If a site with user-generated content is missing this header give them a warning, then fine them {n} percentage of their net revenue per day until remediated. After {x} days out of compliance seize their domains.
If a child/parent is having compliance issues on their devices leading to problems, hand it over to social services like they would for any other social/family issue. Social service issues are not tech platform issues.
Using RTA in HTML:
<meta name="RATING" content="RTA-5042-1996-1400-1577-RTA" />
PHP: header("Rating: RTA-5042-1996-1400-1577-RTA");
Apache: Header set Rating "RTA-5042-1996-1400-1577-RTA"
HAProxy: http-response set-header rating "RTA-5042-1996-1400-1577-RTA"
NGinx: location / { add_header Rating 'RTA-5042-1996-1400-1577-RTA'; }