Chapter 10: Licensing and Community Action
10.4 Facility Licensing
10.4.2 Facility Inspections and Monitoring
10.4.2.4: Agency Collaboration to Safeguard Children in Child Care
The child care licensing, building, fire safety, and health authorities, as well as any other regulators (e.g., environmental, sanitation, and food safety), should work together as a team to safeguard children in child care. The team should eliminate duplication of inspections to create more efficient regulatory efforts. Examples of activities to be coordinated include:
- Inspection of child care facility;
- Reporting and surveillance systems;
- Guidance in managing outbreaks of infectious diseases;
- Preventing exposure of children to hazards;
- Reporting child abuse;
- Training and technical consultation;
- Disaster preparedness and response planning (1).
Regulatory agents should collaborate to educate caregivers/teachers, parents/guardians, health care providers, public health workers, licensors, and employers about their roles in ensuring health and safety in child care settings.
RATIONALEFrequently, caregivers/teachers are burdened by complicated procedures and conflicting requirements to obtain clearance from various authorities to operate. To use limited resources, agencies must avoid contradictions in regulatory codes, simplify inspection procedures, and reduce bureaucratic disincentives to the provision of safe and healthy care for children. When regulatory authorities work as a team, collaboration should focus on establishing the role of each agency in ensuring that necessary services and systems exist to prevent and control health and safety problems in facilities. Each member of the team gains opportunities to learn about the responsibilities of other team members so that close working relationships can be established, conflicts can be resolved, and decisions can be reached. In small states, a state level task force may be sufficient. In larger or more populous states, local task forces may be needed to promote effective use of resources.
COMMENTSThe licensing agency can facilitate communication and collaboration between the child care facility and the state health department, Emergency Medical Services (EMS) agencies, other regulatory agencies, funding agencies, child protection agencies, law enforcement agencies, community service agencies, school districts and school personnel, including school nurses, and local government to safeguard children in child care.
RELATED STANDARDS188.8.131.52 Recognizing and Reporting Suspected Child Abuse, Neglect, and Exploitation
184.108.40.206 Inspection of Indoor and Outdoor Play Areas and Equipment
220.127.116.11 Written Plan and Training for Handling Urgent Medical or Threatening Incidents
18.104.22.168 Review of Written Plan for Urgent Care and Threatening Incidents
22.214.171.124 Disaster Planning, Training, and Communication
126.96.36.199 Written Plan for Seasonal and Pandemic Influenza
188.8.131.52 Emergency and Evacuation Drills Policy
184.108.40.206 Use of Daily Roster During Evacuation Drills
220.127.116.11 Sign-In/Sign-Out System
18.104.22.168 Authorized Persons to Pick Up Child
22.214.171.124 Policy on Actions to Be Followed When No Authorized Person Arrives to Pick Up a Child
126.96.36.199 Documentation of Drop-Off, Pick-Up, Daily Attendance of Child, and Parent/Provider Communication
- American Academy of Pediatrics. Children and disasters. http://www.aap.org/disasters/.