Code of Federal Regulations (alpha)

CFR /  Title 32  /  Part 79  /  Sec. 79.6 Procedures.

(a) Priority System. To the extent possible, CDPs shall be offered to the qualifying children of eligible patrons.

(1) Priority 1. The highest priority for full-time care shall be given to qualifying children from birth through 12 years of age of combat related wounded warriors, child development program direct care staff, single or dual active duty Military Service members, single or dual DoD civilian employees paid from APF and NAF, surviving spouses of military members who died from a combat related incident, and those acting in loco parentis on behalf of the aforementioned eligible patrons. With the exception of combat related wounded warriors, ALL eligible parents or caregivers residing with the child are employed outside the home.

(2) Priority 2. The second priority for full-time care shall be given equally to qualifying children from birth through 12 years of age of active duty Military Service members, DoD civilian employees paid from APF and NAF, surviving spouses of military members who died from a combat related incident, and those acting in loco parentis on behalf of the aforementioned eligible patrons, where a non-working spouse, or in the case of a DoD civilian employee with a same-sex domestic partner, is actively seeking employment. The status of actively seeking employment must be verified every 90 days.

(3) Priority 3. The third priority for full-time care shall be given equally to qualifying children from birth through 12 years of age of active duty Military Service members, DoD civilian employees paid from APF and NAF, surviving spouses of military members who died from a combat related incident, and those acting in loco parentis on behalf of the aforementioned eligible patrons, where a non-working spouse, or in the case of a DoD civilian employee with a same-sex domestic partner, is enrolled in an accredited post-secondary institution. The status of post-secondary enrollment must be verified every 90 days.

(4) Space Available. After meeting the needs of parents in priorities 1, 2, and 3, CDPs shall support the need for full-time care for other eligible patrons such as active duty Military Service members with non-working spouses, DoD civilian employees paid from APF and NAF with non-working spouses or same-sex domestic partners, eligible employees of DoD Contractors, Federal employees from non-DoD agencies, and military retirees on a space available basis. In this category, CDPs may also authorize otherwise ineligible patrons in accordance with 10 U.S.C. 1783, 1791 through 1800, 2809, and 2812 to enroll in the CDP to make more efficient use of DoD facilities and resources.

(5) Individual priorities will be determined based on the date of application with the DoD Component. Components may only establish sub-priorities if unique mission related installation requirements are identified by higher headquarters.

(b) Types of Care. The types of care offered for children from birth through 12 years of age include 24/7 care and care provided on a full-day, part-day, short-term or intermittent basis.

(1) Military-Operated CDPs. Military-operated (on and off installation) CDPs generally include:

(i) CDCs. Reference Table 1 of this section of this part for standards of operation for CDCs. CDCs primarily offer care to children from birth to 5 years of age, but may also be used to provide SAC programs.

(ii) SAC Programs. Reference Table 1 of this section for SAC standards of operation. SAC programs primarily offer care to children from 6 to 12 years of age. Care may be offered in CDCs and other installation facilities, such as youth centers and schools.

(iii) FCC. Reference Table 2 of this section for FCC standards of operation. Child care services are available to children from infancy through 12 years of age and are provided in government housing or in state licensed/regulated homes in the community.

(iv) Supplemental Child Care. Services include short-term alternative child care options in approved settings on and off installation.

(v) Part-Day and Hourly Programs. CDP space used for part-day and hourly programs, including programs to provide respite child care, shall not exceed 20 percent of the CDP program's capacity during duty hours.

(2) Military Department, Defense Agency, and DoD Field Activity-Approved Supplemental Child Care Programs. See paragraph (g) of this section.

(c) Administration, Funding and Oversight of Military Operated CDPs. Unless otherwise noted, the requirements in this section apply to all DoD-operated CDPs.

(1) Background Checks. All background checks for individuals who have regular, recurring contact with children and youth in CDPs, including adult family members of FCC providers and any individual over the age of 18 living in a home where child care is provided, and persons who serve as substitute or backup providers, shall be conducted in accordance with 32 CFR part 86.

(2) Funding. CDPs are funded by a combination of APF and NAF.

(i) The amount of APF used to operate CDPs shall be no less than the amount collected through child care fees, except for CDCs that operate under a long-term facility's contract or lease-purchase agreement under 10 U.S.C. 2809 and 2812.

(A) A family's child care fee category is determined based on an initial and subsequent annual verification of TFI. Families pay the child care fee assigned to that TFI category. A family's fees may only be adjusted once per year, with exceptions listed in paragraph (c)(2)(i)(E) of this section. TFI is determined utilizing DD Form 2652.

(B) APF may be used to subsidize child care in military-approved civilian programs in accordance with 10 U.S.C. 1791 through 1800.

(C) DoD Components establishing child care fee assistance programs for their employees must contribute the amounts required to pay subsidies out of agency APFs.

(D) FCC providers are private contractors. Fees are established between the provider and parent, unless such providers receive direct monetary subsidies. When FCC providers receive direct monetary subsidies to reduce the cost of care for the families they service, the installation commander or DoD Component shall determine relevant fees charged by FCC providers.

(E) Fees may be adjusted:

(1) By the installation commander, Defense Agency Director, or DoD Field Activity Director:

(i) On a case-by-case basis for families who are facing financial hardship or unusual circumstances that merit review, in accordance with established DoD Component guidance.

(ii) For parents participating in an approved parent participation program.

(2) By the DoD Components, Defense Agency Director, or DoD Field Activity Director:

(i) To accommodate an optional high market rate when it is necessary to pay higher wages to compete with local labor or at those installations where wages are affected by non-foreign area cost of living allowance (COLA), post differential or locality pay. The optional low market rate may be used in areas where costs for comparable care within the installation catchment area are significantly lower. A request to utilize the high or low market rate options must be submitted to OFP/CY for approval.

(ii) To reflect changes in employment status, relocation, and annual internal reviews that find inaccurate determination or calculation of TFI.

(iii) For CDP employees when CDC programs are facing operational hardships.

(ii) Child Development Program Element APF may be used for:

(A) Salaries of CDP employees.

(B) Food.

(C) Training and education.

(D) Program accreditation fees and support services.

(E) Travel and transportation.

(F) Marketing, to include recruitment, retention, and participation efforts.

(G) Supplies and equipment, to include lending libraries and training materials for use by FCC providers.

(H) Local travel expenses incurred by FCC program staff using their private vehicles to perform government functions.

(I) Direct monetary subsidies to FCC providers.

(iii) To the maximum extent possible, child care fees shall cover the NAF cost of care, and NAF costs not covered by child care fees are to be minimized. Child care fees shall only be used for:

(A) Compensation of direct care CDP employees who are classified as NAF employees, to include training and education, and recruitment and retention initiatives approved by the DoD Component.

(B) Food-related expenses not paid by the USDA or DoD APFs.

(C) Consumable supplies.

(3) Facility Requirements and Construction.

(i) Minimum prescribed construction standards:

(A) For all Marine Corps, Navy, and Air Force CDC facility construction, the Unified Facilities Criteria (UFC) 4-740-14, ``Design: Child Development Centers'' (see http://www.wbdg.org/ccb/DOD/UFC/ufc_4_740_14.pdf) apply.

(B) For all Army CDC facility construction, the Army Standard for Child Development Centers (see https://mrsi.usace.army.mil/ fdt/Army%20Standards/ CDC%20age% 206wk%20to% 205yr%20Army% 20Standard.pdf) apply.

(C) When SAC is provided in youth facilities, UFC 4-740-06, ``Youth Centers'' (see http://www.wbdg.org/ccb/DOD/UFC/ufc_4_740_06.pdf) and Service-specific exceptions to the UFC apply.

(D) State and local construction standards may be used but are not required, except if the CDC facility is located on an area over which the United States has no legislative jurisdiction and then only if State and local standards are more stringent than those in UFC 4-740-14.

(ii) All facilities shall comply with the structural requirements of the National Fire Protection Association 101, ``Life Safety Code'' 2012 (available at http://www.nfpa.org/ aboutthecodes/ AboutTheCodes.asp? DocNum= 101&cookie;% 5Ftest=1)

(4) Oversight.

(i) DoD Certification Inspection. Installation-operated CDPs in which care is provided for 10 or more child care hours per week on a regular basis shall be certified to operate through inspections occurring no fewer than four (4) times a year. Inspections must be unannounced, and parent and staff feedback shall be solicited as part of the inspection process.

(A) Three local inspections and one higher headquarters inspection shall be conducted to verify compliance with this part and DoD Component implementing guidance. Local inspection teams are led by a representative of the installation commander, Defense Agency Director, or Defense Field Activity Director, and a multidisciplinary team, to include human resource, fire, health, and safety proponents, with expertise and authority to verify compliance with this part.

(1) Local inspections include an annual comprehensive health and sanitation inspections, annual comprehensive fire and safety inspections, and a multidisciplinary inspection whose team that includes parent representation. Community representation on the team by appropriate professionals is highly encouraged.

