood, body fluids, or excretions that may spread infectious disease. DCF 250.07(6)(g)4-7, DCF 250.07(6)(h)1.& 4, DCF 250.09(4). 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. In this subdivision, ￿biocontaminants￿ includes blood, body fluids, or excretions that may spread infectious disease. DCF 251.03(13m), DCF 251.05(4)(a)8 & 18, DCF 251.09(4)(a), DCF 251.07(6)(g)5-7, DCF 251.07(6)(i)2. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Certification rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. A family child care provider, employees, volunteers who provide care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Wis. Stats., 48.651(1d)(b)1.h., DCF 202.08(4)(g)-(j) and (o). vi. All CCDF-eligible license-exempt in-home care. Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Certification rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. A family child care provider, employees, volunteers who provide care and supervision for children shall successfully complete department-approved preservice health and safety training in the topics specified in subd. 1. a. to j. by no later than the end of the orientation period available under 42 USC 9858c (c) (2) (I) (i) (XI). The health and safety training required under this subdivision shall include, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Wis. Stats., 48.651(1d)(b)1.h., DCF 202.08(4)(g)-(j) and (o). vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: "Hazard" means a potential source of harm, including a recalled product, that could jeopardize the health, safety, or wellbeing of children in care. Licensing rules require that all materials harmful to children must be stored in properly labeled containers and stored in areas that are inaccessible to children. Administrative rules also address universal precautions and handling of materials contaminated with blood or other bodily fluids. Licensing standards require that disposable soiled diapers and gloves, if used, must be placed in a plastic-lined, hands-free, covered container immediately. Place parent-supplied soiled cloth diapers in labeled plastic bags which are kept separate from other clothing. Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags. Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves. Each center shall develop and implement a written orientation program that all new employees, substitutes, and regular volunteers shall complete and document within their first week at the center. The orientation program shall include universal precautions, the handling and storage of hazardous materials and the appropriate disposal of biocontaminants. DCF 252.42.(3)(a)9., 252.43(2)(a) and (b), 252.42(3)(a)4., 252.44(6)(i)8., 252.44(6)(j). 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: Licensing rules address the transportation of children, including the use of car safety seats/restraints, permissions and emergency information, requirements for drivers, review of driving records, orientation for drivers, vehicle safety, vehicle capacity, supervision, and other topics. These rules apply whenever children are transported by the program. The program must develop, submit to the department, and implement written policies consistent with the requirements of administrative rules including Transportation, if the center will transport children either on field trips or on a regular schedule. The policy shall include a procedure to ensure that no child is left unattended in a vehicle. The procedure for ensuring that all child care workers know the children assigned to their care and their whereabouts at all times, including during center-provided transportation. DCF 251.08, DCF 251.04(2)(h)12, DCF 251.05(4)(a)11. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Licensing rules address the transportation of children, including the use of car safety seats/restraints, permissions and emergency information, requirements for drivers, review of driving records, orientation for drivers, vehicle safety, vehicle capacity, supervision, and other topics. These rules apply whenever children are transported by the program. The program must develop, submit to the department, and implement written policies consistent with the requirements of administrative rules including transportation, if the center will transport children either on field trips or on a regular schedule. DCF 250.08, DCF 250.04(2)(e)8. 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Licensing rules address the transportation of children, including the use of car safety seats/restraints, permissions and emergency information, requirements for drivers, review of driving records, orientation for drivers, vehicle safety, vehicle capacity, supervision, and other topics. These rules apply whenever children are transported by the program. The program must develop, submit to the department, and implement written policies consistent with the requirements of administrative rules including transportation, if the center will transport children either on field trips or on a regular schedule. The policy shall include a procedure to ensure that no child is left unattended in a vehicle. The procedure for ensuring that all child care workers know the children assigned to their care and their whereabouts at all times, including during center-provided transportation. DCF 251.08, DCF 251.04(2)(h)12, DCF 251.05(4)(a)11. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Certification rules address the transportation of children, including the use of car safety seats/restraints, permissions and emergency information, requirements for drivers, review of driving records, orientation for drivers, vehicle safety, vehicle capacity, supervision, and other topics. These rules apply whenever children are transported by the program. The operator must report to the department a moving violation by a driver that transports children in care, regardless of whether the children are present at the time of the violation. DCF 202.08(9), DCF 202.08(1m)(b)6.b. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Certification rules address the transportation of children, including the use of car safety seats/restraints, permissions and emergency information, requirements for drivers, review of driving records, orientation for drivers, vehicle safety, vehicle capacity, supervision, and other topics. These rules apply whenever children are transported by the program. The operator must report to the department a moving violation by a driver that transports children in care, regardless of whether the children are present at the time of the violation. DCF 202.08(9), DCF 202.08(1m)(b)6.b. