The Maryland State Board of Education convened on September 26, 2023, to discuss significant updates to child care regulations aimed at enhancing safety and developmental practices for infants. The proposed regulations focus on safe sleep practices, the use of weighted items, and tummy time, reflecting the latest guidance from the American Academy of Pediatrics (AAP).

One of the primary changes discussed was the mandate for safe sleep services for children under 12 months. The regulations stipulate that sleep surfaces must be firm and flat, with any inclination only permitted if specifically authorized by a licensed healthcare provider. This adjustment aims to reduce the risk of Sudden Infant Death Syndrome (SIDS), a critical concern for child safety.

Additionally, the board addressed the growing popularity of weighted sleep items, such as weighted blankets and swaddles. In alignment with AAP recommendations, these items will be prohibited for children under 12 months to ensure their safety during sleep.

The discussion also highlighted the importance of tummy time for infants, which is crucial for their physical development. The proposed regulations specify that tummy time should occur when the child is awake and under adult supervision, with recommendations for short durations. This aspect of the regulations sparked a conversation among board members about the need for clearer definitions and guidelines to prevent potential misuse, particularly concerning the duration and supervision of tummy time.

Board members expressed concerns about the clarity of the regulations, particularly regarding supervision during tummy time. Suggestions were made to include explicit language in the regulations to reinforce the necessity of supervision, ensuring that caregivers understand the importance of monitoring infants during this developmental activity.

The board unanimously approved the motion to publish the amendments to the regulations, with the understanding that further clarifications would be made to enhance guidance for child care providers. This decision reflects a commitment to aligning Maryland's child care practices with the latest research and recommendations, ultimately fostering safer and more nurturing environments for children.

In addition to the child care regulations, the board also discussed financial aid amendments for local school systems and authorized the withholding of state aid payments for systems that fail to submit required audits on time. This measure aims to ensure accountability and timely compliance with financial regulations.

The meeting concluded with plans to reconvene for an executive session to discuss confidential budget estimates and other administrative matters, underscoring the board's ongoing commitment to effective governance and oversight in Maryland's education system.