(2) DoD Component inspection teams inspecting CDPs serving children birth through 12 years of age shall include staff possessing:

(i) A baccalaureate degree in child development, early childhood education (ECE), home economics (early childhood emphasis), elementary education, special education, or other degree appropriate to the position filled from an accredited college;

(ii) Knowledge of child/youth development programs; or

(iii) A combination of education and experience that provide knowledge comparable to that normally acquired through the successful completion of a 4-year degree (experience must include at least 3 years of full-time teaching or management experience with children of the appropriate age group).

(3) Parents shall be interviewed as part of the DoD Component inspection. Additional inspections shall be conducted in response to program complaints in accordance with paragraph (b) of Sec. 79.5.

(4) Results of DoD Component inspections shall be provided by the DoD Component to the ODASD(MC&FP;) through OFP/CY. CDPs whose inspection results demonstrate compliance with this part shall receive DD Form 2636. Certificates shall be displayed in a prominent location in the CDP.

(5) Inspection results shall be made available to parents. Results from inspections of CDC programs shall be available online.

(6) Periodic, unannounced inspections shall be made by the ODASD(MC&FP;) to ensure compliance with the requirements in this part.

(7) In response to each inspection, a corrective action plan with appropriate timelines shall be developed to address any deficiencies identified during inspection.

(ii) Violations. The installation commander, Defense Agency Director or DoD Field Activity Director shall ensure the immediate remedy of any life-threatening violation of this part or other safety, health, and child welfare laws or regulations (discovered at an inspection or otherwise) at a DoD CDP, or he or she will close the facility (or affected parts of the facility).

(A) In the case of a violation that is not life-threatening, the commander of the major command under which the installation concerned operates, or the Director of the Defense Agency or DoD Field Activity concerned, may waive the requirement that the violation be remedied immediately for up to 90 days beginning on the date of discovery of the violation.

(B) If the violation that is not life-threatening is not remedied by the end of that 90-day period, the facility or parts involved will be closed until the violation is remedied.

(C) The Secretary of the Military Department, or Director of the Defense Agency or DoD Field Activity concerned, may request a waiver of the requirements of the preceding sentence to authorize the program to remain open in a case where the violation cannot reasonably be remedied within the 90-day period or in which major facility reconstruction is required. A waiver request must be submitted to OFP/CY for approval.

(iii) Accreditation. Eligible CDP facilities (excluding FCC) shall be accredited by a DoD-approved national accrediting body. CDP oversight is a statutory requirement involving an external nationally recognized accreditation process and internal DoD Certification process.

(A) FCC providers shall be encouraged to seek accreditation from an appropriate national accrediting body.

(B) The percentage of CDP facilities successfully achieving accreditation shall be reflected in the Annual Summary of Operations report referenced in Sec. 79.5.

(iv) Monitoring. There shall be a system in place to monitor FCC homes on a regular basis during all hours of operation. The following information shall be maintained for FCC providers:

(A) Results of family interview.

(B) Background check with suitability determination.

(C) Inspection results.

(D) Insurance.

(E) Training records.

(F) Monitoring visit records.

(5) Parent Board. In accordance with 10 U.S.C. 1783 and 1795, each CDP shall establish a Parent Board to discuss problems and concerns and to provide recommendations for improving CDPs. The Board, with the staff of the program, is responsible for coordinating a parent participation program.

(i) The Board shall be composed only of parents of children enrolled in the installation CDP facilities that are Military Service members, retired Military Service members, or spouses of Military Service members or retired Military Service members, and chaired by such a parent.

(ii) The Board shall meet periodically with the staff of the program and the installation commander, Defense Agency Director, or DoD Field Activity Director to discuss problems and concerns. Board recommendations shall be forwarded to the installation commander, Defense Agency Director, or DoD Field Activity Director for review and disposition. These recommendations are reviewed during the DoD certification inspection.

(iii) The Board shall coordinate a parent participation program with CDP staff to ensure parents are involved in CDP planning and evaluation. In accordance with 10 U.S.C. 1795, parents participating in such program may be eligible for child care fees at a rate lower than the rate that otherwise applies.

(6) Enrollment. To enroll in the CDP, parents shall complete DD Form 2606 or electronic equivalent, DoD Child Development Program Request for Care Record. At the time of enrollment in an installation-based CDP, parents shall provide:

(i) Child(ren)'s health and emergency contact information.

(ii) Documentation that children have been fully immunized.

(A) Children who have not received their age-appropriate immunizations prior to enrollment and do not have a documented religious or medical exemption from routine childhood immunizations shall show evidence of an appointment for immunizations; the immunization series must be initiated within 30 days.

(B) Children in SAC are not required to provide documentation if they are enrolled in a local public school system where proof of currency of vaccination is required.

(iii) Children's records shall be updated annually or as needed for their health, safety, or well-being.

(7) Immunizations. Children enrolling in or currently enrolled in DoD CDPs must provide written documentation of immunizations appropriate for the child's age. Per AR 40-562/BUMEDINST 6230.15A/AFJI 48-110/CG COMDTINST M6230.4F, ``Immunizations and Chemoprophylaxis'' (see http://www.vaccines.mil/documents/969r40_562.pdf), immunizations recommended by the ACIP are required.

(i) All records shall be updated at least annually and kept on file. Any child not enrolled in a school system where proof of currency of vaccination is required must provide proof of currency.

(ii) Children enrolled in a local public school system and volunteer sports coaches are excluded from this requirement.

(iii) A waiver for an immunization exemption may be granted for medical or religious reasons. Philosophical exemptions are not permitted. The DoD Component must provide guidance on the waiver process.

(A) A statement from the child's health care provider is required if an immunization may not be administered because of a medical condition. The statement must document the reason why the child is exempt.

(B) If an immunization is not administered because of a parent's religious beliefs, the parent must provide a written statement stating that he or she objects to the vaccination based upon religious beliefs.

(C) During a documented outbreak of a contagious disease (as determined by local DoD Medical authorities) that has a vaccine, the child who is attending the program under an immunization waiver for that vaccine, will be excluded from the program for his or her protection and the safety of the other children and staff until the contagious period is over.

(iv) Civilian employees (including specified regular volunteers) and FCC providers shall obtain appropriate immunization against communicable diseases in accordance with recommendations from the ACIP. The requirement for appropriate immunization is a condition of continued employment or active participation in the program or organization.

(A) This requirement is waived if a current immunization, a protective titer, or a medical exemption is approved and documented. A waiver for an immunization exemption may also be granted for religious reasons. Philosophical exemptions are not permitted.

(B) The DoD Component must provide guidance on the waiver process. The DoD Component must approve all waivers and documentation of the waiver kept on file.

(C) During a documented outbreak of a contagious disease, staff with a waiver will be excluded from the program for their protection and the safety of the other children and staff until the contagious period is over.

(8) Child Abuse Prevention and Reporting. In accordance with 10 U.S.C. 1794, CDPs shall minimize the risk for child abuse.

(i) CDPs shall have standard operating procedures for reporting cases of suspected child abuse and neglect, and all employees, employees of DoD contractors, individuals working with CDPs, providers, volunteers and parents shall be informed of child abuse prevention, and identification and reporting requirements. Staff shall be knowledgeable of the child abuse reporting requirements.

(ii) In accordance with 10 U.S.C. 1794, the DoD Child Abuse and Safety Hotline telephone number shall be posted in highly visible areas, including the facility lobby, where parents have easy access to the telephone number. The hotline number shall be published in parent handbooks and other media.

(9) Programming and Standards of Operation. All CDPs shall establish a planned program of developmentally appropriate activities, and adhere to the standards of operation outlined in Tables 1 and 2 of this section.

(d) Personnel. Installation-based CDP personnel and FCC providers shall meet the following requirements:

(1) CDC Directors. CDC directors shall have at a minimum:

(i) A baccalaureate degree in child development, ECE, home economics (early childhood emphasis), elementary education, special education, or other degree appropriate to the position filled from an accredited college; or

(ii) A combination of education and experiences, which provide knowledge comparable to that normally acquired through the successful completion of the 4-year course of study in a child-related field.

(2) SAC Directors. Directors shall have at a minimum:

(i) A baccalaureate degree in a field of child or youth development, such as youth recreation, physical education, elementary education, secondary education, child development, psychology, social work, or other degree appropriate to the position filled from an accredited college; or

(ii) A combination of education and experiences, which provide knowledge comparable to that normally acquired through the successful completion of the 4-year course of study in a child development or youth-related field.

(3) Training and Curriculum Specialists. Each program within the CDP shall employ at least one training and curriculum specialist. Training and curriculum specialists shall have at a minimum:

(i) A baccalaureate degree with a major course of study directly related to child or youth development, ECE or an equivalent field of study from an accredited college, or a combination of education and experiences, which provide knowledge comparable to that normally acquired through the successful completion of the 4-year course of study in the field of child or youth development or ECE.

(ii) Knowledge of early childhood or youth education principles, concepts, and techniques to develop, interpret, monitor, and evaluate the execution of curriculum and age-appropriate activities.