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Licensing rules address the transportation of children, including the use of car safety seats/restraints, permissions and emergency information, requirements for drivers, review of driving records, orientation for drivers, vehicle safety, vehicle capacity, supervision, and other topics. These rules apply whenever children are transported by the program. The program must develop, submit to the department, and implement written policies consistent with the requirements of administrative rules including Transportation, if the center will transport children either on field trips or on a regular schedule. The policy shall include a procedure to ensure that no child is left unattended in a vehicle. The procedure for ensuring that all child care workers know the children assigned to their care and their whereabouts at all times, including during center- provided transportation. DCF 252.09, 252.41(1)(f)6. 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: Within three months of beginning to work with children all employees in regular contact with children shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. The Department of Health Services, Bureau of Emergency Medical Services (BEMS) approves agencies to offer the CPR with Automated External Defibrillator (AED) training as required by statute. See the BEMS website https://www.dhs.wisconsin.gov/ems/licensing/cpr.htm for a list of currently approved agencies. If the center does not serve infants, the CPR training could be child/adult CPR. Substitutes and volunteers counted in staff-to-child ratio will need to have CPR training by the time they have worked in a center for 240 hours. Staff files shall contain/maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for group child care centers. DCF 251.05(3)(c), DCF 251.05(4)(c)7.p. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Within three months after licensure or date of hire, each licensee and provider shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. Each licensee and provider shall maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non- credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for any drivers who are not the licensee. DCF 250.05(3)(e), DCF 250.05(4)(c)1.p. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Within three months of beginning to work with children all employees in regular contact with children shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. The Department of Health Services, Bureau of Emergency Medical Services (BEMS) approves agencies to offer the CPR with Automated External Defibrillator (AED) training as required by statute. See the BEMS website https://www.dhs.wisconsin.gov/ems/licensing/cpr.htm for a list of currently approved agencies. If the center does not serve infants, the CPR training could be child/adult CPR. Substitutes and volunteers counted in staff-to-child ratio will need to have CPR training by the time they have worked in a center for 240 hours. Staff files shall contain/maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for group child care centers. DCF 251.05(3)(c), DCF 251.05(4)(c)7.p. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Within three months after certification or date of hire, each certified provider shall obtain a certificate of completion for a course in infant/child CPR. A CPR training must result in a certificate of completion. If the certificate does not have a date specifying the length of time for which it is valid, the CPR training must be renewed every year. Pediatric first aid information is provided to prospective certified providers (family license-exempt) and is included in preservice training required within three months and required under the orientation for drivers. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. DCF 202.08(1)(b)3.d., DCF 202.08(3)(b)3.d., DCF 202.08(1)(b)5.j. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Within three months after certification or date of hire, each certified provider shall obtain a certificate of completion for a course in infant/child CPR. A CPR training must result in a certificate of completion. If the certificate does not have a date specifying the length of time for which it is valid, the CPR training must be renewed every year. Pediatric first aid information is provided to prospective certified providers (family license-exempt) and is included in preservice training required within three months and required under the orientation for drivers. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. DCF 202.08(1)(b)3.d., DCF 202.08(3)(b)3.d., DCF 202.08(1)(b)5.j. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prior to working with children in care, all employees in regular contact with children shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. The Department of Health Services, Bureau of Emergency Medical Services (BEMS) approves agencies to offer the CPR with Automated External Defibrillator (AED) training as required by statute. See the BEMS website https://www.dhs.wisconsin.gov/ems/licensing/cpr.htm for a list of currently approved agencies. If the center does not serve infants, the CPR training could be child/adult CPR. Staff files shall contain/maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Cardiopulmonary resuscitation training may be included in the annual pre- camp training. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for group child care centers. DCF 252.42(3)(e), 252.09(4)(b)7., 252.42(3)(a)6. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. 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: Within three months of beginning to work with children all employees in regular contact with children shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. The Department of Health Services, Bureau of Emergency Medical Services (BEMS) approves agencies to offer the CPR with Automated External Defibrillator (AED) training as required by statute. See the BEMS website https://www.dhs.wisconsin.gov/ems/licensing/cpr.htm for a list of currently approved agencies. If the center does not serve infants, the CPR training could be child/adult CPR. Substitutes and volunteers counted in staff-to-child ratio will need to have CPR training by the time they have worked in a center for 240 hours. Staff files shall contain/maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for group child care centers. DCF 251.05(3)(c), DCF 251.05(4)(c)7.p. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Within three months after licensure or date of hire, each licensee and provider shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. Each licensee and provider shall maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non- credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for any drivers who are not the licensee. DCF 250.05(3)(e), DCF 250.05(4)(c)1.p. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. Within three months of beginning to work with children all employees in regular contact with children shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. The Department of Health Services, Bureau of Emergency Medical Services (BEMS) approves agencies to offer the CPR with Automated External Defibrillator (AED) training as required by statute. See the BEMS website https://www.dhs.wisconsin.gov/ems/licensing/cpr.htm for a list of currently approved agencies. If the center does not serve infants, the CPR training could be child/adult CPR. Substitutes and volunteers counted in staff-to-child ratio will need to have CPR training by the time they have worked in a center for 240 hours. Staff files shall contain/maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for group child care centers. DCF 251.05(3)(c), DCF 251.05(4)(c)7.p. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Within three months after certification or date of hire, each certified provider shall obtain a certificate of completion for a course in infant/child CPR. A CPR training must result in a certificate of completion. If the certificate does not have a date specifying the length of time for which it is valid, the CPR training must be renewed every year. Pediatric first aid information is provided to prospective certified providers (family license-exempt) and is included in preservice training required within 3 months and required under the orientation for drivers. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. DCF 202.08(1)(b)3.d., DCF 202.08(3)(b)3.d., DCF 202.08(1)(b)5.j. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Within three months after certification or date of hire, each certified provider shall obtain a certificate of completion for a course in infant/child CPR. A CPR training must result in a certificate of completion. If the certificate does not have a date specifying the length of time for which it is valid, the CPR training must be renewed every year. Pediatric first aid information is provided to prospective certified providers (family license-exempt) and is included in preservice training required within 3 months and required under the orientation for drivers. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. DCF 202.08(1)(b)3.d., DCF 202.08(3)(b)3.d., DCF 202.08(1)(b)5.j. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prior to working with children in care, all employees in regular contact with children shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator. The Department of Health Services, Bureau of Emergency Medical Services (BEMS) approves agencies to offer the CPR with Automated External Defibrillator (AED) training as required by statute. See the BEMS website https://www.dhs.wisconsin.gov/ems/licensing/cpr.htm for a list of currently approved agencies. If the center does not serve infants, the CPR training could be child/adult CPR. Staff files shall contain/maintain a current cardiopulmonary resuscitation certification. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours. Cardiopulmonary resuscitation training may be included in the annual pre- camp training. Pediatric first aid practices are covered in the non-credit, Lead Agency-approved course called Introduction to the Child Care Profession taken as part of pre-service training. Pediatric first aid procedures are required as part of the orientation for group child care centers. DCF 252.42(3)(e), 252.09(4)(b)7., 252.42(3)(a)6. Additionally, the Lead Agency has submitted a corrective action plan to ACF-OCC to specifically identify pediatric first aid and CPR in any statutory, administrative rule, and policy documents in order to come into full compliance with CCDF health and safety requirements. 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: All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures DCF 251.05(3)(b), DCF 251.04(8) ii. All CCDF-eligible licensed family child care homes. Provide the standard: All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported and child abuse and neglect laws and center reporting procedures. DCF 250.04(8), DCF 250.05(3)(fm). 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures DCF 251.05(3)(b), DCF 251.04(8). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Each certified child care operator and each provider shall comply with s. 48.651 (1d) (b), Stats., and successfully complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect, child development, positive child guidance. A provider who knows or has reasonable cause to suspect that a child in care has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. DCF 202.08(14), DCF 202.08(1)(b)3.c. Information above pertains to all ages of children in care. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Each certified child care operator and each provider shall comply with s. 48.651 (1d) (b), Stats., and successfully complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect, child development, positive child guidance. A provider who knows or has reasonable cause to suspect that a child in care has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. DCF 202.08(14), DCF 202.08(1)(b)3.c. Information above pertains to all ages of children in care. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All providers and substitutes working in licensed day camps shall receive an annual pre-camp training, which requires training in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures DCF 252.07(3)(b), 252.07(3), 252.09(4)(b)8., 252.44(6)(g). 