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What you need › Webinar notes › CDSS Community Care Licensing

Safe Sleep Regulations

October 2023Special webinar39:13 long

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

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A Child Care Advocate Program webinar walking through California's infant safe sleep regulations for licensed homes and centers.

Hosted by

CDSS Community Care Licensing

Presented by

CDSS Child Care Advocate Program

Who it’s for

Licensed family child care homes
Infant care centers

3 things to know

Infants up to 12 months sleep on their backs, alone in a crib, with nothing but a fitted sheet.✓ checked
Check every sleeping infant (up to 24 months) every 15 minutes and write down name, date and time.✓ checked
No swaddling. Sleep sacks only with an approved waiver, which is available to centers, not family child care homes.✓ checked

Do this

Make sure every infant up to 12 months has a current LIC 9227 sleeping plan, and use a 15-minute sleep log for every infant under two.✓ checked

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What to do

Keep a LIC 9227 on file for every infant up to 12 months and update it as the infant starts rolling. Tell the parent by the next business day.▶ 00:12:36
Make your own 15-minute sleep log (licensing has no form): child's name, date, time of each check, and staff initials at centers.▶ 00:21:04
Family child care homes: decline parents' requests for sleep sacks or swaddling; licensing cannot give homes a waiver.▶ 00:19:14
Check your infant equipment against Consumer Product Safety Commission recalls.▶ 00:34:39

Session notes

In the order it was presented. Open any part.

Welcome

Presented by the Child Care Advocate Program in English, Cantonese, Mandarin and Spanish, during SIDS Awareness Month (October).▶ 00:03:22

SIDS and SUID

SIDS is the unexplained sudden death of an infant under one, usually during sleep. The presenter cited AAP figures: over 3,500 U.S. babies die suddenly while sleeping each year, and 90% of SIDS cases occur in the first six months.▶ 00:05:46
Sleep-related deaths do happen in child care. Licensing publishes child care facility fatality data; the presenter said there were 45 deaths in child care facilities from 2018 through 2022.▶ 00:07:05

Safe sleep regulations and resources

The regulations took effect August 18, 2020. An infant is a child under two, and many rules apply to all infants from 0 to 24 months.▶ 00:07:50
The Safe Sleep FAQs, in several languages, are a good handout for families and staff.✓ checked ▶ 00:07:30

Infants up to 12 months: back to sleep and the LIC 9227

Two rules apply only to infants up to 12 months: place them on their backs to sleep, and keep a LIC 9227 Individual Infant Sleeping Plan on file.▶ 00:08:56
Only a written medical exemption from a licensed physician allows another sleep position. Otherwise, return the infant to their back until they can roll both ways consistently.▶ 00:09:08
Once you see an infant roll consistently, tell the parent by the next business day and complete Section C; after that, an infant who rolls during a nap may stay that way.▶ 00:12:36
Centers also need a needs and services plan for each infant; homes do not.▶ 00:11:07

The crib and sleep environment

One crib per infant; even twins cannot share. Centers use cribs only; homes may also use a play yard.▶ 00:14:35
Firm mattress and fitted sheet only: no blankets, pillows, toys, bumpers, or anything that could cover the head. Remove hats, bibs and hair bows.▶ 00:28:06
Nothing may hang on or above the crib, and pacifiers cannot have anything attached.✓ checked ▶ 00:15:47

Where infants may sleep

Don't force an infant to sleep, stay awake, or stay in the sleep area.✓ checked ▶ 00:16:58
No sleeping in swings, strollers, highchairs, car seats or a provider's arms. Move an infant who falls asleep elsewhere to a crib as soon as possible.▶ 00:27:32
An infant may move to a mat or cot only once they can climb out of the crib on their own.▶ 00:28:26

Swaddling and sleep sacks

No swaddling, even for newborns or with a parent's permission.▶ 00:19:14
Sleep sacks count as swaddling. Centers may ask their regional office for a waiver or exception; licensing cannot issue waivers to family child care homes, so homes must decline.▶ 00:30:38

15-minute sleep checks and logs

Physically check every sleeping infant (0 to 24 months) every 15 minutes, in a crib, play yard, mat or cot, and document it.▶ 00:23:21
Record the child's name, date and time of each check. Staff initials are required at centers and optional (but best practice) in homes. Licensing has no form, so make your own.▶ 00:21:04
Note labored breathing or signs of distress, keep the log off the crib, and never delay emergency care.▶ 00:23:46

Rules for child care centers

A separate nap room needs one teacher or aide per 12 sleeping infants. The presenter said half or transparent walls can count toward the overall ratio if constant sight and sound supervision is kept.▶ 00:31:34Applies to: infant nap rooms. The linked one-teacher-per-24 rule (Title 22 §101230) is the general center nap ratio, not infant-specific. current rule
Provide mats or cots for infants who can climb out of the crib. The 15-minute checks are on top of constant supervision.▶ 00:24:52

