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What you need › Webinar notes › CDSS Community Care Licensing

Child Care Provider Webinar, March 2025 (Q1)

2025-03-25Quarterly Provider Webinar1:10 long

Presented March 2025. Rules and deadlines may have changed since; check Rules & laws for the current version.

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The state licensing office's March 2025 quarterly webinar: fire waivers, disaster plans, new laws, mandated reporter training, top violations, respiratory illness, and wildfire ash cleanup.

Hosted by

CDSS Community Care Licensing

Presented by

CDSS Community Care LicensingCDPHAdriana Stanley, Cyrus Rangan

Who it’s for

  • Licensed family child care homes
  • Child care centers

3 things to know

  1. For mandated reporter training, take only the child care providers portion; the certificate is free. Renew it every two years.
  2. Keep your disaster plan (LIC 610/610A) current, and report incidents to your regional office on LIC 624.✓ checkedComing 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
  3. A sick child can return once symptoms improve and fever or vomiting meet return guidance; take extra precautions for 5 days.✓ checked

Do this

Check that your mandated reporter certificate is for the child care providers course and is less than two years old, and that it is in the staff file.

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Session notes

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Welcome and agenda
Staffing updates
  • Interim regional managers were named after retirements, and CDSS is hiring for those positions. Christopher Jackson became Staff Services Manager I in the Child Care Advocate and Technical Support Program; Tashima Daniels is San Diego North Regional Manager.▶ 00:02:35
Waivers after the Los Angeles and Ventura fires
  • PIN 25-02-CCP explains the Governor's emergency orders letting CDSS waive licensing requirements for providers affected by the January 2025 fires.✓ checked▶ 00:04:27
  • It covers region-wide, individual facility and license-exempt waivers. The presenter said region-wide waivers cover TB testing, capacity, medical assessments and immunizations.▶ 00:05:10
  • Waiver requests should explain how you were affected, how the waiver will be carried out safely, and how children's health and safety will be protected.▶ 00:05:48
Winter storms and emergency preparedness
  • PIN 25-01-CCLD: review your emergency disaster plan (LIC 610/610A), keep the equipment and supplies it requires, and update your regional office when contact information changes.✓ checked▶ 00:06:39Coming 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
  • Report incidents as Title 22 §101212 or §102416.2 requires, to your regional office on LIC 624.✓ checked▶ 00:07:11
  • Keep the plan current: send CCL a copy when it changes and post it. Review allergy and medical information, the IMS plan and the LIC 9148 earthquake checklist.▶ 00:07:35
  • Conduct and document emergency disaster drills at least every 6 months. Respond to CCL's emergency text, email and phone alerts (PIN 24-06-CCLD).▶ 00:08:31Coming 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
Suspension and expulsion (AB 2806)
  • PIN 24-15-CCP summarizes AB 2806, which amended H&S Code §1596.893c starting January 1, 2023, to significantly reduce suspension and expulsion of children in subsidized programs such as state preschool and family child care home education networks.✓ checked▶ 00:09:09
  • The presenter said AB 2806 also added Welfare and Institutions Code and Education Code sections requiring contracting agencies to take specific steps with parents before expelling or suspending a child, and that from January 1, 2025 these apply to family child care home education network contractors.▶ 00:10:13
2024 laws
  • PIN 25-01-CCP covers AB 772 (drop-in child care), AB 2317 (anaphylactic policy) and AB 2866 (swimming pool safety).✓ checked▶ 00:11:35
  • AB 772 defines drop-in child care centers and expands their exemptions, the presenter said.▶ 00:12:02
  • AB 2317: CDSS creates an anaphylactic policy facilities may use, and anaphylaxis and EpiPen training is added to required training, the presenter said.▶ 00:12:22Coming January 1, 2028: licensed child care facilities must comply with CDSS's anaphylactic policy, not just have the option to use it. CDSS must set the policy by July 1, 2027 (PIN 26-11-CCP, checked 2026-09-29). current rule
  • AB 2866: new drowning prevention requirements for centers with in-ground pools and homes with in-ground pools, effective January 1, 2025, the presenter said.▶ 00:13:34
  • Information-only bills: AB 51 (state preschool), AB 176 (center fire clearances), AB 262 (children's camps) and SB 163 (early learning and child care).✓ checked▶ 00:14:16
  • AB 176: signed September 30, 2024; until January 1, 2027 (or new State Fire Marshal rules), center fire clearances use the occupancy classifications of December 31, 2022, the presenter said.▶ 00:15:30
  • AB 262: CDSS must report to the Legislature on children's camp health regulation, the presenter said.▶ 00:16:38
  • SB 163: CDSS may share small family child care homes' license numbers, names, ZIP codes and phone numbers with families seeking care and public consumer websites, and may require confidentiality, the presenter said.▶ 00:17:09
Mandated reporter training update
  • At mandatedreporterca.com, providers now complete only the child care providers portion; the general training is not required, and the certificate is free.✓ checked▶ 00:18:38
  • If you take the general training by mistake, the website may charge you for the certificate, the presenter said.▶ 00:18:54
  • Applicants complete the training before licensure; licensees and staff renew every two years; new employees have 90 days. Keep the certificate in the staff file.▶ 00:19:12
Most commonly cited deficiencies, 2023
