Minnesota Statutes
Chapter 245A — Human Services Licensing
Section 245A.1435 — Reduction Of Risk Of Sudden Unexpected Infant Death In Licensed Programs.

(a) When a license holder is placing an infant to sleep, the license holder must place the infant on the infant's back, unless the license holder has documentation from the infant's physician, advanced practice registered nurse, or physician assistant directing an alternative sleeping position for the infant. The physician, advanced practice registered nurse, or physician assistant directive must be on a form approved by the commissioner and must remain on file at the licensed location. 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 license holder has a signed statement from the parent indicating that the infant regularly rolls over at home.
(b) The license holder must place the infant in a crib directly on a firm mattress with a fitted sheet that is appropriate to the mattress size, that fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged by pulling on the corner of the sheet with reasonable effort. The license holder must not place anything in the crib with the infant except for the infant's pacifier, as defined in Code of Federal Regulations, title 16, part 1511. The requirements of this section apply to license holders serving infants younger than one year of age. Licensed child care providers must meet the crib requirements under section 245A.146. A correction order shall not be issued under this paragraph unless there is evidence that a violation occurred when an infant was present in the license holder's care.
(c) If an infant falls asleep before being placed in a crib, the license holder must move the infant to a crib as soon as practicable, and must keep the infant within sight of the license holder until the infant is placed in a crib. When an infant falls asleep while being held, the license holder must consider the supervision needs of other children in care when determining how long to hold the infant before placing the infant in a crib to sleep. The sleeping infant must not be in a position where the airway may be blocked or with anything covering the infant's face.
(d) Placing a swaddled infant down to sleep in a licensed setting is not recommended for an infant of any age and is prohibited for any infant who has begun to roll over independently. However, with the written consent of a parent or guardian according to this paragraph, a license holder may place the infant who has not yet begun to roll over on its own down to sleep in a one-piece sleeper equipped with an attached system that fastens securely only across the upper torso, with no constriction of the hips or legs, to create a swaddle. Prior to any use of swaddling for sleep by a provider licensed under this chapter, the license holder must obtain informed written consent for the use of swaddling from the parent or guardian of the infant on a form provided by the commissioner and prepared in partnership with the Minnesota Sudden Infant Death Center.
2007 c 112 s 15; 2009 c 142 art 2 s 19; 2013 c 108 art 3 s 14; 2014 c 291 art 1 s 2; 2020 c 115 art 4 s 78; 2022 c 58 s 99

Structure Minnesota Statutes

Minnesota Statutes

Chapters 245 - 267 — Public Welfare And Related Activities

Chapter 245A — Human Services Licensing

Section 245A.01 — Citation.

Section 245A.02 — Definitions.

Section 245A.03 — Who Must Be Licensed.

Section 245A.035 — Unlicensed Emergency Relative Placement.

Section 245A.04 — Application Procedures.

Section 245A.041 — Systems And Records.

Section 245A.042 — Home And Community-based Services; Additional Standards And Procedures.

Section 245A.043 — License Application After Change Of Ownership.

Section 245A.05 — Denial Of Application.

Section 245A.055 — Closing A License.

Section 245A.06 — Correction Order And Conditional License.

Section 245A.065 — Child Care Fix-it Ticket.

Section 245A.07 — Sanctions.

Section 245A.075 — Disqualified Individual; Denial, Conditional License, Revocation.

Section 245A.08 — Hearings.

Section 245A.081 — Settlement Agreement.

Section 245A.085 — Consolidation Of Hearings; Reconsideration.

Section 245A.09 — Rules.

Section 245A.095 — Rules For Programs Serving Persons With Mental Illnesses.

Section 245A.10 — Fees.

Section 245A.11 — Special Conditions For Residential Programs.

Section 245A.12 — Voluntary Receivership For Residential Or Nonresidential Programs.

Section 245A.13 — Involuntary Receivership For Residential Or Nonresidential Programs.

Section 245A.14 — Special Conditions For Nonresidential Programs.

Section 245A.143 — Family Adult Day Services.

Section 245A.1434 — Information For Child Care License Holders.

Section 245A.1435 — Reduction Of Risk Of Sudden Unexpected Infant Death In Licensed Programs.

Section 245A.144 — Training On Risk Of Sudden Unexpected Infant Death And Abusive Head Trauma For Child Foster Care Providers.

Section 245A.1443 — Substance Use Disorder Treatment Licensed Programs That Serve Parents With Their Children.

Section 245A.1444 — Training By Other Programs On Risk Of Sudden Unexpected Infant Death And Abusive Head Trauma.

Section 245A.1445 — Dangers Of Shaking Infants And Young Children.

Section 245A.145 — Child Care Program Reporting Notification.

Section 245A.146 — Crib Safety Requirements.

Section 245A.147 — Family Child Care Infant Sleep Supervision Requirements.

Section 245A.148 — Family Child Care Diapering Area Disinfection.

Section 245A.149 — Supervision Of Family Child Care License Holder's Own Child.

Section 245A.15 — Regulation Of Family Day Care By Local Government.

Section 245A.151 — Fire Marshal Inspection.

Section 245A.1511 — Contractors Serving Multiple Family Child Care License Holders.

Section 245A.152 — Child Care License Holder Insurance.

Section 245A.155 — Care Of Individuals On Medical Monitoring Equipment.

Section 245A.156 — Disclosure Of Communicable Disease.

Section 245A.16 — Standards For County Agencies And Private Agencies.

Section 245A.167 — Public Funds Program Integrity Monitoring.

Section 245A.175 — Child Foster Care Training Requirement; Mental Health Training; Fetal Alcohol Spectrum Disorders Training.

Section 245A.18 — Child Passenger Restraint Systems.

Section 245A.19 — Hiv Training In Substance Use Disorder Treatment Program.

Section 245A.191 — Provider Eligibility For Payments From The Behavioral Health Fund.

Section 245A.22 — Independent Living Assistance For Youth.

Section 245A.23 — Positive Support Strategies; Child Care.

Section 245A.24 — Mandatory Reporting.

Section 245A.25 — Residential Program Certifications For Compliance With The Family First Prevention Services Act.

Section 245A.26 — Children's Residential Facility Crisis Stabilization Services.

Section 245A.30 — Licensing Prohibition For Certain Facilities Serving Children.

Section 245A.40 — Child Care Center Training Requirements.

Section 245A.41 — Child Care Center Health And Safety Requirements.

Section 245A.50 — Family Child Care Training Requirements.

Section 245A.51 — Family Child Care Health And Safety Requirements.

Section 245A.52 — Family Child Care Physical Space Requirements.

Section 245A.53 — Substitute Caregivers And Replacements In Family Child Care.

Section 245A.65 — Maltreatment Of Vulnerable Adults.

Section 245A.66 — Requirements; Maltreatment Of Minors.

Section 245A.70 — Remote Adult Day Services.

Section 245A.71 — Applicability And Scope.

Section 245A.72 — Record Requirements.

Section 245A.73 — Remote Adult Day Services Staff.

Section 245A.74 — Individual Service Planning.

Section 245A.75 — Service And Program Requirements.