Rules for family child care homes

If an infant sleeps in another room, keep the door open, be able to see the infant without moving the door, and stay close enough to hear them wake.✓ checked ▶ 00:32:41

Recalled infant equipment

Check the Consumer Product Safety Commission site for recalls. The presenter said rocking and inclined sleepers are not safe for infant sleep.▶ 00:33:47

Upcoming webinar and contacts

The next quarterly webinar was December 12, 2023, at 6:00 p.m. That date has passed.✓ checked ▶ 00:36:03
Questions: Child Care Advocate Program email or Child Care Assistance line. Resources include PIN 19-02-CCP and PIN 20-24-CCP.✓ checked

Links and what’s next

Child Care Facility Fatality Data report (CDSS)▶ 00:06:58
Safe Sleep FAQs (multiple languages)▶ 00:07:30
LIC 9227 Individual Infant Sleeping Plan▶ 00:09:53
Consumer Product Safety Commission recalls▶ 00:33:47
PIN 19-02-CCP (Safe Sleep Awareness Campaign)
PIN 20-24-CCP (Recently Approved Safe Sleep Regulations)
Safe to Sleep videos for grandparents and other trusted caregivers (English and Spanish)▶ 00:37:42
Coming up: The next quarterly provider webinar was scheduled for Tuesday, December 12, 2023, at 6:00 p.m. That date has passed.▶ 00:36:03

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.

SlidesOfficial slides (English) added 2026-09-22
SlidesOfficial slides in Chinese (Traditional) added 2026-09-22
SlidesOfficial slides in Spanish added 2026-09-22
RecordingOfficial recording (YouTube) added 2026-09-22

Every fact and its source (63, 35 checked)

