> 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/infant-ratios.md).

# Infant Ratios

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="280" align="center">Section Title</th><th width="361.3333333333333" 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-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(B) </a></td><td align="center">(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(B)(1) </a></td><td align="center">(1) Labored breathing.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(B)(2) </a></td><td align="center">(2) Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature and restlessness.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(B)(3) </a></td><td align="center">(3) Infants up to 12 months of age who are sleeping in a position other than on their back.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(B)(3)(a)</a></td><td align="center">(a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(D) </a></td><td align="center">(D) In the event a separately walled room is used as a designated sleeping area, staff must adhere to the staff-infant ratio requirements, as specified in Section 101416.5(d), unless there is a half-wall or transparent wall that allows for constant audial and visual supervision.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/responsibility-for-providing-care-and-supervision">Responsibility for Providing Care and Supervision CCR 101229(a) </a></td><td align="center">(a) The licensee shall provide care and supervision as necessary to meet the children's needs.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/responsibility-for-providing-care-and-supervision">Responsibility for Providing Care and Supervision CCR 101229(a)(1) </a></td><td align="center">(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(b)</a></td><td align="center">(b) There shall be a ratio of one teacher for every four infants in attendance.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(b)(1)</a></td><td align="center">(1) An aide may be substituted for a teacher when all of the following conditions are met:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(b)(1)(A)</a></td><td align="center">(A) There is a fully qualified teacher directly supervising no more than 12 infants, and</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(b)(1)(B)</a></td><td align="center">(B) Each aide is responsible for the direct care and supervision of a group of no more than four infants.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(b)(2)</a></td><td align="center">(2) When engaged in activities away from the center, there shall be a minimum of one adult to every two infants in attendance.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(d) </a></td><td align="center">(d) There shall be one teacher to every 12 sleeping infants provided the remaining staff necessary to meet the ratios specified in (b) above are immediately available at the center.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(d)(1) </a></td><td align="center">(1) An aide who is 18 years of age or older, and who meets the requirements of Sections 101216 and 101216.2(e), may be used in place of a teacher if the conditions specified in (d) above are met</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staff-infant-ratio">Staff-Infant Ratio CCR 101416.5(e)</a></td><td align="center">(e) There shall be provision for overlap of staff for different shifts so that continuity of care is assured.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staffing-for-infant-water-activities">Staffing for Infant Water Activities CCR 101416.8(b)</a></td><td align="center">(b) A ratio of one adult to two infants shall be maintained during activities in or near any body of water specified in Sections 101216.6(a)(1) and (3).</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staffing-for-infant-water-activities">Staffing for Infant Water Activities CCR 101416.8(c)</a></td><td align="center">(c) A ratio of one staff member to every four infants shall be maintained during activities in or near any container of water that a child can get into and get out of unassisted. This shall include, but not be limited to, wading pools, basins or water trays.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/staffing-for-infant-water-activities">Staffing for Infant Water Activities CCR 101416.8(c)(1)</a></td><td align="center">(1) This ratio may include authorized representatives of infants in care and adult volunteers to supplement the staff-infant ratio.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/staffing-parent-cooperative-centers">Staffing-- Parent-Cooperative Centers CCR 101216.5(b)</a></td><td align="center">(b) There shall be at least one staff member or participating parent present for each five children in attendance.</td><td align="center">Y / N</td></tr></tbody></table>

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

**Last review completed on:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  **Signature:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_


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