1.1 	A bill for an act
1.2 	relating to human services; modifying family child care training and background 
1.3 	study requirements; clarifying requirements for safe sleep spaces for infants 
1.4 	in child care;amending Minnesota Statutes 2012, section 245C.04, by adding 
1.5 	a subdivision; Minnesota Statutes 2013 Supplement, sections 245A.1435; 
1.6 	245A.50, subdivision 5.
1.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8 	Section 1. Minnesota Statutes 2013 Supplement, section 245A.1435, is amended to read:
1.9 	245A.1435 REDUCTION OF RISK OF SUDDEN UNEXPECTED INFANT 
1.10 	DEATH IN LICENSED PROGRAMS.
1.11 	(a) When a license holder is placing an infant to sleep, the license holder must place 
1.12 	the infant on the infant's back, unless the license holder has documentation from the 
1.13 	infant's physician directing an alternative sleeping position for the infant. The physician 
1.14 	directive must be on a form approved by the commissioner and must remain on file at the 
1.15 	licensed location. An infant who independently rolls onto its stomach after being placed to 
1.16 	sleep on its back may be allowed to remain sleeping on its stomach if the infant is at least 
1.17 	six months of age or the license holder has a signed statement from the parent indicating 
1.18 	that the infant regularly rolls over at home.
1.19 	(b) The license holder must place the infant in a crib directly on a firm mattress with 
1.20 	a fitted sheet that is appropriate to the mattress size, that fits tightly on the mattress, and 
1.21 	overlaps the underside of the mattress so it cannot be dislodged by pulling on the corner of 
1.22 	the sheet with reasonable effort. The license holder must not place anything in the crib 
1.23 	with the infant except for the infant's pacifier, as defined in Code of Federal Regulations, 
1.24 	title 16, part 1511. The requirements of this section apply to license holders serving 
1.25 	infants younger than one year of age. Licensed child care providers must meet the crib 
2.1 	requirements under section 245A.146. A correction order shall not be issued under this 
2.2 	paragraph when no infant is present in the license holder's care.
2.3 	(c) If an infant falls asleep before being placed in a crib, the license holder must 
2.4 	move the infant to a crib as soon as practicable, and must keep the infant within sight of 
2.5 	the license holder until the infant is placed in a crib. When an infant falls asleep while 
2.6 	being held, the license holder must consider the supervision needs of other children in 
2.7 	care when determining how long to hold the infant before placing the infant in a crib to 
2.8 	sleep. The sleeping infant must not be in a position where the airway may be blocked or 
2.9 	with anything covering the infant's face.
2.10 	(d) Placing a swaddled infant down to sleep in a licensed setting is not recommended 
2.11 	for an infant of any age and is prohibited for any infant who has begun to roll over 
2.12 	independently. However, with the written consent of a parent or guardian according to this 
2.13 	paragraph, a license holder may place the infant who has not yet begun to roll over on its 
2.14 	own down to sleep in a one-piece sleeper equipped with an attached system that fastens 
2.15 	securely only across the upper torso, with no constriction of the hips or legs, to create a 
2.16 	swaddle. Prior to any use of swaddling for sleep by a provider licensed under this chapter, 
2.17 	the license holder must obtain informed written consent for the use of swaddling from the 
2.18 	parent or guardian of the infant on a form provided by the commissioner and prepared in 
2.19 	partnership with the Minnesota Sudden Infant Death Center.
2.20 	(e) A license holder must be able to show a safe sleep space readily available 
2.21 	for each infant present in the license holder's care. Each safe sleep space must meet 
2.22 	the requirements of this subdivision and the requirements of Minnesota Rules, parts 
2.23 	9502.0415, subpart 5, item B, and 9502.0425, subpart 9.

2.24 	Sec. 2. Minnesota Statutes 2013 Supplement, section 245A.50, subdivision 5, is 
2.25 	amended to read:
2.26 		Subd. 5.Sudden unexpected infant death and abusive head trauma training.
 2.27 	(a) License holders must document that before staff persons, caregivers, and helpers 
2.28 	assist in the care of infants, they are instructed on the standards in section 245A.1435 and 
2.29 	receive training on reducing the risk of sudden unexpected infant death. In addition, 
2.30 	license holders must document that before staff persons, caregivers, and helpers assist in 
2.31 	the care of infants and children under school age, they receive training on reducing the 
2.32 	risk of abusive head trauma from shaking infants and young children. The training in this 
2.33 	subdivision may be provided as initial training under subdivision 1 or ongoing annual 
2.34 	training under subdivision 7.
3.1 	(b) Sudden unexpected infant death reduction training required under this subdivision 
3.2 	must ~~be at least one-half hour in length and must be completed in person at least once~~ 
3.3 	~~every two years. On the years when the license holder is not receiving the in-person~~ 
3.4 	~~training on sudden unexpected infant death reduction, the license holder must receive~~ 
3.5 	~~sudden unexpected infant death reduction training through a video of no more than one~~ 
3.6 	~~hour in length developed or approved by the commissioner.~~, at a minimum, ~~the training~~ 
3.7 	~~must~~ address the risk factors related to sudden unexpected infant death, means of reducing 
3.8 	the risk of sudden unexpected infant death in child care, and license holder communication 
3.9 	with parents regarding reducing the risk of sudden unexpected infant death.
3.10 	(c) Abusive head trauma training required under this subdivision must ~~be at least~~ 
3.11 	~~one-half hour in length and must be completed at least once every year.~~, at a minimum, 
3.12 	~~the training must~~ address the risk factors related to shaking infants and young children, 
3.13 	means of reducing the risk of abusive head trauma in child care, and license holder 
3.14 	communication with parents regarding reducing the risk of abusive head trauma.
3.15 	(d) Training for family and group family child care providers must be developed 
3.16 	by the commissioner in conjunction with the Minnesota Sudden Infant Death Center and 
3.17 	approved by the Minnesota Center for Professional Development. Sudden unexpected 
3.18 	infant death reduction training and abusive head trauma training shall be provided in a 
3.19 	single course of no more than two hours in length.
3.20 	(e) Sudden unexpected infant death reduction training and abusive head trauma 
3.21 	training required under this subdivision must be completed in person at least once every 
3.22 	two years. On the years when the license holder is not receiving in-person training, the 
3.23 	license holder must receive sudden unexpected infant death reduction training and abusive 
3.24 	head trauma training through a video of no more than one hour in length. The video must 
3.25 	be developed or approved by the commissioner.

3.26 	Sec. 3. Minnesota Statutes 2012, section 245C.04, is amended by adding a subdivision 
3.27 	to read:
3.28 		Subd. 7. Current or prospective contractors serving single or multiple family 
3.29 	child care applicants. (a) Current or prospective contractors who provide services for a 
3.30 	single family child care license applicant or multiple family child care license applicants 
3.31 	and who will have direct contact with children served in the family child care setting must 
3.32 	have on record with the county agency a single background study and record of current 
3.33 	training. Before a prospective or current contractor may provide services in a family 
3.34 	child care setting, the person applying for a family child care license must contact the 
4.1 	county agency and obtain approval notice that the current or prospective contractor is in 
4.2 	compliance with the background study requirements.
4.3 	(b) Current or prospective contractors must obtain a background study at least once 
4.4 	every two years.
4.5 	(c) The commissioner shall develop a form for tracking the training of current and 
4.6 	prospective contractors for use under this subdivision and shall make the form available 
4.7 	on the department's Web site.