Bill Text: CA AB2317 | 2023-2024 | Regular Session | Amended
Bill Title: Child day care facilities: anaphylactic policy.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Introduced) 2024-04-24 - In committee: Set, first hearing. Referred to suspense file. [AB2317 Detail]
Download: California-2023-AB2317-Amended.html
|
Amended
IN
Assembly
March 20, 2024 |
CALIFORNIA LEGISLATURE—
2023–2024 REGULAR SESSION
Assembly Bill
No. 2317
| Introduced by Assembly Member Stephanie Nguyen (Coauthors: Assembly Members Jackson and Villapudua) |
February 12, 2024 |
An act to add Section 1596.7985 to the Health and Safety Code, relating to child day care facilities.
LEGISLATIVE COUNSEL'S DIGEST
AB 2317, as amended, Stephanie Nguyen.
Child day care facilities: anaphylactic policy.
Existing law, the California Child Day Care Facilities Act, provides for the licensure and regulation of child day care facilities by the State Department of Social Services. Under the act, “child day care facility” is defined to mean a facility that provides nonmedical care to children under 18 years of age in need of personal services, supervision, or assistance essential for sustaining the activities of daily living or for the protection of the individual on less than a 24-hour basis. For purposes of the act, a child day care facility includes a day care center, an employer-sponsored child care center, and a family day care home. Under existing law, a violation of the act is a crime.
This bill would require the State Department of Social Services, in consultation with the State Department of Education, on or before July 1, 2027, to
establish an anaphylactic policy that sets forth guidelines and procedures recommended for child day care personnel to prevent a child from suffering from anaphylaxis and to be used during a medical emergency resulting from anaphylaxis. This bill would exempt child day care personnel who provide, administer, or assist in the administration of epinephrine in compliance with the anaphylactic policy from liability in a civil action or from criminal prosecution for the person’s acts or omissions in administering the epinephrine, except in the case of gross negligence or willful or wanton misconduct. The bill would require the anaphylactic policy to include, among other things, a requirement that a parent or guardian demonstrate an
understanding of the protections provided for individuals who provide emergency medical or nonmedical care without compensation by signing an acknowledgment of the Good Samaritan Law. The bill would authorize a child day care facility to implement the anaphylactic policy on or before January 1, 2028, and would, on and after January 1, 2028, require a child day care facility that adopts the anaphylactic policy to notify the parent or guardian of a child of the policy upon enrollment.
The bill would also require an anaphylactic policy for family child care providers to be developed in consultation and coordination with the Joint Labor Management Committee established by the state and Child Care Providers United - California (CCPU). The bill would require the department’s Community Care Licensing Division to review minimum standards of training for the
administration of epinephrine auto-injectors.
The bill would require the State Department of Social Services to create informational materials detailing the anaphylactic policy and would require the State Department of Social Services and the State Department of Education, on or before September 1, 2027, to post the informational materials each of their internet websites.
Because a willful or repeated violation of the bill by a child day care facility would be a crime, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for
a specified reason.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 1596.7985 is added to the Health and Safety Code, immediately following Section 1596.798, to read:1596.7985.
(a) (1) On or before July 1, 2027, the department, in consultation with the State Department of Education, shall establish an anaphylactic policy that sets forth guidelines and procedures recommended for child day care personnel to prevent a child from suffering from anaphylaxis and to be used during a medical emergency resulting from anaphylaxis.(2) On or before January 1, 2028, a child day care facility may implement the anaphylactic policy developed by the department pursuant to paragraph (1).
(3) On and after January 1, 2028, upon
enrollment of a child at a child day care facility, and annually thereafter, the child day care provider shall notify the parent or guardian of the anaphylactic policy, if the facility has adopted a policy. The notice shall include contact information for a parent or guardian to engage further with the child day care provider to learn more about the policy.
(2)
(4) The policy shall be developed in consultation with representatives from all of the following:
(A) Pediatric physicians and other health care providers with expertise in treating
children with anaphylaxis.
(B) Parents of children with life-threatening allergies.
(C) Child day care administrators and personnel, including local educational agency employees employed in child care childcare programs, and the labor organizations representing those employees.
(D) Not-for-profit corporations that represent allergic individuals at risk for anaphylaxis.
(3)
(5) In developing the policy, the department shall consider existing requirements and current and best practices for child day care providers on allergies and anaphylaxis. The department shall also consider any voluntary guidelines issued by the United States Department of Health and Human Services for managing food allergies in child day care facilities.
(4)
(6) An anaphylactic policy for family child care providers shall be developed in
consultation and coordination with the Joint Labor Management Committee established by the state and Child Care Providers United - California (CCPU) pursuant to the agreement effective July 26, 2021, to July 1, 2023, between the state and CCPU. Training on the anaphylactic policy shall be provided by the department’s Community Care Licensing Division in consultation with CCPU pursuant to that agreement, and any extension or renewal of that agreement, for all family child care providers who wish to participate, regardless of union status. The department’s Community Care Licensing Division shall review minimum standards of training for the administration of epinephrine auto-injectors that satisfy the requirements of subparagraph (C) of paragraph (7), as necessary. Training established pursuant to this subdivision shall be consistent with the most recent Voluntary
Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs published by the federal Centers for Disease Control and Prevention.
