> For the complete documentation index, see [llms.txt](https://docs.caqualityearlylearning.org/printable-inspection-list-tool/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.caqualityearlylearning.org/printable-inspection-list-tool/in-depth-checklist/activities.md).

# Activities

This resource is only for CQEL members and is not to be redistributed. Please have interested programs contact CQEL at hello\@caqualityearlylearning.org

<table data-full-width="true"><thead><tr><th width="189" align="center">Section Title</th><th width="447.33333333333326" align="center">Regulation/Statute Language</th><th align="center">Reviewed?</th></tr></thead><tbody><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/activities-napping">Activities/Napping CCR 101230(b)</a></td><td align="center">(b) All children shall be given an opportunity to nap or rest without distraction or disturbance from other activities at the center.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/activities-napping">Activities/Napping CCR 101230(b)(1)</a></td><td align="center">(1) A napping space and a cot or mat shall be available for each child under the age of five.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A) </a></td><td align="center">(A) Staff shall place infants up to 12 months of age on their backs for sleeping.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)(1)</a></td><td align="center">(1) This requirement shall not apply if the infant has a written medical exemption from a licensed physician that allows for an alternative sleep position. The exemption shall be attached to the Individual Infant Sleeping Plan [LIC 9227 (3/20] and contain the following criteria:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)1.a.</a></td><td align="center">a. Instructions on how the infant shall be placed to sleep, including sleep position.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)1.b.</a></td><td align="center">b. Duration the exemption is to be in place.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)1.c.</a></td><td align="center">c. The licensed physician’s contact information.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)1.d.</a></td><td align="center">d. Signature of the licensed physician and date of signature.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)2. </a></td><td align="center">2. Upon expiration of the medical exemption, staff shall follow all requirements set forth in Subsection (a)(3)(A).</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)3.</a></td><td align="center">3. The medical exemption shall be included in the infant’s file and be maintained as specified in Section 101221(d).</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)4.</a></td><td align="center">4. Infants with an Individual Infant Sleeping Plan [LIC 9227 (3/20)] that have Section C of the form completed and signed by an authorized representative shall be placed on their back when first laid down to sleep. In the event the infant changes position, the infant may remain in the alternative position.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(A)4.a.</a></td><td align="center">a. Upon staff observation that the infant is capable of rolling from their back to their stomach and stomach to their back, the provider shall fill out Section D of the Individual Infant Sleeping Plan [LIC 9227 (3/20)], notify the authorized representative, and obtain the authorized representative's signature on the individual sleeping plan no later than the next business day following observation.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(C) </a></td><td align="center">(C) An infant shall not be swaddled while in care.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(D)</a></td><td align="center">(D) An infant's head shall not be covered while sleeping.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-care-activities">Infant Care Activities CCR 101430(a)(3)(E) </a></td><td align="center">(E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.</td><td align="center">Y / N</td></tr></tbody></table>

**Inspection Findings:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Last review completed on:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_      &#x20;

**Signature:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_


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