BILL ANALYSIS �
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|SENATE RULES COMMITTEE | AB 290|
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THIRD READING
Bill No: AB 290
Author: Alejo (D)
Amended: 9/3/13 in Senate
Vote: 21
SENATE HUMAN SERVICES COMMITTEE : 6-0, 6/11/13
AYES: Yee, Berryhill, Emmerson, Evans, Liu, Wright
SENATE APPROPRIATIONS COMMITTEE : 7-0, 8/30/13
AYES: De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg
ASSEMBLY FLOOR : 77-0, 4/29/13 (Consent) - See last page for
vote
SUBJECT : Child day care: childhood nutrition training
SOURCE : California Food Policy Advocates
DIGEST : This bill requires a teacher or director of a day
care center or family day care home who is licensed after
January 1, 2016, and receives health and safety training, to
also have at least one hour of childhood nutrition training,
including information about age-appropriate meal patterns, and
information about reimbursement rates for the federal Child and
Adult Care Food Program (CACFP), as specified.
ANALYSIS :
Existing law:
CONTINUED
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1. Establishes the California Child Day Care Facilities Act to
establish a statewide comprehensive, quality system for
licensing child day care facilities to ensure a quality day
care environment.
2. Establishes in federal law the CACFP and identifies
nutritional standards for meals in such facilities.
3. Requires that state child care centers adhere to CACFP
nutrition standards, but leaves open the option to
participate in the reimbursement program. Family Child Care
Homes are not required to adhere to CACFP standards.
4. States legislative intent to encourage any person who
provides child care in a licensed child day care facility to
have completed "elementary" health care training such as
cardiopulmonary resuscitation, pediatric first aid,
preventative health practices such as food preparation,
sanitation, and practices that reduce the spread of
infectious disease.
5. Requires that at least one director or teacher at each day
care center, and each family day care home licensee who
provides care, to have at least 15 hours of health and safety
training, as specified, to include:
A. Pediatric first aid.
B. Pediatric cardiopulmonary resuscitation.
C. A preventive health practices course or courses that
include instruction in the recognition, management, and
prevention of infectious diseases, including
immunizations, and prevention of childhood injuries.
6. Establishes that training may include instruction in child
nutrition, food handling, caring for children with special
needs, and the identification and reporting of signs and
symptoms of child abuse.
7. Requires that at least one staff member of a day care center
or family day care home who has completed the training be
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on-site whenever children are present on- site or during
off-site trips.
8. Requires the state's Emergency Medical Services Authority
(EMSA) to establish training standards for child care center
directors and teachers and providers in licensed child care
homes.
This bill:
1.Makes various findings and declarations about obesity in
children, childhood nutrition and eating habits.
2.Makes various findings and declarations about the prevalence
of child care use among American families and within
California, and about the benefit to children of having
trained child care providers.
3.Through intent language, encourages any person who provides
child care also receive training in childhood nutrition and
practices that support overall health.
4.States legislative intent to establish an effective date for
the requirements of this bill that provides sufficient time
for the EMSA to develop and approve adequate childhood
nutrition training standards using existing processes and
procedures and to avoid excessive costs and burden on EMSA.
5.Adds one hour of childhood nutrition education to the required
15 hours of training for directors and teachers at day center
centers and licensed family day care homes, as specified.
6.Provides that the additional hour of required training applies
only to licenses issued after January 1, 2016, and be included
as part of the preventive health practices course or courses.
7.Requires that childhood nutritional training include content
on age-appropriate meal patterns based on the most current
Dietary Guidelines for Americans.
8.Requires the training to contain information about
reimbursement rates for the CACFP and that child care
providers be directed to the state Department of Education's
CACFP for information on eligibility and enrollment.
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9.Permits the EMSA, through bulletin or similar instructions
from the DDS director until regulations are adopted, to
establish standards for the training in childhood nutrition,
pursuant to existing law.
Background
Obesity among children . The prevalence of obesity in children
has more than doubled in the past 30 years among young children
aged two to five, according to the U.S. Department of Health and
Human Services. It has tripled among youth ages 6 to 11, and
has more than tripled among adolescents ages 12 to 19.
According to the Centers for Disease Control, more than
one-third of children and adolescents were overweight or obese
in 2010.
