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What you need › Webinar notes › CDSS Community Care Licensing

September 22, 2026 Child Care Licensing Provider Webinar

2026-09-22Quarterly Provider Webinar1:37 long
The state licensing office's quarterly webinar for child care centers and family child care homes, covering new rules, common violations, vaccines and supervision.

Hosted by

CDSS Community Care Licensing

Presented by

CDSS Community Care LicensingCindy Nguyen, Justeene Tamayo, Christopher JacksonCDSS Child Care and Development DivisionLisa SullivanCDSS Technical Support ProgramCarmen OdomCDPH Immunization BranchLily Horng, Amber Christiansen

Who it’s for

  • Licensed family child care homes
  • Child care centers

3 things to know

  1. Physically check sleeping children up to 24 months every 15 minutes. During regular hours, a monitor can't replace that check.
  2. Renew mandated reporter training every two years. Missing it is among the most cited violations for both homes and centers.✓ checked
  3. Absence of supervision, like leaving a child alone on the playground, can bring an immediate $500 civil penalty.

Do this

Centers and preschools with 2- to 5-year-olds: file each child's immunization status in the Immunization Reporting app. The presenter said family child care homes don't need to.December 4, 2026✓ checked

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What’s new

Session notes

In the order it was presented. Open any part.

Welcome and professional growth hours
  • This was the third quarterly statewide webinar of 2026.
  • If you attend the live webinar from start to end, Zoom sends a follow-up email that you can use as proof for professional growth hours.
Staff changes
  • New Licensing Program Managers were hired for the San Diego, Riverside, Chico, and Fresno regional offices and for the Southern California units of the Centralized Application Bureau (CAB). A regional directory link was shared in chat.
Lead in water at child care centers (PIN 26-05)
  • CDSS launched a public interactive map of lead testing results for water at licensed child care centers, with guidance on how to read the data.✓ checked
  • State law requires centers in buildings built before January 1, 2010 to test water outlets used for drinking.✓ checked
  • The first deadline was January 1, 2023. Retesting is required no later than 5 years after the first test.✓ checked
  • This applies to licensed child care centers only, not family child care homes.✓ checked
  • The PIN also reminds centers that funding is available for testing and fixing lead problems.✓ checked
Expanded Learning Opportunity Program (PIN 26-06)
  • ELOP is funded by the California Department of Education and run by a local educational agency (LEA) or a third party. It can run before school, after school, in summer, or during breaks, starting with transitional kindergarten and kindergarten.✓ checked
  • ELOP programs serving TK or kindergarten must keep a ratio of no more than 10 children to 1 staff.✓ checked
  • An ELOP can run without a child care center license only if it meets the exemption rules in state law.✓ checked
Regional centers for children with disabilities (PIN 26-07)
  • The Department of Developmental Services runs a statewide network of 21 nonprofit regional centers. They offer diagnosis and eligibility assessment, case management, and services in each person's individual program plan.✓ checked
New milk rules (PIN 26-08)
  • Starting June 1, 2026, licensed child care may serve whole, 2%, 1% low-fat, or non-fat milk to children ages 2 and older.⚠ check
  • This follows a USDA final rule, the Dietary Guidelines for Americans 2025-2030, and the Whole Milk for Healthy Kids Act. CDSS is updating its licensing milk rules to match.⚠ check
Most commonly cited violations
  • Reports list the top 10 most cited rules for each facility type, based on annual inspections for the calendar year. This session covered the top three for homes and centers.
  • Family child care homes: (1) not keeping the home free of defects or conditions that could endanger a child; (2) infant safe sleep, including a completed LIC 9227 for each infant up to 12 months and a crib or play yard free of loose items; (3) mandated reporter training not renewed every two years.✓ checked
  • Child care centers: (1) mandated reporter training not renewed every two years; (2) staff requirements, such as the TB test timing and having at least one CPR and first aid trained staff member present; (3) infant care and supervision, including sight-and-sound watching of sleeping infants and physical checks every 15 minutes.✓ checkedComing October 1, 2027: all staff providing care in a center must have current pediatric first aid and CPR and at least 16 hours of health and safety training (PIN 26-11-CCP, checked 2026-09-29). current rule
  • For preschool and school-age centers, adult immunizations were also covered: proof of measles and pertussis immunization, and a flu shot window of August 1 to December 1 for staff and volunteers.Current rule: at centers, staff and volunteers may decline the flu vaccine (only) by written declaration (HSC §1596.7995, checked 2026-09-22); homes fall under HSC §1597.622, not reviewed here. current rule
Grants: Quality Counts California and infrastructure
  • Quality Counts California (QCC) is the state's quality improvement system. It is funded by CDSS, First 5 California, and the California Department of Education.✓ checked
  • CDSS has two QCC grants: the Quality Improvement Grant (site improvements and admin support) and the Workforce Pathways Grant (more qualified educators and higher credentials).✓ checked
  • The Infrastructure Grant Program had two parts. The minor renovation and repairs grant was $200.5 million to over 3,700 grantees, including 778 centers and 2,991 family child care homes. All of those projects were done as of May 11, 2026.
  • The new construction and major renovation grant was $150 million. 257 grantees were selected; as of May 2026, 162 were in progress and 62 had finished.
  • Both applications are closed (March 25, 2022 and January 31, 2023).✓ checked
Vaccine recommendations and AB 144
  • AB 144 took effect in September 2025. It makes CDPH the source for vaccine recommendations in California, starting from the CDC advisory committee's recommendations as of January 1, 2025.✓ checked
  • The presenter said all CDPH-recommended vaccines, including those required for child care or school, are still covered by insurance in California, and child care and school requirements stay the same.✓ checked
  • CDPH strongly supports the American Academy of Pediatrics childhood immunization schedule.
  • The presenter said vaccines protect children from serious disease, hospital stays, and death, and do not cause autism, allergies, diabetes, or infertility. Side effects are usually mild and most end in 1 or 2 days. Serious events are extremely rare, about 1 or 2 per 1 million doses.
Measles and fall respiratory viruses
  • The presenter said measles cases are rising worldwide, across the US, and to a lesser extent in California. One person with measles can spread it to up to 18 unvaccinated people, and about 1 in 5 children with measles needs hospital care.
  • Two doses of measles vaccine give about 97% protection. Dose one at 12 to 15 months, dose two around 4 to 6 years; dose two can be given as early as 28 days after dose one. Babies 6 to 11 months old traveling abroad should get an early extra dose.
