AB 290, as amended, Alejo. Child day care: childhood nutrition training.
Existing law, the California Child Day Care Act, requires that, as a condition of licensure and in addition to any other required training, at least one director or teacher at each day care center, and each family day care home licensee who provides care, have at least 15 hours of health and safety training, covering specified components, including preventative health practices courses.
This bill would provide that, for licenses issued on or after January 1,
begin delete 2015,end delete a director or teacher who receives the health and safety training shall also have at least one hour of childhood nutrition training as part of the preventive health practices course or courses. The bill would require the childhood nutrition training to include content on age-appropriate meal patterns, as specified, and information about reimbursement rates for the federal Child and Adult Care Food Program (CACFP), and would direct child care providers to the CACFP Unit of the State Department of Education for detailed information on CACFP eligibility and enrollment.
This bill would also make legislative findings and declarations.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares all of the
3(a) Nearly 25 percent of California’s preschool age children are
4overweight or obese and at risk of developing chronic diseases,
5which contribute to escalating health care costs.
6(b) Child care participation in the United States is at an all-time
7high. There are more than 45,000 licensed child care facilities in
8California that serve over one million children.
9(c) Research demonstrates that taste preferences and lifelong
10nutrition habits are formed during the early childhood years.
11(d) Research shows that the diets of most children in the United
12States do not meet the recommendations of the Dietary Guidelines
13for Americans. Children’s diets tend to be low in fruits, vegetables,
14calcium-rich foods, and fiber and high in total fats, saturated and
15trans fats, salt, and added sugar.
16(e) Research supports that training for child care providers can
17improve the quality of early childhood programs.
18(f) The state has a strong policy and financial involvement in
19the licensed child care system and in the health and safety of
20children while they are engaged in that system.
Section 1596.865 of the Health and Safety Code is
28amended to read:
It is the intent of the Legislature to encourage any
2person who provides child care in a child day care facility licensed
3pursuant to this chapter, Chapter 3.5 (commencing with Section
41596.90), or Chapter 3.6 (commencing with Section 1597.30) to
5have the following elementary health care training:
6(a) Cardiopulmonary resuscitation.
7(b) Pediatric first aid.
8(c) Preventive health practices, including food preparation,
9childhood nutrition, and sanitation practices that support overall
10health and reduce the spread of infectious diseases.
Section 1596.866 of the Health and Safety Code is
12amended to read:
(a) (1) In addition to other required training, at
14least one director or teacher at each day care center, and each
15family day care home licensee who provides care, shall have at
16least 15 hours of health and safety training, and if applicable, at
17least one additional hour of training pursuant to clause (ii) of
18subparagraph (C) of paragraph (2).
19(2) The training shall include the following components:
20(A) Pediatric first aid.
21(B) Pediatric cardiopulmonary resuscitation (CPR).
22(C) (i) A preventive health practices course or courses that
23include instruction in the recognition, management, and prevention
24of infectious diseases, including immunizations, and prevention
25of childhood injuries.
26(ii) For licenses issued on or after January 1,
begin delete 2015,end delete at
27least one director or teacher at each day care center, and each
28family day care home licensee who provides care, shall have at
29least one hour of childhood nutrition training as part of the
30preventive health practices course or courses.
31(3) The training may include instruction in sanitary food
32handling, emergency preparedness and evacuation, caring for
33children with special needs, and identification and reporting of
34signs and symptoms of child abuse.
35(b) Day care center directors and licensees of family day care
36homes shall ensure that at least one staff member who has a current
37course completion card in pediatric first aid and pediatric CPR
38issued by the American Red Cross, the American Heart
39Association, or by a training program that has been approved by
40the Emergency Medical Services Authority pursuant to this section
P4 1and Section 1797.191 shall be onsite at all times when children
2are present at the facility, and shall be present with the children
3when children are offsite from the facility for facility activities.
4Nothing in this subdivision shall be construed to require, in the
5event of an emergency, additional staff members, who are onsite
6 when children are present at the facility, to have a current course
7completion card in pediatric first aid and pediatric CPR.
8(c) (1) The completion of health and safety training by all
9personnel and licensees described in subdivision (a) shall be a
10condition of licensure.
11(2) Training in pediatric first aid and pediatric CPR by persons
12described in subdivisions (a) and (b) shall be current at all times.
13Training in preventive health practices as described in subparagraph
14(C) of paragraph (2) of subdivision (a) is a one-time only
15requirement for persons described in subdivision (a).