  • Infant, preschool and school-age centers: mandated reporter training (renew every two years), adult immunizations (proof of measles and pertussis vaccination unless exempt), and lead exceedance.✓ checked▶ 00:20:45Current rule: center staff and volunteers also need a flu vaccine each year between August 1 and December 1, which they may decline in writing (HSC §1596.7995). current rule
  • Centers without an exemption must test water for lead at least every 5 years. Other frequent citations: missing LIC 503 health screenings, missing or expired CPR/first aid, physical plant problems, and reachable chemicals.▶ 00:21:06
  • Infant centers: an LIC 9227 Individual Sleeping Plan is required for infants up to 12 months, and staff must physically check sleeping infants up to 24 months every 15 minutes.✓ checked▶ 00:22:43
  • Document labored breathing, signs of distress, or sleeping other than on the back, and getting emergency care, the presenter said.▶ 00:23:08
  • Family child care homes: mandated reporter training; CPR and first aid current and from an approved provider (renewed every two years, the presenter said); a current disaster plan and fire drills every six months; and dangerous items within reach.▶ 00:23:37Coming 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). current rule
  • Other top citations for homes: the child's written medical assessment, carbon monoxide, and disaster drills, the presenter said.▶ 00:24:37
Fatalities in licensed child care
  • CDSS posts child care facility fatality data on its website, as the federal Child Care and Development Block Grant requires. The table shown covered 2017 through 2023; the numbers are not in the slide text.▶ 00:25:17
Respiratory illness guidance (CDPH)
  • Adriana Stanley of CDPH's COVID-19 Control Branch presented.▶ 00:26:38
  • Flu, COVID-19 and RSV (the 'big three') spread the same way, affect similar groups, and together can strain health care.✓ checked▶ 00:27:44
  • For March 9-15, 2025, flu was moderate and falling and RSV and COVID-19 were low. The presenter called it one of the worst flu seasons in 15 years. CDPH's respiratory virus report comes out every Friday.▶ 00:28:30
  • Mycoplasma pneumoniae ('walking pneumonia') and whooping cough have been rising. Mycoplasma needs antibiotics; vaccinated whooping cough cases are milder.✓ checked▶ 00:30:09
  • Everyday actions: stay up to date on vaccines, stay home when sick, wear a well-fitting mask, clean surfaces, wash hands, cover coughs, and improve air.✓ checked▶ 00:33:06
  • People 6 months and older are eligible for COVID-19 and flu vaccines. CDC estimates flu vaccination in 2023-2024 prevented at least 7 million illnesses; COVID-19 vaccines cut severe illness by about half; RSV immunizations cut hospitalization by 75% in adults 60 and older.▶ 00:33:52Changed 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). current rule
  • Stay home when sick, and employers should set policies that don't push sick people to come in.✓ checked▶ 00:35:38
  • A child can return when symptoms improve, staff can meet their needs safely, and fever or vomiting meet return guidance. Take extra precautions for 5 days after.✓ checked▶ 00:36:33
  • For outbreaks, review Title 22 §101212(d) (centers) or §102416.2(c)(3) (homes); the local health department usually leads the response.✓ checked▶ 00:38:11
  • At-home flu/COVID combination tests are FDA-approved; home test expiration dates have been extended; early treatment can reduce severe illness.✓ checked▶ 00:39:30
Wildfire ash and soot cleanup (CDPH)
  • Cyrus Rangan, a pediatrician and medical toxicologist at CDPH, presented.▶ 00:42:31
  • About 5 million housing units, 45% of California's housing, are in the wildland-urban interface.✓ checked▶ 00:44:22
  • Ash and soot can contain fine dust, metals such as lead and arsenic, asbestos and household chemicals. Testing usually doesn't change the cleanup, though testing for lead after cleanup can help.✓ checked▶ 00:45:33
  • If ash lands on an undamaged child care site, a professional is best; for a small job, wear an N95 or P100 respirator (not a wet cloth), gloves, long sleeves, closed-toe shoes and goggles, and double-bag your clothes.▶ 00:50:39
  • Ventilate after the air improves, use charcoal-filter purifiers and MERV 13 or better HVAC filters, and avoid dry sweeping and dry vacuuming. Use a HEPA vacuum; wet wiping and mopping works best.✓ checked▶ 00:53:39
  • If neighbors are still cleaning, keep doors and windows closed, wash hands and toys often, keep children inside and away from affected areas, and take shoes off.✓ checked▶ 00:59:01
  • A low-cost do-it-yourself air purifier (Corsi-Rosenthal box) uses a box fan, MERV 13 filters and tape.✓ checked▶ 01:01:55
Observances, contacts and upcoming webinars
  • Observances: World Autism Month and National Child Abuse Prevention Month (April), Week of the Young Child (April 5-11), and Mental Health Awareness Month (May).✓ checked▶ 01:05:43
  • Tell your Licensing Program Analyst or regional office about changes to your phone, email, location or operation, and sign up for PINs.▶ 01:06:57
  • The remaining 2025 webinars were June 24, September 30 and December 9 (all now past), 6:00 to 7:30 p.m. Past webinars are available on demand.✓ checked▶ 01:09:09
  • Questions: your regional office, the Child Care Advocate Program ([email protected]), or Child Care Assistance at (800) 543-7793.✓ 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 (98, 61 checked)
What was saidWhenChecked?
The webinar was held March 25, 2025.
Quarterly Provider Webinar March 25, 2025
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slide 1
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This was the first quarterly webinar of 2025.
We are excited to present our first quarterly webinar of 2025.
▶ 00:01:25as said Something wrong?
Attendance certificates are not provided for these webinars.
attendance certificates are not provided for these events.
