# Child Care Provider Webinar, September 2023 (Q3) Hosted by: CDSS Community Care Licensing (https://www.cdss.ca.gov/inforesources/child-care-licensing) Presented by: CDSS Community Care Licensing, CDSS Child Care and Development Division, Prenatal to Five Fiscal Strategies, CDPH, CDPH Immunization Branch Date: 2023-09-26 · Length: 1:04:16 Web page: https://childcare.support/t/cdss-2023-q3/ NOTE: Presented September 2023. Rules and deadlines may have changed since; check Rules & laws for the current version. ## What it is The state licensing office's September 2023 webinar: new PINs and laws, large-home exit doors, food rules, subsidy rate reform, and CDPH health updates. ## 3 things to know - Exit doors in large family child care homes must be single-action and open from inside without a key or special effort. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=10] - Starting January 1, 2024, AB 2131 removed the "toddler component" from state law, in line with the single license. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=8] - For the first time, California planned to use a cost model to inform child care subsidy rates. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=16] ## What to do - Large family child care homes: make sure exit doors are single action. As a best practice, add bells, alarms or sensors to exit doors and remind parents not to leave doors open at drop-off and pick-up. [presenter said at 00:12:06, not independently confirmed; presenter said at 00:12:25, not independently confirmed] - Centers: follow CACFP meal patterns, post menus, and keep individual infant feeding plans. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=13] - Licensed facilities with children ages 2-5: report immunization status every year through CAIR Hub. The 2023 deadline (December 1, 2023) has passed; check CAIR Hub for the current deadline. [presenter said at 00:57:48, not independently confirmed] [applies to: preschools with a child care center license. Family child care homes review immunization status but do not report (CDPH, checked 2026-09-22).] [changed since: the current immunization report deadline is December 4, 2026 (CDPH, checked 2026-09-22).] - Tell your licensing program analyst or regional office when your phone, email, location, operation or physical plant changes, and sign up to get PINs by email. [presenter said at 01:00:29, not independently confirmed] ## What's new - AB 185: effective September 27, 2022, children enrolled in Transitional Kindergarten are considered school-age. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=8] - AB 2131: on January 1, 2024, the "toddler component" was removed from the Health and Safety Code to match the single license. The presenter said the department can use written directives until regulations are adopted. [presenter said at 00:07:24, not independently confirmed; presenter said at 00:07:41, not independently confirmed] - AB 2806: expulsion and suspension procedures. The presenter said state-funded programs cannot suspend or expel a child with challenging behaviors without first taking and documenting reasonable steps to keep the child safely in the program. [presenter said at 00:08:09, not independently confirmed; presenter said at 00:08:43, not independently confirmed] - AB 2827: the presenter said written directives will let children with exceptional needs use outdoor play spaces at the same time as other children, without a waiver. [presenter said at 00:09:21, not independently confirmed; presenter said at 00:09:33, not independently confirmed] - PIN 23-11-CCP: exit doors in large family child care homes must be single action, openable from inside without a key or special knowledge or effort. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=10] - Immunization reporting moved to a new site, CAIR Hub, for the 2023 reporting season. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=22] ## Welcome and agenda - The third quarterly provider webinar of 2023 was held September 26, 2023, in English, Cantonese, Mandarin and Spanish. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=1; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=3] - The presenter said there was no certificate for attending. [presenter said at 00:00:54, not independently confirmed] - Guest speakers came from the Child Care and Development Division (with Prenatal to Five Fiscal Strategies) and the California Department of Public Health. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=4] - The Child Care Licensing Program's mission is to protect the health and safety of children in care. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=5] ## Social and emotional support (PIN 23-10-CCP) - PIN 23-10-CCP has resources providers and families can use to create safe spaces, physical and emotional, for children and families. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=6] ## Disaster Response Webpage - CCLD set up a Disaster Response Webpage with disaster-related services and resources for licensed facilities (PIN 23-11-CCLD, PIN 23-12-CCLD). The presenter said it includes disaster-related PINs and the Everbridge mass notification system, and will keep being updated. [presenter said at 00:06:06, not independently confirmed; presenter said at 00:06:35, not independently confirmed] ## 2022 laws affecting child care (PIN 23-08-CCP) - AB 185: effective September 27, 2022, children enrolled in Transitional Kindergarten are considered school-age. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=8] - AB 2131: on January 1, 2024, the "toddler component" was eliminated from the Health and Safety Code, in line with the single license. The presenter said this allows limited mixing of age groups, and the department can use written directives, including health and safety requirements for toddlers, until regulations are adopted. [presenter said at 00:07:24, not independently confirmed; presenter said at 00:07:41, not independently confirmed] - AB 2806: expulsion and suspension procedures. The presenter said state-funded child care programs cannot suspend or expel a child with challenging behaviors without pursuing and documenting reasonable steps to keep the child safely in the program, and that it applies to state-funded centers. [presenter said at 00:08:09, not independently confirmed; presenter said at 00:08:43, not independently confirmed] - AB 2827: Inclusive Early Education Expansion Program. The presenter said written directives will let children with exceptional needs safely use outdoor play spaces at the same time as non-disabled children, so a waiver will no longer be needed. [presenter said at 00:09:21, not independently confirmed; presenter said at 00:09:33, not independently confirmed] - SB 1044: in an emergency condition, an employer may not take adverse action against an employee who leaves a workplace they reasonably believe is unsafe. The presenter said it was not yet possible to say how this applies to child care staff, and that licensees and staff must still supervise children during evacuations or relocations. [presenter said at 00:09:52, not independently confirmed; presenter said at 00:10:08, not independently confirmed; presenter said at 00:10:25, not independently confirmed] ## Single-action exit doors in large family child care homes (PIN 23-11-CCP) - Exit doors in large family child care homes must be single action and open from the inside without a key or any special knowledge or effort. The slide cites State Fire Marshal Code Interpretation 22002, California Residential Code R336.8 and California Building Code 1006.2.2.7. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=10] - The presenter reminded licensees that children may be able to open these doors easily, so supervision matters. [presenter said at 00:11:52, not independently confirmed] - Best practices: bells, alarms, mirrors, sensors or other noise-making devices on exit doors; and reminding parents not to leave doors open at drop-off and pick-up. [presenter said at 00:12:06, not independently confirmed; presenter said at 00:12:25, not independently confirmed] ## Childhood obesity and malnutrition awareness - September is National Childhood Obesity Awareness Month. Childhood obesity puts a child at risk for a variety of medical issues; resources cover healthy eating, physical activity and reducing screen time. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=11] - Lack of access to healthy food can seriously affect children's physical and mental health and school achievement. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=12] ## Title 22 food service rules - Title 22 for centers: follow CACFP meal patterns, post menus, and have individual infant feeding plans. Family-style dining is recommended. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=13] - The presenter said milk for children 2 and older must be low-fat (1%) or nonfat. This rule has since changed; see the note below. [presenter said at 00:15:51, not independently confirmed] [changed since: from June 8, 2026, children 2 and older may have unflavored whole, 2%, 1% or nonfat milk (PIN 26-08-CCP, checked 2026-09-22).] - The presenter said juice is limited to one serving a day of 100% juice, drinks with added natural or artificial sweeteners may not be served, and clean drinking water must be available all day. [presenter said at 00:16:00, not independently confirmed; presenter said at 00:16:08, not independently confirmed; presenter said at 00:16:14, not independently confirmed] - The presenter said infants in a licensed infant center must have an individual feeding plan as part of their needs and services plan, and a private space must be arranged for a mother who has agreed with the center to breastfeed there. [presenter said at 00:16:35, not independently confirmed; presenter said at 00:16:52, not independently confirmed] ## Food and family support programs - The Child and Adult Care Food Program (CACFP) is a state and federally funded nutrition program; CACFP providers are reimbursed for meals and snacks served. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=14] - CalFresh and CalWORKs, run through the CDSS Family Engagement and Empowerment Division, can help families. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=14] ## Subsidy rate reform and the cost model - Prenatal to Five Fiscal Strategies, led by Jeanna Capito and Simon Workman, was hired to support CDSS on rate setting based on the cost of care. [presenter said at 00:20:32, not independently confirmed] - To get federal CCDF funds, the state must assess the cost of high-quality care. For the first time, California would use a cost model, not a market rate survey, to inform rate setting. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=16] - A cost model does not give a single answer; results vary by program type, size, ages served, regulations, and equity and quality enhancements. The presenter said it covers centers, family child care, and family, friend and neighbor providers. [presenter said at 00:24:28, not independently confirmed] - Timeline: cost study July-November 2023; cost modeling October 2023-February 2024; rate setting and implementation from February 2024 (end date to be determined), with CDSS submitting its next CCDF State Plan by July 1, 2024. Rates also need agreement between the state and CCPU. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=18] - Engagement included an online survey, input sessions, interviews and topical ad hoc groups, with a Rate and Quality Advisory Panel advising. The presenter said the survey was for directors and owners, and materials were translated into Spanish, Chinese, Arabic, Russian and Somali. [presenter said at 00:31:25, not independently confirmed] - Updates are on the CDSS Rate Reform website. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=21] ## Communicable disease guidance and COVID-19 (CDPH) - The presenter said these CDPH slides were not yet in the posted deck. [presenter said at 00:34:57, not independently confirmed] - The 2023-24 communicable disease guidance for schools, which had applied only to K-12, now also applies to child care, and is no longer focused mainly on COVID-19. [presenter said at 00:36:57, not independently confirmed; presenter said at 00:37:06, not independently confirmed] - The presenter said COVID-19 and flu vaccines were available that fall for everyone 6 months and older, and there had been no recent changes to immunization rules. [presenter said at 00:37:42, not independently confirmed; presenter said at 00:38:05, not independently confirmed] [changed since: for 2026–27, CDPH recommends COVID-19 vaccine for narrower groups, such as children 6–23 months and adults 65+ (checked 2026-09-22).] - Masks can be used by children 2 and older with respiratory symptoms, but not by children under 2 or anyone eating or sleeping. Hand sanitizer is not recommended for children under 2. Some cleaning products can make asthma worse. [presenter said at 00:38:18, not independently confirmed; presenter said at 00:38:24, not independently confirmed; presenter said at 00:38:35, not independently confirmed; presenter said at 00:38:43, not independently confirmed] - The presenter said CDPH recommended, but did not require, that children with COVID-19 stay home at least five days; individual cases did not need to be reported and parents did not have to be notified of exposures. Report any disease outbreak to the regional office or local health department. Cal/OSHA rules still applied to staff. [presenter said at 00:39:04, not independently confirmed; presenter said at 00:39:17, not independently confirmed; presenter said at 00:39:21, not independently confirmed; presenter said at 00:39:29, not independently confirmed; presenter said at 00:39:34, not independently confirmed] - The presenter said testing is not generally needed for other respiratory infections, and CDPH generally recommends not asking for a doctor's note for a child to return. [presenter said at 00:39:56, not independently confirmed; presenter said at 00:40:07, not independently confirmed] - The presenter said CDPH would release recommendations (not new requirements) on whether a child with symptoms should stay or go home; in many cases children with mild symptoms can stay. [presenter said at 00:41:59, not independently confirmed; presenter said at 00:42:40, not independently confirmed] ## Free COVID-19 tests for child care (CDPH) - The presenter said licensed early childhood education providers could make a one-time request for at-home tests for uninsured children, families and staff, before October 31, 2023 (now past). [presenter said at 00:43:24, not independently confirmed; presenter said at 00:44:08, not independently confirmed] - Staff may not test a child in care; that requires a laboratory license. At-home tests for minors are given by a parent or guardian. [presenter said at 00:45:32, not independently confirmed; presenter said at 00:45:39, not independently confirmed] - The presenter said the FDA extended expiration dates on most at-home test brands, and an expired test can still be used if the control line is valid. [presenter said at 00:49:06, not independently confirmed; presenter said at 00:49:50, not independently confirmed] ## New immunization reporting site: CAIR Hub (CDPH) - Licensed child care facilities with children ages 2-5 must report enrollees' immunization status every year. The presenter said the 2023 deadline was December 1 (now past). [presenter said at 00:57:48, not independently confirmed] [applies to: preschools with a child care center license. Family child care homes review immunization status but do not report (CDPH, checked 2026-09-22).] [changed since: the current immunization report deadline is December 4, 2026 (CDPH, checked 2026-09-22).] - In 2023 reporting moved to CAIR Hub: register and create a user profile, then use the Immunization Reporting portal. The presenter said people who already use the School and Child Care Roster Lookup (SCRL) tool are already registered. [presenter said at 00:54:30, not independently confirmed] - Help: training modules, a live webinar in early October 2023 (past), user guides and FAQs on CAIR Hub, Shots for School, your local health department immunization program, and schoolassessments@cdph.ca.gov. New child care training modules were to be posted on the Shots for School training page. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=23; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=24] ## Nutrition equity, contacts and upcoming webinar - The Dairy Council of California's Let's Eat Healthy initiative values equitable access to healthy, culturally diverse, affordable and enjoyable foods for all children and families. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=25] - Keep your contact information current, and tell your licensing program analyst about changes to phone, email, location, operation or physical plant. Sign up to receive PINs and quarterly updates by email. [presenter said at 01:00:29, not independently confirmed] - The final 2023 webinar was Tuesday, December 12, 2023, 6:00 to 7:30 p.m. (now past); registration was through PINs. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=28] - Questions: your regional office, the Child Care Advocates (ChildCareAdvocatesProgram@dss.ca.gov), Child Care Assistance at (800) 543-7793, or the policy mailbox cclcclppolicy@dss.ca.gov. [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=30; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf#page=32] ## Questions people asked - Q: Is this webinar for family child care homes or centers? A: Both: it is for all child care providers, in family child care and in centers. - Q: Will attendees get a certificate? A: No. CDSS does not provide certificates or anything confirming attendance. - Q: Will the slides be emailed? A: No. Download them from Resources for Providers on the CDSS website or from the chat. Translated versions take longer to post. ## Sources - Official slides (English): https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar.pdf - Official slides in Chinese (Traditional): https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar-zh.pdf - Official slides in Spanish: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/2023-Q3-CCP-Webinar-es.pdf - Official recording (YouTube): https://youtu.be/JQy-HTxYB58 Independent notes, not an official record of any agency, host or presenter. Check official sources before acting.