  • Child care providers are required to be immunized against measles, flu, and whooping cough (pertussis). Staff may decline the flu shot in writing.✓ checked
  • Children under five have the highest hospital rates for flu, COVID-19, and RSV. The presenter said COVID-19 is circulating widely in California and flu is starting to rise. CDPH recommends everyone 6 months and older stay up to date on flu and COVID-19 vaccines; RSV immunization is usually recommended for all infants.⚠ check
Immunization records and yearly reporting
  • The two main resources are the CDPH Shots for School website and your local health department immunization program.
  • Families who can't find records can use the CDPH Digital Vaccine Record website to get a record from the California Immunization Registry (CAIR). Healthcare providers have been required to report to CAIR since the start of 2023, so most doses for child care-age children should be there.
  • Centers and preschools report the immunization status of their 2- to 5-year-olds each year in the Immunization Reporting app on Care Hub. The site is open now through December 4.✓ checked
  • SCRL (School and Child Care Roster Lookup, said as "squirrel"), also on Care Hub, shows whether a child is complete, conditional, or overdue, based on CAIR records. You can look up one child or upload a roster. If doses are missing from CAIR, ask parents for more records.
  • Questions can go to the Shots for School website, your local health department, or [email protected].
Care and supervision basics
  • Care means meeting each child's needs: diapering, toileting, dressing, health, food, and emotional needs.
  • Supervision means constant visual observation, listening for changes in noise, scanning for hazards, and watching more closely when needed.
When an aide may be alone with children (centers)
  • There are only two exceptions. The aide must be at least 18 and have 6 ECE units, or 2 ECE units while enrolled each term until reaching 6.
  • Exception 1: the aide may take children to the bathroom. The teacher left in the classroom must have no more than 12 children.
  • Exception 2: at nap time the aide may supervise up to 24 preschool-age children. If children wake or need the bathroom, more staff must step in right away.✓ checked
  • Taking children to the lobby or gate, or getting supplies from the office, does not count as an exception.
Bathroom supervision (centers)
  • In multi-stall bathrooms, staff should stand in the center. In a single-stall bathroom, staff may stand at the doorway to watch the child and the group.
  • If you are alone and a child needs help in the bathroom, call for backup. Never leave the rest of the group unsupervised.
  • School-age children may have privacy in a stall, with staff nearby. The presenter said boys and girls should use the bathroom at different times.✓ checked
Infant and toddler sleep supervision (centers)
  • Always place infants on their back in the crib. If an infant rolls to their side or belly on their own, they may stay that way only if LIC 9227 Section C is completed and signed. (The checked source for this sentence is the family child care home rule, Title 22 §102425(d)(4).)✓ checked
  • Do a direct, in-person check every 15 minutes. Look for signs of distress such as hard breathing, flushed or unusual skin color, higher body temperature, or restlessness. If you see any, follow your emergency plan, call the parent, and write down what happened.✓ checked
  • Licensing does not require a specific form. Record the date, infant's name, sleep position, time of each check, and staff initials. A checkmark or star is fine if the child is okay.
Supervision in family child care homes
  • Homes can have hazards like sharp kitchen tools, cleaning supplies, medications, or water, so active supervision is needed.
  • The licensee must be in the home during operating hours. If they must leave, a qualified substitute must care for the children. The licensee can be away no more than 20% of operating hours in a calendar month.✓ checked
  • Substitutes must have fingerprint clearance, mandated reporter training, CPR and first aid training, and proof of required immunizations before providing care.
  • Children must never be left unsupervised in an area without a fence.
  • Physically check each sleeping infant every 15 minutes. If the infant sleeps in another room, the door must stay open, you must be able to see the infant without moving the door, and you must stay on the same floor. A video or audio monitor can help but cannot replace the 15-minute check.✓ checked
Overnight care in family child care homes
  • The provider must stay awake whenever children in care are awake. The doors to the provider's and children's sleeping rooms must stay open.
  • If you can't hear a child wake up from where you sleep, you must use a working digital video and audio monitor.✓ checked
  • If the infant is asleep and the provider is also going to sleep, the monitor may be used instead of the 15-minute physical checks.✓ checked
Bathroom supervision (family child care homes)
  • You must be able to see or hear children at all times, even in the bathroom. For toilet-trained older children, standing just outside the open door is acceptable.
  • If you are the only caregiver, bring all the children to a safe place where they stay supervised while one child uses the bathroom.
  • Help or remind children to wash hands, and keep the bathroom clean, stocked, and free of hazards like cleaning chemicals.
Supervision strategies
  • Scan and count children before, during, and after every transition. Use an attendance sheet to track children who leave, including early pickups.
  • Place staff near spots that are hard to see or higher risk, such as the back of the room, climbing structures, or behind large furniture.
  • Set up the room before children arrive so you have clear lines of sight and no clutter.
  • Watch more closely at playgrounds, bathrooms, arrival and departure, field trips, and special events.
Supervision citations
  • Absence of supervision means a child was left completely alone with no one watching. Lack of supervision means someone was watching, but it was not enough or did not prevent an incident.
  • Either one can lead to a Type A violation, notice to parents, and a public licensing report.
  • Serious violations such as absence of supervision bring an immediate $500 civil penalty.✓ checked
  • Quiz answers: staff on a phone while one child hurt another = lack; child left alone on the playground for 2 minutes = absence; two preschoolers in the classroom bathroom out of the teacher's sight = lack; unlocked gate and children found by a passerby = absence; child who left a family child care home and was found in a neighbor's yard = absence.
Technical support and reminders
  • Technical Support Program analysts are former Licensing Program Analysts and can train you and your staff on topics like personal rights, record keeping, staff qualifications, and family child care operations. Contact the TSP analyst in your region or ask your LPA for a referral.
  • Tell your LPA or regional office about changes to your phone, email, location, operation, or physical plant. Join the distribution list to get PINs by email.
  • Observances mentioned: National Care for Kids Day (September 20), Baby Safety Month (September), National Hispanic Heritage Month (September 15 to October 15), and National Preparedness Month (September), ending on National Preparedness Day (September 30).