(iii) Knowledge of adult learning techniques and strategies and experience training adult learners.

(iv) Ability to support DoD certification, accreditation, and staff credentialing (Child Development Associate (CDA), Associate of Arts (AA) Degree) by ensuring that required training is administered and successfully accomplished to meet statutory and program requirements.

(4) FCC Administrators. FCC administrators shall have at a minimum:

(i) A baccalaureate degree with a major course of study directly related to child or youth development, family studies, or an equivalent field of study from an accredited university; or

(ii) A combination of education and experiences, which provide knowledge comparable to that normally acquired through the successful completion of the 4-year course of study in the field of child or youth development or family studies.

(5) CDP Direct Care Personnel, Support Staff, and FCC Providers. CDP direct care personnel and support staff, as a condition of employment, and FCC providers shall, as a condition of participation:

(i) Be at least 18 years of age.

(ii) Hold a high school diploma or equivalent.

(iii) Read, speak, and write English.

(iv) Successfully pass a pre-employment physical, maintain current immunizations and be physically and behaviorally capable of performing the duties of the job.

(e) Training. Each CDP must have a DoD Component-approved training program. Satisfactory completion of training is a condition of employment for staff in a center-based program and for providers offering care in FCC homes.

(1) CDP Management Personnel. CDP management personnel, including CDP directors (CDC directors, FCC administrators, and SAC directors), shall receive annual training, which includes the following topics:

(i) Child abuse prevention, identification, and reporting.

(ii) Program administration, including APF and NAF financial management, funding metrics, and fiscal accountability.

(iii) Staff development and personnel management.

(iv) Prevention of illness and injury and promotion of health.

(v) Emergency procedures and preparedness.

(vi) Working with children with special needs.

(vii) Developmentally appropriate practices.

(2) Training and Curriculum Specialists. Training and curriculum specialists shall receive annual training, to include the following topics:

(i) Child abuse prevention, identification, and reporting.

(ii) Developmentally appropriate practices.

(iii) Principles of adult learning.

(iv) Prevention of illness and injury and promotion of health.

(v) Emergency procedures.

(vi) Working with children with special needs.

(3) CDP Direct Care Personnel and FCC Providers.

(i) Training requirements for direct care personnel (excluding FCC providers) shall be linked to the DoD CDP Employee Wage Plan implemented in response to 10 U.S.C. 1783, and 1791 through 1800 to include completion of the DoD-approved competency based training modules within DoD Component specified time frames.

(ii) All newly hired CDP direct care personnel and FCC providers shall complete 40 hours of orientation. Orientation shall begin prior to working with children, with the full 40 hours completed within the first 90 days of employment. Orientation completion shall be documented for each direct care personnel or FCC provider. Orientation includes:

(A) Working with children of different ages, including developmentally appropriate activities and environmental observations.

(B) Age-appropriate guidance and discipline techniques.

(C) Applicable regulations, policies, and procedures.

(D) Child safety and fire prevention.

(E) Child abuse prevention, identification, and reporting.

(F) Parent and family relations.

(G) Health and sanitation procedures, including blood-borne pathogens, occupational health hazards for direct care personnel, and recognizing symptoms of illness.

(H) Emergency health and safety procedures, including pediatric cardiopulmonary resuscitation (CPR) and first aid.

(I) Safe infant sleep practices and Sudden Infant Death Syndrome (SIDS) prevention.

(J) Nutrition, obesity prevention, and meal service.

(K) Working with children with special needs.

(L) Accountability and child supervision training.

(M) For FCC providers only, infant and child (pediatric) CPR and first aid must be completed prior to accepting children for care. Training shall be updated as necessary to maintain current certifications.

(N) For FCC providers only, training in business operations.

(iii) CDP direct care personnel and FCC providers shall complete additional training specified by the DoD Component within 90 days of beginning work. The training shall include, at a minimum, in-depth training on the subjects covered in the orientation as well as infant and child (pediatric) CPR and first aid, which shall be updated as necessary to maintain current certifications.

(iv) CDP direct care personnel and FCC providers shall complete a minimum of 24 hours per year of ongoing training by the DoD Component approved training program. Training shall include child abuse prevention, identification and reporting, safe infant sleep practices and SIDS prevention, working with children with special needs, and if required, administering medication.

(v) Substitute FCC providers must complete a basic orientation and background checks prior to providing care. Such orientation includes child abuse prevention, identification and reporting, working with children with special needs, safety procedures and pediatric CPR and first aid, and SIDS prevention. The FCC provider's spouse may serve as a backup provider on a limited basis, as designated by the DoD Component and must complete the required substitute FCC provider training.

(4) CDP Support Staff. CDP support staff shall participate in annual training related to the latest techniques and procedures in child care, including topics on child abuse prevention, identification and reporting, and other training related to their position.

(f) Volunteers. All volunteers shall be screened, trained, and supervised in accordance with DoD Instruction 1402.5 and 32 CFR part 86; and DoD Instruction 1100.21, ``Voluntary Services in the Department of Defense'' (see http://www.dtic.mil/whs/directives/corres/pdf/110021p.pdf) and DoD Component implementing guidance, as appropriate to their role. Volunteers may not be alone with children and are not counted in the staff ratio. All regularly scheduled volunteers shall be trained in:

(1) Program orientation.

(2) Age-appropriate learning activities.

(3) Child abuse identification, reporting and prevention.

(4) Age-appropriate guidance and discipline.

(5) Working with children with special needs.

(6) Child health and safety.

(7) Safe infant sleep practices and SIDS prevention.

(8) Emergency procedures.

(9) Applicable regulations and installation policy.

(10) Role of the volunteer in the CDP.

(g) Supplemental Child Care. On-site group care services are designed to provide occasional, intermittent care to children on an hourly basis, including respite child care.

(1) When on-site group care is provided in an installation CDP facility by CDP staff members, the requirements of this part apply.

(2) When on-site group care is provided in a non-CDP facility by CDP personnel and parents are not on site, the requirements of this part apply.

(3) When on-site group care is provided in a non-CDP facility by CDP personnel and parents remain on site, the facility is not required to meet the requirements of this part.

(4) When on-site group care is provided in an alternative facility by volunteers or parents, and the parent or guardian remain on site, the requirements of this part do not apply.

(h) Administration and Oversight of Community-Based Care Providers. (1) Types of Care. Efforts shall be made to expand the availability of these programs through referrals to comparable programs off of the installation through participation in consortiums with other Federal and non-governmental entities.

(1) Types of Care. Efforts shall be made to expand the availability of these programs through referrals to comparable programs off of the installation through participation in consortiums with other Federal and non-governmental entities.

(i) Efforts shall be made to ensure quality, affordable child care options exist for all eligible patrons, including those who are geographically dispersed active duty military and their families. Community-based child care options are designed to supplement, not replace, child care programs on the installation.

(ii) Care may be delivered through military-approved community-based CDPs, utilizing a myriad of delivery systems, including existing child care facilities, schools, recreation and after-school and summer programs, and home-based care programs.

(iii) Programs that support the needs of eligible deployed families in military-approved community-based child care programs where care is needed for a short-term basis during the deployment phase must meet the State licensing regulations and requirements and be inspected by an outside agency once a year. All other types of care must meet the intent of this part.

(iv) Programs shall meet State licensing standards for background checks.

(v) Military-approved community-based child care programs will be encouraged to participate in an evaluation process utilizing the ERIS in this section, a detailed assessment tool developed by the DoD to evaluate facility-based child care providers.

(2) Subsidies.

(i) The DoD Components may subsidize a portion of the cost of child care incurred by eligible active duty and DoD civilian employees.

(ii) Subsidies resulting from the child care provided to children of active duty military members are excluded from gross income pursuant to 26 U.S.C. 134.

(iii) Subsidies provided to DoD civilian employees may qualify for exclusion from gross income, provided the specific program used qualifies under 26 U.S.C. 129(d) and the employee receives the subsidy for an eligible purpose on behalf of an eligible child as described in 26 U.S.C. 21(a) and 21(b). Subsidies in excess of the excludable amounts will be treated as gross income under 26 U.S.C. 61. Employees are advised to consult with a qualified tax expert with questions or concerns related to taxability of child care subsidies.

(iv) Child care programs and providers who offer their services under this provision must comply with the standards outlined in this part and must be approved by the plan administrator or designee prior to issuance of subsidy payments by a DoD Component.

(v) The DoD Components are responsible for budgeting for child care subsidies and are not to establish a special fund out of which child care subsidies are paid, nor will eligible users of Military Child Development Programs be required to make a contribution as a condition of receiving a child care subsidy.

(vi) The DoD Components have the discretion to amend or terminate their participation in a child care subsidy program under this plan at any time. The benefits in this section are not guaranteed and may be reduced by plan amendment.

(vii) The OFP/CY will designate a TPA to administer the Military Department, Defense Agency, and DoD Field Activity civilian child care subsidy program for all DoD Components. Each civilian sponsor must register with the TPA contracted by the Defense Department.