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slide 2
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Guest topics were CDPH respiratory illness guidance for child care providers, and fire disaster safety and recovery.
California Department of Public Health: Respiratory Illness Guidance for Child Care Providers & Fire Disaster Safety and Recovery
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slide 3
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Christopher Jackson is Staff Services Manager I, Child Care Advocate and Technical Support Program.
Christopher Jackson, Staff Services Manager I, Child Care Advocate and Technical S upport Program
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slide 4
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Tashima Daniels is Regional Manager, San Diego North.
Tashima Daniels, San Diego North RM
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slide 4
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Interim regional managers were named for Region 5 (Lya Johnson), another region (Sharon Greene), and San Jose (Jordan Monath).
Lya J ohnson, Assistant Program Administrator (APA), Interim Regional Manager (RM) for Region 5 • Sharon Greene, APA, Interim RM for Region • Jordan M onath, Chico and Santa Rosa RM, Interim RM for San Jose
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slide 4
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CDSS said it was hiring for the two regional positions left by retirements.
We are hiring for both of these positions.
▶ 00:03:11as said Something wrong?
PIN 25-02-CCP informs licensees of the Governor's emergency proclamation and executive orders authorizing CDSS to waive licensing requirements.
Informs child care licensees and providers of the Governor’s Proclamation of a State of Emergency and Executive Orders authorizing the California Department of Social Services (CDSS) to waive licensing requirements.
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slide 5
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The waivers respond to the needs of providers affected by the January 2025 fires in Los Angeles and Ventura Counties.
Waivers are offered in direct response to the needs of providers impacted by the January 2025 fires in Los Angeles and Ventura Counties
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slide 5
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PIN 25-02-CCP covers region-wide, individual, and license-exempt facility waivers.
PIN 25-02-CCP provides information about waivers for licensed child care facilities and providers including region- wide, individual, and license-exempt facility waivers.
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slide 5
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The presenter said region-wide waivers cover TB testing, capacity, medical assessments and immunizations.
including regionwide waivers for TB testing capacity medical assessments and immunizations
▶ 00:05:10as said Something wrong?
Waiver requests should explain how the provider was affected by the disaster, how the waiver will be carried out safely, and how children's health and safety will be protected.
All waiver requests should explain how the Lency, facility, organization, home or provider was impacted by the disaster or event. How the waiver will be carried out to provide for safe and adequate services. And waivers must explain how they will ensure the health and safety of children and care.
▶ 00:05:48as said Something wrong?
PIN 25-01-CCLD: licensees should review their emergency disaster plan (LIC 610/LIC 610A).
Winter Storm Preparedness PIN 25-01-CCLD • Licensees should review their facility’s emergency disaster plan LIC 610/LIC 610A
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slide 6
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Licensees are to keep a stock of the equipment and supplies their disaster plan requires.
Licensees are to maintain a stock of the equipment and supplies required to fulfill disaster plan.
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slide 6
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Licensees are to update their regional office with any changes to contact information.
Licensees are to update their Regional Office with any changes to contact information.
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slide 6
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Licensees must report incidents, as specified in Title 22 §101212 or §102416.2, to their regional office on form LIC 624.
Licensees must report incidents, as specified in Title 22, Cal. Code of Regs. section 101212 or 102416.2, to their Regional Office with LIC 624
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slide 6
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Emergency preparedness: update the LIC 610/610A plan, review allergy and medical information and the Incidental Medical Services (IMS) plan, review the LIC 9148 earthquake checklist, and conduct and document drills (PIN 24-06-CCLD).
Update LIC 610 or 610A Emergency Disaster Plan • Review allergy and medical information and Incidental Medical Service Plan (IMS) • Review and update LIC 9148 Earthquake Preparedness Checklist • Conduct and document emergency disaster/ fire drills PIN 24-06-CCLD
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slide 7
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The presenter said a copy of the disaster plan must be sent to CCL whenever it changes, and the plan must be posted.
A copy of your disaster plan must be submitted to CCL when there are any changes made, and the document must be posted.
▶ 00:07:35as said Something wrong?
The presenter said to conduct and document emergency disaster drills at least every 6 months.
document emergency disaster drills at least every 6 months.
▶ 00:08:31as said Something wrong?
