5.3 Health and Safety Standards for CCDF Providers

Lead Agencies must have health and safety standards for providers serving children receiving CCDF assistance relating to the required health and safety topics as appropriate to the provider setting and age of the children served. This requirement is applicable to all child care programs receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only exception to this requirement is for relative providers, as defined by CCDF. Lead Agencies have the option of exempting certain relatives from any or all CCDF health and safety requirements. Exemptions for relative providers’ standards requirements will be addressed in question 5.8.1. Describe the following health and safety standards for programs serving children receiving CCDF assistance on the following topics (note that monitoring and enforcement will be addressed in subsection 5.5): 5.3.1 Prevention and control of infectious diseases (including immunizations) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention and control of infectious diseases for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Current TB test results and risk assessment in accordance with Wyoming Department of Health recommendations required for all child care staff and household members. Immunization records are required by Wyoming Statute, Child Care Licensing Rules And the Wyoming Department of Health, Immunization Program, except for school age children who are attending public schools. Toys, Phone, doorknobs, door casings, handles and railings shall be cleaned and sanitized once a week or whenever visibly soiled. Table tops, high chairs or food serving surfaces shall be sanitized before and after each use. Diaper changing areas shall be sanitized after each diaper change. Bedding materials (unless laundered) shall be stored so that the bedding is not touching to prevent possible cross-contamination. Cot and bedding shall be cleaned and sanitized on a weekly basis. Hand washing required after use of the toilet or helping a child use a toilet, diaper changing, handling bodily fluid, handling pets, cleaning or handling garbage or handling food. Hand washing is required before diaper changing, handling food, eating and giving medication. No person with a communicable disease, or being a carrier of such, that is listed on the Wyoming Department of Health Reportable Disease and Condition List shall work in a childcare facility unless they have been declared non-infectious to others by a licensed physician, physician assistant or nurse practitioner OR approval has been given by the local or State Department of Health. The same precautions are needed for children enrolled in the program. Limitations to ability to work if experiencing certain afflictions. Children shall be excluded from care when they have any of the following illnesses/symptoms of illness: a communicable disease; diarrhea; severe pain or discomfort; two (2) or more episodes of acute vomiting within a period of 24 hours; difficult or rapid breathing ;head lice; scabies; children suspected of being in contagious stages of hepatitis A, chicken pox, pertussis, measles, mumps, rubella or diphtheria; skin infection or rash(excluding diaper rash); purulent conjunctivitis; swollen joints or visibly enlarged lymph nodes; elevated oral temperature of 101 degrees or over; blood in the urine; mouth sores; or other as determined by a health consultant on an individual basis. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Current TB test results and risk assessment in accordance with Wyoming Department of Health recommendations required for all child care staff and household members.Immunization records are required by Wyoming Statute, Child Care Licensing Rules And the Wyoming Department of Health, Immunization Program, except for school age children who are attending public schools. Toys, Phone, doorknobs, door casings,handles and railings shall be cleaned and sanitized once a week or whenever visibly soiled. Table tops, high chairs or food serving surfaces shall be sanitized before and after each use. Diaper changing areas shall be sanitized after each diaper change.Bedding materials (unless laundered) shall be stored so that the bedding is not touching to prevent possible cross- contamination. Cot and bedding shall be cleaned and sanitized on a weekly basis. Hand washing required after use of the toilet or helping a child use a toilet, diaper changing, handling bodily fluid, handling pets, cleaning or handling garbage or handling food. Hand washing is required before diaper changing,handling food, eating and giving medication. No person with a communicable disease,or being a carrier of such, that is listed on the Wyoming Department of Health Reportable Disease and Condition List shall work in a childcare facility unless they have been declared non-infectious to others by a licensed physician, physician assistant or nurse practitioner OR approval has been given by the local or StateDepartment of Health. The same precautions are needed for children enrolled in the program. Limitations to ability to work if experiencing certain afflictions. Children shall be excluded from care when they have any of the following illnesses/symptoms of illness: a communicable disease; diarrhea; severe pain or discomfort; two (2) or more episodes of acute vomiting within a period of 24 hours; difficult or rapid breathing;head lice; scabies; children suspected of being in contagious stages of hepatitis A,chicken pox, pertussis, measles, mumps, rubella or diphtheria; skin infection or rash(excluding diaper rash); purulent conjunctivitis; swollen joints or visibly enlarged lymph nodes; elevated oral temperature of 101 degrees or over; blood in the urine; mouth sores; or other as determined by a health consultant on an individual basis. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; staff and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; staff and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; staff and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Prevention and control of infectious disease standards help reduce the risk of transmitting diseases and infectious germs from body fluids or environmental surfaces. Standards included are: medication administration including documentation and storage requirements; staff and child hand washing after using the restroom as well as before and after food handling; and immunization requirements as a condition of enrollment except for homeless and foster children who are allowed more time when needed. b. Provide the standards, appropriate to the provider setting and age of children, that address that children attending child care programs under CCDF are age-appropriately immunized, according to the latest recommendation for childhood immunizations of the respective State public health agency, for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Immunization records are required by Wyoming Statute, Child Care Licensing Rules And the Wyoming Department of Health, Immunization Program, except for school age children who are attending public schools. Wyoming Statute 21-4-309 and the Wyoming Immunization Rules establish immunization requirements for children attending public or private schools, preschools, and child care facilities in Wyoming. These requirements apply to all children, whether they attend full-time or part-time. Within 30 days of starting school, children must provide written proof of immunization. This proof must include: The month, day, and year of each required immunization Written certification from a licensed physician or their representative Written certification from a public health authority ii. All CCDF-eligible licensed family child care homes. Provide the standard: Immunization records are required by Wyoming Statute, Child Care Licensing Rules And the Wyoming Department of Health, Immunization Program, except for school age children who are attending public schools. Wyoming Statute 21-4-309 and the Wyoming Immunization Rules establish immunization requirements for children attending public or private schools, preschools, and child care facilities in Wyoming. These requirements apply to all children, whether they attend full-time or part-time. Within 30 days of starting school, children must provide written proof of immunization. This proof must include: The month, day, and year of each required immunization Written certification from a licensed physician or their representative Written certification from a public health authority iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Wyoming Statute 21-4-309 and the Wyoming Immunization Rules establish immunization requirements for children attending public or