16(3) The department shall issue a provisional license for otherwise
17qualified applicants who are not in compliance with this section.
18This provisional license shall expire 90 days after the date of
19issuance and shall not be extended.
20(4) A notice of deficiency shall be issued by the department at
21the time of a site visit to any licensee who is not in compliance
22with this section. The licensee shall, at the time the notice is issued,
23develop a plan of correction to correct the deficiency within 90
24days of receiving the notice. The facility’s license may be revoked
25if it fails to correct the deficiency within the 90-day period. Section
261596.890 shall not apply to this paragraph.
27(d) Completion of the training required pursuant to subdivisions
28(a) and (b) shall be demonstrated, upon request of the licensing
29agency, by the following:
pediatric first aid and pediatric CPR course
31completion cards issued by the American Red Cross, the American
32Heart Association, or by a training program approved by the
33Emergency Medical Services Authority pursuant to Section
35(2) (A) A course completion card for a preventive health
36practices course or courses as described in subparagraph (C) of
37paragraph (2) of subdivision (a) issued by a training program
38approved by the Emergency Medical Services Authority pursuant
39to Section 1797.191.
P5 1(B) Persons who, prior to the date on which the amendments to
2this section enacted in 1998 become operative, have completed a
3course or courses in preventive health practices as described in
4clause (i) of subparagraph (C) of paragraph (2) of subdivision (a),
5and have a certificate of completion of a course or courses in
6preventive health practices, or certified copies of transcripts that
7identify the number of hours and the specific course or courses
8taken for training in preventive health practices, shall be deemed
9to have met the training in preventive health practices.
10(3) In addition to training programs specified in paragraphs (1)
11and (2), training programs or courses in pediatric first aid, pediatric
12CPR, and preventive health practices offered or approved by an
13accredited college or university are considered to be approved
14sources of training that may be used to satisfy the training
15requirements of paragraph (2) of subdivision (a). Completion of
16this training shall be demonstrated to the licensing agency by a
17certificate of course completion, course completion cards, or
18certified copies of transcripts that identify the number of hours
19and the specified course or courses taken for the training as defined
20in paragraph (2) of subdivision (a).
21(e) The training required under subdivision (a) shall not be
22provided by a home study course. This training may be provided
23through in-service training, workshops, or classes.
24(f) All personnel and licensees described in subdivisions (a) and
25(b) shall maintain current course completion cards for pediatric
26first aid and pediatric CPR issued by the American Red Cross, the
27American Heart Association, or by a training program approved
28by the Emergency Medical Services Authority pursuant to Section
291797.191, or shall have current certification in pediatric first aid
30and pediatric CPR from an accredited college or university in
31 accordance with paragraph (3) of subdivision (d).
32(g) The department shall have the authority to grant exceptions
33to the requirements imposed by this section in order to meet the
34requirements of the Americans with Disabilities Act of 1990 (42
35U.S.C. Sec. 12101 et seq.).
36(h) The department shall adopt regulations to implement this
Section 1596.8661 of the Health and Safety Code is
39amended to read:
(a) For purposes of the training required pursuant
2to paragraph (4) of subdivision (a) of Section 1596.798, pediatric
3first aid training pursuant to Section 1596.866 shall include a
4component of training in the administration of inhaled medication
5described in paragraph (4) of subdivision (a) of Section 1596.798.
6(b) The Emergency Medical Services Authority shall establish,
7consistent with Section 1797.191, minimum standards for a
8component of pediatric first aid training that satisfies the
9requirements of paragraph (4) of subdivision (a) of Section
101596.798. For purposes of this subdivision, the Emergency Medical
11Services Authority is encouraged to consult with organizations
12and providers with expertise in administering inhaled medication
13and nebulizer care, including, but not limited to, the American
14Lung Association, respiratory therapists, and others.
15(c) For purposes of the training required pursuant to clause (ii)
16of subparagraph (C) of paragraph (2) of subdivision (a) of Section
171596.866, instruction in childhood nutrition shall be at least one
18hour in length and shall include content on age-appropriate meal
19patterns based on the most current Dietary Guidelines for
20Americans. In order to increase child care providers’ capacity to
21serve healthy foods at a lower cost, the training shall contain
22information about reimbursement rates for the United States
23Department of Agriculture’s Child and Adult Care Food Program
24(CACFP) (7 C.F.R. 226.20), and shall direct child care providers
25to the CACFP Unit of the Nutrition Services Division of the State
26Department of Education for detailed information on CACFP
27eligibility and enrollment.