# Child Care Provider Webinar, September 2024 (Q3)

Hosted by: CDSS Community Care Licensing (https://www.cdss.ca.gov/inforesources/child-care-licensing)
Presented by: CDSS Community Care Licensing, CDPH Nutrition and Physical Activity Branch, CDPH Immunization Branch, CDSS Technical Support Program
Date: 2024-09-24 · Length: 1:00:24
Web page: https://childcare.support/t/cdss-2024-q3/

NOTE: Presented September 2024. Rules and deadlines may have changed since; check Rules & laws for the current version.

## What it is
The state licensing office's September 2024 quarterly webinar: 2023 laws, water safety, fall immunizations and reporting, and how to report unusual incidents.

## 3 things to know
- Report unusual incidents to your regional office within 24 hours, then send LIC 624 (centers) or LIC 624B (homes) within 7 days.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=29]
- An injury is reportable if the child got medical care, even when the parent chose to seek it.  [presenter said at 00:45:57, not independently confirmed]
- Child care center preschools with children ages 2-5 must report immunization status yearly; the 2024 deadline was December 13.  [presenter said at 00:39:03, not independently confirmed] [changed since: the current immunization report deadline is December 4, 2026 (CDPH, checked 2026-09-22).]

## What to do
- For an unusual incident: contact your regional office within 24 hours (Officer of the Day or your analyst), then send LIC 624 or LIC 624B within 7 days with complete information.  [presenter said at 00:43:46, not independently confirmed]
- Centers: report a new director within 10 days, and report structural, organizational or operational changes. Homes: report changes in adults living or working there and in off-limit areas.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=32]
- Pre-K sites: check immunizations for every new admission at each age checkpoint. Child care center preschools with 2- to 5-year-olds: file the yearly immunization report.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=24; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=25]
- Check every body of water at your site, including water tables and buckets, and never leave a pool unattended.  [presenter said at 00:13:36, not independently confirmed]
- Keep your contact information current with your regional office, and sign up to get PINs by email.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=33; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=34]

## What's new
- PIN 24-08-CCP summarizes 2023 laws affecting child care, including SB 2 (firearms), SB 114 (education budget trailer bill) and SB 722 (plans of operation and IMS plans).  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=8]
- The presenter said SB 2, effective January 1, 2024, requires home providers with a firearm to notify clients, and Title 22 firearm storage rules still apply.  [presenter said at 00:04:11, not independently confirmed; presenter said at 00:04:40, not independently confirmed; presenter said at 00:06:22, not independently confirmed]
- The presenter said under SB 722 a licensee who submits a completed IMS plan on the template form may enroll the child before approval.  [presenter said at 00:11:24, not independently confirmed]
- PIN 24-10-CCP gives child abuse prevention guidance, with All County Letter 23-105 on AB 2085.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=10]

## Welcome and agenda
- The third quarterly provider webinar of 2024 was held September 24, 2024.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=1]
- Guest topics: CDPH on immunizations, and the Child Care Advocates & Technical Support team on reporting requirements.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=7]

## 2023 laws (PIN 24-08-CCP)
- PIN 24-08-CCP covers 2023 laws affecting child care facilities. The presenter said it was issued May 30, 2024.  [presenter said at 00:03:54, not independently confirmed]
- SB 2 (firearms): the presenter said it took effect January 1, 2024 and covers parent notification and firearm storage for concealed carry license holders who provide child care at home.  [presenter said at 00:04:11, not independently confirmed]
- The presenter said firearms may not be kept at child care centers. In homes they must be locked and out of children's reach (or use trigger locks or remove the firing pin), with firing pins and ammunition locked separately.  [presenter said at 00:05:04, not independently confirmed; presenter said at 00:05:13, not independently confirmed]
- The presenter said Title 22 §102417 (homes) and §101238 (centers) still set the firearm standard, and a home provider with a firearm must tell clients.  [presenter said at 00:04:40, not independently confirmed; presenter said at 00:06:22, not independently confirmed]
- SB 114 (education budget trailer bill): the presenter said an Expanded Learning Opportunities program serving TK or kindergarten keeps a ratio of no more than 10 to 1, and may run without a child care license under the stated exemption.  [presenter said at 00:07:46, not independently confirmed; presenter said at 00:08:34, not independently confirmed; presenter said at 00:08:47, not independently confirmed]
- SB 722: a licensee who submits a completed IMS plan on the template form may enroll the child before the department approves it, the presenter said.  [presenter said at 00:11:24, not independently confirmed]

