State Examples

hands holding a toyThe following are examples of State approaches to addressing health and safety needs of infants and toddlers.

Child Care Health Consultation: Colorado and Idaho

Several States offer child care health consultation in collaboration with their public health system to support programs with meeting and exceeding basic health and safety standards. A child care health consultant (CCHC) is a health professional who is an expert on providing training and technical assistance to child care on health and safety issues. Caring for Our Children, Standard addresses the role and responsibilities of a CCHC as well as the research behind using CCHCs to support health and safety in child care. 

In Colorado, all licensed child care centers and preschools are required to have a minimum of one monthly visit with a CCHC. Healthy Child Care Colorado serves as the statewide hub for health consultation. Colorado CCHCs help with creating program policies related to health and safety, illness and injury prevention and documentation, infectious disease management, health and safety trainings, consultation in the classroom, emergency preparedness, infant safe sleep, and sharing helpful community resources.

Colorado, in partnership with state early childhood subject matter experts, have developed competencies for the practice of child care health consultation. Competencies are an essential part of a professional development system because they are a common set of standards, clear definitions about what knowledge is needed to provide quality services, and serve as a solid foundation for practitioners.

Some states, such as Idaho, build their Child Care Health Consultation program into their quality rating improvement system. In order to connect with a CCHC, providers must enroll in Idaho’s Quality Rating and Improvement System, Steps to Quality.

Pediatric Abusive Head Trauma/Shaken Baby Syndrome: Kentucky

ATrain Education provides online continuing education courses, including a course on shaken baby syndrome (SBS). ATrain Education is accredited by the Kentucky Board of Registered Nursing to offer continuing nursing education, and this course fulfills the requirement for training in pediatric abusive head trauma/shaken baby syndrome (ATrain Education, n.d.). Since child care providers are mandated reporters of child abuse and neglect, this course is available to them. This online class takes 2.5 hours to complete at a cost of $25 per person, and offers a certificate of completion.

Course Summary

In addition to defining shaken baby syndrome and abusive head injury, this course “reports on Kentucky law regarding child abuse, neglect, and physical injury; presents triggers and risk factors for SBS; summarizes the clinical presentation and diagnosis of SBS; and discusses intervention strategies and education campaigns to prevent abuse.” (ATrain Education, n.d., “Course Summary,” para. 1).

Course Objectives 

The ATrain Education website lists the following as course objectives:

  • Define pediatric abusive head injury and shaken baby syndrome.
  • Comment on the evolution of society’s recognition of child abuse and explain the Child Abuse Prevention and Treatment Act (CAPTA).
  • Explain the definitions of abuse, neglect, and physical injury in Kentucky law.
  • Relate the child maltreatment reporting requirements under Kentucky law.
  • Outline the incidence of abusive head trauma in the U.S. and in Kentucky.
  • Describe the most common triggers and risk factors for shaking a baby and summarize factors that protect against pediatric abusive head trauma.
  • Summarize the clinical presentation and diagnosis of shaken baby syndrome.
  • Discuss intervention strategies and educational campaigns intended to prevent SBS.
  • Compare and contrast the primary schools of thought concerning the degree and type of force needed to cause the injuries seen in SBS. (ATrain education, n.d., “Objectives”)

The entire course is available at


American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. (2011). Caring for our children: National health and safety performance standards; Guidelines for early care and education programs. 3rd edition. Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Retrieved from

ATrain Education. (n.d.). Kentucky: Shaken baby syndrome [Web page]. Retrieved January 15, 2017, from

Child Care Health Consultants. (n.d.). Colorado: Qualistar [Web page]. Retrieved August 28, 2017, from

Child Care Health Consultant Program. (n.d.). Idaho: Idaho Stars [Web page]. Retrieved August 28, 2017, from