State CCDBG Plans to Promote Health and Safety

Dec 22, 2009


The Child Care and Development Block Grant (CCDBG) is the largest source of federal funding for child care available to states. Every two years, states must lay out their plans for using all CCDBG funds to help low-income families access child care and to improve the quality of child care for all children, including infants and toddlers. Below are examples of promising child care licensing, subsidy, and quality enhancement policies and initiatives supporting infant/toddler care as reported by states in their FFY 2008-2009 CCDBG plans.

Actions taken by states to promote health and safety included:


Requiring preparation on health and safety issues

  • West Virginia reported that the state had strengthened licensing requirements related to infant/toddler care for family care homes that received subsidy payments. Prior to caring for infants, all child care staff had to complete a self-study guide on Sudden Infant Death Syndrome (SIDS) and Shaken Baby Syndrome or participate in an approved training on the two issues. The state had infant/toddler specialists, funded by the infant/toddler set-aside, to assist providers meet this licensing requirement.
  • North Carolina required in licensing rules that providers in both centers and family child care homes complete training in infant/toddler safe sleep practices and SIDS within four months of becoming employed and working with infants and toddlers. Providers have to update their training every three years in order to maintain their license. North Carolina reported that the state used the CCDBG infant/toddler earmark to fund the Infant/Toddler Safe Sleep and SIDS Risk Reduction (ITS-SIDS) Project. The project facilitated an online train-the-trainer module to infant/toddler specialists, child care health consultants, and others, who then administered ITS-SIDS training to providers.
  • Wisconsin sent out child care nurse consultants to provide training and technical assistance to providers on the health and safety of children. The state's child care program performance standards required that providers have training in child health and safety issues, which included infant/child CPR. The state revised licensing rules in 2004 to require that both center and family child care providers be certified in infant/child CPR by September 2005 or within six months of hire; the certification had to be maintained thereafter.
  • Wyoming reported that all providers, both licensed and legally exempt, who received subsidy payments have to maintain current certification in infant/child CPR and first aid.

Providing resources to improve the health and safety of child care settings

  • South Dakota had health and safety grants that providers could apply for to help them meet child health standards and improve the quality of care. Infant/toddler capacity building was prioritized. The state reported that most funding was used to install fire safety devices, egress windows for safety, and fences. New providers had some limited funding available to them for new equipment, such as cots, mats, and changing tables.
  • Kansas offered a program called EXCEL, which employed infant/toddler specialists to work with providers on improving the quality and availability of infant/toddler care. In 2007, the specialists targeted obesity prevention and health and nutrition as two key issues to focus on with EXCEL participants.



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