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Health Consultants For Child Care

Enhancing Health, Safety & Learning for Minnesota Child Care Providers since 1993

As previously discussed, research has found that 20% of SIDS incidents happen while an infant is in the care of a non-parental caregiver.  Fourteen percent of these cases occur in a child care center or family child care. MN was one of the 11 states, which participated in this 30-month study.  However, in MN the percentage of incidents that occurred in the child care setting was even greater at 40%.  The July 2001 legislative change mandated all licensed programs which serve infants to receive training regarding reducing the risk of SIDS.  The law states, “All staff persons, caregivers and helpers assisting in the care of infants must receive training” (family child care).  (All staff persons and volunteers for center child care.)  After this mandated training, the SIDS rate in MN licensed child care settings had declined from 40% to approximately 9% however, since 2006 there has been an increase in deaths in MN licensed child care. The Child Mortality Review subcommittee studied these deaths and recommendations were given for improvements to child safety in licensed child care to the commissioner of Human Services. 

Minnesota Department of Human Services Child Care Licensing Statutes:

  • Effective August 1, 2020 language was added to the safe sleep statute, Minnesota Statues, 245A.1435, to also allow an advanced practice registered nurse (APRN) to direct an alternative sleeping position for an infant.   Previously the statute only allowed a physician to provide this direction.  APRNs may include Certified Nurse Practitioners and Clinical Nurse Specialists, among others.  A medical reason and time frame must be indicated. The parent or legal guardian and the child care provider must sign the directive and keep it on file.
  • An infant who independently rolls onto its stomach after being placed to sleep on its back may be allowed to remain sleeping on its stomach if the infant is at least six months of age or the provider has a signed statement from the parent indicating the infant regularly rolls over at home. (See DHS Optional Roll Over Form 3/2014)
  • If an infant falls asleep before being placed in a crib, the provider must move the infant as soon as practicable while considering the supervision needs of the other children.  The sleeping infant must not be in a position where their airway may be blocked or with anything covering their face. 
  • Parental Consent for Swaddling; this is not recommended and cannot be done for an infant    who has begun to roll over. The infant must be in a one-piece sleeper equipped with an attached system across the upper torso with no hip or leg constriction, on their back in their crib. Swaddling must be stopped when the child has begun to roll over and this date documented on the consent form. 
  • Access the DHS website for the Sleep Position Directive 7/13Swaddling Consent 7/13Monthly Crib Inspection (center) 8/13, Family 6/14 & Optional Roll Over Form 3/14.

As a result of the 2005 legislative session, Shaken Baby Syndrome (SBS) training was also mandated.  Effective 8/1/09, the SBS training required for persons caring for infants was expanded to persons caring for any child under school age.  The SUID and/or AHT training must be at least ½ hour in length each & effective 7/1/13 must be completed yearly for child care centers.  Effective 7/1/14, Rule 2 SUID/AHT training must be in-person every 2 years and video training on the off year.  Rule 2 must use approved trainers & curriculum. In addition to the formal SUID/AHT training, all providers MAY view an approved AHT video presentation at orientation and annually thereafter. Keep documents of all training.

References: Minnesota SIDS Center, Minnesota Department of Human Services