Questions people asked

Are there still grants or funding available?

The presenter said the infrastructure grants are not open now; they are still running for existing grantees. Quality Counts California (QCC) grants always have openings; see the Quality Counts California website or email the presenter.

Can family child care homes take part in QCC?

Yes. The presenter said QCC is meant for everybody, including family child care homes, even just to attend free webinars and trainings.

Can private child care centers get ELOP grants?

ELOP grants are through the California Department of Education, not CDSS. The presenter offered to connect people with someone there.

Will the infrastructure grants be available next year?

Not that the presenter knows of. Extra disaster funding went to current grantees, and no new application has opened. If one does, it will be announced.

Do you have to go through your resource and referral (R&R) agency for these quality grants?

No. Each county is different. On the QCC website, choose early educators and enter your zip code to find your county lead.

When would providers get the grant money?

It depends on the county. Some grants are combined at the county level and paid as stipends through QCC. Get involved with your local QCC to learn how it works there.

Where can providers get the immunization blue cards?

Hard copies come from your local health department immunization program. A downloadable blue card is also on the Shots for School website, and you can fill it in and save it electronically. The moderator added that the card does not have to be blue.

Do family child care homes need to do the yearly immunization report?

The presenter said they do not need to report each year; it is child care centers and preschools with 2- to 5-year-olds.

Can an aide with no ECE units supervise children without a fully qualified teacher?

Never. Only aides with 6 ECE units (or 2 units while working toward 6) may be alone, and only to take children to the bathroom or to supervise up to 24 napping children. Enough fully qualified staff must always be on site to step in.