CCL sends emergency texts, emails and phone calls through a system named in the captions as Everbridge (PIN 24-06-CCLD), and providers should respond to these alerts.
Text messages, emails, and phone calls are sent via Everbridge to communicate in emergency situations. And it is critical that you do respond to these
▶ 00:08:48as said Something wrong?
PIN 24-15-CCP summarizes the suspension and expulsion provisions of AB 2806 (Chapter 915, Statutes of 2022), which amended H&S Code §1596.893c starting January 1, 2023.
Commencing January 1, 2023, AB 2806, Chapter 915, Statutes of 2022, amended Health and Safety Code, Section 1596.893c.
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slide 8
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AB 2806 aims to significantly reduce expulsion or suspension of children for persistent and serious behaviors in subsidized programs such as the California State Preschool Program and family child care home education networks.
It is the intent of the Legislature, by enacting AB 2806, to significantly reduce the expulsion or suspension of children from the following child care programs due to persistent and serious behaviors and to provide inclusive environments for providers who participate in the California State Preschool Program, family childcare home education network programs, general childcare and development program
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slide 8
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The presenter said AB 2806 added Welfare and Institutions Code §§10491 and 10491.1 and Education Code §§8489 and 8489.1 on expulsion and suspension policies.
added to the welfare and institution code sections 10491 and 10491.1 and to the education code sections 8489 and 8489.1
▶ 00:10:13as said Something wrong?
The presenter said that beginning January 1, 2025 (or as soon as practical), these sections apply to contractors operating a family child care home education network in the specified subsidy programs.
beginning January 1st 2025 or as soon as is is practical wick sections 10491 and 10491.1 and EDC sections 8489 and 8489.1 will apply to contractors operating a family child care home education network
▶ 00:10:56as said Something wrong?
PIN 25-01-CCP covers 2024 chaptered legislation: AB 772 (drop-in child care), AB 2317 (anaphylactic policy) and AB 2866 (swimming pool safety).
PIN 25-01-CCP • AB 772 Drop-In Child Care Medical Exemption • AB 2317-Child Care Facility Anaphylactic Policy • AB 2866 Swimming Pool Safety
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slide 9
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The presenter said AB 772 adds a definition of drop-in child care center and expands the exemptions for drop-in care centers.
to define the term drop-in child care center. The bill also amends HSC section 1596.799 to expand the exemptions provided to drop in care centers.
▶ 00:12:02as said Something wrong?
The presenter said AB 2317 requires CDSS to create an anaphylactic policy licensed facilities may use.
requires the department to create an anaphylactic policy that may be used by licensed child care facilities
▶ 00:12:28as said Something wrong?
The presenter said AB 2317 adds anaphylaxis training within the 16 hours of preventive health and safety training, including EpiPen use in pediatric first aid and CPR courses.
training requirements within the 16 hours of preventive health and safety training pursuant to HSC sections 1596.866. This includes trainings on the use of EpiPen
▶ 00:12:57as said Something wrong?
The presenter said AB 2866 adds drowning prevention requirements for licensed centers with in-ground pools and family child care homes at private single-family homes with an in-ground pool, effective January 1, 2025.
AB2866 adds specific drowning prevention safety requirements for licensed child care centers with inground pools and licensed family child care homes that are operated at private single family homes with an ingground pool. All affected lenses must comply with the new drowning prevention safety requirements effective January 1st, 2025.
▶ 00:13:34as said Something wrong?
Information-only bills: AB 51 (California State Preschool Program), AB 176 (fire clearance for centers), AB 262 (children's camps), SB 163 (early learning and child care).
AB 51 Early Care & Education: California State Preschool Program • AB 176 Fire Clearance Requirements for Child Care Centers • AB 262 Children's Camps: Safety and Regulation • SB 163 Early Learning and Child Care
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slide 10
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The presenter said AB 176 was signed September 30, 2024 and stays in effect until January 1, 2027, or until the State Fire Marshal adopts new rules for child care facilities with more than six children age 2 and older.
was signed into law on September 30th, 2024 and shall remain operative until January 1st, 2027, or until the office of the state fire marshall adopts new regulations pertaining to group E, which are child care facilities caring for more than six children 2 years of age and older.
▶ 00:15:30as said Something wrong?
The presenter said new center applicants seeking a fire clearance, and existing centers needing an updated one (for example, for more capacity), are subject to the occupancy classifications that existed on December 31, 2022.
New license applicants seeking a fire clearance to operate a child care center and existing licences seeking an updated fire clearance due to operational changes such as increased capacity will be subject to the prior occupancy classifications as they existed as of December 31st, 2022.
▶ 00:16:02as said Something wrong?
The presenter said AB 262 requires CDSS to report to the Legislature on children's camp health regulation within 24 months after funds are appropriated.