What was said	When	Checked?
The webinar was presented by the Child Care Advocate Program. Safe Sleep Regulations Presented by: Child Care Advocate Program		✓ checked slide 1 Stated on the official slides Something wrong?
The webinar was presented in English, Cantonese, Mandarin and Spanish. This webinar is presented in English, Cantonese, Mandarin, and		✓ checked slide 2 Stated on the official slides Something wrong?
The presenter said the webinar was held in October, SIDS Awareness Month. SIDS awareness month we thought that is fitting for us to share this webinar with you during the month of October	▶ 00:03:22	as said Something wrong?
SIDS is the sudden death of an infant under one year, usually sleep-related, that cannot be explained even after a full investigation. the sudden death of an infant usually sleep related younger than one year of age that cannot be explained even after a full investigation	▶ 00:05:46	as said Something wrong?
The presenter said, citing the AAP, that more than 3,500 babies in the U.S. die suddenly or unexpectedly while sleeping each year. more than 3,500 babies in the United State died suddenly or unexpectedly each year while sleeping	▶ 00:06:07	as said Something wrong?
The presenter said 90% of SIDS cases occur within the first six months. 90% of cases occur within the first six month of age	▶ 00:06:34	as said Something wrong?
Community Care Licensing tracks child care facility fatality data and makes it publicly available online. makes Child Care Facility Fatality Data publicly available online.		✓ checked slide 5 Stated on the official slides Something wrong?
Sleep-related deaths do happen in child care settings, and providers can help reduce the risk. Sleep-r elated deaths do happen in child care settings.		✓ checked slide 5 Stated on the official slides Something wrong?
The presenter said 45 deaths occurred in child care facilities from 2018 through 2022. since 2018 through 2022 there were 45 deaths occurred within childcare facilities	▶ 00:07:05	as said Something wrong?
The safe sleep regulations took effect August 18, 2020. Effective August 18, 2020		✓ checked slide 6 Stated on the official slides Something wrong?
Under the regulations, an infant is a child under two years of age. An infant is a child under two (2) years of age		✓ checked slide 6 Stated on the official slides Something wrong?
Safe sleep Frequently Asked Questions are available in multiple languages. Frequently Asked Questions - multiple languages		✓ checked slide 6 Stated on the official slides Something wrong?
Infants up to 12 months must be placed on their backs to sleep, unless a licensed physician gives a written medical exemption. Must be placed on their backs to sleep		✓ checked See the rule slide 7 Stated on the official slides Something wrong?
The presenter said only a written medical exemption from a licensed physician allows another sleep position. only written medical exemption from the licensed physician allows an alternative sleep position	▶ 00:09:16	as said Something wrong?
The presenter said infants are returned to their backs until they can consistently roll from stomach to back without help. return to their backs until they have demonstrated ability to consistently roll from their stomach to their back without assistance	▶ 00:09:08	as said Something wrong?
Each infant up to 12 months of age must have a LIC 9227 on file. Each infant (up to 12 months of age) must have LIC 9227 on file.		✓ checked See the rule slide 8 Stated on the official slides Something wrong?
Keep a LIC 9227 Individual Infant Sleeping Plan and update it as needed. Have a LIC 9227 Individual Infant Sleeping Plan and update as needed		✓ checked See the rule slide 7 Stated on the official slides Something wrong?
The presenter said centers also need a needs and services plan for each infant; homes do not. the needs and service plan again is only required for Center and not for family childcare home	▶ 00:11:07	as said Something wrong?
The presenter said the provider must tell the parent no later than the next business day after seeing the infant roll consistently both ways. the provider must inform the parent or authorized representative no later than next business day that they observe the infant child roll consistently	▶ 00:12:36	as said Something wrong?
The presenter said that once Section C is completed, an infant who changes position during a nap may stay in that position. in the event the infant changes position in the middle uh of their nap the infant May remain in the alternative position	▶ 00:13:24	as said See the rule Something wrong?
One crib for each infant in care. One crib for each infant in care		✓ checked slide 9 Stated on the official slides Something wrong?
Use a firm mattress and a tight-fitting sheet. Firm mattress and tight-fitting sheet		✓ checked slide 9 Stated on the official slides Something wrong?
No blankets, pillows or toys, and nothing may cover the infant's head. No blankets, pillows, toys (do not cover infant’s head)		✓ checked See the rule slide 9 Stated on the official slides Something wrong?
Nothing may hang on the side of or above the crib. Nothing hanging on the side or above of the crib		✓ checked See the rule slide 9 Stated on the official slides Something wrong?
Pacifiers cannot have anything attached. Pacifiers cannot have anything attached		✓ checked slide 9 Stated on the official slides Something wrong?
The presenter said centers may not use a play pen or play yard for napping; that is allowed only in family child care homes. at Child Care Centers infant may not use a play pen or Playard for napping this is only allowed in family child care homes	▶ 00:14:35	as said Something wrong?
The presenter said siblings or twins cannot share a crib. even if they are siblings or twins the infants cannot share one crib	▶ 00:14:45	as said Something wrong?
Infants cannot be forced to sleep, stay awake, or stay in the sleeping area. Cannot force to sleep, stay awake, or stay in the sleeping area		✓ checked slide 10 Stated on the official slides Something wrong?
Infants cannot sleep in swings, strollers, highchairs, or the provider's arms. Cannot sleep in swings, stroller, highchair, or provider’s arms		✓ checked slide 10 Stated on the official slides Something wrong?
If an infant falls asleep somewhere else, move them to a crib as soon as possible. Move infant to crib as soon as possible if falls asleep in other places		✓ checked slide 10 Stated on the official slides Something wrong?
No swaddling. No sleep sacks unless approved via waiver. No swaddling. No sleep sacks (unless sleep sack is approved via waiver)		✓ checked slide 10 Stated on the official slides Something wrong?
Providers must check all sleeping infants every 15 minutes and document the date, infant's name and time. Providers must check on all sleeping infants every 15 minutes and document (date, infant’s name, time)		✓ checked See the rule slide 10 Stated on the official slides Something wrong?
The presenter said an infant may sleep on a mat or cot only if they can climb out of the crib on their own. the only way that an infant can sleep on a mat or a cart is if they can physically climb out of the crib on their own	▶ 00:28:26	as said Something wrong?