## Water safety
- Never leave a pool unattended, do a daily safety check, inspect covers and fencing, keep ratios, and empty wading pools after each use (PIN 24-08-CCLD).  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=9]
- The presenter said drowning can happen silently in as little as 2 inches of water, and water safety covers all bodies of water, including water tables and buckets, even if you have no pool.  [presenter said at 00:12:29, not independently confirmed; presenter said at 00:13:36, not independently confirmed]
- Best practice: bright or neon swimwear, and precautions all year.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=9]

## Child abuse prevention (PIN 24-10-CCP)
- PIN 24-10-CCP covers preventing child abuse, connecting families to services, and reporting, with All County Letter 23-105 guidance on AB 2085.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=10]
- "Neglect" means negligent treatment or maltreatment of a child. The presenter said many neglect cases are tied to poverty, such as a lack of housing, utilities, food or medical and legal support.  [presenter said at 00:15:34, not independently confirmed]
- Childhelp National Hotline: 1-800-422-4453.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=10]

## Fire prevention and awareness campaigns
- October is Fire Prevention Month. The presenter said homes and centers must document fire drills every 6 months and have a working smoke detector.  [presenter said at 00:18:05, not independently confirmed] [coming January 1, 2027: emergency and disaster practice drills must be held at least quarterly (Health & Safety Code §1596.868(c); PIN 26-11-CCP, checked 2026-09-29).]
- The presenter said Red Ribbon Week runs October 23-31 each year.  [presenter said at 00:19:56, not independently confirmed]
- Other campaigns: Hispanic Heritage Month, Native American Heritage Month, Library Card Sign-Up Month, and depression and mental health awareness, with self-care tips.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=14; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=13]

## 40 years of the Child Care Advocate Program
- The Legislature created the Child Care Advocate Program in 1984 to link licensing and the community. For 40 years Advocates have given non-enforcement education, training and technical assistance.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=15]

## Nutrition and physical activity training survey (CDPH)
- Monet Parham-Lee of CDPH reported on a survey shared June 25, 2024. Over 160 providers responded by July 19, 2024.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=16; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=17]
- The presenter said over 70% of respondents were family child care homes and about 26% centers; 73% wanted English events and 25% Spanish access.  [presenter said at 00:27:00, not independently confirmed; presenter said at 00:28:10, not independently confirmed]
- Trainings on nutrition and physical activity for children birth to 5 will follow, some in these webinars. The presenter said the first would be on screen time, in December.  [presenter said at 00:28:48, not independently confirmed]

## Immunizations: measles and respiratory season (CDPH)
- Dr. Lily Horng of the CDPH Immunization Branch presented.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=19]
- Routine immunizations for young children dropped during the COVID-19 pandemic.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=20]
- All children should get 2 measles vaccine doses, at 12-15 months and 4-6 years, and need vaccination before travel abroad, including an early dose at 6-11 months.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=20]
- Children under 5 have the highest hospitalization rates for flu, COVID-19 and RSV. The presenter said these vaccines are not required for child care attendance but are important.  [presenter said at 00:33:05, not independently confirmed]
- RSV: nearly all children have it by age 2. From October to March, nirsevimab is recommended for babies under 8 months whose mother was not vaccinated in pregnancy, and for 8-19 months at higher risk.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=22]
- Pregnant people should get the RSV vaccine Abrysvo at 32-36 weeks, September to January. Adults 75+, and 60-74 at higher risk, should get one RSV dose.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=22]
- The fall 2024 advice: everyone 6 months and older gets an updated COVID-19 and flu vaccine. Children 6 months-4 years need at least 2 or 3 COVID-19 doses; children 6 months-8 years getting flu vaccine for the first time need 2 doses.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=23] [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).]