Can family child care homes use a park for outdoor play, or must it be fenced?

Parks are fine, but with 100% supervision at all times, like a field trip. In any area without a fence, including an unfenced front yard, children can never be left alone.

Should a provider wake a sleeping child to use the bathroom?

Ideally no. Once a child is asleep they have the right to rest. If the child starts to stir and needs the bathroom, help them then. Presenters suggested taking children to the bathroom right before nap and using pull-ups if potty training.

If a center gives children bottled water and serves no meals, does it still need to test water for lead every 5 years?

If the faucets were identified on the facility sketch, they must be tested every 5 years, regardless of food use. Even washing fruit can count as food use. Contact your regional office; it is rare for a center to have no faucets that need testing. Funds are still available; check the PIN and the June webinar slides on WIN grants.

At what age should boys and girls use the bathroom separately?

There is no set age. For preschool it is a best practice, not a specific requirement. School-age children have the right to use the bathroom with the door closed, but it should be one child at a time, not a group.

Can monitors be used for the 15-minute sleep checks?

Only for overnight care. During normal business hours the provider must go into the room and physically observe the sleeping child. The check applies to ages 0 to 24 months. The presenter also said records are kept for 3 years (not confirmed in the regulation checked).

At what age must providers stop helping a child with toileting?

There is no set age. It is a personal right that children are not left in soiled diapers or underwear, so providers must make sure children are cleaned after using the restroom.