The presenter said there is no swaddling, even for newborns or with a parent's permission. there should be no swaddling even with newborn infants or even with parents' permission	▶ 00:19:14	as said Something wrong?
Fifteen-minute checks and documentation are required for infants zero to 24 months. Infants (zero to 24 months) • Fifteen (15) minute checks and documentation are required.		✓ checked See the rule slide 11 Stated on the official slides Something wrong?
Documentation includes the child's name, date, time of check and the checking staff's initials or signature; initials are optional for family child care homes. Documentation: name of child, date, time of check and ini tial/signature of staff that conducted the 15-minute check (Initial/signature – optional for Family Child Care Home).		✓ checked See the rule slide 11 Stated on the official slides Something wrong?
Providers must develop their own form or tool for this documentation. Providers must develop a form/tool to document the above		✓ checked slide 11 Stated on the official slides Something wrong?
The presenter said licensing has not made a sleep check form. licensing has not developed a form for this purpose	▶ 00:21:04	as said Something wrong?
The presenter said the 15-minute checks apply whether the infant naps in a crib, play yard, or on a mat or cot. applies whether the infant is napping is napping in a crib in a Playard play pen or on a mat or cut	▶ 00:23:21	as said Something wrong?
The presenter said to document labored breathing and signs of distress, such as flushed skin, higher temperature and restlessness. document labored breathing signs of distress which includes but not limited to flush skin color increase in body temperature and restlessness	▶ 00:23:46	as said Something wrong?
The presenter said not to keep the sleep log on or in the crib. please do not keep the documentation on or in the infant's crib or Playard	▶ 00:24:09	as said Something wrong?
The presenter said a provider may not delay emergency medical treatment, which also requires an unusual incident report. a provider may not delay in obtaining emergency medical treatment for the infant	▶ 00:24:28	as said Something wrong?
The presenter said, for centers, the 15-minute checks are in addition to constant visual and auditory supervision. the 15 minutes checks are in addition to the requirement of constant Visual and audial supervision of infants	▶ 00:24:52	as said See the rule Something wrong?
Sleep sacks are prohibited unless a child care center has an approved waiver or exception. Prohibited unless the Child Care Center has an approved w aiver or exception		✓ checked slide 12 Stated on the official slides Something wrong?
Community Care Licensing does not have the authority to issue sleep sack waivers for family child care homes. Note: Community Care Licensing does not have t he authority to issue waivers for Family Child Care Homes		✓ checked slide 12 Stated on the official slides Something wrong?
Waiver requests for sleep sacks give reasons; the slide lists sleeveless sleep sacks and lightweight, breathable fabrics. Sleep sacks with no sleeves • Light weight, breathable fabrics		✓ checked slide 12 Stated on the official slides Something wrong?
The presenter said family child care providers must decline a parent's request to use a sleep sack. as family daycare provider you must decline the parents request	▶ 00:30:38	as said Something wrong?
The presenter said infants cannot sleep in car seats or other devices. infants cannot sleep in car seat or other devices	▶ 00:27:32	as said Something wrong?
The presenter said cribs cannot have bumpers. The Cribs cannot have bumpers	▶ 00:29:04	as said See the rule Something wrong?
The presenter said items that could come loose, such as hats, bibs and hair bows, must be removed before naps. all items that could come loose such as hats bibs hair bows Etc must be removed before putting the infants down for a nap	▶ 00:28:06	as said Something wrong?
Centers: a ratio of one teacher or aide to 12 sleeping infants is required in the nap room. Ratio of one teacher or aide to 12 sleeping infants required in nap r oom		✓ checked slide 15 Stated on the official slides Something wrong?
The presenter said half walls or transparent walls may be used to meet the overall ratio when constant audio and visual supervision can be kept. half walls or transparent walls may be used to meet the overall ratio requirement when constant and 100% audio and visual supervision can be maintained	▶ 00:32:06	as said Something wrong?
Centers: floor mats or cots must be provided for infants who can climb out of the crib. Floor mats or cots shall be provided for all infants who are able t o climb out of the crib.		✓ checked slide 15 Stated on the official slides Something wrong?
Homes: the door to the room where the infant sleeps must stay open at all times. Door to the room the infant is sleeping in shall remain open at all times.		✓ checked See the rule slide 16 Stated on the official slides Something wrong?
Homes: the provider must be able to see the infant without moving the door. The provider shall be able to visually observe the infant without moving the door.		✓ checked See the rule slide 16 Stated on the official slides Something wrong?
Homes: the provider must be near enough to hear the sleeping infant wake up. provider shall be near enough to the sleeping infant to be able to hear them wake up.		✓ checked slide 16 Stated on the official slides Something wrong?
Check the Consumer Product Safety Commission website for recalled infant items. Please visit the Consumer Product Safety Commission website to check for recalled items.		✓ checked slide 17 Stated on the official slides Something wrong?
The presenter said rocking sleepers such as the Fisher-Price Rock 'n Play have caused deaths, and inclined sleepers are not safe for infant sleep. the Fisher Price rocket play and other rocking sleepers have caused fatalities	▶ 00:34:39	as said Something wrong?
The next provider webinar was Tuesday, December 12, 2023, at 6:00 p.m.; register through a PIN. Tuesday, 12/12/2023 @ 6:00 p.m.		✓ checked slide 18 Stated on the official slides Something wrong?
Child Care Advocate Program: [email protected]; Child Care Assistance: (800) 543-7793. Child Care Advocate Program [email protected] Child Care Assistance (800) 543-7793		✓ checked slide 20 Stated on the official slides Something wrong?
PIN 19-02-CCP (Safe Sleep Awareness Campaign) and PIN 20-24-CCP (recently approved safe sleep regulations) are listed as resources. PIN 19-02-CCP Safe Sleep Awareness Campaign • PIN 20-24-CCP Recently Approved Safe Sleep Regulations		✓ checked slide 21 Stated on the official slides Something wrong?
The presenter said many of the regulations apply to all infants, from zero to 24 months. many of these regulation apply to all infants which are children from zero to 24 months of age	▶ 00:07:50	as said Something wrong?
The presenter said two regulations apply specifically to infants up to 12 months: back to sleep and the LIC 9227. there are two regulations that are specifically for infant up to 12 months of age	▶ 00:08:56	as said Something wrong?