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What you need › Webinar notes › CDSS Community Care Licensing

Child Care Provider Webinar, 2023 Q2

2023-06-27Quarterly Provider Webinar1:07:28 long

Presented June 2023. Rules and deadlines may have changed since; check Rules & laws for the current version.

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The state licensing office's June 2023 quarterly webinar: licensing updates, summer safety reminders, and disability rights and medication in child care.

Hosted by

CDSS Community Care Licensing

Presented by

CDSS Community Care LicensingChild Care Law CenterGiani Interiano Brown

Who it’s for

  • Licensed family child care homes
  • Child care centers

3 things to know

  1. Programs can't turn away a child just because of a disability or a disability-related need for medication.✓ checked
  2. Before giving medication, have an Incidental Medical Services plan approved by your licensing analyst (see PIN 22-02-CCP). See What to do for a later update on SB 722.
  3. Never leave children in a parked vehicle. An open window is not enough.

Do this

If you might care for a child who needs medication, write your Incidental Medical Services plan using PIN 22-02-CCP and get it approved.

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Session notes

In the order it was presented. Open any part.

Welcome and agenda
  • Quarter Two webinar, held June 27, 2023, in English, Cantonese, Mandarin and Spanish.✓ checked
Lead testing funding for child care centers
  • Funding is available to test center drinking water for lead and fix contamination (PIN 21-04-CCP). Apply through the Eligibility Form in the Provider Portal.✓ checked▶ 00:03:08
  • The presenter said the lead testing requirement applies only to centers, not family child care homes.▶ 00:03:43
Update on AB 605 (single license)
  • AB 605, chaptered in 2018, creates a single child care center license. Phase One covers new applications only; its public hearing ended September 12, 2022, and the package (ORD No. 1121-05) was with the Office of Administrative Law.▶ 00:04:31
  • Phase Two moves all existing centers to a single license, planned to begin January 2024. The presenter said each center would transition on its license anniversary date.▶ 00:05:40
  • To help revise Phase Two regulations, write to the policy mailbox.✓ checked▶ 00:05:59
New notices (PINs)
  • PIN 23-06-CCP warns about brightly colored "rainbow" fentanyl. It also reminds providers to keep prescription medication out of reach and check play spaces daily.▶ 00:08:18
  • PIN 23-07-CCLD announces Guardian training webinars for licensees and providers.✓ checked▶ 00:08:21
  • PIN 23-08-CCLD updates the clearance and exemption transfer forms. The presenter said transfers often avoid a repeat Live Scan, and the LIC 508 criminal record statement is discontinued.▶ 00:09:41
Disaster preparedness
  • You must have a written disaster plan and hold disaster drills. The presenter said the plan lists staff names and roles and evacuation site addresses.▶ 00:10:52Coming January 1, 2027: the emergency and disaster plan must meet Health & Safety Code §1596.868 and be reviewed every year, staff and volunteers must be trained on it, and practice drills must be held at least quarterly (PIN 26-11-CCP, checked 2026-09-29). current rule
  • Share your evacuation and reunification plan with parents, and keep three to five days of essential supplies.▶ 00:11:31
  • UC San Francisco's Guide to Plan for Emergencies and Disasters walks you through writing a plan.▶ 00:12:20
Extreme heat and children in cars
  • Keep children hydrated without sugary drinks, use SPF 15 or higher sunscreen, and schedule outdoor time carefully. Play equipment such as slides can get hot enough to burn.▶ 00:14:32
  • Never leave children in a parked vehicle; an open window is not enough. The presenter cited Title 22 and Senate Bill 855, and said car temperatures can rise 20 degrees in 10 minutes.▶ 00:15:59
