House amendment to the 2nd edition makes the following changes. 

Modifies the proposed changes to GS 110-91 by removing the provision allowing assigning a floater to relieve one teacher at a time for 0 to 24 month old age groups if the floater meets the federal requirements to care for infants or holds an Early Education credential or higher educational level.

Removes the provision that required the Child Care Commission to develop standards for infant and toddler care provider staff in licensed child care facilities caring for infants and toddlers from birth to 24 months old that provides staff the option to either (1) meet all of the federal health and safety requirements tied to the Child Care and Development Block Grant (CCDBG) funding, including CPR and SIDS training and age-appropriate health and safety training requirements set by the Commission, or (2) hold an Early Childhood credential.

Adds a provision requiring caregivers for children aged 0 to 24 months to meet Federal Child Care and Development Block Grant health and safety standards as well as the following Commission rules: (1) Daily Routines for Children Under Two Years of Age, (2) Supervision in Child Care Centers, and (3) Staff/Child Interactions. Requires child care center operators, or the care of children aged 0-24 months, to have the option of either employing a lead teacher or a caregiver meeting the standards in the section. 

Makes additional technical changes.