1. Child Health and Safety 1304.22(a-f) Facilities, Materials, and Equipment 1304.53(a-b)

2. Begin with what Federal Monitoring Reviewers must know and monitor: 1. Understand performance standards 2. Develop strong policies and specific procedures 3. Train staff 4. Monitor with a monitoring plan, tools, corrective action plans, and monitoring

3. Think about:  Which impact child health and safety more often than others?  Which are potentially higher risk to children’s health than others?  Which could cause imminent danger if not in place and followed?  Which are most often not in compliance in your program?  Which would you like to focus on? Provide more training? More monitoring?

4. (a) Health emergency procedures (b) Conditions of short-term exclusion and admittance (c) Medication administration (d) Injury prevention (e) Hygiene (f) First aid kits

5. (7) Provide for maintenance, repair, and safety of facilities, materials, and equipment (10)(iv) Provide emergency lighting in case of power failure (10)(v) Approved, working fire extinguishers (10)(viii) Indoor and outdoor premises kept free of undesirable and hazardous materials

6. (10)(x) Selection, layout, and maintenance of playground equipment and surfaces minimize injury to children (10)(xi) Electrical outlets are covered (10)(xiv) Toilets and handwashing facilities are clean and in good repair

7.  The diaper-changing area is located away from areas used for cooking, eating, or children’s activities. [1304.53(a)(10)(xiv)]  Infant sleeping arrangements use firm mattresses and avoid soft bedding materials, such as pillows, fluffy blankets, or stuffed toys. [1304.53(b)(3)]

8.  Cribs are at least 3 feet apart from each other. [1304.22(e)(7)]  Infant toys are made of nontoxic materials and are sanitized regularly. [1304.53(b)(2)]  Toilet training equipment is available for children being toilet trained. [1304.53(a)(10)(xv)]

9. Think about:  Which impact child health and safety more often than others?  Which are potentially higher risk to children’s health than others?  Which could cause imminent danger if not in place?  Which are most often not in compliance in your program?  Which would you like to focus on? Provide more training? More monitoring?

10. Lunch Break 11:30 AM – 1:15 PM