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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 sudden infant death syndrome and safe sleep practices, 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 homes for compliance with pre-service or orientation training requirements related to sudden infant death syndrome and safe sleep practices, 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 does not require all staff in licensed family child care homes to complete pre- service or orientation training within three months on sudden infant death syndrome and safe sleep practices, as required by 98.44(b). (Plan Question 5.4.1m) 08/31/2028 2 Develop a Letter of Agreement for family child care facilities to complete pre-service training within three months on sudden infant death syndrome and safe sleep practices. Note: Family child care homes (78CSR19) has a requirement that pre-service training be completed within three months on sudden infant death syndrome and safe sleep practices. Family child facilities (78CSR19) does not have a standard for completion of pre-service training within three months 09/30/2024 3 Propose rule change within WV DoHS BFA chain of command and Legal team to obtain legislative approval to revise for family child care facilities to complete pre-service training within three months on sudden infant death syndrome and safe sleep practices. 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 family child care homes for compliance with pre-service or orientation training requirements related to sudden infant death syndrome and safe sleep practices, as required by 98.42(b)(2)(i)(B). (Plan Question 5.5.1bii) 03/31/2025 10 Revised Child Care Policy 2.8 adding requirement to conduct annual unannounced inspections. 11/29/2019 11 Revise differential checklists for child family child care homes to include pre-service training on sudden infant death syndrome and safe sleep practices. 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 pre-service training completion within three months on sudden infant death syndrome and safe sleep practices. 03/31/2025