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. ✓ 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 (95, 51 checked)
What was saidChecked?
Attending the live webinar from beginning to end can count toward professional growth hours; a follow-up Zoom email serves as proof.
We would like to inform you that attendance can be counted towards your early child care professional growth hours.
as said Something wrong?
This was the third quarterly webinar of 2026.
We are excited to welcome you to our third quarterly webinar of 2026.
as said Something wrong?
PIN 26-05 CCP announced a public interactive map of lead testing results of water in licensed child care centers.
PEN 26-05 CCP announced a launch of an interactive map displaying lead testing results of water in licensed child care centers.
✓ checked
See the rule
source
PIN dated June 22, 2026. Something wrong?
Lead testing for centers is required by Health and Safety Code Section 1597.16.
The California Department of Social Services oversees the mandates for licensed child care centers to test their water for lead as required by Health and Safety Code Section 1597.16.
✓ checked
See the rule
source Something wrong?
The law applies to centers in buildings built before January 1, 2010.
This law requires child care centers operating in buildings constructed before January 1st, 2010.
✓ checked
See the rule
source Something wrong?
The initial lead testing deadline was January 1, 2023.
The law required child care center to test their water by initial deadlines of January 1st, 2023.
✓ checked
See the rule
source Something wrong?
Recurring lead testing is required no later than 5 years after initial testing.
Reoccurring testing is required no later than 5 years after initial testing to maintain compliance.
✓ checked
See the rule
source
HSC 1597.16 says every five years after the initial test. Something wrong?
Lead testing applies to licensed child care centers only, not family child care homes.
This requirement applies to licensed child care centers only.
✓ checked
See the rule
source Something wrong?
PIN 26-06 CCP covers the Expanded Learning Opportunity Program, funded by the California Department of Education.
provides information on Expanded Learning Opportunity Program funded by California Department of Education.
✓ checked
See the rule
source
PIN dated June 22, 2026. Something wrong?
ELOP serves children starting with kindergarten, including transitional kindergarten, as described in Education Code section 46120.
Starting with kindergarten, including transitional kindergarten, as described in EC section.
✓ checked
See the rule
source Something wrong?
An ELOP serving TK or kindergarten must keep a ratio of no more than 10 to 1.
an ELP serving transitional kindergartens, our kindergarten people shall maintain a people-to-staff ratio of no more than 10 to 1.
✓ checked
See the rule
source
EC 46120(b)(5)(D). Something wrong?
An ELOP may operate without a child care center license only if it meets exemption criteria in EC Section 46120 and Health and Safety Code Section 1596.792.
in EC Section 46120 and Health and Safety Code Section 1596.792.
✓ checked
See the rule
source
Specifically HSC 1596.792(h). Something wrong?
PIN 26-07 CCP informs licensees and families about the regional centers overseen by the Department of Developmental Services.
PIN 26-07 CCP.
✓ checked
See the rule
source
PIN dated July 1, 2026; subject is DDS Early Start services. Something wrong?
DDS works through a statewide network of 21 community-based nonprofit regional centers.
DDS coordinates and delivers services for Californians with developmental disabilities through the statewide network of 21 community-based.
✓ checked
See the rule
source Something wrong?
Starting June 1, 2026, licensed child care may serve whole, 2%, 1% low-fat, or non-fat milk to children ages 2 and older (PIN 26-08).
Starting June 1st, 2026, licensed childcare facility may serve whole milk.
⚠ check
See the rule
source
PIN 26-08-CCP (July 15, 2026) says the change took effect June 8, 2026, not June 1. Unflavored milk only. Something wrong?
A USDA final rule effective June 1, 2026 allows whole and 2% milk for children 2 and over in federally funded programs, including CACFP.
In response, the U.S. Department of Agriculture, USDA, issued a final rule effective June 1, 2026.
⚠ check
See the rule
source
PIN 26-08-CCP says the USDA Final Rule was effective June 8, 2026, not June 1. Something wrong?
CDSS is updating its child care licensing milk requirements to match the new federal guidelines.
is updating its child care licensing milk requirements so they match this new federal guidelines.
✓ checked
See the rule
source Something wrong?
Each deficiency report lists the top 10 most commonly cited regulatory sections for each facility type.
Each report identifies the top 10 most commonly cited regulatory sections for each facility type.
as said Something wrong?
A top cited deficiency for family child care homes is failure to keep the home free from defects or conditions that might endanger a child.
Failure to keep the home free from defects.
✓ checked
See the rule
source
Title 22 §102417(g), family child care homes. Something wrong?
An Individual Infant Sleeping Plan (LIC 9227) must be completed for each infant up to 12 months of age.
An Individual Infant Sleeping Plan, LIC, 9227 shall be completed for each infant up to 12 months of age.
✓ checked
See the rule
source
Title 22 §102425(c) (FCCH); centers: §101419.2(b)(2). Something wrong?
Cribs or play yards must be free of loose articles and objects.
Crib or play yard shall be free from loose articles and objects.
✓ checked
See the rule
source
Title 22 §102425(b), family child care homes. Something wrong?
Mandated reporter training must be renewed every two years.
The training must be renewed every two years.
✓ checked
See the rule
source
PIN 24-10-CCP; statute HSC 1596.8662. Something wrong?
Center staff health screening includes a TB test from one year before to seven days after employment or licensure.
Health screening, TB test one year prior to seven days after employment or licensure.
✓ checked
See the rule
source
Title 22 §101216(g), child care centers. Something wrong?
At least one staff member trained in CPR and first aid must be present when children are at the center and on off-site center activities (Health and Safety Code 1596.866, as heard).
to Health and Safety Code 1596866 shall be present when children are in the child care center and off-sites for center activities.
✓ checked
See the rule
source
Title 22 §101216(f) (centers), which cites HSC 1596.866. Something wrong?
In centers, sleeping infants must be observed by sight and sound at all times and physically checked every 15 minutes, with documentation kept in the infant's file.
Staff shall physically check on sleeping infants every 15 minutes and document the following.
✓ checked
See the rule
source
Title 22 §101429(a)(2), infant care centers. Something wrong?
For preschool and school-age centers, employees and volunteers receive a flu vaccine between August 1 and December 1 each year (the speaker also said flu is 'optional').