(A) The TPA shall annually document family and provider eligibility, TFI, child data, and other information required to comply with reporting requirements, in accordance with 26 U.S.C. 21(a), 21(b), 61, 129, and 134.

(B) The TPA shall provide authorization and payment of child care subsidies to the provider. All subsidy payments shall be made to the child care provider.

(C) The TPA shall comply with fee assistance guidelines established by the individual DoD Components.

(i) Augmented Program Support. When possible, CDPs should utilize personnel, such as behavioral health consultants and school liaison officers to assist the program staff and parents with children's social-emotional development and behavior. These personnel shall assist staff, parents, and children in developing skills to respond to challenging behaviors and reduce stress for staff and participating children.

(j) CDC and SAC Standards of Operation, FCC Standards of Operation, and the ERIS. (1) Table 1 outlines the minimum operational standards required for installation-based CDCs and SACs to receive the DoD Certificate to Operate. These standards implement the policy requirements of paragraphs (a), (c)-(f), and (i) of this section. When a SAC program operates within a CDC, SAC standards of operation shall be used for the SAC portion of the program.

(1) Table 1 outlines the minimum operational standards required for installation-based CDCs and SACs to receive the DoD Certificate to Operate. These standards implement the policy requirements of paragraphs (a), (c)-(f), and (i) of this section. When a SAC program operates within a CDC, SAC standards of operation shall be used for the SAC portion of the program.

(2) Table 2 outlines the minimum operational standards required for installation-based and affiliated FCC providers to receive the DoD Certificate to Operate. These standards implement the policy requirements outlined in the body of this part.

(3) Table 3 outlines the operational standards for community-based child care facilities. These standards, in addition to the state licensing requirements, may be used to determine eligibility of child care subsidies under conditions designated by the DoD Components. Programs eligible to receive child care subsidies when the Service member is deployed must meet the state licensing requirements and be annually inspected.

Table 1--CDC and School-Age Programs Standards of Operations------------------------------------------------------------------------

-------------------------------------------------------------------------A. Administrative------------------------------------------------------------------------Both CDC and SAC------------------------------------------------------------------------The program has implemented the fee policy in accordance with current

DoD and DoD Component guidance. If appropriate, the program has an

approved waiver to utilize the high cost fee option.75 percent of the program's total labor hours are paid to direct program

staff who are in benefit status.Unannounced inspections are conducted by program staff following

complaints.------------------------------------------------------------------------B. Facility------------------------------------------------------------------------Facility: Both CDC and SAC------------------------------------------------------------------------The DoD Certificate to Operate is displayed in a prominent location.Newly constructed CDP facilities follow the UFC or Service guidance for

program capacity and capability.The facility food service area supports the sanitary preparation and

service of healthy foods.All playgrounds, playground surfaces, and equipment meet American

Society for Testing and Materials and Consumer Product Safety

Commission (CPSC) guidelines.There is a balance of sun and shade on the playground and a variety of

surfaces, such as resilient surfaces, and natural elements. CDC

playgrounds include equipment for riding, climbing, balancing, and

swinging.The program provides opportunities for active play every day, indoors

and outdoors. Children have ample opportunity to do vigorous activities

such as running, climbing, dancing, skipping, and jumping.Programs use gardens to educate children about healthy eating.The square footage of useable space for each child in each activity room

meets the requirements of the UFC or Service-specific guidelines.Sound absorbing materials, such as ceiling tiles and rugs are used to

minimize noise levels.Areas used by children have adequate lighting for safety, evacuation,

and security measures, are ventilated and kept at a comfortable

temperature.There is adequate and convenient storage space for equipment and

materials.Individual space is provided for each child's belongings.Supervised private areas where children can play or work alone or with a

friend are available indoors and outdoors.

Bathrooms, drinking water, and hand-washing facilities are easily

accessible to children.Clean, sanitary drinking water is readily available at all times.The facility includes a place for adults to take a break away from

children, an adult bathroom, a secure place for staff to store their

personal belongings, and an administrative area for planning or

preparing materials that is separated from the children's areas.The facility includes soft elements that help create a home-like

environment.------------------------------------------------------------------------Facility: CDC ONLY------------------------------------------------------------------------The square footage of activity space per child meets the requirements of

the UFC or Service specifications for facilities built after 2002. A

minimum of 50 square feet per child of activity space is provided for

infants in facilities built prior to 2002.If more than one care group occupies a single room, each group has its

own defined physical space and primary interest centers.Outdoor play areas directly adjoin CDCs. Playgrounds for alternative

program options must be accessible via a route free from hazards and

are located within 1/8 mile from the facility.Playgrounds are enclosed by a fence and meet the requirements of the

UFC.The square footage of playground space per child meets the requirements

of the UFC or Service specific guidelines. The playground area is

capable of supporting 30 percent of the total capacity of the CDC in a

center of 100 or more children, and all the children in centers with a

capacity of fewer than 100 children.The facility has a designated place set aside for breastfeeding mothers

who want to come during work to breastfeed, as well as a private area

with an outlet (not a bathroom) for mothers to pump their breast milk.------------------------------------------------------------------------Facility: SAC ONLY------------------------------------------------------------------------There are separate male and female bathrooms for children as well as

separate multi-unit restrooms for staff and visitors or a system to

ensure that adults and teens do not use the bathrooms at the same time

as children in SAC.------------------------------------------------------------------------C. Health and Sanitation------------------------------------------------------------------------Health and Sanitation: Both CDC and SAC------------------------------------------------------------------------A comprehensive health and sanitation inspection has been conducted

within the last 12 months, corrective actions have been completed per

specified timelines, and the inspection report is available for review.The program shall require that all children enrolling in CDPs provide

written documentation of immunizations appropriate for the child's age

in accordance with Army Standard for Child Development Center. Children

enrolled in the SAC program are not required to provide documentation

if they are enrolled in a local public school system.Staff employed by the CDP and regular volunteers shall be current for

all immunizations recommended for adults by the ACIP of the Centers for

Disease Control and Prevention. All must provide written documentation

of immunization.There is a policy in place that addresses the daily informal screening

for illness based on criteria established by the DoD Component. This

policy also addresses admission back into the CDP after an illness.There is a policy in place that addresses food or other allergies,

special accommodations, or potentially life-threatening conditions.Individual medical problems and accidents are recorded and reported to

management staff and families, and a written record is kept of such

incidents.Only physician-prescribed medications are administered; medications are

only given with the written approval of the child's parents; and

medications given are documented.Providers have documented parental permission to apply basic topical

care items such as sunscreen, insect repellant, and lotion.A plan exists for dealing with medical emergencies that include written

parental consent forms, and transportation arrangements approved by the

DoD Component.

Policies and procedures are followed for administering and storing

medication. Designated staff are trained to administer medications, and

the training is updated annually or as required by state laws.The facility is cleaned daily, and as needed throughout the day. Food

preparation areas, bathrooms, diapering areas, hand-washing facilities,

and drinking fountains are sanitary.A sink with running water at a comfortable temperature of no more than

110 degrees temperature is very close to bathrooms and diapering areas.Staff and children wash hands before and after eating, after toileting

and diapering, after handling animals, after entering the facility from

outdoors, before water play, after wiping their nose, and after any

other activity when the hands become contaminated. Signs are posted

reminding staff and children of proper hand-washing procedures.Staff and volunteers follow universal precautions to prevent

transmission of blood-borne diseases and the program has a blood-borne

pathogen procedure, as required by the Occupational Safety and Health

Administration (OSHA).The program requires parents to provide proper attire for active play

indoors and outdoors.At least one staff member, who has certification in first aid treatment,

including CPR for infants and children and emergency management of

choking, is always present. Current certificates are kept on file.------------------------------------------------------------------------Health and Sanitation: CDC ONLY------------------------------------------------------------------------Infant equipment is washed and disinfected at least daily. Toys that are

mouthed are removed immediately after mouthing and are washed and

sanitized prior to being used by another child.Individual bedding is washed at least once a week and used by only one

child between washings. Individual cribs, cots, and mats are washed if

soiled.Diapering procedures are in accordance with national recommendations and

are posted in diapering areas.Sinks used for diapering are not co-located with food service areas or

the sink used for dishwashing.------------------------------------------------------------------------D. Fire and Safety------------------------------------------------------------------------Fire and Safety: Both CDC and SAC------------------------------------------------------------------------Comprehensive fire and safety inspections have been completed within the

last 12 months, corrective actions have been completed per specified

timelines, and the inspection reports are available for review.A safety walk-through of all play areas is conducted daily. Safety

concerns are identified, documented, and corrected immediately or put

off limits to children until they can be corrected.The building, playground, and all equipment are maintained in safe,

clean condition, are in good repair, and there are no observable safety

hazards in the indoor and outdoor program space.Stairways and ramps are well lighted and equipped with handrails, where

appropriate.Fire extinguishers, smoke detectors, and carbon monoxide detectors,

where required, are in working order, and documentation shows status is

checked monthly.Adequate first aid supplies are readily available and maintained. First

aid supplies are available during field trips and outings.Toys and materials do not present a choking hazard for children under

age 3 years.Chemicals and potentially dangerous products, such as medicine or

cleaning supplies, are stored in original, labeled containers in locked

cabinets inaccessible to children. Diluted bleach solution must be

accessible to staff in an unlocked location, but inaccessible to

children.There is a written plan for reporting and managing emergencies,

including terrorist attacks, severe storm warnings, medical and

pandemic emergencies, or a lost or missing child, which includes

shelter in place and evacuation procedures. Staff and volunteers

understand the plan.

