Training for Child Care Providers

1. Safe Sleep: New Crib Safety Standards Training for Child Care Providers

2. What are the new standards? • Stopping the manufacture and sale of dangerous drop-side cribs • Strengthening mattress supports and crib slats • Requiring crib hardware to be more durable • Making safety testing more rigorous

3. What are drop-side cribs? • A drop-side is a moveable side of the crib that gives caregivers easier access to the inside of the crib and consists of a side that slides down to a lower position. • Cribs with drop-down sides have a tendency to be less structurally sound than cribs with fixed sides and are more susceptible to problems from use, being moved, storage, and assembly.

4. Why do we need new crib standards? • Since 2007, the US Consumer Product Safety Commission (CPSC) has recalled more than 11 million cribs with the majority having drop sides.

5. Why do we need new crib standards? There have been 32 infant and toddler suffocation and strangulation deaths and hundreds of other injuries that were caused by or related to drop-side detachments in cribs since 2000.

6. Why do we need new crib standards? • In other incidents, consumers unknowingly installed the drop side or drop-side hardware incorrectly, and because of the stress on the crib hardware, the drop-side became detached.

7. When do the new crib standards take place and who will it affect? • Beginning June 28, 2011, all cribs manufactured and sold in the U.S. must comply with the new and improved federal safety standards. • This will affect all child care facilities and family child care homes. • It will also affect public residential facilities and church-owned or operated child care if care is provided for a fee. • By December 28, 2012 child care facilities, child care homes, and infant Head Start centers must comply with the new crib standards.

8. Who is affected by the new standards? • According to the Consumer Product Safety Improvement Act of 2008 (CPSIA), a “child care facility” is a nonresidential setting that provides child care services for a fee. • A “family child care home” is a location that provides child care services for a fee in a residential setting.

9. How do I know my crib meets the new standards? • You cannot tell by looking at a crib whether it meets the new standards. • If you have just purchased a crib, look for the certificate of compliance that will indicate that the crib is certified to meet 16CFR1219 for full-size cribs or 16CFR1220 for non-full-size cribs.

10. Certification of Compliance A Certificate of Compliance document must: • Describe the product • Give name, full mailing address and telephone number for importer or domestic manufacturer • Identify the rule for which it complies • (16 CFR 1219 or 1220) • Give name, full mailing address, email address and telephone number for the records keeper and location of testing lab • Give date and location of manufacture and testing lab • The crib label attached with a date of manufacture after June 28, 2011

11. Is any sturdy, non drop-side crib okay for a consumer to use? • No, if the crib was manufactured before June 28, 2011, it will probably not meet the new crib standards. • The new crib standards require stronger hardware and rigorous testing to prove a crib’s durability. • Note that after December 28, 2012, child care facilities, family child care homes, and places of public accommodations, such as hotels and motels, must provide cribs that comply with the new and improved standards.

12. What do I do with my old crib? • You should not resell, donate, or give away old cribs or cribs that have been recalled that do not meet the new crib standards. • CPSC recommends disassembling the crib before discarding it so that the crib cannot be reassembled or used. • Kentucky has not developed a regulation around the disposal of non-compliant cribs.

13. If an immobilizer is purchased for a drop-side crib, will I be in compliance? Immobilizers or “fixes” will not make your crib compliant. All cribs must be manufactured after June 28, 2011 to be compliant.

14. Are Portable cribs or play yards affected by the regulation? • The crib standards cover portable cribs, but not play yards. • CPSC’s crib rule includes a standard for full-size cribs (16CFR part 1219) and a standard for non-full-size cribs (16 CFR part 1220). • A non-full-size crib is a crib that is either larger or smaller (or otherwise shaped differently) from a full-size crib. This covers portable cribs (may be folded or collapsed, without disassembly). • Play yards (includes enclosures with mesh or fabric sides) are not covered under crib standards.

15. Make Hardware Stronger Improve Slat Strength Improve Mattress Support Durability Require Tougher Testing Prohibit Traditional Drop Sides 5 New Federal Requirements: • Traditional drop-side cribs cannot be made or sold; Immobilizers and repair kits not allowed • Wood slats must be made of stronger woods to prevent breakage • Crib hardware must have anti-loosening devices to keep it from coming loose or falling off • Mattress supports must be more durable • Safety testing must be more rigorous Beginning June 28, 2011 all cribs sold in the United States must meet new federal requirements for over all crib safety.

16. What else can I do to keep my baby safe? • All infants up to 12 months of age should be placed for sleep in a supine position (wholly on their back) for every nap or sleep time to reduce the risk of SIDS. • Use firm, tight-fitting mattress and a tight fitting crib sheet. • Never use extra padding, blankets, bumpers, pillows, or positioning devices. • Regularly check the crib for loose, missing, or broken parts or slats and Do not try to fix a broken crib. • Place cribs away from windows to avoid window coverings, cords, or fall hazards.