Proof of immunizations to measles, pertussis, flu, it's optional. Each employees and volunteers shall receive an influenza vaccinations between.
as said
See the rule
source
Not a ✓: the speaker called flu 'optional'. HSC 1596.7995 requires a yearly flu vaccine for center staff and volunteers, but a person may decline it in writing (subd. (b)(3)); measles and pertussis are not optional. Something wrong?
Quality Counts California is funded by a tri-agency collaboration of CDSS, First 5 California, and the California Department of Education.
The system is funded by a tri-agency collaboration between the California Department of Social Services, First 5 California.
✓ checked
See the rule
source Something wrong?
CDSS has two grants under QCC: the Quality Improvement Grant and the Workforce Pathways Grant.
CDSA has two grants under QC :C, and they are the Quality Improvement Grant and the Workforce Pathways Grant.
✓ checked
See the rule
source Something wrong?
The Infrastructure Grant Program was established by Welfare and Institutions Code Section 10310.
It was established through Welfare and Institutions Code Section 10310.
✓ checked
See the rule
source Something wrong?
The Minor Renovation and Repairs Grant was $200.5 million.
The Minor Renovation and Repairs Grant was $200.5 million in funding issued for repairs, modernization, or retrofitting of existing child care facilities to increase or recover capacity.
✓ checked
See the rule
source Something wrong?
Over 3,700 grantees received minor renovation funding, including 778 centers and 2,991 family child care homes.
Over 3,700 grantees received funding, which included 778 centers and 2,991 family child care homes.
as said Something wrong?
All minor renovation grantee projects were completed as of May 11, 2026.
All grantee projects have been completed as of May 11, th 2026.
as said Something wrong?
The New Construction and Major Renovation grant was a $150 million funding opportunity.
The new construction and major renovation grant was a $150 million funding opportunity to fund agencies that were looking to make structural changes, new construction, or extensive alterations of their child care facilities.
✓ checked
See the rule
source Something wrong?
257 new construction grantees were selected; as of May 2026, 162 were in various stages and 62 had completed their projects.
257 grantees were selected.
as said Something wrong?
The minor repair application closed March 25, 2022; the new construction application closed January 31, 2023.
The minor repair and renovations application was closed as of March 25, 2022, and the new construction and major renovations application was closed as of January 31, 2023.
✓ checked
See the rule
source Something wrong?
Assembly Bill 144 became effective in September 2025 and makes CDPH the source for immunization recommendations in California.
First, I'd like to inform you about a new law, Assembly Bill 144, that became effective September of last year, 2025.
✓ checked
See the rule
source
Added by AB 144 (Stats. 2025, Ch. 105), effective September 17, 2025. Something wrong?
Baseline CDPH recommendations are based on CDC ACIP recommendations as of January 1, 2025.
Baseline CDPH recommendations were based on the CDC's Advisory Committee on Immunization Practice recommendations as of January 1st of last year, 2025.
✓ checked
See the rule
source
Also HSC 120164(a). Something wrong?
All CDPH-recommended vaccines, including those required for child care or school, continue to be covered by insurance in California.
I also want to highlight that all vaccines recommended by CDPH, including those required for childcare or school, continue to be covered by insurance in California.
✓ checked
See the rule
source Something wrong?
Child care and school immunization requirements remain the same.
And child care and school immunization requirements remain the same.
✓ checked
See the rule
source Something wrong?
Serious vaccine adverse events are extremely rare, about 1 or 2 per 1 million doses.
Serious adverse events of vaccines do occur, but they are extremely rare. About 1 or 2 serious events happens for every 1 million vaccine doses.
as said Something wrong?
Most vaccine side effects end in 1 or 2 days without treatment.
Most side effects resolve or end in 1 or 2 days without needing treatment.
as said Something wrong?
One person with measles can spread it to up to 18 other unvaccinated people.
One person who has measles infection can spread the virus and infection to up to 18 other people if they are unvaccinated.
as said Something wrong?
About one in five children with measles needs hospital care.
About one in five children with measles gets sick enough to need hospital care due to complications like pneumonia or encephalitis or brain infection or other reasons.
as said Something wrong?
Two doses of measles vaccine provide around 97% protection against infection.
Two doses of measles vaccine provides around 97% protection against infection.
✓ checked
See the rule
source Something wrong?
Measles dose one at 12 to 15 months; dose two around 4 to 6 years.
Dose number one should be between 12 to 15 months of age, and dose number two should be given around 4 to 6 years of age.
as said Something wrong?
Measles dose two can be given as early as 28 days after dose one.
Dose number two can be given as early as 28 days after dose number one.
✓ checked
See the rule
source
CDPH says two doses at least 28 days apart. Something wrong?
Infants 6 to 11 months traveling internationally are recommended to get an early extra measles dose.
And if a baby or infant is traveling internationally or abroad, they are recommended to receive an early extra dose if they are 6 to 11 months old.
✓ checked
See the rule
source
Before international travel. Something wrong?
Child care providers are required to be immunized against measles, influenza, and pertussis.
And as a reminder, child care providers are required to be immunized against measles, influenza, and pertussis, which is a whooping cough.
✓ checked
See the rule
source
Applies to center employees and volunteers (FCCH: HSC 1597.622). Flu vaccine can be declined in writing. Something wrong?
Children under five have the highest hospitalization rates for flu, COVID-19, and RSV.
I want to remind all of us that among children, the youngest children, especially those under five years old, have the highest rates of hospitalization for influenza.
as said Something wrong?
CDPH recommends everyone 6 months and older stay up to date on flu and COVID-19 vaccines.
CDPH recommends that everyone six months and older stay up to date on influenza and COVID-19 vaccines.
⚠ check
See the rule
source
CDPH recommends flu vaccine for everyone 6 months+, but COVID-19 only for 6-23 months, at-risk groups, and anyone who chooses it. Something wrong?
Since the start of 2023, healthcare providers have been required to report vaccines they give to the California Immunization Registry (CAIR).
Now, at the start of 2023, so we're almost four years in, reporting to care became a requirement for healthcare providers when they administer vaccines.
