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Reason(s) for non-compliance: • The Lead Agency does not require pre-service or orientation training on prevention of child maltreatment for licensed centers or licensed family child care homes and does not require pre-service or orientation training within three months on the prevention of shaken baby syndrome and abusive head trauma for licensed family child care homes, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) • The Lead Agency does not require an annual unannounced inspection for licensed centers for compliance with pre-service or orientation training requirements related to child maltreatment. Additionally, the Lead Agency does not require an annual unannounced inspection for licensed family child care homes for compliance with pre- service or orientation training requirements related to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, 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 pre-service or orientation training on prevention of child maltreatment for licensed centers or licensed family child care homes and does not require pre- service or orientation training within three months on the prevention of shaken baby syndrome and abusive head trauma for licensed family child care homes, as required by 98.44(b)(1)(i). (Plan Question 5.4.1f) 08/31/2028 2 Obtained legislative approval to revise Pre- Service training definition for child care centers (78CSR1) and family child care homes (78CSR19) to include module titles for shaken baby syndrome, abusive head trauma, and child maltreatment. 04/28/2023 3 Developed a Letter of Agreement for family child care facility providers requiring completion of pre- service training within three months on shaken baby syndrome and abusive head trauma. Note: Family child care homes (78CSR19) require pre-service training within three months on shaken baby syndrome and abusive head trauma. Family child care facilities (78CSR18) does not have a standard requiring pre-service training 09/30/2024 within three months on shaken baby syndrome and abusive head trauma. 4 Propose rule change within WV DoHS BFA chain of command and Legal team to obtain legislative approval to revise Pre-Service training to be completed within three months to 78CSR18 on shaken baby syndrome and abusive head trauma. 04/30/2027 5 Provide a public forum for proposed regulation change. 05/28/2027 6 Provide a public comment period for proposed regulation change. 05/28/2027 7 Final WV DoHS BFA approval of proposed rule, including amendments due to public forum and public comment period. 06/30/2027 8 File approved rule with the state register and legislative rule-making committee within 90 days. 07/30/2027 9 Seek promulgation of proposed rule via Legislative approval. Final rule will go into effect August 2028 08/31/2028 10 The Lead Agency does not require an annual unannounced inspection for licensed centers for compliance with pre-service or orientation training requirements related to child maltreatment. Additionally, the Lead Agency does not require an annual unannounced inspection for licensed family child care homes for compliance with pre- service or orientation training requirements related to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) 03/31/2025 11 Revise Child Care Policy 2.8 adding requirement to conduct annual unannounced inspections. 11/29/2019 12 Revise differential checklists for child care centers, out of school time centers, family child care facilities, family child care homes, and family child care informal/relative homes to include pre- service training on the prevention of shaken baby syndrome and abusive head trauma. 01/31/2025 13 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 the prevention of shaken baby syndrome and abusive head trauma. 03/31/2025