Safe sleep for child care providers and foster care providers
- A Child Care Provider’s Guide to Safe Sleep, from the American Academy of Pediatrics. For child care providers to educate them on risks, safe sleep practices and making a safe sleep policy. English | Español
- Back to Sleep for Babies in Foster Care Every Time, with Every Caregiver, from the American Academy of Pediatrics. For judges or caseworkers to provide to all caregivers involved in a baby’s care (including foster parents and birth parents) to educate them about safe sleep and pledge to follow the proper safe sleep practices. English | Español
- Safe Sleep Practices and SIDS/Suffocation Risk Reduction. Includes safe sleep practice standards from Caring for Our Children, 3rd Edition. To be used as a convenient reference guide for safe sleep practices for child care and early education caregivers and teachers, parents/guardians, state regulators/policy makers, health consultants, trainers, and other health professionals.
- American Academy of Pediatrics Healthy Child Care America
Videos for child care providers
Approved by MN Department of Human Services
- Sleep on It Campaign: Dakota County Child Care Licensing
- Safe Sleep: What Every Parent Needs to Know, Michigan Department of Human Services
- Safe Sleep Practices: Eastern Virginia Medical School
- Safe Infant Sleep: Hennepin County Human Services and Public Health
Minnesota child care legislation and information
All licensed child care provides must know and comply with safe sleep regulations and training summarized below.
- Terminology is changed from Sudden Infant Death (SID) to Sudden Unexpected Infant Death (SUID) and Shaken Baby Syndrome (SBS) to Abusive Head Trauma (AHT)
- An infant is defined as a child younger than one year of age
- Standard curriculum for SUID has been developed by MN DHS and must be the tool used for training
- Classroom training or online training from MN Child Care Aware must be completed every two years for SUID
- On alternate years not receiving classroom or online training, the license holder must view a SUID video approved by MN DHS. Watch approved videos »
- First aid and CPR training is required every two years
- CPR must be in person and specifically include training on infant and child CPR. Training must be approved by the American Heart Association, the American Red Cross or developed using nationally recognized evidence based training
- CPR training must include return demonstration of learned skills to support the instruction
- An infant must be placed on his back in a safe sleep environment for every sleep time
- A physician directive on a form approved by the commissioner is required for an infant to be placed in an alternative position other than infant’s back
- A safe sleep environment is a crib with a firm mattress covered with a tightly fitted sheet containing only the infant and a pacifier (if desired)
- An infant must be placed to sleep in a crib, directly on a firm mattress with a fitted sheet that is appropriate for the mattress size, and that the sheet must fit tightly on the mattress and overlap the underside of the mattress so it cannot be dislodged by pulling on the corner of the sheet with reasonable effort
- Providers must conduct and document monthly crib safety checks and maintain documentation that every crib is compliant with federal safety regulations
- Swaddling is not recommended for an infant of any age and is prohibited for any infant who has begun to roll over independently. However, with informed written consent of a parent or guardian on a form provided by the commissioner swaddling is allowed on any infant who has not yet begun to roll over on her own as long as the infant is placed to sleep in a one-piece swaddling sleeper with an attached system that fastens securely only across the upper torso, with no constriction to the hips or legs
- A provider is allowed to let an infant who independently rolls over on his stomach after being placed to sleep on his back to remain sleeping on his stomach if the infant is six months old or the license holder has a signed statement from the parent that the infant rolls over at home.
- If an infant falls asleep before being placed in a crib, e.g. in a stroller, car seat, carrier, while being held, the infant must be moved to a crib as soon as practicable – but until then, the infant must be kept with the sight of the license holder, and not in a position where the airway may be blocked or the infant’s face covered
- When an infant falls asleep while being held, the provider must consider the supervision needs of the other children in care when determining how long to hold the infant before placing baby in a crib to sleep
- Family child care providers are encouraged to monitor sleeping infants by conducting in person checks every 30 minutes, and every 15 minutes during the first four months of care or if the infant has an upper respiratory infection
- In addition to in person checks, providers are encouraged to use an audio or visual monitoring device to monitor each sleeping infant in care during all hours of sleep
Temporary immediate suspension
When a temporary immediate suspension is issued based on a violation of safe sleep requirements, the Commissioner is not required to demonstrate that an infant died or was injured as a result of the violation.
Child care center provider Sudden Unexpected Infant Death training requirements
- Volunteers are required to have SUID training before caring for infants.
- SUID training must be repeated every year.
- November 2015: Safe infant sleep practices can prevent deaths – Safe Sleep Week
- Review of child deaths in Minnesota licensed family child care homes: January 2002-August 2012
- Minnesota Department of Human Services Licensing Division
- Approved DHS form for physician directive for an alternative sleep position
- Approved DHS form for parental directive for swaddling in child care
- A Childcare Providers guide to safe sleep
- National Resource Center to Health and Safety in Child Care and Early Education: Safe Sleep Practices to Reduce SIDS/Suffocation Risk