Evacuation drills are conducted monthly at different times of the day or

evening when children are in care. The drills are documented.Emergency telephone numbers including police, fire, rescue, and poison

control services are posted by telephones and are available at all

times.Staff and regular volunteers are familiar with primary and secondary

evacuation routes and practice evacuation procedures monthly with

children.A system is in place to keep unauthorized people from taking children

from the program.Smoking and use of tobacco is not permitted in the facility or in the

sight or presence of children.------------------------------------------------------------------------Fire and Safety: CDC ONLY------------------------------------------------------------------------Cribs meet the current CPSC guidelines.CPSC crib safety guidelines are followed: infants are placed on their

backs for sleeping; soft cushions, such as pillows, comforters, thick

blankets, quilts, or bumper pads are not used in cribs.------------------------------------------------------------------------E. Parent Involvement/Participation------------------------------------------------------------------------Parent Involvement/Participation: Both CDC and SAC------------------------------------------------------------------------Parents have access to their children at all times, are helped to feel

welcome and comfortable, and are treated with respect.Written information is available to families, including operating

policies and procedures, program philosophy, and a parent participation

plan.Programs are encouraged to include the culture and language of the

families they serve. Families are encouraged to share their heritage

and culture.Parents are offered a program orientation as a part of the child

enrollment process.Parents are informed about the program and curriculum and about policy

or regulatory changes and other critical issues that could potentially

affect the program, through newsletters, bulletin boards, technology,

and other appropriate means.Families are encouraged to participate in the planning and evaluation of

the CDC and SAC programs with regards to their child's care and

development. They are encouraged to be involved in the program in

various ways, taking into consideration working parents and those with

little spare time.There is a parent board that meets on a scheduled basis through in-

person or virtual meetings. The board meets periodically to provide

opportunities for families to have input regarding policies,

procedures, and plans for meeting children's needs.Staff work in collaborative partnerships with families, establishing and

maintaining daily or ongoing two-way communication with children's

parents to build trust, share changes in a child's physical or

emotional state regularly, facilitate smooth transitions for children,

and ensure that children's learning and developmental needs are met.Policies ensure that staff and parents have an effective way of

negotiating difficulties and differences that arise in their

interactions.Programs inform families on how to increase physical activity, improve

nutrition, and reduce screen time (TV, video games, computers, etc.).The program provides information to parents to ensure that each child

has routine health assessment by the child's primary care provider,

according to standards of the AAP, to include evaluation for nutrition-

related medical problems.------------------------------------------------------------------------Parent Involvement/Participation: CDC ONLY------------------------------------------------------------------------Conferences are held at least once per year and at other times, as

needed, to discuss children's progress, accomplishments, and

difficulties at home and at the program.------------------------------------------------------------------------F. Learning Activities and Interaction with Children------------------------------------------------------------------------

Both CDC and SAC------------------------------------------------------------------------Learning activities reflect the program's written statement of its

philosophy and goals for children. This statement is available to all

staff and families.The program is designed to reasonably accommodate and be inclusive of

all children, including those with identified disabilities as well as

special learning, medical, and developmental needs.Programs have established a planned program of developmentally

appropriate activities that recognizes the individual differences of

children and provides an environment that encourages children's self-

confidence, self-help, life skills, curiosity, creativity, and self-

discipline.Staff include age-appropriate nutrition education activities in the

curriculum.The daily schedule provides a balance of activities in consideration of

the child's daily routine and experience.Staff are engaged and interact frequently with children, speaking in a

friendly, positive, and courteous manner, respectful of gender, race,

religion, family background, special needs, and culture. The physical

environment supports these interactions.Staff conduct smooth and unregimented transitions between activities and

are flexible in changing planned or routine activities, as appropriate.

Infants and toddlers are not expected to function in large group

activities.Staff use a variety of teaching strategies to enhance children's

learning and development throughout the day.Staff addresses bullying and supports positive behavior by modeling

appropriate behavior, responding consistently to issues, and

encouraging children to resolve their own conflicts, when possible and

appropriate.The outdoor environment meets the needs of children, allows them to be

independent and creative, and have access to a variety of age-

appropriate outdoor equipment and games. Staff plan and participate in

children's active play.Program materials are in good condition, sufficient for the number of

children in the program, developmentally appropriate for the age of the

children, and appropriate to the activities offered.Screen time and the use of passive media is limited and developmentally

appropriate. Media viewing and computer use is not permitted for

children younger than 2 years.------------------------------------------------------------------------CDC Only------------------------------------------------------------------------There is a DoD Component-approved curriculum that supports school

readiness. It is based on knowledge of child and youth development and

learning, and assessment of individual needs and interests.Developmentally appropriate activities emphasize concrete experiential

learning and promote development in six developmental domains: social,

physical, language and literacy, cognitive and intellectual, emotional,

and cultural.Individual observations of children's development and learning are

written, compiled, assessed, and are used as a basis for planning

appropriate learning activities.Staff plan with families to make toileting, feeding, and the development

of other self-regulation skills a positive experience for children.------------------------------------------------------------------------SAC Only------------------------------------------------------------------------Developmentally appropriate activities encourage physical fitness;

positive self-esteem; intellectual, social, and physical achievement;

leadership skills and initiative; lifelong recreation skill; positive

use of leisure time; moral development and community leadership; self-

reliance and independence; and respect for diversity.SAC daily schedules are flexible, provide stability without being rigid,

allow youth tomeet their physical needs (e.g., water, food, restrooms) in a relaxed

way, allow children to move smoothly from one activity to another

(usually at their own pace), and facilitate smooth transitions when it

is necessary for children to move as a group.Appropriate protected internet access and programs that teach technology

are available.------------------------------------------------------------------------

G. Nutrition and Food Service------------------------------------------------------------------------Both CDC and SAC------------------------------------------------------------------------Meals and snacks are a pleasant, social learning experience for

children.The DoD Components will establish policies that are consistent with USDA

guidelines for meals provided by parents. Under limited circumstances

when meals are provided by parents, food storage and handling

procedures are approved by local health and sanitation authorities.Unless documented circumstances approved by the DoD Component prevent

enrollment, all programs must enroll in the USDA CACFP (United States

Department of Agriculture Child and Adult Care Food Program).Dietary modifications are made on the basis of recommendations by the

child's primary medical care provider and are documented. Documentation

is available for religious and medical dietary substitutions. Menus

contain some vegetarian meals.The program provides or posts menus showing all foods to be served

during that month. Core and cyclical menus are approved by a

nutritionist or registered dietician. Foods typical of the child's

culture and religious preferences, as well as a variety of healthful

foods that may not be familiar to the child, are included.The program provides healthy meals and snacks that include restrictions

on the provision of juice and beverages with added sweeteners and no

fried, high-fat, or highly salted foods.Meals and snacks are conducted using family-style dining. In SAC

programs, snacks may be served buffet style.------------------------------------------------------------------------CDC Only------------------------------------------------------------------------The program encourages, provides arrangements for, and supports

breastfeeding.There is an accountability system in place for bottles, including

bottles for breast milk. Bottle-feeding is done in such a way as to

minimize disease and promote interaction. Infants are held for bottle-

feeding, bottles are never propped, never heated in a crock pot or

microwave, and infants are never put to sleep with a bottle.One adult should not feed more than one infant for bottle feeding, two

children in high chairs, or three children who need assistance with

feeding at the same time.------------------------------------------------------------------------H. Supervision of Children------------------------------------------------------------------------Both CDC and SAC------------------------------------------------------------------------The following staffing requirements are met at all times, except during

nap time (for CDC):

a. For infants from birth to 12 months, there are never more than

four children per staff member.

b. For pre-toddlers 13 months to 24 months, there are never more

than five children per staff member.

c. For toddlers, 25 months to 36 months, there are never more than

seven children per staff member.

d. For children 37 months through 5 years, there are never more than

twelve children per staff member.

e. For children 6 years through 12 years, there are never more than

fifteen children per staff member.During rest time, the staff-to-child ratios for children over 24 months

of age may increase to twice the non-napping staff-to-child ratio.

Sufficient staff are required to remain in the building during rest

time to meet the non-napping ratios and be available to assist with

emergencies.The following maximum group sizes are followed at all times:

a. For infants birth to 12 months, there are never more than eight

children per group.

b. For pre-toddlers 13 months to 24 months, there are never more

than ten children per group.

c. For toddlers, 25 to 36 months, there are never more than fourteen

children per group.

d. For children thirty-seven months through five years, there are

never more than twenty-four children per group.

e. For SAC, there are never more than thirty children per group.In multi-age groupings, the Service may follow the ratio per age group.

