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Reason(s) for non-compliance: • The Lead Agency has not established a standard for pediatric first aid or pediatric CPR for all staff for licensed family child care homes, as required by 98.41(a)(1)(x). (Plan Questions 5.3.10aii and 5.3.10bii) • The Lead Agency does not require pre-service or orientation training on pediatric first aid and pediatric CPR, for licensed family child care homes, as required by 98.44(b)(1)(i). (Plan Question 5.4.1j) • The Lead Agency does not require an annual unannounced inspection for licensed family child care providers for compliance with a standard for pediatric first aid and pediatric CPR and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(i)(B). (Plan Question 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 pediatric first aid or pediatric CPR for all staff for licensed family child care homes, as required by 98.41(a)(1)(x). (Plan Questions 5.3.10aii and 5.3.10bii). 08/31/2028 2 Developed a Letter of Agreement for family child care facility, providers requiring completion of pediatric CPR and pediatric First Aid at the time of approval to operate/employment. Note: Family child care homes (78CSR19) has a standard requiring pediatric first aid and pediatric CPR. Family child care facility (78CSR18) does not have a standard for medication administration parental consent requirements. 09/30/2024 3 Propose rule change within WV DoHS BFA chain of command and Legal team to obtain legislative approval to require pre-service or orientation training on child abuse and neglect recognition and reporting for licensed family child care homes. 04/30/2027 4 Provide a public forum for proposed regulation change. 05/28/2027 5 Provide a public comment period for proposed regulation change. 05/28/2027 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 pre-service or orientation training on pediatric first aid and pediatric CPR, for licensed family child care homes, as required by 98.44(b)(1)(i). (Plan Question 5.4.1j) 07/31/2025 10 Pre-service training is being revised to include information on pediatric first aid and pediatric CPR for licensed family child care homes. Information shall be updated to include all federal requirements. Hyper-links will be provided to Child Care Resource and Referral agencies to obtain information on agencies that provide on-site pediatric first aid and pediatric CPR to all licensed provider types. 07/31/2025 11 The Lead Agency does not require an annual unannounced inspection for licensed family child care providers for compliance with a standard for pediatric first aid and pediatric CPR and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(i)(B). (Plan Question 5.5.1bii) 03/31/2025 12 Revise Child Care Policy 2.8 adding requirement to conduct annual unannounced inspections. 11/29/2019 13 Revise family child care home differential checklists to include pediatric first aid and pediatric CPR. 01/31/2025 14 Review Child Care Policy 2.8 at Unit Meetings to ensure monitoring on an annual basis using differential checklist is being conducted on 03/31/2025 compliance with pediatric first aid and pediatric CPR.