AB262 requires the department to prepare a report for the legislature regarding approaches for children's camp health regulation and oversight no later than 24 months after funds have been appropriated for it.
▶ 00:16:38as said Something wrong?
The presenter said SB 163 amended H&S Code §1596.86 to let CDSS disclose small family child care homes' license numbers, names, ZIP codes and phone numbers to help with child care placements.
SB163 amended HSC section 1596.86 86 to permit the California Department of Social Services to disclose license numbers, names, zip codes, and telephone numbers of small family child care homes for the purpose of facilitating child care placements in small family child care homes.
▶ 00:17:09as said Something wrong?
The presenter said this information can go to parents, guardians and caregivers seeking care and to public consumer education websites, and CDSS may require them to keep it confidential.
may be provided to individuals and entities including but not limited to parents, legal guardian guardians and caregivers seeking daycare services and consumer education internet websites available to the public. The amendments to HSC section 1596.86 also permit CDSS to require an individual or entity to maintain confidentiality
▶ 00:17:46as said Something wrong?
Mandated reporter training (mandatedreporterca.com): providers need to complete the child care providers portion only; the general training is not required.
Mandatedreporterca.com • The training requirement has been updated: Providers need to complete the child care providers portion ONLY. • The general training is not required
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slide 11
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There is no cost for the mandated reporter training certificate.
No cost for training certificate
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slide 11
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The presenter said if you take the general training by mistake, the website may charge for the certificate.
if you complete the general training by mistake, the website may charge you for your certificate.
▶ 00:18:54as said Something wrong?
The presenter said license applicants must complete mandated reporter training before licensure (H&S Code §1596.8662).
Licensed applicants must complete the training prior to lensure per health and safety code section 1596.8662
▶ 00:19:12as said
See the rule Something wrong?
The presenter said licensees and staff must renew the training every two years.
Licences and staff must renew the training every two years
▶ 00:19:25as said
See the rule Something wrong?
The presenter said new employees have 90 days to complete the training.
New employees have 90 days to complete this training
▶ 00:19:51as said
See the rule Something wrong?
The presenter said staff must get the completion certificate, which should be kept in the facility's staff file.
It is required for staff to obtain the completion certificate at the end of the training. This is typically sent to the staff's own email address and the certificate should be in your facility staff file.
▶ 00:20:06as said Something wrong?
Most commonly cited for infant, preschool and school-age centers (2023): mandated reporter training, which must be renewed every two years.
Mandated Reporter Training The training must be renewed every two (2) years.
✓ checked
See the rule
slide 12
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Also most cited for centers (2023): adult immunizations, meaning proof of immunization against measles (MMR) and pertussis (Tdap) unless exempt.
Adult Immunizations Proof of immunizations to Measles (MMR) and Pertussis (TDAP),unless otherwise exempt.
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slide 12
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Also most cited for centers (2023): lead exceedance (drinking water tested for lead).
Lead Exceedance Drinking water tested for lead contamination levels
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slide 12
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The presenter said centers without an exemption from testing must have their water tested for lead at least every 5 years.
child care centers who don't have an exemption from testing must have their water tested for lead at least every 5 years.
▶ 00:21:06as said
See the rule Something wrong?
The presenter said other frequent center citations include a missing LIC 503 health screening in staff files, missing or expired CPR/first aid, physical plant problems, and chemicals within children's reach.
Additional top frequent citations include LIC503, the health screening is missing from staff files, CPR or first aid or excuse me, CPR first aid is missing or not current, physical plant issues. So, your facility must be kept clean, safe, sanitary, and in good repair, and chemicals inaccessible.
▶ 00:21:20as said Something wrong?
Infant centers (2023): an LIC 9227 Individual Sleeping Plan is required for all infants up to 12 months of age.
LIC 9227: Individual Sleeping Plan required for all infants up to 12 months of age.
✓ checked
See the rule
slide 13
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Infant centers (2023): staff must physically check sleeping infants up to 24 months every 15 minutes.
Staff shall physically check on sleeping infants up to 24 months of age every 15 minutes
✓ checked
See the rule
slide 13
Stated on the official slides Something wrong?
The presenter said providers should document labored breathing, signs of distress, sleeping in a position other than on the back, and getting emergency care for labored breathing or distress.
A provider should document labored breathing, signs of distress, sleeping in a position other than on their back, and obtaining emergency medical treatment for labored breathing or signs of distress.
▶ 00:23:08as said Something wrong?
Family child care homes (2023): mandated reporter training, which must be renewed every two years.
