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128 STAT. 1976 PUBLIC LAW 113–186—NOV. 19, 2014 ‘‘(H) CHILD-TO-PROVIDER RATIO STANDARDS.— ‘‘(i) STANDARDS.—The plan shall describe child care standards for child care services for which assistance is made available in accordance with this subchapter, appropriate to the type of child care setting involved, to provide for the safety and developmental needs of the children served, that address— ‘‘(I) group size limits for specific age popu- lations, as determined by the State; ‘‘(II) the appropriate ratio between the number of children and the number of providers, in terms of the age of the children in child care, as deter- mined by the State; and ‘‘(III) required qualifications for such pro- viders, as determined by the State. ‘‘(ii) CONSTRUCTION.—The Secretary may offer guidance to States on child-to-provider ratios described in clause (i) according to setting and age group, but shall not require that the State maintain specific group size limits for specific age populations or child-to-pro- vider ratios for providers who receive assistance in accordance with subchapter. ‘‘(I) HEALTH AND SAFETY REQUIREMENTS.—The plan shall include a certification that there are in effect within the State, under State or local law, requirements designed to protect the health and safety of children that are applicable to child care providers that provide services for which assistance is made available in accordance with this subchapter. Such requirements— ‘‘(i) shall relate to matters including health and safety topics consisting of— ‘‘(I) the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows home- less children and children in foster care to receive services under this subchapter while their families (including foster families) are taking any necessary action to comply with immunization and other health and safety requirements; ‘‘(II) prevention of sudden infant death syn- drome and use of safe sleeping practices; ‘‘(III) the administration of medication, con- sistent with standards for parental consent; ‘‘(IV) the prevention of and response to emer- gencies due to food and allergic reactions; ‘‘(V) building and physical premises safety, including identification of and protection from haz- ards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; ‘‘(VI) prevention of shaken baby syndrome and abusive head trauma; ‘‘(VII) emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (such as violence at a child care facility), within the meaning of those terms under section 602(a)(1) of the Robert Certification. VerDate Sep 11 2014 13:40 Nov 10, 2020 Jkt 039194 PO 00002 Frm 00552 Fmt 6580 Sfmt 6581 G:\GSDD\STATUTES\2014\PT2\39194PT2.001 39194PT2 dkrause on LAP5T8D0R2PROD with DISTILLER (1)