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: All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures DCF 251.05(3)(b), DCF 251.04(8) ii. All CCDF-eligible licensed family child care homes. Provide the standard: All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported and child abuse and neglect laws and center reporting procedures. DCF 250.04(8), DCF 250.05(3)(fm) 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: Pursuant to Wis. Statutes, s.120.13(14), public school programs are exempt from licensure but are required to meet applicable licensing standards under DCF 251. All providers and substitutes working in licensed and licensed exempt group centers programs operated by public schools shall receive training every two years in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Child abuse and neglect is included in the pre-service, non-credit, Lead Agency-approved training course required for licensed and license-exempt family child care. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures DCF 251.05(3)(b), DCF 251.04(8) v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Each certified child care operator and each provider shall comply with s. 48.651 (1d) (b), Stats., and successfully complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect, child development, positive child guidance. A provider who knows or has reasonable cause to suspect that a child, of all ages in care, has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. DCF 202.08(14), DCF 202.08(1)(b)3.c vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Each certified child care operator and each provider shall comply with s. 48.651 (1d) (b), Stats., and successfully complete training in child abuse and neglect laws and identifying, documenting, and reporting child abuse and neglect, child development, positive child guidance. A provider who knows or has reasonable cause to suspect that a child, of all ages in care, has been abused or neglected or that the child has been threatened with abuse or neglect and that abuse or neglect will occur shall immediately inform the department, local law enforcement, or other organization designated in s. 48.981, Stats. DCF 202.08(14), DCF 202.08(1)(b)3.c vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: All providers and substitutes working in licensed day camps shall receive an annual pre-camp training, which requires training in child abuse and neglect laws, how to identify children, of all ages in care, who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities. Administrative rules require a provider who knows or has reasonable cause to suspect that a child has been abused or neglected to immediately contact the county department of social services, human services, or local law enforcement. Providers in licensed child care programs shall maintain medical log books and include evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care. Child care providers are mandated reporters under Wis. Statutes, s. 48.02 (1) and s. 48.981 (2)(a)18-19. Licensed and license-exempt child care programs/providers must obtain training in the identification of child abuse and neglect and child abuse and neglect reporting procedures. Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include a review of behavior management techniques for use with children being transported. child abuse and neglect laws and center reporting procedures DCF 252.07(3)(b), 252.07(3), 252.09(4)(b)8., 252.44(6)(g). 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: The Lead Agency has approved specific non-credit courses that meet entry-level training for child care workers. The courses are competency-based and cover several health and safety topics including nutrition. Licensed and license-exempt programs that serve children meals and snacks that are prepared by the center, or obtained from caterers, schools, hospitals, etc., are required to follow CACFP minimum meal requirements. If parents supply meals and snacks, licensed child care programs must share the CACFP minimum meal requirements with parents. Administrative rules do not require a specific number of ongoing training hours related to specific health and safety topics. Continuing education hours must in one of the qualified health and safety subject areas, one of which is nutrition. ii. Access to physical activity. Describe: The Lead Agency has approved specific non-credit courses that meet entry-level training for child care workers. The courses cover several health and safety topic areas including activities that promote children’s development such as physical activities. Licensed and license-exempt programs must offer daily activities posted that are suitable for the developmental level of each child and each group of children. The program shall provide each child with experiences that will promote several areas of development including physical activity. Programs must also offer a flexible balance if indoor and outdoor activities daily. Continuing education hours must in one of the qualified health and safety subject areas, one of which physical activity. iii. Caring for children with special needs. Describe: The Lead Agency has approved specific non-credit courses that meet entry-level training for child care workers. The courses are competency-based and cover several health and safety, child development adapting environments to be inclusive of all ages and abilities. Licensed and license-exempt child care providers are required to have a program of activities and equipment and furnishings that are suitable for the size and developmental level of each child. Licensed and license-exempt programs are required to collect information about any special needs a child may have and to share that information with all persons who care for that child. Continuing education hours must in one of the qualified health and safety subject areas and may include caring for children with special needs. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: Administrative rules for licensed and license-exempt have provisions that address child development, supervision of children and tracking a child's whereabouts, guiding children's behavior, the presence of pets, swimming pools, and night care between the hours of 10:00 p.m. and 5:00 a.m.