For example, four infants and five pre-toddlers equal a group of nine

with two direct care personnel, or seven toddlers and twelve

preschoolers equal a group of nineteen with two direct care personnel.Volunteers or persons under 18 years of age may not be counted in

determining compliance with staff-to-child ratios and are not allowed

to work alone with children.The program has an accountability system in place. Each staff member has

primary responsibility and accountability for a group of children.

There is specific accountability for each child by one staff member.

Systems are in place for accounting for children's whereabouts,

especially during periods of transition and emergencies.Children are released only to their parents or guardian. Children may be

released to a designee when signed permission is given by the parent or

guardian.Families are notified about procedures and policies for field trips.

Families are notified of all activities outside the center.Children are under adult supervision at all times. Staff are not

permitted to use personal electronic devices (including, but not

limited to cell phones, iPods, smart phones, etc.) when supervising

children.------------------------------------------------------------------------CDC Only------------------------------------------------------------------------At least two staff members must be present with each group of children

at all times. When one staff person is alone with a single ratio of

children, the program director or designee frequently monitors the room

through closed circuit television or visual access panels to ensure

oversight by more than one adult. In this case, the staff member must

have an initiated National Agency Check Investigation (NACI) and the

program director or designee must have a completed NACI.Infants and toddlers spend the majority of the time interacting with

staff who have primary responsibility for them each day.------------------------------------------------------------------------SAC Only------------------------------------------------------------------------At least two paid staff members shall be present whenever children are

in the facility.Adult volunteers may supplement paid staff during field trips and other

activities away from the facility. Only paid staff are counted in the

ratio.Signed permission is given by the parent allowing the child to self-

release for a specific organized activity. Self-release procedures are

consistent with the installation home alone policy or self-care policy.------------------------------------------------------------------------I. Child Abuse Prevention and Reporting------------------------------------------------------------------------Both CDC and SAC------------------------------------------------------------------------A NACI to include a name-based criminal history record check (State and

Federal) and fingerprint check has been initiated on all staff.

Background checks are tracked to ensure completion in a timely manner.All individuals in a CDP who have contact with children have completed a

DD Form X656 ``Basic Criminal History and Statement of Admission''Updates to the background checks are completed every five years.Newly hired staff without a completed background check are readily

identifiable and work within line of sight of a staff member with a

completed check.Hiring practices include careful checking of references of all potential

employees and volunteers.The program has a written guidance, discipline, and touch policy that is

available to staff and families. Staff do not use corporal punishment

or other negative discipline methods that hurt, humiliate, or frighten

children.

The program has a child abuse and neglect policy that includes reporting

requirements for staff as well as procedures to be followed should a

staff member be accused of abuse or neglect. This information is

included in employee handbooks. All staff are knowledgeable of the

policy.The DoD Child Abuse and Safety Hotline telephone number is displayed in

a highly visible area where parents can see it. The telephone number is

published in parent handbooks and other brochures.The facility is designed in accordance with the Unified Facilities

Criteria (UFC) 4-740-14, ``Design: Child Development Centers,'' to help

minimize the risk of child abuse:

a. Access to children by those not employed by the program is

restricted.

b. Areas to which a child or children can be taken out of view of

others are limited.

c. All exit doors that do not open onto a fenced area have operating

alarms, except the main entrance to the facility and the kitchen

entrance.

d. Evening or weekend care is provided in rooms located near the

front entryway to facilitate additional supervision by the front

desk staff and parents.

e. In the CDC:

1) Children can be observed at all times by parents and

supervisors.

2) There is visual access into and throughout activity rooms

used for care, including nap time. Closed-circuit television,

vision panels, and convex mirrors are used as necessary to

facilitate visual access.

3) Diapering areas are visible.All persons other than employees and family members bringing in or

picking up children sign in and out at the front desk or with

appropriate personnel. Visitors to the CDP shall sign in and out of the

facility and wear a visitors badge at all times while they are in the

facility or on playgrounds.If transportation is provided for children by the program, vehicles are

equipped with age-appropriate restraint devices in accordance with

State and Federal requirements. The program maintains documentation

that vehicles used in transporting children are appropriately licensed,

inspected, and maintained. A current copy of the appropriate driver's

license and Department of Motor Vehicles driving record is on file for

staff members who transport children.In SAC programs, a procedure for accountability when a child fails to

show for the program is in place and followed.------------------------------------------------------------------------

Table 2--FCC Standards of Operation------------------------------------------------------------------------

-------------------------------------------------------------------------A. Administrative------------------------------------------------------------------------The installation regulates FCC in accordance with DoD Component

requirements, ensuring care is not permitted unless subject to

inspection and approval.Processes are in place to support recruitment and retention of FCC

providers.Unannounced inspections are conducted by program staff following

complaints.------------------------------------------------------------------------B. Home------------------------------------------------------------------------Where applicable, the DoD Component has a process to register and

certify homes located off the installation or in privatized government

housing.The Certificate to Operate, issued by the DoD Component or designee, is

displayed in a prominent location.Providers can demonstrate proof of current liability insurance.There is a signed contract between each family and provider. Parents are

informed of changes in the provider's household composition.Children are cared for by the provider or an approved substitute.

Parents and the FCC administrator are informed when a substitute

provider will be caring for their children. Civilian members of the

provider's household providing care as a substitute must be approved

and trained. Active duty Military Service members may serve as

substitute providers only under circumstances approved by the DoD

component.

There is adequate space indoors and outdoors in the home for the number

of children in care to play, rest, and eat.------------------------------------------------------------------------C. Health and Sanitation------------------------------------------------------------------------On installations, comprehensive fire, safety, and sanitation inspections

have been completed within the last 12 months, and the inspection

reports are available for review.The provider notifies parents and FCC of medical emergencies,

communicable diseases or illness of the children, the provider, or the

provider's family member(s). Health consultants will be informed based

on installation policy.Children are informally screened daily for illness based on criteria

established by the DoD Component. Children are readmitted after illness

only when their presence no longer endangers the health of other

children.Only physician-prescribed medications are administered; medications are

only given with the written approval of the child's parents; and

medications given are documented.Providers have documented parental permission to apply basic topical

care items such as sunscreen, insect repellant, and lotion.Procedures for diapering, hand washing, and toileting are followed in

accordance with national recommendations.Providers follow universal precautions to prevent transmission of blood-

borne diseases, and the provider has a blood-borne pathogen procedure,

as required by OSHA.Providers and children wash hands before and after eating, after

toileting and diapering, after handling animals, after entering the

home from outdoors, before water play, after wiping their nose, and

after any other activity when the hands become contaminated. Signs are

posted reminding providers and children of proper hand-washing

procedures.Homes are maintained in a sanitary manner.Individual bedding is washed at least once a week and used by only one

child between washings. Individual cribs, cots, and mats are washed if

soiled.Infant equipment is washed and disinfected at least daily. Toys that are

mouthed are removed immediately after mouthing and are washed and

sanitized prior to being used by another child.All windows used for ventilation are properly screened.Providers do not consume alcohol while children are in care.Smoking is not permitted in the home or outdoor area while children are

in care.------------------------------------------------------------------------D. Fire and Safety------------------------------------------------------------------------There are policies in place to ensure the home operates to protect

children against the risk of fire and safety hazards.There is a policy to keep children protected from hazards stemming from

poisoning, toxic materials, electrical shock, standing water, unsafe

playground equipment, and strangulation.There is a written plan for reporting and managing emergencies,

including terrorist attacks, severe storm warnings, medical and

pandemic emergencies, or a lost or missing child, which includes

shelter in place and evacuation procedures. Providers and volunteers

understand the plan.First aid supplies are readily available for emergencies and maintained.Evacuation drills are conducted monthly at different times of the day or

evening when children are in care. The drills are documented.There is a working landline or cellular phone within the home. Emergency

telephone numbers including police, fire, rescue, and poison control

services, and instructions are accessible or kept with the

telephone(s).Providers use safety gates to prevent children from falls. Door locks

that can entrap children inside a bathroom or bedroom may be opened

from the outside.If there are firearms in the home, the ammunition must be removed from

the firearm. Firearms and ammunition are stored separately in locked

cabinets that are inaccessible to children.Young infants are placed on their backs for sleeping to lower the risk

of SIDS. Soft cushions, pillows, thick blankets, and comforters are not

used in cribs.