as said Something wrong?
The Immunization Reporting application is where you report the immunization status of your 2- to 5-year-olds each year.
Uh, the Immunization Reporting Application is where you go to report the immunization status of your 2- to 5-year-olds each year.
✓ checked
See the rule
source
Report covers children ages 2-5 at licensed child care center preschools. Something wrong?
The reporting site is open now and will be open until December 4 of this year.
The reporting site is open now, and it will be open until December 4th of this year.
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Reports due December 4, 2026. Something wrong?
The presenter said family child care homes do not need to do the yearly report; it is child care centers and preschools with 2- to 5-year-olds.
They… I would say they do not need to report.
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Facilities with only a Family Home Care license review records but do not need to report. Something wrong?
CDPH Shots for School email contact.
at [email protected].
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An aide may be alone with preschool children only under two exceptions, and must be at least 18 with 6 ECE units, or 2 ECE units while enrolled each semester or quarter until 6 are done.
The first exception is when an aide who is at least 18 years old and has completed 6 units in early childhood education, or 2 units in early childhood education, and enrolled each semester or quarter until 6 units have been completed.
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Partly confirmed: the unit requirement in §101216.2(d) applies to aides, not to the unsupervised exceptions in §101216.2(e)(1). Something wrong?
If an aide takes children to the bathroom, the teacher left in the classroom must have no more than 12 children.
The teacher remaining in the classroom must be left with no more than 12 children.
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At nap time, a qualified aide may supervise up to 24 preschool-age children.
may supervise up to 24 preschool-aged children.
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Title 22 §101230(c)(1); remaining teachers needed for overall ratio must be immediately available. Something wrong?
Escorting children to the lobby or gate, or picking up supplies, does not qualify as an exception.
Tasks, such as escorting children to the front lobby or gate, or picking up supplies from the front office, do not qualify as exceptions and would not meet licensing requirements.
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Under Section 101539, school-age children may have privacy inside a bathroom stall.
For school-age children in Section 101539.
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Title 22 §101539(b): toilets used by school-age children shall provide individual privacy. Something wrong?
An infant who rolls to side or belly may stay in that position only if LIC 9227 Section C is completed and signed by the authorized representative.
However, if they roll to their side or belly to sleep, they can stay in the alternate position as long as the LIC 9227 Form Section C is completed.
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Title 22 §102425(d)(4) (FCCH); infant must still be placed on back first. Something wrong?
Licensing does not require a specific form for documenting sleep checks.
Licensing does not require a specific form for documentation. You can record the checks in whatever format works best for your program.
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A family child care licensee can be temporarily absent for up to 20% of operating hours in any calendar month.
The licensee can only be temporarily absent for up to 20% of the daycare operating hours in any calendar month.
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Added by AB 150, effective June 29, 2026. Older Title 22 §102417(a) text said 20% per day. Something wrong?
Substitutes must have fingerprint clearance, mandated reporter training, CPR and first aid training, and proof of specific immunizations before providing care.
Substitutes must meet all requirements, fingerprint clearance, mandated reporter training, CPR first aid training, and proof of specific immunizations before providing care.
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Children must never be left unsupervised in a non-fenced area.
Children must never be left unsupervised in a non-fenced area.
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In a family child care home, if an infant sleeps in a separate room, the door must stay open and the provider must stay on the same floor.
If an infant is sleeping in a separate room, the door to that room must always remain open.
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Title 22 §102425(j)(5)-(6). Something wrong?
A video or audio monitor may support supervision but cannot replace the required physical 15-minute check.
A digital video or audio monitoring device may be used to support supervision, but it cannot replace the required physical 15-minute check.
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Title 22 §102425(j)(7). Something wrong?
In overnight care, if the provider can't hear a child wake up, a digital video and audio monitor must be used and kept in good working condition.
A digital video and audio monitoring device must be used.
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Title 22 §102426(a)(3), family child care homes. Something wrong?
In overnight care, if the infant is asleep and the provider is also going to sleep, the monitor may be used instead of 15-minute physical checks.
If an infant is sleeping and the provider is also going to sleep, the monitoring device may be used instead of physically checking the infant every 15 minutes.
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Title 22 §102426(b)(1), family child care homes. Something wrong?
Both absence and lack of supervision citations can result in a Type A violation, parent notification, and public licensing reports.
Both types of citations carry serious consequences. They can result in a Type A violation, require that parents or authorized representatives be notified.
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Under Health and Safety Code 1596.99, an immediate $500 civil penalty is issued for serious violations such as absence of supervision.
An immediate $500 civil penalty will be issued for serious violations such as absence of supervision.
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HSC 1596.99(c)(3) for centers; HSC 1597.58 has the same $500 penalty for family child care homes. Something wrong?
A special webinar on AB 150 (Early Care and Education) is on September 29, 6 to 7 p.m.
There will be a special webinar on September 29th from 6 to 7 p.m. on AB 150, Early Care and Education.
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PIN 26-10-CCP: Tuesday, September 29, 2026. Something wrong?