  • July 31 is National Heatstroke Prevention Day.▶ 00:17:56
Fireworks safety
  • Per the CDC, 7 of every 100 people injured by fireworks are hospitalized, and about 40% of those injured are children under 14.✓ checked▶ 00:18:53
  • "Safe and Sane" fireworks are permitted in some communities; the presenter said about 300 California communities allow them.▶ 00:20:04
Water safety
  • Bodies of water must be inaccessible to children. Talk to your analyst before any plan to use a pool, and test that gates self-close and self-latch.▶ 00:21:39
  • Per the CDC, drowning kills more children ages 1 to 4 than any other cause, and is the second leading cause of unintentional injury death for ages 5 to 14.✓ checked▶ 00:23:21
Provider well-being
  • Take care of your own health. The Child Care Technical Assistance Network has free self-care resources.▶ 00:24:36
Immunization lookup (SCRL)
  • CDPH's new School and Child Care Roster Lookup (SCRL) lets providers check a child's immunization status. It shows only whether the child meets entry requirements.▶ 00:26:16
Incidental Medical Services plan
  • Incidental medical services include inhaled medications, epinephrine auto-injectors, insulin shots, blood glucose monitoring and G-tube feeding. A plan is required when you provide them.✓ checked▶ 00:28:35Current rule: AB 150 widened “epinephrine auto-injector” to include other epinephrine delivery systems the FDA approves for general use, not only auto-injectors (PIN 26-11-CCP, checked 2026-09-29). current rule
  • The presenter said your plan covers medication types, storage, who gives it, training and documentation, and must be approved by your analyst before you accept or give medication.▶ 00:29:31
  • Return expired medication to the family and store medication out of children's reach. PIN 22-02-CCP has the guidance.▶ 00:31:04
Disability rights in child care (Child Care Law Center)
  • The ADA (1990) and California's Unruh Civil Rights Act and Disabled Persons Act protect people with disabilities in child care. The ADA covers almost all centers and family child care homes.▶ 00:33:21
  • The ADA protects 3 groups: people with an impairment that substantially limits a major life activity, people with a history of one, and people seen as having one.✓ checked▶ 00:35:35
  • Programs must assess each child individually, not exclude children automatically, and use a balancing test for accommodation requests.✓ checked▶ 00:42:29
  • Children with disabilities have the right to the most integrated setting, mainstream programs, and reasonable accommodation.✓ checked▶ 00:46:07
  • The 3 types of accommodation are policy changes, auxiliary aids and services, and removing physical barriers. They are not required if they would fundamentally alter the program, cause undue burden, or are not readily achievable.✓ checked▶ 00:47:33
  • Examples of discrimination include automatic exclusion and charging extra fees because of a disability.✓ checked▶ 00:51:40
Giving medication in child care
  • Providers can't exclude a child just for a disability-related medication need. Non-medical staff may give medication if they follow set procedures, including written authorization from the parent.▶ 00:57:10
  • All licensed providers must reasonably accommodate children who need medication, using an IMS plan made with the family and doctor. Title 22 §101226(e) covers handling medication.✓ checked▶ 00:57:30
  • The Child Care Law Center gives legal information and training, but does not represent either side in provider-family disability disputes.▶ 01:01:43
Staying connected and upcoming webinars
  • Tell your analyst or regional office when your contact details change, and sign up online for PINs and quarterly updates.▶ 00:06:58
  • The remaining 2023 webinars were September 26 and December 12, 2023, at 6:00 p.m. (registration via PIN 22-30-CCP). Both dates have passed.✓ checked▶ 01:04:46
  • Questions: Child Care Advocates email or Child Care Assistance line.✓ checked