(5)
(7) The anaphylactic policy shall include all of the following:
(A) A process for a child day care facility to solicit volunteers among its employees to be trained and to administer epinephrine auto-injectors to a child having an anaphylactic reaction. At least one volunteer who is trained in and can administer epinephrine shall be present during operating hours.
A volunteer may administer an epinephrine auto-injector to a person exhibiting potentially life-threatening symptoms of anaphylaxis at a child day care facility during operating hours. The process to solicit volunteers shall include a statement that there shall be no retaliation against any employee who chooses not to volunteer or who rescinds their offer to volunteer, including after receiving training.
(B) (i) A procedure and treatment plan, including emergency protocols and responsibilities, for child day care personnel responding to a child suffering from anaphylaxis.
(ii) The procedure and treatment plan shall include the capacity for trained personnel to have access to an undesignated stock of an appropriate weight-based dosaged epinephrine
auto-injector in a secured place at the site and to carry and administer it to a child believed in good faith to be having an anaphylactic reaction.
(iii)Child day care personnel who provide, administer, or assist in the administration of epinephrine using an auto-injector, in compliance with the anaphylactic policy, and in good faith and not for compensation, to a child who appears to be suffering from anaphylaxis shall not be liable in a civil action or be subject to criminal prosecution for the person’s acts or omissions in administering the epinephrine. This clause does not apply in the case of gross negligence or willful or wanton misconduct.
(iv)Any local educational agency that designates volunteers pursuant to this section shall ensure that each employee who volunteers under this section will be provided with defense and indemnification by the local educational agency for any and all civil liability, in accordance with, but not limited to, that provided in Division 3.6 (commencing with Section 810) of Title 1 of the Government Code. This information shall be reduced to writing, provided to the volunteer, and retained in the volunteer’s personnel file.
(iii) The procedure and treatment plan shall require a parent or guardian to demonstrate an understanding of the protections provided for individuals who provide emergency medical or nonmedical care without compensation by signing a document acknowledging the Good Samaritan Law enumerated in Section 1799.102.
(C) (i) A training course for child day care personnel for preventing, recognizing the symptoms of, and responding to anaphylaxis. shall include all of the following:
(I) Techniques for preventing, recognizing the symptoms of, and responding to anaphylaxis.
(II) Standards and procedures for the storage, restocking, and emergency use of epinephrine auto-injectors.
(III) Emergency followup procedures, including calling the emergency 911 telephone number and contacting, if possible, the child’s parent and health care provider.
(IV) Written materials covering the information required by this subparagraph.
(ii) The training course shall be provided at no cost to the employee during their regular working hours.
(iii) The department shall consider the feasibility of developing the training course in languages other than English to meet the needs of providers.
(iv) The department shall consider whether the training may be effectively provided through online instruction.
(D) Appropriate guidelines for each child day care facility to develop an individual emergency health care plan for children with a food or other allergy that could result in anaphylaxis.
(E) A communication plan for dissemination of information by
the department regarding children with a food or other allergy that could result in anaphylaxis, including a discussion of methods, treatments, and therapies to reduce the risk of allergic reactions.
(F) Strategies for the reduction of the risk of exposure to children of anaphylactic causative agents, including food and other allergens.
(G) A communication plan for discussion with children that have developed adequate verbal communication and comprehension skills, and with the parents or guardians of all children, about foods that are safe and unsafe and strategies to avoid exposure to unsafe food.
(b) (1) The department shall create informational materials, in multiple languages, as
applicable, pursuant to federal and state law, including, but not limited to, Chapter 17.5 (commencing with Section 7290) of Division 7 of Title 1 of the Government Code, detailing the anaphylactic policy developed pursuant to subdivision (a). On or before September 1, 2027, the department and the State Department of Education shall post the informational materials on each of the departments’ internet websites.
(2) The anaphylactic policy shall be updated by the department at least once every three years.
as necessary.
(c)(1)On or before January 1, 2028, a child day care facility may implement the anaphylactic policy developed by the department pursuant to subdivision (a).
(2)On and after January 1, 2028, upon enrollment of a child at a child day care facility, and annually thereafter, the child day care provider shall notify the parent or guardian of the anaphylactic policy, if the facility has adopted a policy. The notice shall include contact information for a parent or guardian to engage further with the child day care provider to learn more about the policy.
(d)
(c) This section shall not be construed to preempt, modify, or amend a child day care provider’s requirement to comply with existing federal and state disability laws, or the requirements related to a child’s individualized family service plan or individualized education
program.
(d) For the purposes of this section, the following terms shall have the following meanings:
(1) “Anaphylaxis” has the same meaning as provided in Section 49414 of the Education Code.
(2) “Epinephrine auto-injector” has the same meaning as provided in Section 49414 of the Education Code.
(3) “Volunteer” or “trained personnel” means an employee who has volunteered to administer epinephrine auto-injectors to a person if the person is suffering, or reasonably believed to be suffering, from anaphylaxis, has been designated by a child care center or family daycare home, and has received training pursuant to paragraph (6) of subdivision (a).
