Utah child care advocates are relieved child care is finally a topic of more serious policy discussion on the Hill but they are also voicing concerns about safety-related changes being proposed.

House Bill 153 is headed to the governor's desk. It would provide a $2.3 million tax break for some Utah parents but it also would increase the maximum number of children an unlicensed day care center can take, from six to eight, as of May 1.

Anna Thomas with Voices for Utah Children said the bill may contain some 'wins' in terms of tax credits but health and safety are being compromised when child care providers aren't licensed.

"There do remain significant health and safety concerns," Thomas emphasized. "That is a lot of children to have in one home with one person who may have CPR and first-aid training, who may know that babies are supposed to sleep on their backs and not on their stomach. Hopefully they know."

Thomas acknowledged for many Utah families, unlicensed, home-based child care may be the only type they can afford but fears children will pay the price for the lack of oversight. She contended the bill does nothing to effectively address the high cost of child care in Utah, and thinks state dollars should help in the effort to moderate it.

Thomas noted there are some guardrails in place for residential child care, such as mandatory background checks for unlicensed providers, and a limit of two children under age three as part of the maximum total. While some Utah households are able to afford to have a parent stay home to provide care, Thomas stressed for most, it has become a luxury.

"Nobody should feel ashamed about their child care situation," Thomas asserted. "A lot of people do use unlicensed care, because that is all that is nearby, and that is all that is all they can afford. Moving forward, I would love it if parents realize that is a system problem, that is not a parent problem."

Thomas added research across the country shows loosening standards do nothing to improve the cost or availability of child care.


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June is National Safety Month and experts are highlighting medication safety for Kentucky kids.

Kentucky has seen a steady increase in pediatric overdoses and ingestion cases in recent years, with research showing the number of cases doubled between 2019 and 2023. The number of fatal pediatric ingestion cases in the state tripled over the same period, with 80% of those considered potentially preventable.

Dr. Jennie Green, a child abuse pediatrician in the Division of Pediatric Forensic Medicine at the University of Kentucky, said safe storage is essential.

"Making sure that the medications that are present are stored safely," Green recommended. "And usually that's going to mean keep them up and out of reach, but also preferably in a stored, locked location. So, thinking about medication lock bags or lockboxes tend to be the best."

She reminded parents "child resistant" does not mean childproof.

The 2024 Kentucky Child Fatality and Near Fatality Review Panel found opiate exposure was present in more than half of overdose and ingestion cases. The Centers for Disease Control and Prevention recommends households with opioids, whether prescribed or not, have a supply of Narcan, a nasal spray to block or reverse the effects of opioids including fentanyl.

Green noted Narcan is safe for anyone.

"There's no harm in giving a child a full dose of Narcan," Green emphasized. "In fact, it's lifesaving. And a lot of the kids who end up coming into the hospital with opioid overdose, they actually need multiple doses of Narcan. So that one dose of Narcan is not going to hurt them, but it can save their life."

Experts advised keeping track of medications present in the home including how many pills remain, to determine how many may have been ingested. Curious children may also explore purses or luggage of visitors, and inquiring if they have medication with them is also suggested.

Shannon Moody, chief policy and strategy officer for Kentucky Youth Advocates and a representative of the Face It Movement, said it is important to think about when children are away from home.

"If your child is visiting a family member, like a grandparent or friend's house, asking them to ensure that their medications, whether it's prescription over the counter or any other substances that a child may get into, that those are put away safely in a place where a child cannot reach," Moody urged.

It is also recommended parents save the number for poison control in their phone and post it on the refrigerator. The number is 800-222-1222.


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Based in Provo, Utah, the software company Qualtrics ranks among the top employers providing adoption and foster-care benefits to its workers.

The Dave Thomas Foundation for Adoption commissioned a national survey of employers to learn whether they offer financial reimbursement for adoption costs and paid leave for foster parents, and how many workers are eligible for those benefits.

Matt Inama, customer success manager for Qualtrics, said adopting a child can be quite expensive. He stressed the financial reimbursement his company offered was "transformational" for him and his wife to create the family they had always dreamed of.

"Having that kind of support and benefit available from one's employer I think is very, very important," Inama asserted. "It just helps to foster, I think, that sense of belonging for an employee within their organization."

Inama encouraged those considering adoption to know it can be a lengthy process. He emphasized it is critical to find local experts in your area who can shed light on how different laws and guidelines affect the adoption experience.

Rita Soronen, president and CEO of the Dave Thomas Foundation for Adoption, said the survey aims to foster a sense of equity among employers which many times offer benefits to families formed through birth. She argued those formed through adoption should be no different.

"We created the 100 Best Adoption-Friendly Workplace list to encourage employers to take that step, to learn about it," Soronen explained. "Then, we know that employers enjoy sort of competitive advantages over each other and 'best' lists tend to provide that."

Soronen added people in the job market who are contemplating offers may look to see if adoption benefits are included. For some, it could be a deciding factor.

"If everything else is equal and this company offers adoption benefits or foster care benefits, then they tend to lean that way because it said something about the company," Soronen observed. "It gives, we believe, employers a competitive edge in recruiting employees."

Ohio child welfare advocates are urging lawmakers to restore more than $60 million in funding to address the state's ongoing foster care placement crisis. A decision is expected by the end of June.

Gov. Mike DeWine and state House leaders included funding in the budget to expand the State Child Protective Allocation and create new child wellness campuses. But the Ohio Senate removed both investments.

Scott Britton, assistant director of the Public Children Services Association of Ohio, said counties can't manage this crisis alone.

"Children deserve a safe place to sleep that meets their behavioral health and their well-being needs. The cost of foster care placements is outpacing inflation - 68%, or $158 million more today than just five years ago - and federal reimbursement is declining," he explained.

The Senate cut $61 million from the House budget: $31 million from county child protection funds and $30 million from proposed wellness campuses. Conference committee members are working to finalize the budget by June 30.

Britton said the proposed child wellness campuses would help reduce the number of children sleeping in county offices. He adds that the governor, House, and a cross-agency group support the plan.

"The campuses are going to be trauma-informed places where children can be properly assessed and supported," he said. "Our cross-system working group prioritized this solution, so we believe Ohio could be a national leader with the strategy."

Advocates say restoring the full investment would help stabilize foster care costs and better serve children in crisis across Ohio.