Links and what’s next

Where this comes from

Written from the sources below. It is not an official record of any agency, host or presenter. Links like ▶ 00:41:10 jump to that moment in the recording. ✓ checked means an official source confirms it; ⚠ check means an official source seems to say something different. Everything else is as the presenter said it.

Every fact and its source (77, 47 checked)
What was saidWhenChecked?
The webinar was held June 27, 2023 (Quarter Two).
Provider Webinar June 27, 2023 - Quarter Two
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slide 1
Stated on the official slides Something wrong?
The webinar was presented in English, Cantonese, Mandarin and Spanish.
This webinar is presented in English, Cantonese, Mandarin, and
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slide 3
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PIN 21-04-CCP covers state and federal funding to test child care center drinking water for lead and to fix lead contamination.
Provider Information Notice 21-04-CCP: Availability of State and Federal Funding to Test Drinking Water for Lead
✓ checked
slide 5
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To apply for sampling or consultation services, centers complete the Eligibility Form in the Provider Portal.
To apply for sampling services or to register for consult ation services, use the Provider Portal to complete the Eligibility Form for your facility.
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slide 5
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The presenter said the lead testing requirement applies only to child care centers; family child care homes are not required to test their water for lead.
let testing requirement only applies to Child Care Centers family child care homes are not required to test their drinking or cooking water for lead contamination
▶ 00:03:43as said
See the rule Something wrong?
Assembly Bill 605 (single license) was chaptered in 2018.
assembly Bill 605 or commonly known as single license was chaptered in 2018
▶ 00:04:31as said Something wrong?
AB 605 Phase One applies to new applications only.
Phase One: • For new applications only
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slide 6
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The Phase One public hearing ended September 12, 2022.
Public Hearing ended September 12, 2022
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slide 6
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The Phase One regulation package was with the Office of Administrative Law.
Regulation package with the Office of Administrative Law
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slide 6
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The regulation package is Single License Child Care Center, Office of Regulation Development No. 1121-05.
Single License Child Care Center, Office of Regulation Development No. 1121-05
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slide 6
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Phase Two will transition all existing child care facilities to a single license.
Phase Two: • Transitioning all existing child care facilities to a single license
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slide 6
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The presenter said Phase Two would begin January 2024.
transition to single license beginning January 2024
▶ 00:05:40as said Something wrong?
The presenter said existing providers would move to the single license on their license anniversary date, when annual fees are renewed.
transitioned to single licensed on the anniversary date of their lure when their annual fees are renewed
▶ 00:06:13as said Something wrong?
Stakeholders who want to help revise Phase Two regulations can write to the policy mailbox, [email protected].
Policy Mailbox: [email protected]
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slide 6
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PIN 23-06-CCP gives information on brightly colored fentanyl, also called "rainbow fentanyl".
PIN 23-06-CCP: Information Regarding Brightly Colored Fentanyl, Also Referred To As “Rainbow Fentanyl”
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slide 7
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The presenter said PIN 23-06-CCP reminds providers to keep prescription medication out of children's reach and to inspect play spaces daily.
keep all prescription medication Out Of Reach of children to inspect children's play spaces daily
▶ 00:08:18as said Something wrong?
PIN 23-07-CCLD announces Guardian training webinars for licensees and providers.
PIN 23-07-CCLD: Guardian Training Webinar For Licensees And Providers
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slide 7
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PIN 23-08-CCLD covers updates to the Criminal Background Clearance Transfer Request (LIC 9182) and Criminal Record Exemption Transfer Request (LIC 9188) forms.
PIN 23-08-CCLD: Criminal Background Clearance Transfer Request (LIC 9182) And Criminal Record Exemption Transfer Request (LIC 9188) Form Updates
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slide 7
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The presenter said a clearance or exemption can often be transferred between licensed facilities, so a repeat Live Scan is not needed.
transferring criminal record clearance or exemption from one Department license facility to another so there's no need for repeat
▶ 00:09:41as said
See the rule Something wrong?
The presenter said the criminal record statement form (LIC 508) has been discontinued, so employers no longer need to request it.
the use of Licensing form 508 has been discontinued that is the criminal record statement so there's no longer the need for you the employer to request that
▶ 00:10:00as said Something wrong?
Providers must have a written disaster plan and conduct disaster drills.
Requirement to have written disaster plan and conduct disaster drills.
✓ checked
slide 8
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The presenter said the Title 22 disaster plan includes staff names and roles and the addresses of evacuation sites.
written disaster plan that includes the names of the staff and their roles during disasters
▶ 00:10:52as said Something wrong?
The presenter advised sharing your evacuation and reunification plan with parents.
share with your parents your plan for evacuation as well as reunification
▶ 00:11:31as said Something wrong?
The presenter advised keeping three to five days of essential supplies for the number of children in care.
keep three to five days worth of essential supplies for the number of children you are caring for
▶ 00:11:48as said Something wrong?
The Guide to Plan for Emergencies and Disasters is a step-by-step guide created by UC San Francisco.
stepbystep guide created by UC San Francisco
▶ 00:12:20as said Something wrong?
For heat, the slides advise staying hydrated and avoiding sugary drinks.
Stay hydrated, stay away from sugary drinks
