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Reason(s) for non-compliance: • 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 prevention and control of infectious diseases (including immunizations), as required by 98.44(b). (Plan Question 5.4.1m) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers for compliance with a standard for the prevention and control of infectious diseases (including immunizations) and related pre- service or orientation training requirements, 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 does not require all staff in licensed family child care homes to complete pre- service or orientation training within three months on prevention and control of infectious diseases (including immunizations), as required by 98.44(b). (Plan Question 5.4.1m) 08/31/2028 2 Develop Letter of Agreement for Family Child Care Facility providers requiring Pre-Service training be completed within three months of operation/employment on prevention and control of infectious diseases (including immunizations). Note: Family child care homes (78CSR19) has a standard requiring providers to complete pre- service training within three months on prevention and control of infectious diseases (including immunizations). Family Child Care Facilities (78CSR18) does not have a standard for pre- service training to be completed within three months on prevention and control of infectious diseases (including immunizations). 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 prevention and control of infectious diseases (including immunizations) 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 an annual unannounced inspection for licensed centers or licensed family child care providers for compliance with a standard for the prevention and control of infectious diseases (including immunizations) and related pre- service or orientation training requirements, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) 03/31/2025 10 Revise Child Care Policy 2.8 adding requirement to conduct annual unannounced inspections. 11/29/2019 11 Revise 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 homes to include pre- service training on prevention and control of infectious diseases. 01/31/2025 12 Review Child Care Policy 2.8 at Unit Meetings to ensure monitoring on an annual basis using differential checklist is being conducted on compliance with prevention and control of infectious diseases. 03/31/2025