BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1368
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 1368 (Adams)
          As Amended  April 16, 2009
          Majority vote 

           HUMAN SERVICES      7-0         APPROPRIATIONS      16-0        
           
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          |Ayes:|Beall, Ammiano, Tom       |Ayes:|De Leon, Nielsen,         |
          |     |Berryhill, Hall, Logue,   |     |Ammiano,                  |
          |     |Portantino, Torres        |     |Charles Calderon, Davis,  |
          |     |                          |     |Duvall, Krekorian, Hall,  |
          |     |                          |     |Harkey, Miller,           |
          |     |                          |     |John A. Perez, Price,     |
          |     |                          |     |Skinner, Solorio, Audra   |
          |     |                          |     |Strickland, Torlakson,    |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Includes small family day care homes in the health and  
          safety requirement to ensure that at least one staff member has  
          completed a course in pediatric first aid and pediatric  
          cardiopulmonary resuscitation (CPR).

           EXISTING LAW  requires, under the California Child Day Care Act,  
          that day care centers ensure that at least one staff member who  
          is trained in pediatric first aid and pediatric CPR be present  
          wherever children are onsite or offsite.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee analysis:

          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  :  This bill seeks to fill a gap in current child day  
          care safety law.  According to the author, "A constituent's  
          daughter passed away from choking because the caregiver that was  








                                                                  AB 1368
                                                                  Page  2


          left at the small family child care home by the licensee was not  
          trained in pediatric CPR and first aid. While the licensee was  
          properly trained, the person she left to take care of the  
          children was not, and therefore, the infant died because the  
          caregiver did not know how to properly administer pediatric  
          CPR."

          Current law does not include small family child care homes when  
          requiring at least one caregiver to be trained in pediatric CPR  
          and first aid and on the premises at all times when children are  
          present.  This is already the case with large family child care  
          homes and daycare facilities.  This bill seeks to include small  
          family child care homes in the requirements already existing for  
          large family child care homes and daycare facilities.

          The proposed change requires all family child care, not just  
          large, to ensure that someone with pediatric first aid and CPR  
          is on-site or off-site with children at all times.  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 on-site 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.  It seems appropriate to make sure that the  
          children are always with someone who has CPR and first aid  
          training.
           
           
          Analysis Prepared by  :    Frances Chacon / HUM. S. / (916)  
          319-2089 


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