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slide 9
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The slides advise sunscreen with SPF 15 or higher.
Use sunscreen with SPF of 15 or higher
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slide 9
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Never leave children or infants in a parked vehicle; leaving a window open is not enough.
Never leave children or infants in a parked vehicle • Leaving window open is not enough
✓ checked
slide 9
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The presenter said Title 22 regulations state children shall not be left in parked cars.
title 22 regulations States specifically that children shall not be left in parked cars
▶ 00:15:59as said Something wrong?
The presenter said Senate Bill 855 also prohibits leaving children in parked cars.
Senate Bill 855 or Caitlyn's law prohibits leaving children in parked cars
▶ 00:16:07as said Something wrong?
The presenter said temperatures in a parked car can rise as much as 20 degrees in the first 10 minutes.
Rising by as many as 20 degrees in the first 10 minutes
▶ 00:16:29as said Something wrong?
The presenter said July 31 is National Heatstroke Prevention Day.
July July 31st is National heat stroke Prevention Day
▶ 00:17:56as said Something wrong?
Seven of every 100 people injured by fireworks are hospitalized (CDC).
Seven of every 100 persons injured by fireworks are hos pitalized
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slide 10
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About 40% of people injured by fireworks are children under 14 (CDC).
Approximately 40% of those injured are children under 14
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slide 10
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"Safe and Sane" fireworks are permitted (in some areas, per the State Fire Marshal).
“Safe and Sane” fireworks are permitted
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slide 10
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The presenter said about 300 California communities allow safe and sane fireworks, and fireworks are illegal in some areas.
information about 300 California communities that allow safe and sane fireworks
▶ 00:20:04as said Something wrong?
More children ages 1 to 4 die from drowning than from any other cause of death (CDC).
More children ages 1–4 di e from drowning than any other cause of death
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slide 11
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For children ages 5 to 14, drowning is the second leading cause of unintentional injury death after motor vehicle crashes (CDC).
For children ages 5–14 , drowning is the second leading cause of unintentional injury death after motor vehicle crashes
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slide 11
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The presenter said bodies of water must be made inaccessible to children, whatever the weather.
bodies of water should be made inaccessible to the children so you cannot open the gate to have children access to them
▶ 00:22:03as said Something wrong?
The presenter said to talk to your licensing analyst about any plan to use a pool before deciding anything.
we urge you to communicate your plan in advance before you decide anything with your analyst
▶ 00:21:39as said Something wrong?
The presenter said to check that pool gates are self-closing and self-latching.
is the pool gate working is it self-latching self- closing self closing self-latching test it out
▶ 00:22:30as said Something wrong?
CDPH launched the School and Child Care Roster Lookup (SCRL) to help child care providers check a child's immunization status.
a new tool called the School and Child Care Roster Lookup (SCRL) to assist child care providers in determining a student's immunization status.
✓ checked
slide 13
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The slide says SCRL is replacing the California Immunization Records (CAIR2).
SCRL is replacing the C alifornia Immunization Records (CAIR2)
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slide 13
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The presenter said SCRL only shows whether a child has the immunizations needed to enter child care or school.
does the child have the necessary immunization to enter child care or school so that's the only part
▶ 00:27:48as said Something wrong?
Incidental medical services include inhaled medications, epinephrine auto-injectors, insulin shots, blood glucose monitoring, and gastrostomy tube feeding and care.
Inhaled Medications • Epinephrine Auto-Injectors • Insulin Shots
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slide 14
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A Plan for Providing Incidental Medical Services must be completed when those services are provided.
A Plan for Providing Incidental M edical Services must be completed when services are provided
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slide 14
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PIN 22-02-CCP explains how to give incidental medical services in licensed homes and centers.
PIN 22-02-CCP for more information regarding administering Incidental Medical Services in licensed Family Child Care Homes and Child Care Centers.
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slide 14
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The presenter said the IMS plan covers the type of medication, storage, who gives it, training and documentation.
the type of medication you are prepared to administer how are you going to store it where who will be administering the training requirement documentation
▶ 00:29:31as said Something wrong?
The presenter said a facility must submit its IMS plan to its licensing analyst for review and approval before accepting or giving medication.
your facility must submit an IMS to your LPA for review and approval prior to accepting or administering medication to the children
▶ 00:30:52as said Something wrong?
The presenter said expired medication must be returned to the family, and medication must be stored out of children's reach.
all expired medication must be returned to the family and while the medication is in your possession they must be stored where they are made inaccessible to children
▶ 00:31:04as said Something wrong?
The guest speaker was Giani Interiano Brown, Staff Attorney at the Child Care Law Center.
Giani Interiano Brown, Staff Attorney Child Care Law Center
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slide 15
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The speaker said the ADA is a federal civil rights law passed in 1990.
federal civil rights law that was passed in 1990
▶ 00:33:21as said Something wrong?
The speaker said the ADA covers child care centers, preschools and family child care homes, which cannot discriminate against people with disabilities.
centers preschools and family child care homes cannot discriminate against individuals with disabilities
▶ 00:33:32as said Something wrong?