private schools, preschools, and child care facilities in Wyoming. These requirements apply to all children, whether they attend full-time or part-time. Within 30 days of starting school, children must provide written proof of immunization. This proof must include: The month, day, and year of each required immunization Written certification from a licensed physician or their representative Written certification from a public health authority Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(F) states: (F) The provider shall keep attendance, immunization and health information including special dietary needs and/or food allergy records of the child. Special dietary needs and/or food allergies shall be posted in food preparation and eating areas. Immunization records as required by Wyoming law and the Department of Health shall be on file for all children; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Wyoming Statute 21-4-309 and the Wyoming Immunization Rules establish immunization requirements for children attending public or private schools, preschools, and child care facilities in Wyoming. These requirements apply to all children, whether they attend full-time or part-time. Within 30 days of starting school, children must provide written proof of immunization. This proof must include: The month, day, and year of each required immunization Written certification from a licensed physician or their representative Written certification from a public health authority Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(F) states: (F) The provider shall keep attendance, immunization and health information including special dietary needs and/or food allergy records of the child. Special dietary needs and/or food allergies shall be posted in food preparation and eating areas. Immunization records as required by Wyoming law and the Department of Health shall be on file for all children; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Wyoming Statute 21-4-309 and the Wyoming Immunization Rules establish immunization requirements for children attending public or private schools, preschools, and child care facilities in Wyoming. These requirements apply to all children, whether they attend full-time or part-time. Within 30 days of starting school, children must provide written proof of immunization. This proof must include: The month, day, and year of each required immunization Written certification from a licensed physician or their representative Written certification from a public health authority Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(F) states: (F) The provider shall keep attendance, immunization and health information including special dietary needs and/or food allergy records of the child. Special dietary needs and/or food allergies shall be posted in food preparation and eating areas. Immunization records as required by Wyoming law and the Department of Health shall be on file for all children; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Wyoming Statute 21-4-309 and the Wyoming Immunization Rules establish immunization requirements for children attending public or private schools, preschools, and child care facilities in Wyoming. These requirements apply to all children, whether they attend full-time or part-time. Within 30 days of starting school, children must provide written proof of immunization. This proof must include: The month, day, and year of each required immunization Written certification from a licensed physician or their representative Written certification from a public health authority Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(F) states: (F) The provider shall keep attendance, immunization and health information including special dietary needs and/or food allergy records of the child. Special dietary needs and/or food allergies shall be posted in food preparation and eating areas. Immunization records as required by Wyoming law and the Department of Health shall be on file for all children; 5.3.2 Prevention of sudden infant death syndrome and the use of safe-sleep practices health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address the prevention of sudden infant death syndrome and use of safe sleeping practices for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define standards related to sleeping infants: Sleeping infants shall: (i) Be placed on their backs for sleeping, unless a licensed health care provider signs a waiver. If the infant has not been observed turning repeatedly from stomach to back and back to stomach by the provider, the infant shall be returned to his/her back for sleeping; (ii) Be placed on a firm, flat surface for sleeping; (iii) Have nothing placed in or over the crib, bassinet, or playpen;(iv) Pacifiers shall only be used when provided by the parent(s); (v) Have nothing placed over his/her head or face while sleeping; (vi) Be placed in the same or adjacent room with enough light to see each infant's face, to view the color of the infant's skin and to check on the infant's breathing; (vii) Be actively supervised by staff in an ongoing manner by checking on them for the above every five (5) minutes; (viii) Not be swaddled without a licensed healthcare professional statement, including instructions and a time frame for swaddling an infant, on file. Swaddling is prohibited for infants that have the ability to roll over independently. A one-piece sleeper or sack equipped with an attached system that fastens securely only across the upper torso may be used; however shall not restrict the arms, hips, or legs of the infant. The sleeper or sack shall be used to manufacturer's guidelines and shall not slide up around the infant's face; and (ix) Be moved as soon as possible if he/she falls asleep in any piece of infant equipment other than a crib. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define standards related to sleeping infants: Sleeping infants shall: (i) Be placed on their backs for sleeping, unless a licensed health care provider signs a waiver. If the infant has not been observed turning repeatedly from stomach to back and back to stomach by the provider, the infant shall be returned to his/her back for sleeping; (ii) Be placed on a firm, flat surface for sleeping; (iii) Have nothing placed in or over the crib, bassinet, or playpen;(iv) Pacifiers shall only be used when provided by the parent(s); (v) Have nothing placed over his/her head or face while sleeping; (vi) Be placed in the same or adjacent room with enough light to see each infant's face, to view the color of the infant's skin and to check on the infant's breathing; (vii) Be actively supervised by staff in an ongoing manner by checking on them for the above every five (5) minutes; (viii) Not be swaddled without a licensed healthcare professional statement, including instructions and a time frame for swaddling an infant, on file. Swaddling is prohibited for infants that have the ability to roll over independently. A one-piece sleeper or sack equipped with an attached system that fastens securely only across the upper torso may be used; however shall not restrict the arms, hips, or legs of the infant. The sleeper or sack shall be used to manufacturer's guidelines and shall not slide up around the infant's face; and (ix) Be moved as soon as possible if he/she falls asleep in any piece of infant equipment other than a crib. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(M) states: (M) Infants shall be placed on a firm flat surface, on their back to sleep, without anything over their head or face. Lighting in the sleep area shall be sufficient; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(M) states: (M) Infants shall be placed on a firm flat surface, on their back to sleep, without anything over their head or face. Lighting in the sleep area shall be sufficient; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Wyoming Child Care Assistance Purchase of Service Rules, Section 14(a)(ix)(M) states: (M) Infants shall be placed on a firm flat surface, on their back to sleep, without anything over their head or face. Lighting in the sleep area shall be sufficient; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: n/a 5.3.3 Administration of medication, consistent with standards for parental consent health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the administration of medication for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define standard related to administration of medication: (a) Medications shall only be given in child care when the facility has agreed to administer medications and adheres to the following: (i) Staff who administers medication has received the training approved by the Department on administration of