## Pre-K immunization requirements and reporting
- All California pre-K sites must check immunizations for every new admission at each age checkpoint. The presenter listed the required vaccines: polio, DTaP, hepatitis B, Hib, MMR and varicella.  [presenter said at 00:37:40, not independently confirmed]
- Shots for School has a pre-K immunization guide, tools, training modules and a guide for medical exemptions.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=24]
- Child care center preschools with children ages 2-5 must report immunization status every year. The presenter said the 2024 deadline was Friday, December 13 (now past).  [presenter said at 00:39:03, not independently confirmed] [changed since: the current immunization report deadline is December 4, 2026 (CDPH, checked 2026-09-22).]
- Check www.cairhub.cdph.ca.gov for deadlines. Reporting questions: schoolassessments@cdph.ca.gov. General questions: shotsforschool@cdph.ca.gov.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=25]
- Your local health department can help with immunizations and local services. ShotsforSchool.org has parent handouts in many languages.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=26; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=27]

## Unusual incident reporting (Technical Support Program)
- Contact your regional office within 24 hours: call the Officer of the Day, or call or email your Licensing Program Analyst.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=29]
- Send LIC 624 (centers) or LIC 624B (homes) within 7 days. The presenter said the form should be complete and never say "unknown".  [presenter said at 00:43:46, not independently confirmed]
- The presenter said an incident that is not reported and later draws a complaint could bring a citation for the incident and another for not reporting.  [presenter said at 00:44:42, not independently confirmed]
- Reportable: a child's death, a child left unattended, an injury needing medical attention, incidents or absences that threaten a child's health or safety, suspected abuse, epidemic outbreaks, poisonings, catastrophes, and fires or explosions.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=30]
- The presenter said an injury is reportable if the parent seeks medical care, even if you thought it minor. Suspected abuse goes to CPS and licensing. Outbreak examples: flu, hand-foot-and-mouth, lice, COVID.  [presenter said at 00:45:57, not independently confirmed; presenter said at 00:47:04, not independently confirmed; presenter said at 00:47:18, not independently confirmed]
- Quiz scenarios, all reportable: a wrist injury taken to urgent care; a child left on the playground; staff dragging a child having a tantrum (personal rights); a fire in a home that forces evacuation.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=31]

## Other reporting requirements
- Centers: report a change of director within 10 days, structural changes, and organizational or operational changes.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=32]
- The presenter said centers should also report changes to operating hours.  [presenter said at 00:48:24, not independently confirmed]
- Homes: report changes in adults living or working in the home and in off-limit areas. The presenter said a licensee's child who turns 18 has 30 days to get a fingerprint clearance.  [presenter said at 00:48:30, not independently confirmed]
- The presenter said to notify your analyst before using an off-limits area for children, so it can be inspected and the facility sketch updated.  [presenter said at 00:48:52, not independently confirmed]
- The presenter suggested checking that menus, parents' rights, any center waivers and the emergency disaster plan are posted.  [presenter said at 00:53:06, not independently confirmed]

## Reminders and upcoming webinar
- Keep your contact information current with your regional office, and sign up for PIN emails through Receive Important Updates.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=33; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=34]
- The next webinar was Tuesday, December 10, 2024, 6:00 to 7:30 p.m. (now past). Registration is announced through PINs.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=35]
- Past webinars are available on demand, including Ask the Advocates, Lead, Safe Sleep Regulations and Plans of Correction.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=36]
- Take the webinar survey; questions go to your regional office, the Child Care Advocate Program, or Child Care Assistance at (800) 543-7793.  [✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=37; ✓ official source: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf#page=38]

## Sources
- Official slides (English): https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck.pdf
- Official slides in Chinese (Traditional): https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/September_2024_PW_PP_Deck_Chinese.pdf
- Official slides in Spanish: https://cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Updated_%20September_2024_PW_PP_Deck-es.pdf
- Official recording (YouTube): https://www.youtube.com/watch?v=Xem6xPMwaqg

Independent notes, not an official record of any agency, host or presenter. Check official sources before acting.