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) Page 1 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 AB 290 (Alejo) Page 2 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.