medication; and (ii) A medication consent form has been completed and signed by the parent or legal guardian and includes: Name of child and parent or guardian; and (B) Specific instructions for the date and time to be administered and dosage; or (C) A standing order from a parent or health professional for commonly used nonprescription medication that defines what medication and when a medication should be used. (b) Prescription medications and pharmaceutical samples prescribed by a physician or licensed health professional and all over the counter medications shall bear the original prescription label or written instructions to include the following information: (i) Child's name printed on the container; (ii) Amount and frequency of dosage; and (iii) Name of prescribing physician or other health professional, with the exception of over-the-counter medications. (c) All medications shall be stored per manufacturer's instructions and: (i) In a safety lock container; (ii) In an enclosed space that is inaccessible to children; or (iii) In a refrigerator separated from food in a sealed plastic container, inaccessible to children. (d) The facility shall keep a written record of all medication, including over-the- counter medication given to children. This record shall include: (i) Name of child; (ii) Name of medication; (iii) Date and time the medication was administered; (iv) Amount of medication given; and (v) Signature or initials of person administering medication. (e) Notification of medication administration shall be given to the parent or guardian on the day it was administered.(f) Any deviation from recommended dosage on the label shall be accompanied by a physician's written instructions. (g) Medications shall not be used beyond the date of expiration and shall not be stored on premises when no longer needed. (h) The use of sunscreen, insect repellant, essential oils and over the counter topical medications shall not be subject to the training requirements of this Section. (i) The sunscreen, insect repellent, essential oils and over the counter topical medications shall be stored in the original container and the manufacturer's instructions for use shall be followed; and (ii) A consent form, signed by the parent or legal guardian, which allows the application of sunscreen, insect repellant, essential oils and over the counter topical medications on his/her child and indicates the brands of sunscreen unless supplied by parent for his/her child only. Non-relative license-exempt providers are required to store all medications and administer according to manufacturer's instructions. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define standard related to administration of medication: (a) Medications shall only be given in child care when the facility has agreed to administer medications and adheres to the following: (i) Staff who administers medication has received the training approved by the Department on administration of medication; and (ii) A medication consent form has been completed and signed by the parent or legal guardian and includes: Name of child and parent or guardian; and (B) Specific instructions for the date and time to be administered and dosage; or (C) A standing order from a parent or health professional for commonly used nonprescription medication that defines what medication and when a medication should be used. (b) Prescription medications and pharmaceutical samples prescribed by a physician or licensed health professional and all over the counter medications shall bear the original prescription label or written instructions to include the following information: (i) Child's name printed on the container; (ii) Amount and frequency of dosage; and (iii) Name of prescribing physician or other health professional, with the exception of over-the-counter medications. (c) All medications shall be stored per manufacturer's instructions and: (i) In a safety lock container; (ii) In an enclosed space that is inaccessible to children; or (iii) In a refrigerator separated from food in a sealed plastic container, inaccessible to children. (d) The facility shall keep a written record of all medication, including over-the- counter medication given to children. This record shall include: (i) Name of child; (ii) Name of medication; (iii) Date and time the medication was administered; (iv) Amount of medication given; and (v) Signature or initials of person administering medication. (e) Notification of medication administration shall be given to the parent or guardian on the day it was administered.(f) Any deviation from recommended dosage on the label shall be accompanied by a physician's written instructions. (g) Medications shall not be used beyond the date of expiration and shall not be stored on premises when no longer needed. (h) The use of sunscreen, insect repellant, essential oils and over the counter topical medications shall not be subject to the training requirements of this Section. (i) The sunscreen, insect repellent, essential oils and over the counter topical medications shall be stored in the original container and the manufacturer's instructions for use shall be followed; and (ii) A consent form, signed by the parent or legal guardian, which allows the application of sunscreen, insect repellant, essential oils and over the counter topical medications on his/her child and indicates the brands of sunscreen unless supplied by parent for his/her child only. Non-relative license-exempt providers are required to store all medications and administer according to manufacturer's instructions. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Wyoming Purchases of Service Rules Section 14(a) (ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Wyoming Purchases of Service Rules Section 14(a) (ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Wyoming Purchases of Service Rules Section 14(a) (ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Wyoming Purchases of Service Rules Section 14(a) (ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; b. Provide the standards, appropriate to the provider setting and age of children, that address obtaining permission from parents to administer medications to children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define standard related to administration of medication: (a) Medications shall only be given in child care when the facility has agreed to administer medications and adheres to the following: (i) Staff who administers medication has received the training approved by the Department on administration of medication; and (ii) A medication consent form has been completed and signed by the parent or legal guardian and includes: Name of child and parent or guardian; and (B) Specific instructions for the date and time to be administered and dosage; or (C) A standing order from a parent or health professional for commonly used nonprescription medication that defines what medication and when a medication should be used. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define standard related to administration of medication: (a) Medications shall only be given in child care when the facility has agreed to administer medications and adheres to the following: (i) Staff who administers medication has received the training approved by the Department on administration of medication; and (ii) A medication consent form has been completed and signed by the parent or legal guardian and includes: Name of child and parent or guardian; and (B) Specific instructions for the date and time to be administered and dosage; or (C) A standing order from a parent or health professional for commonly used nonprescription medication that defines what medication and when a medication should be used. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(G) states: The provider shall keep a medical consent form signed by the parent or a legal guardian of the child. All medications shall be safely stored and administered according to directions; 5.3.4 Prevention of and response to emergencies due to food and allergic reactions health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define the standard in terms of requirements for staff and parents: Individual child's records shall include health information including allergies, chronic physical problems and pertinent social information on the child and her/his family. Special dietary needs and/or food allergies shall be posted in the food preparation area and in the area the child eats. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define the standard in terms of requirements for staff and parents: Individual child's records shall include health information including allergies, chronic physical problems and pertinent social information on the child and her/his family. Special dietary needs and/or food allergies shall be posted in the food preparation area and in the area the child eats. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. b. Provide the standards, appropriate to the provider setting and age of children, that address the response to emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Child Care Licensing Rules(xviii) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the children who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed; ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Child Care Licensing Rules(xviii) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the children who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed; iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchases of Service Rules Section 14(a)(ix)(Q)(6.)states: (6) All children with food and other allergies should have an emergency care plan in place. For food allergies, the plan shall provide detailed instructions about which food(s) the child is allergic to and what to do if an allergic reaction occurs, including the names, doses, and methods of administration of any medications that the child should receive in the event of a reaction. The plan shall also include specific symptoms that would indicate the need to administer one or more medications. The same shall be developed and in place for children with any other allergy. All persons who come in contact with the child(ren) who have a plan for emergencies, shall be fully aware of the plan and the plan shall be followed. 5.3.5 Building and physical premises safety, including the identification of and protection from hazards, bodies of water, and vehicular traffic health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from building and physical premises hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define the standard related to building and physical premises safety in the Health and Safety Requirements section: The overall condition of the child care facility and grounds, including play areas, equipment, and toys, shall be maintained in a clean, uncluttered, safe condition and free of hazards. Decks, porches, steps, stairs and walkways shall be maintained in good repair and safe condition. Stairs, decks and elevated porches shall have sturdy railings, child safety gates or guardrails. Children shall not have access to cords or ropes, including but not limited to, window treatment cords or electrical cords. Spaces that could entrap children, including but not limited to , openings in guardrails or banisters, shall measure 3.5 inches or less, or more than 9 inches to prevent entrapment. Potentially dangerous or unsafe items shall be made inaccessible to children. Electrical outlets shall be tamper resistant or covered with safety caps when not in use. Any item which may present a burn hazard including heating units and appliances, shall be made inaccessible to children unless its use is for an activity directly supervised by an adult. Electric fans shall be out of the reach of children or shall be fitted with an appropriate mesh to prevent access to the blades by children. In addition, Outdoor Play Space: The outdoor play area shall be enclosed with a fence. The fence shall be at least 4 feet in height and the bottom edge shall be no more than 3.5 inches off the ground. Equipment shall be sturdy, stable, and free of hazards that are accessible to children during normal supervised play and all pieces of equipment shall be installed as directed by the manufacturer's instructions and specifications. Outdoor play equipment with a fall height of more than 24 inches shall be installed over a resilient surface covering the appropriate use zones. Window wells shall be covered, but shall not impede egress or allow for entrapment. Trampolines over 3 feet in diameter shall not be used on or off the premises and shall be fenced or otherwise made inaccessible to child care children. Commercial constant air inflatable devices shall ONLY be used in accordance with the Consumer Product Safety Commission(CPSC) standards (and other conditions). In addition, Fire Standards for Family Child Care Home and Fire Standards for Child Care Centers and Family Child Care Centers. The fire standards are basic requirements and include a fire inspection to ensure compliance with minimum requirements that will provide a reasonable level of fire and life safety, property protection and public welfare from actual and potential hazards created by fire, explosions and other hazardous conditions. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define the standard related to building and physical premises safety in the Health and Safety Requirements section: The overall condition of the child care facility and grounds, including play areas equipment, and toys, shall be maintained in a clean, uncluttered, safe condition and free of hazards. Decks, porches, steps, stairs and walkways shall be maintained in good repair and safe condition. Stairs, decks and elevated porches shall have sturdy railings, child safety gates or guardrails. Children shall not have access to cords or ropes, including but not limited to, window treatment cords or electrical cords. Spaces that could entrap children, including but not limited to , openings in guardrails or banisters, shall measure 3.5 inches or less, or more than 9 inches to prevent entrapment. Potentially dangerous or unsafe items shall be made inaccessible to children. Electrical outlets shall be tamper resistant or covered with safety caps when not in use. Any item which may present a burn hazard including heating units and appliances, shall be made inaccessible to children unless its use is for an activity directly supervised by an adult. Electric fans shall be out of the reach of children or shall be fitted with an appropriate mesh to prevent access to the blades by children. In addition, Outdoor Play Space: The outdoor play area shall be enclosed with a fence. The fence shall be at least 4 feet in height and the bottom edge shall be no more than 3.5 inches off the ground. Equipment shall be sturdy, stable, and free of hazards that are accessible to children during normal supervised play and all pieces of equipment shall be installed as directed by the manufacturer's instructions and specifications. Outdoor play equipment with a fall height of more than 24 inches shall be installed over a resilient surface covering the appropriate use zones. Window wells shall be covered, but shall not impede egress or allow for entrapment. Trampolines over 3 feet in diameter shall not be used on or off the premises and shall be fenced or otherwise made inaccessible to child care children. Commercial constant air inflatable devices shall ONLY be used in accordance with the Consumer Product Safety Commission(CPSC) standards (and other conditions). In addition, Fire Standards for Family Child Care Home and Fire Standards for Child Care Centers and Family Child Care Centers. The fire standards are basic requirements and include a fire inspection to ensure compliance with minimum requirements that will provide a reasonable level of fire and life safety, property protection and public welfare from actual and potential hazards created by fire, explosions and other hazardous conditions. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Services Rules Section 14(a)(ix)state: Meet the minimum health and safety standards which shall include the following: (A) An operable smoke alarm; (B) The use of tobacco, illegal drugs and or consumption of alcohol is prohibited during of hours of operation; (C) An operable telephone shall be available where the child care takes place; (D)Weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children; (H)The overall condition of the child care facility and grounds, including play areas, equipment, and toys shall be maintained in a clean, uncluttered, safe condition and free of hazards, including items that may cause heat injuries; (I) Unused electrical outlets shall be covered with safety caps; (J) Fire exits shall be clear and exit doors remain unlocked or have locks allowing all parties to safely exit; (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Services Rules Section 14(a)(ix)state: Meet the minimum health and safety standards which shall include the following: (A) An operable smoke alarm; (B) The use of tobacco, illegal drugs and or consumption of alcohol is prohibited during of hours of operation; (C) An operable telephone shall be available where the child care takes place; (D)Weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children; (H)The overall condition of the child care facility and grounds, including play