Federal Register - November 30, 2021
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Source: Federal Register
Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Rules and Regulations Start-Child Care Partnerships.145 Across 20,717 centers, this averages to $466,192, which is well above the $113,000 threshold.
Thus, we conclude that the interim final rule is not likely to result in a significant impact on a substantial number of small entities.
List of Subjects in 45 CFR Part 1302
COVID19, Education of disadvantaged, Grant programssocial programs, Head Start, Health care, Mask use, Monitoring, Safety, Vaccination.
JooYeun Chang, Principal Deputy Assistant Secretary for Children and Families.
Approved:
Xavier Becerra, Secretary.
For the reasons discussed in the preamble, we amend 45 CFR part 1302
as follows:
PART 1302PROGRAM OPERATIONS
Subpart IHuman Resources Management
1. The authority citation for part 1302
continues to read as:
1302.93
Authority: 42 U.S.C. 9801 et seq.
2. In 1302.47, revise paragraphs b5iv and v and add paragraph b5vi to read as follows:
1302.47
Safety practices.
b
5
iv Only releasing children to an authorized adult;
v All standards of conduct described in 1302.90c; and vi Masking, using masks recommended by CDC, for all individuals 2 years of age or older when there are two or more individuals on a vehicle owned, leased, or arranged by 145 https eclkc.ohs.acf.hhs.gov/sites/default/
files/pdf/no-search/hs-program-fact-sheet-2019.pdf.
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the Head Start program; indoors in a setting when Head Start services are provided; and for those not fully vaccinated, outdoors in crowded settings or during activities that involve sustained close contact with other people, except:
A Children or adults when they are either eating or drinking;
B Children when they are napping;
C When a person cannot wear a mask, or cannot safely wear a mask, because of a disability as defined by the Americans with Disabilities Act; or D When a childs health care provider advises an alternative face covering to accommodate the childs special health care needs.
3. In 1302.93, add paragraphs a1
and 2 to read as follows:
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Staff health and wellness.
a
1 All staff, and those contractors whose activities involve contact with or providing direct services to children and families, must be fully vaccinated for COVID19, other than those employees:
i For whom a vaccine is medically contraindicated;
ii For whom medical necessity requires a delay in vaccination; or iii Who are legally entitled to an accommodation with regard to the COVID19 vaccination requirements based on an applicable Federal law.
2 Those granted an accommodation outlined in paragraph a1 of this section must undergo SARSCOV2
testing for current infection at least weekly with those who have negative test results to remain in the classroom or working directly with children.
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Those with positive test results must be immediately excluded from the facility, so they are away from children and staff until they are determined to no longer be infectious.
4. In 1302.94, revise paragraph a to read as follows:
1302.94
Volunteers.
a A program must ensure volunteers have been screened for appropriate communicable diseases in accordance with state, tribal or local laws. In the absence of state, tribal, or local law, the Health Services Advisory Committee must be consulted regarding the need for such screenings.
1 All volunteers in classrooms or working directly with children other than their own must be fully vaccinated for COVID19, other than those volunteers:
i For whom a vaccine is medically contraindicated;
ii For whom medical necessity requires a delay in vaccination; or iii Who are legally entitled to an accommodation with regard to the COVID19 vaccination requirements based on an applicable Federal law.
2 Those granted an accommodation outlined in paragraph a1 of this section must undergo SARS-CoV2
testing for current infection at least weekly with those who have negative test results to remain in the classroom or work directly with children. Those with positive test results must be immediately excluded from the facility, so they are away from children and staff until they are determined to no longer be infectious.
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