17. What is best practice? • Facilities should check each crib before its purchase and use to ensure that it is in compliance with the current U.S. Consumer Product Safety Commission (CPSC) and American Society for Testing and Materials Standards (ASTM) safety standards.

18. What is best practice? • Recalled or “second-hand” cribs should not be used or stored in the facility. When it is determined that a crib is no longer safe for use in the facility, it should be dismantled and disposed of appropriately.

19. What is best practice? • Each crib should be identified by brand, type, and/or product number and relevant product information should be kept on file (with the same identification information) as long as the crib is used or stored in the facility.

20. What is best practice? • Staff should inspect each crib before each use to ensure that hardware is tightened and that there are not any safety hazards. If a screw or bolt cannot be tightened securely, or there are missing or broken screws, bolts, or mattress support hangers, the crib should not be used.

21. What is best practice? • Safety standards document that cribs used in facilities should be made of wood, metal, or plastic. Crib slats should be spaced no more than two and three-eighths inches apart, with a firm mattress that is fitted so that no more than two fingers can fit between the mattress and the crib side in the lowest position. The minimum height from the top of the mattress to the top of the crib rail should be twenty inches in the highest position.

22. What is best practice? • The crib should not have corner post extensions (over one-sixteenth inch). The crib should have no cutout openings in the head board or footboard structure in which a child’s head could become entrapped. The mattress support system should not be easily dislodged from any point of the crib by an upward force from underneath the crib. • Cribs should be placed away from window blinds or draperies.

23. What is best practice? • Staff should only use cribs for sleep purposes and should ensure that each crib is a safe sleep environment. No child of any age should be placed in a crib for a time-out or for disciplinary reasons.

24. The ABC’s of Crib Safety • A: Alone: Babies should not sleep with anything, including blankets and toys or anyone, including in bed with parents. • B: Backs: Always place babies (wholly on their backs) to sleep. • C: Cribs: Always put babies in a crib that meets current safety standards. Do not let them sleep in an infant seat, swing, play yard, or safety car seat.

25. Who can I contact if I have questions? Contact the Division of Regulated Child Care at: 502-564-7962 for further regulatory questions. The US Consumer Product Safety Commission 800-638-2772 (TTY: 301-595-7054) http://www.cpsc.gov/info/cribs/index.html

26. Resources • Child Care Providers Guide to New Crib Standards, Kentucky Cabinet for Health and Family Services Department for Community Based Services-Division of Child Care • US Consumer Product Safety Commission website http://www.cpsc.gov • Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs: 3rd edition. Online HTML version http://nrckids.org/CFOC3 • Thanks to the University of Kentucky BSN students, Lori Davis, RN, BSN; Ashley Price, and Kevin Pinto

27. What is CCHC? Child Care Health Consultation is a statewide program and part of the Kids Now Initiative CCHC provides consultation and technical assistance to licensed child care centers and to certified family homes

28. The Goal of CCHC To promote healthy, safe, and nurturing environments for optimal child development

29. CCHC Helpline and Website The CCHC Helpline:1-877-281-5277 CCHC Website: http://www.kentuckycchc.org Health care professionals and health educators offer standardized health, safety, and nutrition information and recommendations of best practice to child care providers. They facilitate referrals to CCHC Consultants around Kentucky and other child care agencies if needed.

30. Post-test 1. True or False: Are drop-side cribs still manufactured and sold in the U.S.? False: Drop-side cribs are no longer manufactured and sold in the U.S. 2. True or False: According to the Consumer Product Safety Improvement Act (CPSIA) of 2008 a child care facility includes foster homes and domestic facilities that do not charge for child care. False: According to the CPSIA, a “child care facility” is a nonresidential setting that provides child care services for a fee.

31. Post-test 3.How can you tell a crib is compliant with the new crib standards? • You can tell if a crib is compliant by looking at it. • It is NOT a drop-side crib • It is strong and sturdy • It has a Certificate of Compliance and was manufactured after December 2010. d) All compliant cribs MUST have a Certificate of Compliance and is manufactured after December 2010

32. Post-test 4.When do child care facilities, family child care homes, and places of public accommodations have to comply with the new crib standards? After December 28, 2012 5. Can I donate or resell my old cribs? No, old cribs CANNOT be donated or resold. The CPSC recommends disassembling the crib before discarding it so that the crib cannot be reassembled or used.

33. Post-test 6.Can I just add an immobilizer to my current crib to make it compliant? No, immobilizers or “fixes” will not make your crib compliant. 7. Who should I contact if I have questions? • Contact the Division of Regulated Child Care at 502-564-7962 for further regulatory questions. • To contact CPSC for general information call 800-638-2772 (TTY: 301-595-7054). • Visit website http://www.cpsc.gov/businfo/frnotices/fr11/cribfinal.pdf

34. Post-test 8. What are the A,B,C’s of crib safety? A: Alone B: Backs C: Cribs

35. CCHC