Family Child Care Homes Mandated Reporter Training • The training must be renewed every two (2) years.
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See the rule
slide 14
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Family child care homes (2023): CPR and first aid must be current and approved by the American Red Cross, American Heart Association, EMSA, or an accredited college or university (H&S Code §1596.866(b), (d)(3), (f)).
CPR and First aid must be current & approved by the American Red Cross, American Heart Association, EMSA or an accredited college or university. HSC 1596.866(b), (d)(3), (f).
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slide 14
Stated on the official slides Something wrong?
The presenter said CPR must be completed every two years.
So CPR must be completed every two years
▶ 00:23:52as said
See the rule Something wrong?
Family child care homes (2023): a current disaster plan, fire drills every six months and documented, and dangerous items within reach.
Operation of a Family Child Care Home • Current Disaster Plan and Fire Drills completed every six (6) months and documented • Accessible dangerous items
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slide 14
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The presenter said disinfectants, cleaning solutions, poisons and other dangerous items must be stored where children cannot reach them.
disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
▶ 00:24:23as said
See the rule Something wrong?
The presenter said other top citations for homes include the child's written medical assessment, carbon monoxide, and disaster drills.
Other top most commonly cited deficiencies in family child care homes include written medical assessment of the child. This medical assessment enables the lency to assess whether they can provide necessary health related services to the child carbon monoxide disaster drills.
▶ 00:24:37as said Something wrong?
CDSS posts child care facility fatality data on its public website to meet a federal Child Care and Development Block Grant requirement; the table shown covered 2017 through 2023.
federal child care development block grant, California Department of Social Services posts child care facility fatality data to the CDSS public website. The following table reflects child fatalities that occurred in licensed child care uh centers and family child care home facilities and the total for each facility type by year from 2017 through 2023.
▶ 00:25:17as said Something wrong?
Adriana Stanley, a medical officer in CDPH's COVID-19 Control Branch, presented respiratory illness guidance.
My name is Adriana Stanley DS and I am a medical officer in the COVID 19 control branch at the California Department of Public Health.
▶ 00:26:38as said Something wrong?
Flu, COVID-19 and RSV share transmission pathways, at-risk groups, symptoms and outcomes in children, and together can strain health care systems.
Similar transmission pathways • Similar at-risk groups for severe disease • Similar clinical presentation (fevers, cough, sore throat, runny nose, difficulty breathing, body aches, etc.) • Similar clinical outcomes among children • Concurrent seasonal circulation could have cumulative impact on healthcare systems
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slide 19
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For March 9-15, 2025: flu activity was moderate and decreasing; RSV and COVID-19 activity were low.
March 09, 2025 – March 15, 2025 Influenza activity is moderate and continues to decrease. RSV activity is low.
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The presenter said the past winter was one of the worst flu seasons in the past 15 years.
one of the worst flu seasons that we've seen in the past 15 years.
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The presenter said CDPH's respiratory virus report is published weekly, every Friday.
respiratory virus report that is published weekly every Friday
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Mycoplasma pneumoniae infections ('walking pneumonia') have been increasing in the U.S., especially in school-aged children, and need antibiotic treatment.
Respiratory infections caused by the bacteria, Mycoplasma pneumoniae have been increasing in the U.S., especially in school aged children. • Common cold symptoms with lingering cough e.g. "walking pneumonia" • Spread through respiratory droplets; respiratory illness prevention techniques are effective! • M. pneumoniae infection requires antibiotic treatment
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slide 21
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Pertussis (whooping cough) causes coughing fits that can last weeks to months; immunity wanes, anyone can be infected, and vaccinated cases are milder.
Symptoms: no fever, runny nose, paroxysmal cough, post-tussive vomiting, post-tussive whoop • Coughing can lasts weeks to months • Vaccination schedule includes early childhood series; adolescent booster; at least one dose during adulthood • Immunity from disease and vaccination both wane over time • Vaccinated and unvaccinated persons of all ages can become infected • Vaccinated cases have milder symptoms
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Everyday actions for providers: stay up to date on vaccines, stay home when sick, wear a well-fitting mask, clean and disinfect, wash hands, cover coughs and sneezes, and take steps for cleaner air.
Stay up to date on vaccines • Stay home if you are sick • Wear a well fitting mask • Cleaning, Sanitizing, and Disinfecting • Wash Your Hands • Cover Your Cough or Sneeze • Take Steps for Cleaner Air
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The presenter said people 6 months and older are eligible for COVID-19 and flu vaccines, and RSV immunizations protect at-risk babies and older adults.