The December webinar is Tuesday, December 8, 6 to 7:30 p.m., with a new Zoom registration link and limited seats.
We will also be hosting our December Webinar on Tuesday, December 8th from 6 to 7:30 p.m.
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Each TSP analyst is a former Licensing Program Analyst.
Each TSP analyst is a former LPA who has extensive knowledge on Title 22 regulations.
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National Care for Kids Day is observed annually on September 20.
The National Care for Kids Day, also referred to as National Care for Children's Day, is observed annually on September 20th, which encourages communities to focus on supporting youth health.
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Baby Safety Month is every September.
It is also Baby Safety Month all September long.
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National Hispanic Heritage Month runs September 15 to October 15.
National Hispanic Heritage Month is celebrated annually from September 15 to October 15.
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National Preparedness Month is every September, ending on National Preparedness Day, September 30.
The campaign, culminating on National Preparedness Day, September 30th, empowers individuals, families, and businesses to build emergency supply kits and create comprehensive safety.
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The infrastructure grants are not currently open; they are still running for existing grantees.
Unfortunately, the infrastructure grants are not currently open. They're still running for grantees that got that funding, but we don't have any new ones at the moment.
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No new infrastructure RFA or RFP has been opened; extra disaster funding went to current grantees. The presenter did not know of grants next year.
Not that we know of. We don't know until we get extra funding. So at this point, it's just the funding that we have. There was some additional funding put into the grant for disasters, but that went to the current grantees.
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Family child care homes can take part in QCC.
Qcc is meant for family childcare homes. Qcc is meant for everybody.
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You don't have to go through your R&R for QCC; find your county lead by zip code on the QCC website.
You don't have to go through your R&R. Each county is a little bit different, but that's why I said go to that QCC website.
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ELOP grants are through the California Department of Education, not CDSS.
That's not through CDS. Those are through the California Department of Education.
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Funds are still available for lead testing and remediation; a new facility has about 180 days (the speaker was not certain).
Within regards, yeah, right, just in regards of grants, yes, there are still funds for lead testing and remediation.
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PIN 26-05-CCP is titled 'Statewide lead testing data map and reminder of funding opportunities'. It also says newly licensed centers have 180 days to complete lead testing. Something wrong?
If faucets were identified on a center's facility sketch, they must go through the five-year lead testing, regardless of food use.
If the faucets were identified on the facility sketch, then they are required to go through the five-year testing process in there, regardless necessarily of food use or not at that stage.
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The 15-minute safe sleep check applies to children 0 to 24 months, and records for children and staff are kept for three years after they leave the facility.
15-minute safe sleep check, zero to 24 months, please, zero to 24 months. And you should keep these records for three years, all the records for children and staff for three years after.
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Partly confirmed: Title 22 §101429 confirms 15-minute checks; the 0–24 month range and records rule were not confirmed. Something wrong?
During normal business hours, monitors cannot be used for the 15-minute checks; monitors apply only to overnight care.
So during the day, the provider cannot use a visual monitor or a listen-in monitor to monitor the 15-minute checks.
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FCCH: monitor not a substitute (§102425(j)(7)); allowed only in overnight care (§102426(b)(1)). Something wrong?
For family child care homes, parks are allowed with 100% supervision at all times.
Okay, yeah, so for family childcare homes, they can take the children to the park, but there has to be 100% supervision at all times.
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There is no specific requirement that only boys or only girls use a preschool restroom at one time; it is a best practice.
Preschool children, again, we really want to encourage a best practice, but there's not a specific requirement stating that just the boys or just the girls should be using a restroom at one time.
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It is a personal right that children who need help cleaning after using the restroom are not left in soiled diapers or undergarments.
There is no age for requiring a fully potty trained child on when you must assist them, but I want to remind all providers out there, it is a personal rights if a child is using the restroom and they need assistance with cleaning.
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The June webinar slide deck had information on WIN (water infrastructure) grants, on the Child Care Advocates webpage.
And please feel free to look back at our June webinar. I do believe we had the WIN grants, which is the water infrastructure grants.
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A downloadable blue card is available on the Shots for School website; hard copies come from the local health department immunization program.
There is. That's another option, too, is to go to Shots for School, and there's a downloadable blue card as well.
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Providers can join a distribution list to receive PINs by email.
You can also keep up with licensing updates by registering to be on the distribution list.
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Not checked. The PIN linked here before (26-06-CCP, ELO-P) does not address the distribution list. Something wrong?
Ideally, a sleeping child should not be woken up to use the restroom.
I'm gonna say ideally, if the infant is asleep, the infant should, or the child in this case should not be woken up from the nap time to use the restroom.
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In quiz scenario 2, a child was left alone on the playground for an estimated 2 minutes (absence of supervision).
It was estimated that the child was left outside for 2 minutes alone on the playground.
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