BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:                    SB 1420             
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          |AUTHOR:        |Mendoza                                        |
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          |VERSION:       |March 28, 2016                                 |
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          |HEARING DATE:  |April 20, 2016 |               |               |
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          |CONSULTANT:    |Alex Norring                                   |
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           SUBJECT  :  Child care and development:  occupational health and  
          safety training

           SUMMARY  :  Requires caregivers, as defined, to attend a one-time,  
          two-hour training on occupational health and safety, as  
          specified. Requires the Department of Education and the  
          Department of Public Health to develop the curriculum for the  
          training, as defined. 
          
          Existing law:
          1)Establishes the California Child Day Care Facilities Act to  
            provide for the licensure and regulation of child day care and  
            family day care facilities by the Department of Social  
            Services (DSS).
             
          2)Establishes guidelines for the development of licensing staff  
            with knowledge and understanding of children and child care  
            needs.

          3)Requires family day care home licensees who provide care to  
            have at least 15 hours of health and safety training, as  
            defined, including prevention of childhood injuries and  
            infectious diseases.

          4)Establishes the Child Care and Development Services Act to  
            provide child care and development services as a coordinated,  
            comprehensive, and cost-effective system serving children from  
            birth to 13 years old and their parents, including a full  
            range of supervision, health, and other support services  
            through full- and part-time programs.
          
          This bill:
          1)Requires a caregiver, beginning July 1, 2017, to attend a  







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            one-time, two hour training on occupational health and safety  
            risks specific to the child care profession, and how to  
            identify and avoid those risks. Requires a caregiver to  
            complete the training within two years of when the training is  
            first offered or within three months of the caregiver  
            beginning to care for children in a licensed child day care  
            facility, whichever occurs later.

          2)Requires the caregiver training to include:

                  a)        Discussion of risks and how to identify and  
                    minimize those risks, including: chemical and  
                    biological hazards, infectious disease, physical  
                    hazards and stress;
                  b)        Small- and large-group discussion;
                  c)        Opportunity for a caregiver to learn from  
                    current child care professionals;
                  d)        Presentations by associations or organizations  
                    of child care caregivers about their professional  
                    development offerings for caregivers; and,
                  e)        Opportunity for caregivers to give feedback on  
                    the training received.

          3)Defines "caregiver" as licensed caregivers and license-exempt  
            caregivers. Defines "licensed caregiver" as a person working  
            directly with children and is a child care provider,  
            administrator, or employee of a licensed child day care  
            facility. Defines "license-exempt caregiver" as a person who  
            works directly with children under a publicly funded child  
            care program, and is a child care provider who is exempt from  
            licensing requirements, but excludes caregivers that are  
            relatives of the children they care for. 

          4)Requires the California Department of Education (CDE) to  
            develop curriculum for the training in consultation with the  
            Department of Public Health (DPH) and child care caregivers.  
            Requires CDE to compensate caregivers for their attendance at  
            the training.

          5)Requires CDE to contract with an entity to provide the  
            occupational health and safety training required in this bill  
            throughout the state that is selected based on defined  
            requirements, including:

                  a)        Has experience providing occupational health  








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                    and safety trainings to caregivers;
                  b)        Trains caregivers to give the training  
                    required in this bill; and,
                  c)        Provides periodic updates on health and safety  
                    matters to caregivers that have completed the  
                    training.

          6)Requires CDE to provide monthly lists of caregivers and  
            contact information to the selected entity of those who have  
            and have not attended the training.

          7)Makes various findings and declarations about the risks child  
            care caregivers face on the job, which have been found to be  
            comparable to those of industrial truck and tractor operators  
            and construction equipment operators.

           FISCAL  
          EFFECT  :  This bill has not yet been analyzed by a fiscal  
          committee.
           
          COMMENTS  :
          1)Author's statement.  According to the author, anyone who has a  
            toddler knows how easy it is to throw out one's back picking  
            up a 30 pound child, especially when the child is kicking or  
            squirming, or how other accidents can arise when a child  
            leaves a toy or book in a worker's pathway. The constant  
            motion of bending over to comfort, lift, cook for, and clean  
            up after 5-10 children throughout the day could wear one's  
            body down. A Department of Labor report shows child care  
            workers have back, muscle, joint and other musculoskeletal  
            injuries at the same rate as truck drivers, construction  
            equipment operators, or package handlers. Layered on these  
            repetitive stress motions, child care workers must navigate  
            the use of harmful cleaning chemicals that, if used  
            inappropriately, can lead to asthma and other impacts. They  
            must navigate the "petri dishes" of germs that young children  
            often carry to keep themselves and the other children they  
            care for safe and healthy. SB 1420 fills a critical need to  
            keep child care workers injury-free with a common sense,  
            preventative approach that provides comprehensive training on  
            health and safety issues child care workers face on a daily  
            basis. In addition, this bill will provide training that will  
            bring California into compliance with new federal requirements  
            for the Child Care Development Block Grant. Most importantly,  
            this bill helps every child care worker, both in family child  








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            care and center settings, receive the training he or she needs  
            to prevent injuries and provide a safe environment for the  
            children.

          2)Child Care and Development Block Grant.  In 2014, President  
            Obama signed into law the Child Care and Development Block  
            Grant (CCDBG). According to the Administration for Children  
            and Families, under the federal Health and Human Services  
            Agency, this was a historic re-envisioning of the Child Care  
            and Development Fund (Fund) program. The CCDBG requires states  
            to establish health and safety requirements in 10 different  
            topic areas, including sudden infant death syndrome and  
            cardiopulmonary resuscitation (CPR). CCDBG requires child care  
            providers serving children that receive assistance through  
            this Fund to receive pre-service and ongoing training on these  
            topics. Additionally, CCDBG requires states to establish  
            professional development and training requirements with  
            ongoing annual training and progression to improve knowledge  
            of providers.

          3)Current training requirements. DSS, under current law,  
            establishes training requirements for child care. This  
            includes 15 hours of health and safety training, specifically  
            pediatric first aid, CPR, preventive health practices for the  
            prevention of infectious diseases and childhood injuries, and  
            nutrition training. Completion of this training by personnel  
            and licensees is required as a condition of licensure. If  
            qualified applicants are found deficient in this training,  
            then a provisional license is issued for 90 days to allow for  
            completion of the training. 

          4)Double referral. This bill was heard in Senate Education  
            Committee on April 6, 2016, and passed with a 7-2 vote. 

          5)Prior legislation. SB 548 (De Leon), of 2015, required CDE to  
            ensure all family child care providers attend in-person  
            orientation training and CDE and DSS to make information  
            regarding family child care providers available to provider  
            organizations. SB 548 was vetoed by the Governor because it  
            prematurely anticipated what would be necessary to comply with  
            the federal CCDBG.

          6)Support.  SEIU California writes that this bill would ensure  
            caregivers that serve children receive training on  
            occupational health and safety practices, which would protect  








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            their own health as well as those in their care. They further  
            state that this bill will bring California in line with  
            federal CCDBG re-authorization requirements. California Labor  
            Federation writes that child care workers are exposed to  
            several health and safety risks through their jobs and this  
            bill will ensure that California complies with new CCDBG  
            health and safety training requirements.
          
          7)Policy Comments.  This bill is focused on occupational health  
            and safety, which brings into question whether CDE and DPH are  
            the appropriate departments to establish training curriculum.
          
           SUPPORT AND OPPOSITION  :
          Support:  SEIU California (sponsor)
                    California Labor Federation
          
          Oppose:   None received
          


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