those who are 6 months of age and older are eligible for COVID and flu vaccines. And for RSV, we have immunizations to protect atrisisk babies as well as older adults
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CDC estimates that in 2023-2024, flu vaccination prevented at least 7 million flu illnesses, 3.7 million medical visits, 105.000 [sic] hospitalizations and 3.500 [sic] deaths in the U.S.
During 2023-2024, CDC estimates: Flu vaccination prevented: • At least 7 million influenza illnesses • 3.7 million influenza-associated medical visits • 105.000 influenza-associated hospitalizations • 3.500 influenza-associated deaths in the United States
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slide 27
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COVID-19 vaccines reduced the risk of severe COVID-19 by about half.
Reduced the risk of severe COVID-19 by about half.
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slide 27
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RSV immunizations reduced the risk of RSV-associated hospitalization by 75% among adults 60 and older.
Reduced the risk of RSV-associated hospitalization by 75% among adults ages 60 years and older.
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slide 27
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When you or children in care have symptoms or test positive: stay home and away from others, wear a mask, and use protective equipment when caring for sick people.
When you or the children you care for have symptoms or test positive • Stay home and away from others • Wear a mask to prevent spread • Use personal protective equipment when caring for sick individuals
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Employers should set policies that accommodate sick people and don't encourage them to come in while sick.
Set policies to accommodate sick individuals and avoid incentivizing them from coming to school while sick.
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slide 28
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In general, a child can return when symptoms are improving and the child can take part in routine activities, staff can meet the child's needs safely, and specific symptoms like fever or vomiting have met return recommendations.
In general, a child can return when they meet ALL the following conditions: • Symptoms are improving and the child is feeling better and can meaningfully participate in routine child care/school activities. • Staff can meet child’s care needs without compromising the health and safety of other children and staff. • Specific symptoms (like fever or vomiting) have met return recommendations.
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After a child returns, providers should take added precautions for 5 days: good hygiene, masks, cleaner air, and testing.
When children do resume normal activities, providers should take added precaution over the next 5 days: • Good hygiene (wash hands, cover cough or sneeze) • Wear a mask • Cleaner air (open windows, HVAC) • Testing
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For outbreak reporting, centers should review Title 22 §101212(d) and family child care homes §102416.2(c)(3).
Child care centers (CCR Title 22 section 101212(d)) and family child care homes (CCR Title 22 section 102416.2(c)(3)) should review Child Care Licensing requirements for outbreak reporting.
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slide 30
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Local health departments typically lead the response to reportable diseases and outbreaks, and guide exposure notices and symptom monitoring.
Typically, local health departments will lead the response to reportable diseases and disease outbreaks and provide recommendations on next steps, including assessing possible exposures. • ​Exposure notifications and symptom monitoring should be guided by the local health department.
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slide 30
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The FDA has recently approved at-home flu/COVID combination tests; after a negative home test, seek health care advice about testing for other pathogens.
FDA has recently approved at- home flu/COVID co-tests. • For negative at-home tests, seek healthcare advice for testing for additional respiratory pathogens
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slide 31
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Expiration dates of home test kits have been extended.
Expiration dates of home kits have been extended
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slide 31
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Early COVID-19 and flu treatments can reduce the risk of complications and severe illness.
Early COVID-19 and flu treatments can reduce the risk of illness complications and severe illness.
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slide 32
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Cyrus Rangan, a pediatrician and medical toxicologist at CDPH, presented on wildfire ash and soil.
I am a pediatrician and I'm also a medical toxicologist
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About 5 million housing units (45% of California's housing) are in the wildland-urban interface.
5 million housing units (45% of CA’s total housing) are in WUI (Li et al., 2022)
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slide 38
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Wildfire ash and soot can contain charred wood, fine carbon dust, metals such as lead and arsenic, asbestos, pesticides, and household chemicals.
Mixture of burned materials including: • Charred wood • Fine carbon dusts • Metal fragments/dusts (lead, arsenic, others) • Asbestos, pesticides • Household chemicals and solvents
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slide 39
