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        PRIOR PRINTER'S NO. 601                       PRINTER'S NO. 2084

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 558 Session of 2001


        INTRODUCED BY CIVERA, MICOZZIE, ADOLPH, FLICK AND LEDERER,
           FEBRUARY 7, 2001

        AS RE-REPORTED FROM COMMITTEE ON APPROPRIATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 4, 2001

                                     AN ACT

     1  Requiring all child day-care facilities in this Commonwealth to
     2     have one or more persons competent in first aid techniques
     3     and under certain circumstances cardiopulmonary resuscitation
     4     (CPR) at the facility when one or more children are in care.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7  Section 1.  Short title.
     8     This act shall be known and may be cited as the Child-Care
     9  First Aid and CPR Act.
    10  Section 2.  Definitions.
    11     The following words and phrases when used in this act shall
    12  have the meanings given to them in this section unless the
    13  context clearly indicates otherwise:
    14     "Child day-care center."  The premises in which care is
    15  provided at any one time for seven or more children unrelated to
    16  the operator.
    17     "Department."  The Department of Public Welfare of the
    18  Commonwealth and its authorized agents.


     1     "Facility."  A child day-care center, family child day-care
     2  home or group child day-care home.
     3     "Family child day-care home."  A home other than the child's
     4  own home, operated for profit or not for profit, in which child
     5  day care is provided at any one time to four, five or six
     6  children unrelated to the operator.
     7     "Group child day-care home."  The premises in which care is
     8  provided at one time for more than six but fewer than 16 older
     9  school-age-level children or more than six but fewer than 13
    10  children of another age level who are unrelated to the operator.
    11  The term includes a facility located in a residence or another
    12  premises.
    13  Section 3.  Staffing.
    14     (a)  Requirement.--Each child day-care center, group child
    15  day-care home and family child day-care home, as regulated under
    16  55 Pa. Code Chs. 3270 (relating to child day care centers), 3280
    17  (relating to group child day care homes) and 3290 (relating to
    18  family child day care homes), shall have:
    19         (1)  One or more persons who hold a current certificate
    20     of completion of pediatric first aid training at the facility
    21     when day-care children are in care. Such pediatric first aid
    22     training shall include choke-saving and rescue breathing
    23     techniques.
    24         (2)  At least one person at the facility who holds a
    25     current certificate of completion of training in infant and
    26     child cardiopulmonary resuscitation (CPR) when a child whose
    27     child health physician identifies that the child has an
    28     increased risk for needing heart resuscitation is in care at
    29     the facility. The requirement under this paragraph shall be
    30     in addition to the current requirement for infant and child
    20010H0558B2084                  - 2 -

     1     CPR as it relates to lifeguard training.
     2     (b)  Training.--
     3         (1)  Completion of training, including testing of skills
     4     and knowledge, shall be documented by the signature and title
     5     of a representative of the training entity and shall include
     6     the date training was completed. Such training entity shall
     7     be a State-licensed or state or nationally certified health
     8     professional with pediatric training. Documentation shall be
     9     retained in the facility in that person's file.
    10         (2)  The content of the first aid training shall include
    11     the information specified in the current edition of Caring
    12     for Our Children, the National Health and Safety Performance
    13     Standards for Out-of-Home Child Care, published by the
    14     American Academy of Pediatrics, the American Public Health
    15     Association and the Maternal and Child Health Bureau of the
    16     United States Department of Health and Human Services. The
    17     content of the CPR training shall meet the current pediatric
    18     guidelines for cardiopulmonary resuscitation and emergency
    19     cardiovascular care of the American Heart Association's
    20     Emergency Cardiovascular Care Committee.
    21         (3)  Pediatric first aid and CPR training shall be         <--
    22         (3)  CPR TRAINING SHALL BE RENEWED ANNUALLY.               <--
    23         (4)  PEDIATRIC FIRST AID TRAINING SHALL BE renewed at
    24     least every three years.
    25  Section 4.  Applicability.
    26     This act shall apply to each facility on the date of the next
    27  licensing or certification renewal of that facility or one year,
    28  whichever is longer.
    29  Section 5.  Effective date.
    30     This act shall take effect in six months.
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