1. Creating Sustainability Without Barriers
Licensing and QRIS:
Creating Sustainability Without Barriers
6/12/2019

2. The Public health law center
6/12/2019

3. Legal technical assistance
Legal Research
Policy Development, Implementation, Defense
Publications
Trainings
Direct Representation
Lobby
6/12/2019

4. Disclosures
I identify as a cisgender, able-bodied heterosexual white woman and an alcoholic in active recovery. Gender pronouns: she, her, hers
6/12/2019

5.
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6. Image credit: Sam Bradd https://drawingchange
6/12/2019

7. 6/12/2019

8. policy
Any written plan or course of action designed to influence and determine decisions
6/12/2019

9.
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10. Understanding Levels of Regulation
Tribes
Federal
State
Local
6/12/2019

11. Who regulates Child Care?
6/12/2019

12. Policy options to impact Quality in child care settings
Funding Streams
Child Care Development Block Grant
CACFP
Quality Measures
QRIS
Accreditation
Licensing and Administrative Regulations
Licensing
Food Safety
Other Levers
Differs by State
6/12/2019

13. Alignment of the regulators
6/12/2019

14. Overlapping regulations in MN
6/12/2019

15. Alignment of regulations beyond Food: age categories in minnesota
Age Category Definitions1
( § Subp. 2)
Age Designation for staff ratios, group size, and child care programming
( § Subp. 4)
CACFP Meal Pattern1
(Based on FNS and WIC definitions )
CDC2 & AAP3
Infant
at least six weeks old but less than 16 months old.
up to the age of 18 months
Two groups:
Birth through 5 months
6 months through 11 months
0-1 year
Toddler
at least 16 months old but less than 33 months old.
up to the age of 35 months
Ages 1-2 years
1-3 years
8/13/2019

16.
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17. Currently Being Updated
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18. Unintended consequences
MN Child Care Center FOOD AND WATER. Subp. 8.
Water.  …
Drinking water must be available to children throughout the hours of operation and offered at frequent intervals. Drinking water for children must be provided in single service drinking cups or from drinking fountains accessible to children.
6/12/2019

19. Unintended consequences
Drinking water for children must be provided in single service drinking cups or from drinking fountains accessible to children. OR
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20.
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21. Implicit Bias and Public Policy
• Most policies are facially neutral (i.e. race silent) but not neutral in application—i.e. they have negative or positive racial impacts.
• Negative impacts that increase or support health inequities may or may not have been intentional. Positive impacts often require intentionality.
• When impacts are not consciously considered during the lawmaking/decision-making process, there is more likelihood that negative impacts will result-- implicit bias is the default.
6/12/2019

22. Using Choice Points to Advance Equity
Identify a Choice Point
Assess Impacts
Generate Options
Decide Action
Change Habits
3/7/2018

23. Thank you!
6/12/2019

24. public health law center
facebook.com/publichealthlawcenter
6/12/2019