BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1368
                                                                  Page  1

          Date of Hearing:   May 13, 2009

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Kevin De Leon, Chair

                    AB 1368 (Adams) - As Amended:  April 16, 2009 

          Policy Committee:                              Human  
          ServicesVote:7 - 0

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No

           SUMMARY  

          This bill expands to small family child care homes the current  
          health and safety requirement for child care facilities that at  
          least one staff member be onsite at all times who has completed  
          a course in pediatric first aid and pediatric cardiopulmonary  
          resuscitation (CPR). 

           FISCAL EFFECT  

          1)Providers will be required to pay for the cost of training,  
            likely between $65 and $145 per staff member depending on the  
            training venue.

          2)Costs associated with the Department of Social Services  
            Community Care Licensing Division ensuring that this  
            requirement has been met during their annual inspections  
            should be minor and absorbable within existing resources. 

           COMMENTS  

           1)Purpose  . The author has proposed this bill to fill a gap in  
            current child day care safety law.  This bill stems from an  
            incident in the author's district where a constituent's  
            daughter passed away from choking because the caregiver at the  
            small family child care home was not trained in pediatric CPR  
            and first aid.  According to the author, the licensee had  
            received training, but the person left in charge of the  
            children had not been trained. This bill would require that a  
            person trained in pediatric first aid and CPR be present with  
            the children at all times. 









                                                                  AB 1368
                                                                  Page  2

           2)Background  . Current law does not include small family child  
            care homes in the requirement that at least one caregiver be  
            trained in pediatric CPR and first aid and on the premises at  
            all times when children are present.  Large family child care  
            homes and child care centers are required to have someone  
            onsite at all times who has been trained. 

            It is not clear why small family child care homes were not  
            included in the original law, but anecdotally, there may have  
            been an assumption that they were sole operators.  These  
            one-person providers are required to have the training, and it  
            was probably assumed they were always onsite or with the  
            children.  Thus, only the types of programs with multiple  
            staff would have to be required to have a trained person  
            always there.  According to the Child Care Law Center, there  
            are in fact many small family child care homes that do have a  
            part-time assistant, spouse, sibling, or child who helps out.   

           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916)  
          319-2081