Providers shall not permit children to sleep in family beds unless a

separate bed is designated for the child and clean linens are provided.Cribs meet CPSC guidelines. The sides of infants' cribs shall be in a

locked position when cribs are occupied and do not present a

strangulation or entrapment hazard.Providers inform parents if they will be taking children from the home

while they are in care.If transportation is provided for children by the provider, age-

appropriate restraint devices are used, and appropriate safety

precautions are taken.A current copy of the driver's license and proof of insurance is on file

for providers who transport children.------------------------------------------------------------------------E. Parent Involvement/Participation------------------------------------------------------------------------Parents are given access to the home at all times when their children

are present.Parents are provided with a copy of policies governing FCC.The provider communicates regularly with parents and recognizes them as

partners in the care of children, and there is a prominent place to

display information for parents.Parents are provided with information about the importance of routine

health supervision by the child's primary care provider, according to

standards of the AAP, to include evaluation for nutrition-related

medical problems.------------------------------------------------------------------------F. Learning Activities and Interaction with Children------------------------------------------------------------------------Activities and experiences are provided daily that enhance children's

physical, social, emotional, and cognitive development.Activities include age-appropriate nutrition education.There are enough toys and materials, home-made or purchased, to engage

all the children in developmentally appropriate ways.Toys, materials, and equipment are in good repair and are arranged so

children are able to select and put toys and materials away with little

or no assistance.A variety of daily activities is planned for indoors and outdoors. There

is a balance between child-initiated and adult-directed activities. A

daily schedule of activities is posted for parents to see.The provider plans and participates in children's active play.The provider interacts frequently with the children and shows them

affection and respect. The provider speaks to children in a friendly,

courteous manner.Children's routines are handled in a relaxed and individualized manner

that promotes respect and opportunities to develop self-esteem, self-

discipline, and learning by doing.Screen time (e.g., non-active video games) and the use of passive media,

(e.g., television, audio tapes), are limited and developmentally

appropriate. Media viewing and computer use are not permitted for

children younger than 2 years.The provider observes and evaluates each child's growth and development

for program planning.------------------------------------------------------------------------G. Nutrition and Meal Service------------------------------------------------------------------------Unless documented circumstances prevent enrollment, providers are

offered the opportunity to enroll in the USDA CACFP and all meals and

snacks are prepared, handled, transported, and served according to USDA

CACFP guidelines found in 7 CFR part 226.Providers develop written menus showing all foods to be served during

that month, and the menus are available to parents and guardians. Menus

are posted for meals and snacks.Dietary modifications are made on the basis of recommendations by the

child's primary care provider and are documented. Documentation is

available for religious and medical dietary substitutions. Menus

contain some vegetarian meals.Meals and snacks include restrictions on the provision of juice and

beverages with added sweeteners and limited high-fat and salted foods.Food is prepared, served and stored in a sanitary manner. If meals are

provided by parents, food storage and handling procedures are approved

by local health and sanitation authorities.

All children present are served meals or snacks. Meals and snacks for

toddlers, preschool, and school-age children use family-style dining.Bottle-feeding is done in such a way as to minimize disease and promote

interaction. Infants are held for bottle-feeding. Bottles are never

propped, never heated in a crock pot or microwave, and infants are

never put to sleep with a bottle.There is an accountability system in place for bottles, including

bottles for breast milk.The provider encourages, provides arrangements for, and supports

breastfeeding. There is an accountability system in place for bottles.------------------------------------------------------------------------H. Supervision of Children------------------------------------------------------------------------The maximum group size in a home is six children per provider, including

the provider's own children under the age of eight.

a. When all children are under the age of two, the maximum group

size at any one time is three.

b. In mixed-age groups, the number of children under two years of

age is limited to two children.

c. When all children are school-age, the maximum group size is

eight.Parents sign children in and out of the home on a daily basis. Children

are only released to persons that parents have authorized in writing.

Children may sign themselves out of the home consistent with the

installation home alone policy or self-care policy and parental

consent.Providers supervise all children in care both inside and outdoors.

School-age children may be outside without direct supervision as long

as they are within sight or sound of the provider.------------------------------------------------------------------------I. Child Abuse Prevention and Reporting------------------------------------------------------------------------Providers, substitute providers, and individuals age 18 and older living

in the home, must complete a background check annually.All individuals in a CDP who have contact with children have completed a

DD Form X656 ``Basic Criminal History and Statement of Admission''.The DoD Child Abuse and Safety Hotline telephone number is displayed in

a highly visible area where parents can see it. The telephone number is

published in parent materials.Children are never left alone with a visitor or another adult who is not

authorized to care for children.There is a guidance policy in place, and providers do not use corporal

punishment or other negative discipline methods that hurt, humiliate,

or frighten children.------------------------------------------------------------------------

Table 3--ERIS------------------------------------------------------------------------

------------------------------------------------------------------------Oversight------------------------------------------------------------------------The State Child Care Licensing/Regulating Agency conducts an annual on-

site inspection of the facility and program.------------------------------------------------------------------------SCR 01--Staff-Child Ratio/Group Size (SCR)------------------------------------------------------------------------

Standard------------------------------------------------------------------------SCR 01.01......................... RATIO (number of children per child

care provider/staff). Ratios must

be equal to or lower than:

1:4 or less for infants (birth to

12 months).

1:5 or less for pre-toddlers (13-

24 months).

1:7 or less for toddlers (25-36

months).

1:12 or less for preschool (37

months-5 years).

1:15 or less for school age (6-12

years).

SCR 01.02......................... GROUP SIZE (the total number of

children within various age

groups). Group size must be equal

to or lower than:

Eight or less for infants (birth

to 12 months) with two caregiving

staff per eight infants.

Ten or less for pre-toddlers (13-

24 months) with two caregiving staff

per ten pre-toddlers.

Fourteen or less for toddlers (25-

36 months) with two caregiving staff

per fourteen toddlers.

Twenty four or less for preschool

(27 months-5 years) with two

caregiving staff per twenty four

preschoolers.

Twenty four/thirty or less for

school age (6-12 years) with two

caregiving staff per twenty four/

thirty school agers.SCR 01.03......................... MULTI-AGE GROUPINGS (more than one

age group in a room). No more than

TWO AGE GROUPs may be combined

within 18 month range (THIS DOES

NOT APPLY TO SAC). Each age group

is represented by appropriate

ratio. Examples: two caregiving

staff: four infants and five pre-

toddlers; twp caregiving staff:

five pre-toddlers and seven

toddlers; two caregiving staff:

seven toddlers and twelve

preschoolers.------------------------------------------------------------------------BAC 02--Background Check/Child Abuse Prevention (BAC)------------------------------------------------------------------------

Standard------------------------------------------------------------------------BAC 2.01.......................... Background checks are completed and

documented for each employee or

regular volunteer who is in contact

with children, including

management, administration,

classroom, support staff, and

individuals contracted for hire.BAC 02.02......................... Background checks are renewed and

documented every 5 years for each

employee or regular volunteer who

is in contact with children,

including management and

administration, classroom staff,

and support staff.BAC 02.03.a....................... Background checks include

documentation of State Criminal

History Repository completed for

all states that an employee or

prospective employee lists as

current and former residences, in

an employment application by using

fingerprints.BAC 02.03.b....................... Background checks include

documentation of FBI fingerprint

check and name-based criminal

history records check of law

enforcement records completed for

any States lived in by applicant

during the past 5 years.BAC 02.03.c....................... Background checks include

documentation of a review of the

State Child Abuse Registry.BAC 02.03.d....................... Background checks include a review

of the State Sex Offender Registry.BAC 02.04......................... Each employee and regular volunteer

is trained annually about child

abuse prevention, common symptoms,

and signs of child abuse.BAC 02.05......................... All employees and regular volunteers

are trained annually on HOW to

report, WHERE to report, and WHEN

to report possible child abuse or

neglect.------------------------------------------------------------------------SR 03--Staff Requirements (SR)------------------------------------------------------------------------

Standard------------------------------------------------------------------------SR 03.01.a........................ Director has a minimum of a

Bachelor's Degree (BA) in childhood

education, child development,

social work, nursing, or other

child-related field AND experience

working with the age groups

enrolled in the program.

In the event that the director does

not have a BA degree in those

areas, the director must have an AA

degree and must be working toward

the completion of a BA degree.SR 03.01.b........................ The director is not responsible for

a classroom of children.SR 03.02.......................... The direct care personnel are at

least 18 years old and have a high

school diploma or a graduation

equivalency diploma (GED).------------------------------------------------------------------------TRG 04--Training Requirements (TRG)------------------------------------------------------------------------

Standard------------------------------------------------------------------------TRG 04.01......................... Orientation is provided for each

staff member and includes training

on the following: early childhood

development and education; child

abuse recognition, prevention, and

reporting; safety; first aid;

proper hygiene; and positive

guidance.TRG 04.02.a....................... There is an annual training plan for

directors. Topics shall include,

but are not limited to:

Child abuse prevention and

positive guidance.

Universally accepted health and

safety practices to include hand

washing.

Emergency preparedness and

evacuation procedures.

Social and emotional needs of

children.

Developmentally appropriate

practices.

General management practices, such

as financial management, facility

management, staff development, and

working with parents.

Safe sleep practices.TRG 04.02.b....................... There is an annual training plan for

staff that include topics such as:

Child abuse prevention and

positive guidance.

Universally accepted health and

safety practices to include hand

washing.

Social and emotional needs of

children.

