BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          AB 290 (Alejo) - Child Day Care: Childhood Nutrition Training
          
          Amended: May 20, 2013           Policy Vote: Human Services 6-0
          Urgency: No                     Mandate: No
          Hearing Date: August 30, 2013                                
          Consultant: Jacqueline Wong-Hernandez                       
          
          SUSPENSE FILE. AS PROPOSED TO BE AMENDED.

          
          Bill Summary: AB 290 requires that a newly licensed teacher or  
          director of a day care center or family day care home who  
          receives health and safety training also complete at least one  
          hour of childhood nutrition training, as specified.

          Fiscal Impact (as proposed to be amended): The Emergency  
          Management Services Agency (EMSA): Significant one-time workload  
          to create new standards, notify training providers of new  
          requirements, and to receive and review updated curriculum from  
          those providers. 
              Regulations: Likely minor workload for EMSA to re-open and  
              revise regulations, with a flexible timeframe.

          Background: Existing state law, the California Child Day Care  
          Facilities Act, establishes a statewide comprehensive system for  
          licensing child day care facilities to ensure a quality day care  
          environment. (HSC 1596.7 et seq.)

          Federal law establishes the Child and Adult Care Food Program  
          (CACFP) and identifies nutritional standards for meals in such  
          facilities. (7 CFR 226.20)

          Existing state law further requires that state child care  
          centers adhere to CACFP nutrition standards, but participation  
          in the reimbursement program is optional. Family day care homes  
          are not required to adhere to CACFP standards. 

          Existing state law requires EMSA to establish training standards  
          for child care center directors and teachers and providers in  
          licensed child care homes. (HSC 1596.8661 (b))

          Existing state law specifically requires that at least one  








          AB 290 (Alejo)
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          director or teacher at each day care center, and each family day  
          care home licensee who provides care, shall have at least 15  
          hours of health and safety training, as specified, to include:  
          a) pediatric first aid; b) pediatric cardiopulmonary  
          resuscitation; and, c) a preventative health practices course or  
          courses that include instruction in the recognition, management,  
          and prevention of infectious diseases, including immunizations,  
          and prevention of childhood injuries. (HSC 1596.866)

          Proposed Law: This bill requires that, for licenses issued on or  
          after January 1, 2015, 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 and information about  
          reimbursement rates for the federal CACFP, as specified.

          Staff Comments: Under existing law, the EMSA establishes health  
          and safety (including preventative health) training standards  
          for child care center directors and teachers and providers in  
          licensed child care homes. Entities seeking to provide training  
          that meets those standards submit proposed curriculum to EMSA  
          for review, along with a $240 review fee; curriculum is reviewed  
          upon initial submission and every two years thereafter. Once  
          curriculum is approved, the training provider transacts with  
          individuals interested in receiving the training to provide  
          training and an official certificate of completion. Verification  
          of training completion is part of the requirement for licensure  
          by the Department of Social Services (DSS). The DSS simply  
          verifies that the child care licensee has completed a training  
          program approved by EMSA.
          
          For licenses issued on or after January 1, 2015, this bill would  
          add (at least) one hour of required training in childhood  
          nutrition, as specified, to the one-time preventive health  
          practices training already required of providers. This bill  
          places a new requirement on the licensee, which he or she would  
          pay for in fees charged by the training provider. It requires  
          curriculum revision by training providers; any costs to those  
          providers could also be recovered by fees charged to licensees. 

          What is not covered by fees is the significant workload EMSA  
          will incur to update the standards and revise regulations in the  








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          one-year timeframe. EMSA will also have notify training  
          providers of the changes, and review all curriculum changes  
          prior to implementation on January 1, 2015. EMSA charges $240  
          per curriculum review, which is an amount set in regulations (as  
          opposed to giving EMSA the authority to fully recover its  
          costs), and it does not cover staffing costs beyond the actual  
          time spent on curriculum review for a particular training  
          provider.

          Prior to budget reductions in recent year, beginning in 2009-10,  
          EMSA had 2.5 Associate Governmental Program Analysts (AGPAs),  
          and 1 full time clerical staff person assigned to the Child Day  
          Care program. The program now consists of 1 AGPA and a .5  
          clerical staff position. To implement this bill, the sole staff  
          person will need to review every training provider's new  
          curriculum in 2014 (in order to continue providing training  
          under new rules that take effect January 1, 2015); all training  
          providers will need to make the changes to their curricula and  
          be reviewed, whether or not they were scheduled for a 2014  
          renewal review under existing law.

          In addition to doing twice as many reviews as normal next year,  
          the sole Child Day Care staff person would be responsible for  
          taking the lead to create the new standards by which training  
          curriculum will be evaluated, and be involved in revising  
          regulations before the reviews could even begin. Absent  
          additional staff, it does not seem possible to implement the  
          bill in its prescribed timeline. The program will need at least  
          one additional limited-term AGPA, and likely a full-time  
          clerical staff person, to complete the work required by this  
          bill by the required deadline.

          AS PROPOSED TO BE AMENDED: Author's proposed amendments would  
          delay implementation to January 1, 2016, and authorize EMSA to  
          implement the new requirement using a management bulletin (or  
          similar means) until regulations can be revised.