October 8, 2018
Applies to: Licensed Child Care Centers
The Health and Human Services Commission approved adopted rule packets related to orientation, pre-service training, annual training, and ongoing training requirements for employees, caregivers, and directors in Chapter 746, Minimum Standards for Child-Care Centers.
The rule changes go into effect October 8, 2018.
The rule changes are to further implement the health and safety requirements established by the Child Care Development Block Grant Act (CCDBG) of 2014 by making the minimum standards more consistent with the Act's requirements. The CCDBG makes significant reforms to raise the health, safety, and quality of child care, including specifying mandatory training topics.
Overview of Changes
The most significant changes are explained below. However, there are also non-significant changes that clarify or reorganize the minimum standards for better readability and understanding, make each consistent with Chapters 744 and 747 as appropriate, delete outdated grandfather clauses, and update citations.
You may view the updated Chapter 746, Minimum Standard publication, the Revision Memo that outlines the changes, and the adopted rules in an underlined and strike through format on the CCL website at Child Care Licensing Minimum Standards.
Significant changes regarding pediatric first-aid and pediatric CPR requirements
- Requires all caregivers and directors to receive training in pediatric first-aid (with rescue breathing and choking), and the training must be ongoing. The training must be within 90 days of employment and before having unsupervised access to children.
- Requires all caregivers and directors to receive training in pediatric CPR, and the training must be ongoing. The training must be within 90 days of employment. Note: The pediatric CPR training does not have to be completed before the caregiver has unsupervised access to children.
- For field trips, at least one caregiver per group of children must have current training in pediatric first-aid and pediatric CPR.
Significant changes regarding orientation, pre-service training, annual training, and ongoing training requirements
- The changes to §746.1301 were made to streamline and reduce redundancies in the training rules by placing all of the training requirements for employees, caregivers, and directors in one rule that is easy to find. The updated chart lists each type of training that is required, including the number of hours required, if applicable, who is required to take the training, and when the training must be completed.
- Orientation must be completed within seven days of employment and before a caregiver may have unsupervised access to children.
- Directors, as well as employees, must have two hours of transportation safety training if the center transports children (who are chronologically or developmentally younger than nine).
- The question and answer to the rules relating to orientation and annual training have been altered so each rule only notes the curriculum that is required.
- Regarding the orientation and annual training requirements for the "prevention, recognition, and reporting of child maltreatment", the phrase "child abuse and neglect" has been replaced with "child maltreatment" to be more consistent with the federal health and training topic in the CCDBG and the HRC §42.04261. [Note: This change in phrasing will not impact how this minimum standard is monitored or cited.]
- Child Care Licensing staff will provide Technical Assistance (TA) for a six month period (October 8, 2018 - April 8, 2019) on new and amended minimum standards that go into effect October 8, 2018.
- If your current first-aid certification or CPR certification does not specify "Pediatric", you may use current training until it expires. At the time of expiration, a course for pediatric first-aid and pediatric CPR will need to be obtained.
CPR and First-Aid Resources
- First-Aid American Heart Association Guidelines
- CPR Guidelines:
- Free First-Aid through AgriLife:
Basic First Aid: Protecting the Well-Being of the Children in Your Care
Any questions about the procedures outlined in this communication should be directed to MSC@hhsc.state.tx.us.