Child Care training requirements . Existing law requires that at
least one director or teacher at each day care center, and each
family day care home licensee who provides care, must have at
least 15 hours of health and safety training on preventative
health practices.
Included in the required training is pediatric CPR
(cardiopulmonary resuscitation); pediatric first aid;
recognition, management, and prevention of infectious diseases,
including immunizations; and prevention of childhood injuries.
State statute requires the EMSA to establish standards for the
training.
Additionally, the training may include training in sanitary food
handling, child nutrition, emergency preparedness and
evacuation, caring for children with special needs, and
identification and reporting of signs of child abuse. This bill
changes the permissive training for child nutrition to a
mandate.
CACFP . The U. S. Department of Agriculture's CACFP provides day
care providers with cash reimbursement for serving up to two
meals and one snack per day to enrolled children that meet
federal nutritional guidelines. Program payments for day care
homes are based on the number of meals served to enrolled
children, multiplied by the appropriate reimbursement rate for
each breakfast, lunch, supper, or snack they are approved to
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serve.
Other states . According to research by the California Food
Policy Advocates, many other states have nutrition training for
licensed daycare centers and family day care homes.
Massachusetts requires two hours of training in nutrition for
young children. Delaware requires that Early Childhood
Caregivers complete three hours of nutrition training within a
mandated 60-hour training course on early care and education.
Nevada requires child care facility employees to complete at
least two hours of annual training on the subject of lifelong
wellness, health and safety of children which includes training
relating to childhood obesity, nutrition and physical activity.
Related Legislation
AB 2084 (Brownley, Chapter 593, Statutes of 2010) specified the
amount of juice and type of milk to be served at licensed child
day care facility and prohibited serving sweetened beverages, as
specified.
AB 1872 (Alejo, 2012) would have required child care providers
to adhere to federal nutritional standards and to keep a daily
menu of all meals and snacks available for parents to view.
FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
According to the Senate Appropriations Committee:
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 the EMSA to re-open
and revise regulations, with a flexible timeframe.
SUPPORT : (Verified 8/31/13)
California Food Policy Advocates (source)
Alameda County Child Care Planning Council
American Federation of State, County and Municipal Employees
Asia Law Alliance
Atkins Center for Weight and Health at UC Berkeley
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Bay Area Family Child Care Providers Support Group
California Alternative Payment Program Association
California Association for the Education of Young Children
California Center for Public Health Advocacy
California Childcare Health Program
California Federation of Teachers
California Pan-Ethnic Health Network
California State Parent Teachers Association
California Teachers Association
California WIC Association
Child Care Alliance of Los Angeles
Child Care Food Program Roundtable
Children Now
Choices for Children
Community Child Care Council 4C's of Alameda County
Community Health Improvement Partners
Crystal Stairs, Inc.,
Dietetic Intern Choices for Children
Elaine's Family Child Care
Family Child Care Association of San Francisco
Family Child Care Council
Feeding America San Diego
First 5 San Bernardino
First 5 Santa Clara
First5 Fresno
Fresno Economic Opportunity Commission
Junior Leagues of California State Public Affairs Committee
PACE (Professional Association for Childhood Education)
San Francisco and Marin Food Banks
Solano Family & Children's Services
State Council on Developmental Disabilities
University of California San Francisco School of Nursing
California Childcare Health Program
ASSEMBLY FLOOR : 77-0, 4/29/13
AYES: Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,
Blumenfield, Bocanegra, Bonilla, Bonta, Bradford, Brown,
Buchanan, Ian Calderon, Campos, Chau, Ch�vez, Chesbro, Conway,
Cooley, Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox,
Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gordon, Gorell,
Gray, Grove, Hagman, Hall, Harkey, Roger Hern�ndez, Holden,
Jones, Jones-Sawyer, Levine, Linder, Logue, Lowenthal,
Maienschein, Mansoor, Medina, Mitchell, Morrell, Mullin,
Muratsuchi, Nazarian, Nestande, Olsen, Pan, Patterson, Perea,
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V. Manuel P�rez, Quirk, Quirk-Silva, Rendon, Salas, Skinner,
Stone, Ting, Torres, Wagner, Waldron, Weber, Wieckowski, Wilk,
Williams, Yamada, John A. P�rez
NO VOTE RECORDED: Atkins, Melendez, Vacancy
JL:d:n 9/1/13 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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