areas, equipment, and toys shall be maintained in a clean, uncluttered, safe condition and free of hazards, including items that may cause heat injuries; (I) Unused electrical outlets shall be covered with safety caps; (J) Fire exits shall be clear and exit doors remain unlocked or have locks allowing all parties to safely exit; (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Services Rules Section 14(a)(ix)state: Meet the minimum health and safety standards which shall include the following: (A) An operable smoke alarm; (B) The use of tobacco, illegal drugs and or consumption of alcohol is prohibited during of hours of operation; (C) An operable telephone shall be available where the child care takes place; (D)Weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children; (H)The overall condition of the child care facility and grounds, including play areas, equipment, and toys shall be maintained in a clean, uncluttered, safe condition and free of hazards, including items that may cause heat injuries; (I) Unused electrical outlets shall be covered with safety caps; (J) Fire exits shall be clear and exit doors remain unlocked or have locks allowing all parties to safely exit; (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Services Rules Section 14(a)(ix)state: Meet the minimum health and safety standards which shall include the following: (A) An operable smoke alarm; (B) The use of tobacco, illegal drugs and or consumption of alcohol is prohibited during of hours of operation; (C) An operable telephone shall be available where the child care takes place; (D)Weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children; (H)The overall condition of the child care facility and grounds, including play areas, equipment, and toys shall be maintained in a clean, uncluttered, safe condition and free of hazards, including items that may cause heat injuries; (I) Unused electrical outlets shall be covered with safety caps; (J) Fire exits shall be clear and exit doors remain unlocked or have locks allowing all parties to safely exit; (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; b. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from bodies of water for the following CCDF- eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: When water hazards are present within the approved play area, the following shall apply: shall be enclosed by a fence no less than 4 feet high; facility policy shall include written safety procedures outlining conditions for use of a swimming pool, wading pool or other bodies of water and be given to parents and staff; written parental consent is required for use of a swimming pool or wading pool; an adult staff member shall be in the immediate vicinity at all times when a water hazard is available and accessible; an adult shall remain in direct physical contact with infants at all times; the shall be at least 1 certified lifeguard present when swimming pool is in use when there is more than 3 feet of water; children are to be instructed on the safe use of a swimming pool; and children shall not be allowed to use hot tubs or spas and they shall be made inaccessible. When using a public or private pool, staff:child ratios for infants and toddlers, birth to 36 months, shall be 1:1; for children 3 to 5 years old shall be 1:4; for children who have completed kindergarten or are enrolled in first grade or higher or are 6 years or older shall be 1:6 while swimming. Certified lifeguards may be used to meet these staff:child ratios when the lifeguard is age 16 or older and assigned only to that group of children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: When water hazards are present within the approved play area, the following shall apply: shall be enclosed by a fence no less than 4 feet high; facility policy shall include written safety procedures outlining conditions for use of a swimming pool, wading pool or other bodies of water and be given to parents and staff; written parental consent is required for use of a swimming pool or wading pool; an adult staff member shall be in the immediate vicinity at all times when a water hazard is available and accessible; an adult shall remain in direct physical contact with infants at all times; the shall be at least 1 certified lifeguard present when swimming pool is in use when there is more than 3 feet of water; children are to be instructed on the safe use of a swimming pool; and children shall not be allowed to use hot tubs or spas and they shall be made inaccessible. When using a public or private pool, staff:child ratios for infants and toddlers, birth to 36 months, shall be 1:1; for children 3 to 5 years old shall be 1:4; for children who have completed kindergarten or are enrolled in first grade or higher or are 6 years or older shall be 1:6 while swimming. Certified lifeguards may be used to meet these staff:child ratios when the lifeguard is age 16 or older and assigned only to that group of children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Exempt Provider Inspection Form includes inspections to ensure bodies of water need to be enclosed by a fence no less than four (4) feet high. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Exempt Provider Inspection Form includes inspections to ensure bodies of water need to be enclosed by a fence no less than four (4) feet high. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Exempt Provider Inspection Form includes inspections to ensure bodies of water need to be enclosed by a fence no less than four (4) feet high. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Exempt Provider Inspection Form includes inspections to ensure bodies of water need to be enclosed by a fence no less than four (4) feet high. c. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from vehicular traffic hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define the standard related to identification of and protection from vehicular traffic hazards standard in the Outdoor Play Space section: The outdoor play area shall be enclosed with a fence. The fence shall be at least four (4) feet in height and the bottom edge shall be no more than three and one-half (3 ½) inches off the ground. AND Section: Transportation and Field Trips: when children are taken off site, there shall be direct staff supervision at all times, with a written plan for supervision maintenance at all times and physical boundaries identified for children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define the standard related to identification of and protection from vehicular traffic hazards standard in the Outdoor Play Space section: The outdoor play area shall be enclosed with a fence. The fence shall be at least four (4) feet in height and the bottom edge shall be no more than three and one-half (3 ½) inches off the ground. AND Section: Transportation and Field Trips: when children are taken off site, there shall be direct staff supervision at all times, with a written plan for supervision maintenance at all times and physical boundaries identified for children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Services Rules state: Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Services Rules state: Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Services Rules state: Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Services Rules state: Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. 5.3.6 Prevention of shaken baby syndrome, abusive head trauma, and maltreatment health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of shaken baby syndrome and abusive head trauma and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) address Discipline and Guidance as it relates to appropriate interaction with children in care. The following behavior shall be prohibited in all child care settings: punishment associated with food, rest or toilet training; rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain; inappropriate use of language, including but not limited to profanity, name calling, derogatory or demeaning terminology or screaming related to disciplinary purposes; any form of humiliation including threats of physical punishment; any form of emotional maltreatment including rejecting, terrorizing, corrupting, isolating or ignoring a child - a child can be removed from a group, but not isolated - behavior of a child may be ignored, but not the child; and any form of confining a child's movement or restraining a child as a means of punishment. In addition, all staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) address Discipline and Guidance as it relates to appropriate interaction with children in care. The following behavior shall be prohibited in all child care settings: punishment associated with food, rest or toilet training; rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain; inappropriate use of language, including but not limited to profanity, name calling, derogatory or demeaning terminology or screaming related to disciplinary purposes; any form of humiliation including threats of physical punishment; any form of emotional maltreatment including rejecting, terrorizing, corrupting, isolating or ignoring a child - a child can be removed from a group, but not isolated - behavior of a child may be ignored, but not the child; and any form of confining a child's movement or restraining a child as a means of punishment. In addition, all staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non-violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non-violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non-violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non- violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. b. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of child maltreatment and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) address Discipline and Guidance as it relates to appropriate interaction with children in care. The following behavior shall be prohibited in all child care settings: punishment associated with food, rest or toilet training; rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain; inappropriate use of language, including but not limited to profanity, name calling, derogatory or demeaning terminology or screaming related to disciplinary purposes; any form of humiliation including threats of physical punishment; any form of emotional maltreatment including rejecting, terrorizing, corrupting, isolating or ignoring a child - a child can be removed from a group, but not isolated - behavior of a child may be ignored, but not the child; and any form of confining a child's movement or restraining a child as a means of punishment. In addition, all staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) address Discipline and Guidance as it relates to appropriate interaction with children in care. The following behavior shall be prohibited in all child care settings: punishment associated with food, rest or toilet training; rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain; inappropriate use of language, including but not limited to profanity, name calling, derogatory or demeaning terminology or screaming related to disciplinary purposes; any form of humiliation including threats of physical punishment; any form of emotional maltreatment including rejecting, terrorizing, corrupting, isolating or ignoring a child - a child can be removed from a group, but not isolated - behavior of a child may be ignored, but not the child; and any form of confining a child's movement or restraining a child as a means of punishment. In addition, all staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non-violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non-violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non-violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules state: (n) Written guidance, discipline and prevention of child maltreatment policy shall be followed and shall: (i) Not include any discipline that is in violation of applicable laws; (ii) Outline methods of guidance appropriate to the ages of the children enrolled; (iii) Explicitly describe positive guidance, such as redirection, natural and logical consequences, modeling of positive behavior and other non- violent, non-abusive methods of discipline; (iv) Be included in orientation; and (v) Identify behaviors which shall be prohibited in all child care settings: rough handling of children, including but not limited to hitting, spanking, beating, shaking, pinching, pushing or other measures that could produce physical pain. (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) defines the standard for handling and storage of hazardous materials and the appropriate disposal of bio-contaminants: Chemicals shall not be used around children and in a manner that contaminates surfaces such as tables, carpets, lawns, food, or food preparation areas. Hazardous compounds, such as insecticides and rodenticides and other chemicals bearing the skull and crossbones or "Danger" designation shall be kept under lock and key. Poisonous or toxic chemicals shall not be stored above or adjacent to food, food items(utensils), food contact surfaces, or toys and playthings. They shall not be used in a manner that could contaminate these articles. Containers of poisonous or toxic material shall be prominently and distinctly labeled for easy identification of contents. The Centers for Disease Control (CDC) Precautions shall be adopted to handle potential exposure to blood and other potentially infectious fluids (biocontaminants) and disposal of biocontaminants. Wyoming Rules for Child Care Purchase of Service requires weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) defines the standard for handling and storage of hazardous materials and the appropriate disposal of bio-contaminants: Chemicals shall not be used around children and in a manner that contaminates surfaces such as tables, carpets, lawns, food, or food preparation areas. Hazardous compounds, such as insecticides and rodenticides and other chemicals bearing the skull and crossbones or "Danger" designation shall be kept under lock and key. Poisonous or toxic chemicals shall not be stored above or adjacent to food, food items(utensils), food contact surfaces, or toys and playthings. They shall not be used in a manner that could contaminate these articles. Containers of poisonous or toxic material shall be prominently and distinctly labeled for easy identification of contents. The Centers for Disease Control (CDC) Precautions shall be adopted to handle potential exposure to blood and other potentially infectious fluids (biocontaminants) and disposal of biocontaminants. Wyoming Rules for Child Care Purchase of Service requires weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Wyoming Rules for Child Care Purchase of Service requires weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Wyoming Rules for Child Care Purchase of Service requires weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Wyoming Rules for Child Care Purchase of Service requires weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Wyoming Rules for Child Care Purchase of Service requires weapons, ammunition, poisons, chemicals, bleach and cleaning materials shall be locked up to make them inaccessible to children. b. Provide the standards, appropriate to the provider setting and age of children, that address the disposal of bio contaminants for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) defines the standard for handling and storage of hazardous materials and the appropriate disposal of bio-contaminants: Chemicals shall not be used around children and in a manner that contaminates surfaces such as tables, carpets, lawns, food, or food preparation areas. Hazardous compounds, such as insecticides and rodenticides and other chemicals bearing the skull and crossbones or "Danger" designation shall be kept under lock and key. Poisonous or toxic chemicals shall not be stored above or adjacent to food, food items(utensils), food contact surfaces, or toys and playthings. They shall not be used in a manner that could contaminate these articles. Containers of poisonous or toxic material shall be prominently and distinctly labeled for easy identification of contents. The Department is currently out of compliance with this requirement as the Child Care Licensing Rules do not explicitly state ￿biocontaminants￿ per the Preliminary Notice of Non-Compliance dated 3/08/24. In order to come into compliance, the Department’s Rules require a change in language; however, the Department needs additional time to meet this requirement. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) defines the standard for handling and storage of hazardous materials and the appropriate disposal of bio-contaminants: Chemicals shall not be used around children and in a manner that contaminates surfaces such as tables, carpets, lawns, food, or food preparation areas. Hazardous compounds, such as insecticides and rodenticides and other chemicals bearing the skull and crossbones or "Danger" designation shall be kept under lock and key. Poisonous or toxic chemicals shall not be stored above or adjacent to food, food items(utensils), food contact surfaces, or toys and playthings. They shall not be used in a manner that could contaminate these articles. Containers of poisonous or toxic material shall be prominently and distinctly labeled for easy identification of contents. The Department is currently out of compliance with this requirement as the Child Care Licensing Rules do not explicitly state ￿biocontaminants￿ per the Preliminary Notice of Non-Compliance dated 3/08/24. In order to come into compliance, the Department’s Rules require a change in language; however, the Department needs additional time to meet this requirement. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules, Section 14 (ix)(D) Handling, storage and disposal of all hazardous material and of bio contaminants must follow label instructions. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules, Section 14 (ix)(D) Handling, storage and disposal of all hazardous material and of bio contaminants must follow label instructions. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules, Section 14 (ix)(D) Handling, storage and disposal of all hazardous material and of bio contaminants must follow label instructions. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules, Section 14 (ix)(D) Handling, storage and disposal of all hazardous material and of bio contaminants must follow label instructions. 5.3.9 Precautions in transporting children health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address precautions in transporting children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC),Section 8. Transportation and Field Trips. (a) Vehicles used to transport children shall be maintained in safe condition and comply with applicable motor vehicle laws. (b) Operators of vehicles used to transport children shall have the appropriate type of driver's license and be at least 18 years of age. (c) The number of persons in a vehicle used to transport children shall not exceed the manufacturer's recommended capacity nor the number of seat belts installed when the vehicle was manufactured (d) Each child who is a passenger shall be properly secured in a child safety restraint system or seat belt as required by law. The child safety restraint system shall conform to Federal Motor Vehicle Safety Standards for child restraint systems. (e) When children are taken off site, there shall be: (i) A first aid kit; (ii) Emergency medical release forms on all children; (iii) A current and updated attendance record (which documents periodic counts of children to include when getting on and off the mode of transportation; (iv) Direct staff supervision at all times, with a written plan for supervision maintenance at all times; and (v) Physical boundaries identified for children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC),Section 8. Transportation and Field Trips. (a) Vehicles used to transport children shall be maintained in safe condition and comply with applicable motor vehicle laws. (b) Operators of vehicles used to transport children shall have the appropriate type of driver's license and be at least 18 years of age. (c) The number of persons in a vehicle used to transport children shall not exceed the manufacturer's recommended capacity nor the number of seat belts installed when the vehicle was manufactured (d) Each child who is a passenger shall be properly secured in a child safety restraint system or seat belt as required by law. The child safety restraint system shall conform to Federal Motor Vehicle Safety Standards for child restraint systems. (e) When children are taken off site, there shall be: (i) A first aid kit; (ii) Emergency medical release forms on all children; (iii) A current and updated attendance record (which documents periodic counts of children to include when getting on and off the mode of transportation; (iv) Direct staff supervision at all times, with a written plan for supervision maintenance at all times; and (v) Physical boundaries identified for children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules state: (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; and Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules state: (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; and Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules state: (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; and Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules state: (P) Vehicles used to transport children shall be maintained in safe condition, with appropriate child safety restraint systems and shall comply with applicable motor vehicle laws. Operators of vehicles used to transport children shall have the appropriate and valid motor vehicle license; and Where vehicular traffic is present, an adult staff member shall be in the immediate vicinity at all times. An adult shall remain in direct physical contact with infants at all times. 5.3.10 Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address pediatric first aid for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) AND the Child Care Purchase of Service rules define this area in terms of required training (pre-service and annual training requirements). In addition, all child care facilities shall have at least a basic first- aid kit or its equivalent on hand at all times. The first-aid kit shall be taken on field trips and outings. Adult and Pediatric CPR and Adult and Pediatric First Aid to be kept current at all times. The Department currently has an outstanding non- compliance for this requirement pursuant to the Preliminary Notice of Non- Compliance dated 3/08/2024. The non-compliance stems from the current Child Care Licensing rules not specifically identifying ￿pediatric￿ for its first aid requirement. In order to come into full compliance with this requirement, the Department is required to make changes to its Child Care Licensing Rules and needs additional time to complete this change as it may not be completed prior to October 1, 2024. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) AND the Child Care Purchase of Service rules define this area in terms of required training (pre-service and annual training requirements). In addition, all child care facilities shall have at least a basic first-aid kit or its equivalent on hand at all times. The first-aid kit shall be taken on field trips and outings. Adult and Pediatric CPR and Adult and Pediatric First Aid to be kept current at all times. The Department currently has an outstanding non-compliance for this requirement pursuant to the Preliminary Notice of Non-Compliance dated 3/08/2024. The non-compliance stems from the current Child Care Licensing rules not specifically identifying ￿pediatric￿ for its first aid requirement. In order to come into full compliance with this requirement, the Department is required to make changes to its Child Care Licensing Rules and needs additional time to complete this change as it may not be completed prior to October 1, 2024. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Rules for Child Care Purchase of Service requires infant/child CPR and First Aid to be kept current at all times. The Department currently has an outstanding non- compliance for this requirement pursuant to the Preliminary Notice of Non- Compliance dated 3/08/2024. The non-compliance stems from the current Child Care Licensing rules not specifically identifying ￿pediatric￿ for its first aid requirement. In order to come into full compliance with this requirement, the Department is required to make changes to its Child Care Purchase of Service Rules and needs additional time to complete this change as it may not be completed prior to October 1, 2024. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Rules for Child Care Purchase of Service requires infant/child CPR and First Aid to be kept current at all times. The Department currently has an outstanding non-compliance for this requirement pursuant to the Preliminary Notice of Non-Compliance dated 3/08/2024. The non-compliance stems from the current Child Care Licensing rules not specifically identifying ￿pediatric￿ for its first aid requirement. In order to come into full compliance with this requirement, the Department is required to make changes to its Child Care Purchase of Service Rules and needs additional time to complete this change as it may not be completed prior to October 1, 2024. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Rules for Child Care Purchase of Service requires infant/child CPR and First Aid to be kept current at all times. The Department currently has an outstanding non-compliance for this requirement pursuant to the Preliminary Notice of Non-Compliance dated 3/08/2024. The non-compliance stems from the current Child Care Licensing rules not specifically identifying ￿pediatric￿ for its first aid requirement. In order to come into full compliance with this requirement, the Department is required to make changes to its Child Care Purchase of Service Rules and needs additional time to complete this change as it may not be completed prior to October 1, 2024. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Rules for Child Care Purchase of Service requires infant/child CPR and First Aid to be kept current at all times. The Department currently has an outstanding non-compliance for this requirement pursuant to the Preliminary Notice of Non-Compliance dated 3/08/2024. The non-compliance stems from the current Child Care Licensing rules not specifically identifying ￿pediatric￿ for its first aid requirement. In order to come into full compliance with this requirement, the Department is required to make changes to its Child Care Purchase of Service Rules and needs additional time to complete this change as it may not be completed prior to October 1, 2024. b. Provide the standards, appropriate to the provider setting and age of children, that address pediatric cardiopulmonary resuscitation for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) AND the Child Care Purchase of Service rules define this area in terms of required training (pre-service and annual training requirements). In addition, all child care facilities shall have at least a basic first- aid kit or its equivalent on hand at all times. The first-aid kit shall be taken on field trips and outings. Adult and Pediatric CPR and Adult and Pediatric First Aid to be kept current at all times. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) AND the Child Care Purchase of Service rules define this area in terms of required training (pre-service and annual training requirements). In addition, all child care facilities shall have at least a basic first-aid kit or its equivalent on hand at all times. The first-aid kit shall be taken on field trips and outings. Adult and Pediatric CPR and Adult and Pediatric First Aid to be kept current at all times. iii. All CCDF-eligible licensed in-home care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) AND the Child Care Purchase of Service rules define this area in terms of required training (pre-service and annual training requirements). In addition, all child care facilities shall have at least a basic first- aid kit or its equivalent on hand at all times. The first-aid kit shall be taken on field trips and outings. Adult and Pediatric CPR and Adult and Pediatric First Aid to be kept current at all times. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules state: (E) Current certification in infant/child Adult and Pediatric CPR and Adult and Pediatric first aid training shall be maintained; (I) Verification shall be submitted to the local DFS office within 90 days of initial registration as a legally exempt provider; and (II) Verification shall be submitted to the local DFS office prior to approval as a legally exempt provider when the provider was previously terminated for failure to submit required verification. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules state: (E) Current certification in infant/child Adult and Pediatric CPR and Adult and Pediatric first aid training shall be maintained; (I) Verification shall be submitted to the local DFS office within 90 days of initial registration as a legally exempt provider; and (II) Verification shall be submitted to the local DFS office prior to approval as a legally exempt provider when the provider was previously terminated for failure to submit required verification. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules state: (E) Current certification in infant/child Adult and Pediatric CPR and Adult and Pediatric first aid training shall be maintained; (I) Verification shall be submitted to the local DFS office within 90 days of initial registration as a legally exempt provider; and (II) Verification shall be submitted to the local DFS office prior to approval as a legally exempt provider when the provider was previously terminated for failure to submit required verification. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules state: (E) Current certification in infant/child Adult and Pediatric CPR and Adult and Pediatric first aid training shall be maintained; (I) Verification shall be submitted to the local DFS office within 90 days of initial registration as a legally exempt provider; and (II) Verification shall be submitted to the local DFS office prior to approval as a legally exempt provider when the provider was previously terminated for failure to submit required verification. 5.3.11 Identification and reporting of child abuse and neglect health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define recognition and reporting of child abuse and neglect in terms of requirements of all staff: All Staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect AND Wyoming State Statute defines all persons as mandatory reporters. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define recognition and reporting of child abuse and neglect in terms of requirements of all staff: All Staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect AND Wyoming State Statute defines all persons as mandatory reporters. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. b. Provide your standards, appropriate to the provider setting and age of children, that address the reporting of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define recognition and reporting of child abuse and neglect in terms of requirements of all staff: All Staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect AND Wyoming State Statute defines all persons as mandatory reporters. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define recognition and reporting of child abuse and neglect in terms of requirements of all staff: All Staff are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect AND Wyoming State Statute defines all persons as mandatory reporters. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The Wyoming Purchase of Service Rules state: (o) All persons are required to report cases of suspected child abuse or neglect. A provider, director or their staff shall report immediately to the local Department office and local law enforcement any circumstances indicating that a child in care may have been subjected to abuse or neglect by a person inside or outside of a program. c. Confirm if child care providers must comply with the Lead Agency’s procedures for reporting child abuse and neglect as required by the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i): [x] Yes, confirmed. [ ] No. If no, describe: 5.3.12 Additional optional standards In addition to the required health and safety standards, does the Lead Agency require providers to comply with the following optional standards? [x] Yes. [ ] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: For licensed providers, the Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define nutrition requirements:(a) Nutritionally balanced snacks, meals and appropriate portions for the needs and ages of children shall be provided; (i) Adequate fluids shall be provided and encouraged; and (ii) Special dietary needs and/or food allergies shall be posted in food preparation areas and in the area the child eats. (b) If a child is in attendance for five (5) or more hours, a meal shall be provided, unless a child arrives after lunchtime and an evening meal is not provided by the facility. In this case, a nutritious snack shall be provided. (c) Pasteurized milk shall be made available at all meals, unless written documentation is provided by the parent and is on file. Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC): Chapter 4, Section 18. ii. Access to physical activity. Describe: For licensed providers, the Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define access to physical activity: (a) There shall be a minimum of 75 square feet of outdoor play space for each child when ages of children are combined, except as provided in Section 15. and (c)This space shall be used at least one (1) time per day for at least 30 minutes when weather and environmental conditions do not pose a significant health or safety risk. Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC): Chapter 4, Section 16(a) & (c). iii. Caring for children with special needs. Describe: For licensed providers, the Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC) define caring for children with special needs by requiring reasonable accommodations made for children with special needs based on the child's ability. Wyoming Rules for Certification of a Family Child Care Home (FCCH), Family Child Care Center (FCCC) or Child Care Center (CCC): Chapter 4, Section 2(g). iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: No other areas addressed.