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In most situations, testing ash and soot does not change the cleanup.
In most situations, testing does not change the “treatment
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slide 40
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Confirmatory testing for lead after cleanup may be useful.
There is a potential role for confirmatory testing for Lead after cleanup has taken place
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slide 41
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The presenter said if ash and soot land on an undamaged child care site, calling a professional is best; a small job can be done yourself with precautions.
the best thing to do would be to call a professional to come in and do the cleaning because that is the best way to make sure that all parts of these uh ash and the soot and the deposition that has occurred around your structure uh will get cleaned up. But if it's a small job and it's only a little bit of deposition, you can do that cleaning yourselves.
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For cleanup: wear an N95 or P100 respirator (not a wet cloth), gloves, long sleeves and pants, closed-toe shoes and safety goggles, and double-bag and wash clothes after.
Wear N95 or P100 respirator masks (no “wet cloths”) • Use gloves to protect hands from ash, dust, dirt, and chemicals during inspection • Long-sleeved shirt/pants • Closed-toe shoes • Safety Goggles • Double bag clothes and wash thoroughly after use
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Ventilate indoor spaces after outdoor air improves and after cleanup; use air purifiers with charcoal-based filters; change HVAC filters (MERV 13 or better); use recirculation mode.
Open windows and doors to ventilate indoor spaces after returning after outdoor air quality has improved. • Also ventilate after debris has been cleaned up • Use portable air purifiers/cleaners using charcoal-based filters • Cleaning HVAC ducts and change filters (MERV 13 or better) • Use recirculation mode
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slide 43
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Dry sweeping and dry vacuuming can spread ash and soot.
Dry seeping and dry vacuuming can spread ash soot
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slide 43
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Sweep gently only for larger debris; vacuum only with a HEPA filter; wet wiping and mopping is the best way to remove ash, soot and dust.
Sweeping: Gently sweep surfaces to collect larger materials and use plastic trash bags • Vacuuming: Only use HEPA-filter vacuuming to filter out smaller particles on surfaces • Wet wiping/mopping: Best method for removal of ash, soot, and dust from surfaces
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If neighbors still have ash: keep doors and windows closed, wash hands and toys often, keep children and pets from playing near affected areas, take off shoes, and watch for symptoms.
Keep doors/windows closed to reduce entry of outdoor ash/soot or smoke • Wash hands and toys frequently • Prevent children and pets from playing outdoors near affected areas • Take off shoes before entering home • Monitor Your Health: respiratory symptoms, eye, nose and throat irritation
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A do-it-yourself air filter (Corsi-Rosenthal box) uses a 20-inch box fan, MERV 13 furnace filters, and tape.
How to build a DIY air filter with a box fan, tape, and MERV13 filters – CorsiRosenthal Box 20 inch (standard size) Box fan 20x20x1 or 20x20x2 MERV 13 furnace filters (1, 2, 4 or 5 filter designs available) Duct tape or packing tape
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Observances: World Autism Month, National Child Abuse Prevention Month, Week of the Young Child (April 5-11), and Mental Health Awareness Month.
World Autism Month • National Child Abuse Prevention Month • Week of the Young Child April 5-11 • Mental Health Awareness Month
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Tell your Licensing Program Analyst or regional office when your phone number, email, location, operation or floor plan changes.
Let your license program analyst or local regional office know when you have changed to your phone number, email address, change of location and any change to your operation or fiscal plant.
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Sign up for 'Receive Important Updates' to get licensing updates through Provider Information Notices (PINs).
Licensing Updates: Provider Information Notices CDSS Receive Important Updates
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See the rule
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Remaining 2025 provider webinars: June 24, September 30 and December 9, Tuesdays 6:00 to 7:30 p.m., with registration through PINs.
Tuesdays from 6:00 p.m. to 7:30 p.m. • June 24 • September 30 • December 9 Register for Child Care Licensing Webinars through Provider Information Notices (PINs)
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Webinars available on demand include Ask the Advocates, Lead and Licensed Child Care Facilities, Tips and Tools to Support Regulatory Compliance, Safe Sleep Regulations and CCL Plans of Correction.
Child Care Licensing Webinars • Ask the Advocates • Lead and Licensed Child Care Facilities • Tips and Tools to Support Regulatory Compliance • Safe Sleep Regulations • CCL Plans of Correction
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slide 54
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Child Care Advocate Program email: [email protected].
Child Care Advocate Program [email protected]
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Child Care Assistance phone: (800) 543-7793.
Child Care Assistance (800) 543-7793
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slide 56
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