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Reason(s) for non-compliance: • The Lead Agency has not established a standard for the administration of medication consistent with standards for parental consent for licensed family child care homes, as required by 98.41(a)(1)(iii). (Plan Questions 5.3.3aii and 5.3.3bii) • The Lead Agency does not require all staff in licensed family child care homes to complete pre-service or orientation training within three months on the administration of medication consistent with standards for parental consent, as required by 98.44(b). (Plan Question 5.4.1m) • The Lead Agency does not require an annual unannounced inspection for licensed family child care providers for compliance with a standard for administration of medication. Additionally, the Lead Agency does not require an annual unannounced inspection for licensed centers and licensed family child care providers for compliance with pre-service or orientation training requirements for administration of medication, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) Overall Target Completion Date: 08/31/2028 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency has not established a standard for the administration of medication consistent with standards for parental consent for licensed family child care homes, as required by 98.41(a)(1)(iii). (Plan Questions 5.3.3aii and 5.3.3bii) 08/31/2028 2 Developed Letter of Agreement for Informal/Relative Home providers requiring written permission from parents to administer medication to children. Note: Family child care homes (78CSR19) have parental consent standards for administration of medication. Family Child Care Informal/Relative homes (78CSR20) do not have a standard for medication administration parental consent requirements. 09/27/2024 3 Propose rule change within WV DoHS BFA chain of command and Legal team. 08/31/2027 4 Provide a public forum for proposed regulation change. 05/31/2027 5 Provide a public comment period for proposed regulation change, 05/31/2027 6 Final WV DoHS BFA approval of proposed rule, including amendments due to public forum and public comment period. 06/30/2027 7 File approved rule with the state register and legislative rule-making committee within 90 days. 07/30/2027 8 Seek promulgation of proposed rule via Legislative approval. Final rule will go into effect August 2028 08/31/2028 9 The Lead Agency does not require all staff in licensed family child care homes to complete pre- service or orientation training within three months on the administration of medication consistent with standards for parental consent, as required by 98.44(b). (Plan Question 5.4.1m) 08/31/2028 10 Developed Letter of Agreement for Informal/Relative Home providers requiring to complete pre-service training within three months on the administration of medication. Note: Family child care homes (78CSR19) have requirements for the completion of preservice training within three months on the administration of medication. Family Child Care Informal/Relative homes (78CSR20) do not have a standard for medication administration parental consent requirements. 09/30/2024 11 Propose rule change within WV DoHS BFA chain of command and Legal team. 04/30/2027 12 Provide a public forum for proposed regulation change. 05/28/2027 13 Provide a public comment period for proposed regulation change. 05/28/2027 14 Final WV DoHS BFA approval of proposed rule, including amendments due to public forum and public comment period. 06/30/2027 15 File approved rule with the state register and legislative rule-making committee within 90 days. 07/30/2027 16 Seek promulgation of proposed rule via Legislative approval. Final rule will go into effect August 2028 08/31/2028 17 The Lead Agency does not require an annual unannounced inspection for licensed family child care providers for compliance with a standard for administration of medication. Additionally, the Lead Agency does not require an annual unannounced inspection for licensed centers and licensed family child care providers for compliance with pre-service or orientation training requirements for administration of medication, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) 03/31/2025 18 Revised Child Care Policy 2.8 adding requirement to conduct annual unannounced inspections. 11/29/2019 19 Revised differential checklists for child care centers, out of school time centers, family child care homes, family child care facilities, and family child care informal/relative to include requirements for medication administration. 09/30/2024 20 Review Child Care Policy 2.8 at Unit Meetings to ensure monitoring on an annual basis using differential checklist is being conducted for compliance with medication administration. 03/31/2025