California also has the Unruh Civil Rights Act and the Disabled Persons Act.
California Unruh Civil Rights Act • California Disabled Persons Act
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slide 16
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The ADA protects 3 groups: people with an impairment that substantially limits major life activities, people with a history of one, and people seen as having one.
The ADA protects 3 groups of people:
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slide 16
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ADA protections apply to almost all child care programs.
Protections apply to almost all child care programs.
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slide 17
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Programs need eligibility standards that don't automatically exclude people with disabilities.
Eligibility standards that don’t automatically exclude people with disabilities
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slide 17
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Programs use a "balancing test" for reasonable accommodation requests.
Use of the “balancing test” for reasonable accommodation requests.
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slide 17
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People with disabilities have the right to participate in all activities in the most integrated setting appropriate to their needs.
Equal opportunity to participate in all activities in “the most integrated setting appropriate” to the person’s needs.
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slide 18
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People with disabilities have the right to participate in mainstream programs and to a reasonable accommodation.
Participate in mainstream programs. • Be provided a “reasonable accommodation.”
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slide 18
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The ADA sets out 3 primary types of accommodation: changes in policies, auxiliary aids and services, and removal of physical barriers.
The ADA sets out 3 primary types of accommodations:
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slide 19
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Accommodations are not required if they would cause a fundamental alteration or undue burden, or are not readily achievable.
Cause a fundamental alteration or undue bur den (i.e. significant difficulty/expense), OR • Not be readily achievable
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slide 19
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Charging higher or extra fees because of a child's disability is an example of disability discrimination.
Higher fees/tuition or additional fees because of a child’s disability
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slide 20
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Eligibility standards that automatically exclude children with disabilities are an example of discrimination.
Eligibility standards that automatically exclude children with disabilities
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slide 20
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Child care providers can't exclude children from care solely because they have a disability-related need for medication.
Child care providers can’t exclude children from care solely because they have a disability- related need for medication.
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slide 21
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Non-medical staff (child care providers) can give medication to children if they follow certain procedures.
Non-medical staff (child care providers) can give medication to children if they follow certain
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See the rule
slide 21
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All licensed providers (centers, family child care homes, after-school programs) must reasonably accommodate children who need medication.
All licensed providers (centers, family child care homes, after-s chool programs) MUST “reasonably accommodate” children who need medication.
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slide 22
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The speaker said staff giving medication need written authorization and instructions from the child's representative that match the label directions.
staff have written authorization and instructions from the child's representative usually a parent or guardian
▶ 00:57:10as said Something wrong?
Title 22, section 101226(e) sets licensing requirements for handling medication.
California Code of Regulations, title 22, section 101226(e) outlines Licensing requirements for handling medication.
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slide 23
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The speaker said the Child Care Law Center does not represent providers or families in disability-rights disputes with each other, but can share resources.
we do not currently represent child care providers or families in disput disputes with one another concerning disability rights of children
▶ 01:01:43as said Something wrong?
Child Care Law Center contacts: www.childcarelaw.org/help/, [email protected], (415) 558-8005 ext. 101.
www.childcarelaw.org/help/ • [email protected] • (415)558-8005 ext. 101
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slide 24
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The presenter said to notify your analyst or regional office when your email, phone or other details change.
make sure that you notify your uh analyst or your local regional office
▶ 01:04:08as said Something wrong?
The presenter said providers can sign up on the licensing website to receive PINs and quarterly updates by email.
sign up on the licensing website www.ccld.ca.gov to receive important updates
▶ 00:06:58as said
See the rule Something wrong?
The remaining 2023 provider webinars were Tuesday, September 26 and Tuesday, December 12, 2023, at 6:00 p.m.
Tuesday, September 26, 2023, 6:00 p.m. Tuesday, December 12, 2023, 6:00 p.m.
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slide 28
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Registration for the webinars is through PIN 22-30-CCP.
Register for Child Care Licensing Webinars: Provider Information Notice (PIN), PIN 22-30-CCP
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slide 28
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Child Care Advocates: [email protected]; Child Care Assistance: (800) 543-7793.
Child Care Advocates [email protected] Child Care Assistance (800) 543-7793
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slide 30
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The presenter suggested adjusting outdoor times in heat and checking play equipment such as slides, which can get hot enough to burn children.
they can get very hot and cause burn to Children's delicate skin
▶ 00:15:39as said Something wrong?