Safe Sleep Information for State, Territory, and Tribal Lead Agencies

This page features resources that support best practice in the development of state safe sleep standards, policies, and training.  

The Child Care and Development Block Grant (CCDBG) Act of 2014 and the Child Care and Development Fund (CCDF) Program final rule (2016) require states and territories to have health and safety requirements in several topic areas for all providers that receive payments from the CCDF subsidy program. This brief, one in a series, provides an overview of national guidelines and state requirements about reducing the risk of sudden infant death syndrome (SIDS) and using safe sleeping practices in child care settings.

This special collection is a compilation of safe sleep standards drawn from Caring for Our Children: National Health and Safety Performance Standards, Guidelines for Early Care and Education Programs.

This U.S. Consumer Product Safety Commission's page includes a video on baby safety, information regarding sleeping devices, cribs standards and guidance, and safety education resources.

This page from the Indian Health Service gives some background information on sudden infant death syndrome as well as additional safe sleep resources for Tribes.

  • Safe Sleep Statewide Campaigns
    • The Safe Sleep North Carolina website is for parents and families, and the "Infant/Toddler Safe Sleep and SIDS Risk Reduction in Child Care" (ITS-SIDS Project) page is for child care providers.
    • Missouri Safe Sleep Coalition's "Safe Sleep" page defines and discusses the details of safe sleep.

This brief provides information on sudden unexpected infant death (SUID), the impact on Tribal populations, ways to lower the risk of SUID, facts to share with families, best practice examples from Tribal programs, and additional resources.

The Safe to Sleep campaign, formerly known as the Back to Sleep campaign, has helped educate millions of caregivers, including parents, grandparents, aunts, uncles, babysitters, child care providers, healthcare providers, and others. It shares ways to reduce the risk of sudden infant death syndrome and other sleep-related causes of infant death. Caregiver and family resources are available for multiple audiences. There is a specific outreach to black communities, Tribal communities, and fathers.  Resources are also available in Spanish.

The American Academy of Pediatrics (AAP) provides evidence-based recommendations to prevent infant sleep deaths.

  • What are States Asking About?  (Standards Highlight)

As states have considered licensing regulations or standards related to safe sleep, some states have asked about child care best practices regarding supervising infants while they are sleeping. For more information on best practices for active supervision, please refer to these related Caring for our Children Standards.

2.2.01 Methods of Supervision of Children Ratios for Small Family Child Care Homes Ratios for Large Family Child Care Homes and Centers Ratios for Facilities Serving Children with Special Health Care Needs and Disabilities

1.1.14 Ratios and Supervision During Transportation

If you would like more information about other state regulations, the National Database of Child Care Licensing Regulations is a tool for finding and searching state and territory licensing regulations and agency contact information.


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