Developmentally appropriate

practices.TRG 04.03......................... Staff complete forty hours of

initial orientation training within

the first three months.TRG 04.04......................... Staff are required to complete at

least 24 hours of training per

year.TRG 04.05......................... At least one staff member certified

in emergency pediatric first aid

treatment, including CPR for

infants and children and emergency

management of choking, is present

in the facility during hours of

operation.------------------------------------------------------------------------IMM 05--Immunizations (IMM)------------------------------------------------------------------------

Standard------------------------------------------------------------------------IMM 05.01......................... Children's records include EITHER:

Documentation of current age-

appropriate immunizations, as

recommended by the AAP; OR

A letter of exception on file and

a statement of medical religious

exception.IMM 05.02......................... Staff files include a copy of a TB

screening. Also included is

documentation of a general health

assessment or a physical

examination completed during

employment in-processing.

Information is available at: http://

www.cdc.gov/media/.------------------------------------------------------------------------SUP 06--Supervision/Guidance (SUP)------------------------------------------------------------------------

Standard------------------------------------------------------------------------SUP 06.01.a....................... The written policies and practices

of the program specify that staff

supervise children at all times,

including nap times. No child is

left alone or unsupervised.SUP 06.01.b....................... The written policies and practices

of the program specify that

children are released only to

persons listed on the child's

registration form or for whom the

parents have provided written

authorization.SUP 06.01.c....................... The written policies and practices

of the program specify that parent,

or authorized adult, signs children

in and out upon arrival and

departure each day, and attendance

records are kept.

A system is in place for accounting

for school-age arriving from school

or other activities without the

parent (for example, children

transported to the program by a

school bus).SUP 06.02......................... Organizational policy prohibits:

punishment by spanking or hitting

or other physical means, to include

corporal punishment; isolation from

adult sight; confinement, binding,

humiliation, or verbal abuse;

deprivation of food and water,

outdoor play or activities, or

other program components;

inappropriate touch; and punishment

for lapses in toilet training or

refusing food.------------------------------------------------------------------------DRL 07--Evacuation and Fire Drills (DRL)------------------------------------------------------------------------

Standard------------------------------------------------------------------------DRL 07.01......................... The program has a written plan for

emergency evacuation (for example,

a plan for evacuating building

occupants in case of fire, tornado,

earthquake, hurricane, or other

disaster that could pose a health

and safety hazard).DRL 07.02......................... Procedures are in place to ensure

all children in attendance are

accounted for during an evacuation

drill or event.DRL 07.03......................... There is an automatic fire detection

and alarm system in place, and it

is operational.DRL 07.04......................... A fire extinguisher is accessible

and in operating condition.DRL 07.05......................... Fire and emergency evacuation drill

procedures are practiced at least

monthly.------------------------------------------------------------------------HWD 08--Hand Washing and Diapering (HWD)------------------------------------------------------------------------

Standard------------------------------------------------------------------------HWD 08.01......................... Policies are in place to ensure

staff and children wash their hands

with soap and warm running water:

Before eating or food preparation.

After toileting or changing

diapers.

After handling animals, and after

any other activity when the hands

may become contaminated to include

returning from outside.HWD 08.02......................... Toileting and diapering areas are

not located in food preparation

areas. The areas are in easily

visible locations and are sanitary.------------------------------------------------------------------------MED 09--Medication and Health (MED)------------------------------------------------------------------------

Standard------------------------------------------------------------------------

If the program does not administer

medications, proceed to 09.02.MED 09.01.a....................... The program has a written policy and

clear procedures on administering

medicine, proper storage, and

labeling.

MED 09.01.b....................... If medication (prescription and/or

over-the-counter) is administered,

written parental permission is kept

on file and instructions from a

physician are required (``N/A'' is

allowed if no children currently

receive medication).MED 09.01.c....................... Designated staff are trained to

administer the medicine, and the

training is updated annually.MED 09.02......................... First aid kits are readily available

and maintained.MED 09.03.a....................... Programs provide healthy meals and

snacks consistent the U.S. Dietary

Guidelines and are encouraged to

participate in the USDA CACFP.MED 09.03.b....................... Programs are encouraged to limit

sugar-sweetened juices, beverages,

and snacks, and high-fat and high-

salt foods.MED 09.04......................... Bottle-feeding is done in such a way

to minimize disease and promote

interaction. For example, infants

are held for bottle-feeding,

bottles are never propped, never

heated in a crock pot or microwave,

and infants are never put to sleep

with a bottle.------------------------------------------------------------------------EMG 10--Emergency Plan/Contact Information (EMG)------------------------------------------------------------------------

Standard------------------------------------------------------------------------EMG 10.01.a....................... There is a written plan for

reporting and managing a lost or

missing child.EMG 10.01.b....................... There is a written plan for

reporting and managing injuries

requiring medical or dental care,

including hospitalization or

serious injury.EMG 10.01.c....................... There is a written plan for

reporting and managing abuse or

neglect of a child.EMG 10.01.d....................... There is a written policy that

requires all parents to provide

emergency information to include:

Multiple contact phone numbers

(work, cellular, home).

Emergency contact phone numbers

(relatives or friends) authorized to

pick up the child if parent cannot

be reached.

The child's physician, dentist,

and emergency room preference.------------------------------------------------------------------------OUT 11--Outdoor Play Area (OUT)------------------------------------------------------------------------

Standard------------------------------------------------------------------------OUT 11.01......................... The playground and all equipment are

maintained in safe, clean

condition, in good repair, and

there are no observable safety

hazards and no entrapment areas.OUT 11.02......................... Playground equipment is surrounded

by resilient surfaces (e.g., fine,

loose sand, wood chips, wood mulch)

of an acceptable depth (9 inches)

or by rubber mats manufactured for

such use.OUT 11.03......................... The playground equipment is arranged

to ensure that a child is visible

and supervision is maintained.OUT 11.04......................... There is a plan to check and inspect

playgrounds on a weekly basis. Each

staff member is responsible for

immediately reporting hazards or

unsafe areas to the director.------------------------------------------------------------------------HAZ 12--Hazardous Materials and General Safety (HAZ)------------------------------------------------------------------------

Standard------------------------------------------------------------------------HAZ 12.01......................... Accident protection and liability

insurance coverage are maintained

for children and adults.

HAZ 12.02......................... All chemicals and potentially

dangerous products, such as

medicine or cleaning supplies are

stored in original, labeled

containers in locked cabinets

inaccessible to children.HAZ 12.03......................... Poisonous or potentially harmful

plants on the premises are

inaccessible to children.HAZ 12.04......................... Children are protected from

accidental drowning by limiting

access to all bodies of water.HAZ 12.05......................... Electrical outlets are covered in

all areas accessible to children,

including corridors.HAZ 12.06......................... Toys and art supplies are made of

safe, non-toxic, durable, and

cleanable materials.HAZ 12.07......................... There are no items that could cause

choking or strangulation.

Additional information is available

at: http://www.cpsc.gov/.HAZ 12.08.a....................... Infants are placed on their backs

for sleeping to lower the risk of

SIDS.HAZ 12.08.b....................... Staff make sure that soft surfaces

such as pillows, quilts, thick

blankets, and soft bumpers are not

used in the crib.HAZ 12.09......................... The building has been inspected for

dangerous substances such as lead,

radon, formaldehyde, asbestos,

etc., in accordance with State

requirements.------------------------------------------------------------------------PAR 13--Parent Involvement (PAR)------------------------------------------------------------------------

Standard------------------------------------------------------------------------PAR 13.01......................... Families are offered an orientation

and information prior to enrolling

to include: hours of operation,

enrollment policies, program costs,

inclusion of special needs

children, and opportunities for

parent involvement.PAR 13.02......................... The program policy clearly includes

open door policy; family members

are welcome visitors in the program

at all times.PAR 13.03......................... The program provides opportunities

for communication between parents

and staff verbally or in writing on

a daily basis.------------------------------------------------------------------------DEV 14--Developmentally Appropriate Environment and Materials (DEV)------------------------------------------------------------------------

Standard------------------------------------------------------------------------DEV 14.01......................... Classrooms are arranged to

facilitate a variety of activities

for each age group and provide

areas where children can play and

work independently or with friends.DEV 14.02......................... Classrooms are well lit, ventilated,

and kept at a comfortable

temperature.DEV 14.03.a....................... Staff offer a variety of

developmentally appropriate

activities and materials for

children indoors and outdoors that

are respective of children's race,

gender, religion, family

background, culture, age, and

special needs and include:

Language and literacy.

Physical development.

Health, safety, and nutrition.

Creative expression.

Cognitive development.

Social and emotional development.DEV 14.03.b....................... Weekly classroom schedules include

opportunities for alternating

periods of quiet and active play,

child-initiated and teacher-

initiated activity, and individual,

small group, and large group

activities. Schedules are available

for parents to review.DEV 14.03.c....................... Programs provide an opportunity for

physical activity on a daily basis.

DEV 14.03.d....................... Screen time (e.g., non-active video

games) and the use of passive media

(e.g., television, audio tapes) are

limited and developmentally

appropriate.------------------------------------------------------------------------