Health and Safety Resource Page

The Child Care and Development Fund (CCDF) final rule outlines regulations for implementing the Child Care and Development Block Grant (CCDBG) Act of 2014 and administering the CCDF program, including provisions to protect the health and safety of children in care. The final rule strengthens health and safety requirements for programs receiving CCDF funds.

All American Indian and Alaska Native (AI/AN) CCDF grantees, regardless of allocation size, are required to meet the health and safety requirements in the CCDF final rule, which include the following:

• Designing, implementing, and enforcing requirements related to a specified list of health and safety topics
• Health and safety training
• Specific group size limits and ratios
• Compliance with child abuse reporting requirements

These requirements are considered the necessary foundation for ensuring the health and safety of children in child care settings.

This resource page provides resources from the Tribal Child Care Capacity Building Center related to protecting the health and safety of children in care.

Health and Safety Requirements

• Ensuring the Health and Safety of Children in American Indian and Alaska Native (AI/AN) CCDF Programs (presentation slides)

• Meeting the Health and Safety Training Requirements for CCDF Programs (presentation slides)

• Tribal Criminal Background Check Requirements (presentation slides)

• Tribal Health and Safety Requirements Overview (handout)

Health and Safety Standards

• Adapting, Designing, and Implementing Child Care and Development Fund Health and Safety Standards (presentation slides)

• Establish Standards and Monitoring Processes to Ensure the Health and Safety of Child Care Settings (presentation slides)

• Exploring the Implementation of CCDF Health and Safety Standards (presentation slides)

• Health and Safety Requirements Overview (presentation resource)

• Minimum Health and Safety Standards: A Guide for American Indian and Alaska Native Child Care and Development Fund Grantees (guide)

• Tribal Health and Safety Standards, Training, and Monitoring (training resources)

Monitoring and Enforcement Systems

• Building Comprehensive Monitoring Systems in Your CCDF Program (presentation slides)

• Developing Child Care Monitoring and Enforcement Systems for American Indian and Alaska Native Child Care and Development Fund Programs (presentation slides)

• Monitoring Child Care Centers and Child Care Homes (presentation slides)

Policies and Procedures for Health and Safety

• Developing Policies and Procedures for Health and Safety (presentation slides)

• Sample Policies and Procedures for Health and Safety (handout)

Emergency Preparedness and Disaster Response and Recovery

• Disaster Preparedness Resource List for Child Care and Development Fund Tribal Lead Agencies (annotated resource list)

• Office of Child Care COVID-19 Resources (web page)

• Tip Sheet for Tribes: Using CCDF Amendments and Waiver Flexibilities to Meet the Child Care Needs as a Result of COVID-19 (handout)

• Trauma-Responsive Care: A Framework for Resilience for Tribes (presentation slides)

• Tribal Disaster Preparedness Resources (training resources)

• Understanding and Addressing the Impacts of COVID-19 in Tribal CCDF Programs (presentation slides)

• Understanding and Addressing the Impacts of COVID-19 in Tribal CCDF Programs-Follow Up (Small Allocation Sizes) (presentation slides)

• Understanding and Addressing the Impacts of COVID-19 in Tribal CCDF Programs-Follow Up (Medium or Large Allocation Sizes) (presentation slides)

Additional Tools and Resources

• American Rescue Plan (ARP) Act Clarifications Document (handout - coming soon)

• Health and Safety Resource List: Program Practice for Providers (annotated resource list)

• Health and Safety Resource List: Standards, Policies, and Monitoring Systems (annotated resource list)

• Health and Safety Resource List: Staff Training and Support (annotated resource list)

• COVID-19 Resource List for Child Care and Development Fund Tribal Lead Agencies (annotated resource list )

• OCC and OHS National Centers' COVID-19 Resources for Tribal Early Care and Education Programs (annotated resource list)

• Office Hours for Tribal CCDF Lead Agencies (presentation slides)

• Safe Sleep for Tribal Early Childhood Settings (brief)

More from the Child Care Technical Assistance Website

The Office of Child Care's Child Care Technical Assistance website provides training, resources, and materials to stakeholders at the state, tribal, regional, and local levels to support high-quality services for children and families. The following Office of Child Care's National Centers have a variety of resources to support the implementation of health and safety requirements:

• National Center on Health, Behavioral Health, and Safety (NCHBHS): The NCHBHS Center provides resources and technical assistance focused on developing comprehensive, coordinated health and wellness services within early childhood settings.
• National Center on Early Childhood Quality Assurance (ECQA Center): The ECQA Center provides resources and technical assistance to help grantees assure quality in all early care and education settings for children from birth to school age. The ECQA Center has resources to support the advancement of strong health and safety standards.
• National Center on Early Childhood Development, Teaching and Learning (DTL Center): The DTL Center provides resources and technical assistance regarding the implementation of evidence-based practices that are culturally and linguistically responsive, lead to positive child outcomes across early childhood programs, and support strong professional development systems. The DTL Center has resources that can help support training and professional development efforts regarding health and safety.
• National Center on Child Care Subsidy Innovation and Accountability (NCSIA): NCSIA provides resources and technical assistance focused on developing child care subsidy systems that are child-focused, family-friendly, and fair to providers. NCSIA has resources to support the implementation of background check requirements.

The Tribal Child Care Capacity Building Center can help you navigate the many resources available through the Office of Child Care's Technical Assistance website.