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Lead Agencies must have ongoing training requirements for all caregivers, teachers, and directors of eligible CCDF providers for health and safety standards but have discretion on frequency and training content (e.g., pediatric CPR refresher every year and recertification every 2 years). Lead Agencies have discretion on which health and safety standards are subject to ongoing training. Lead Agencies may exempt relative providers from these requirements. 5.6.1 Required ongoing training of health and safety standards Describe any required ongoing training of health and safety standards for caregivers, teachers, and directors of the following CCDF eligible provider types. a. Licensed child care centers: Child Care Licensing and Performance Standards for Day Care Centers and Nighttime Centers Regulations and Procedures Chapter F. Staff 4. In-Service Training for Staff Thereafter, the director, teachers' aides/assistant teachers, all service staff and all substitutes shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required areas: (1) Prevention and control of infectious diseases (including immunization) (2) If applicable, Sudden Infant Death Syndrome (SIDS) prevention and use of safe sleeping practices, (3) Medication administration (4) Prevention of and response to emergencies due to food and allergic reactions (5) Building and physical premises safety (6) If applicable, Prevention of shaken baby syndrome and abusive head trauma (7) Emergency preparedness and response planning (8) Handling and storage of hazardous materials/correct disposal of bio contaminants (9) Recognition and reporting of child abuse and neglect (10) First aide and CPR and; (11) If applicable, appropriate precautions in transporting children. According to the HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter D Staff. 2. Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall include but need not be limited to: (2) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (a) Prevention and control of infectious diseases (including immunizations); (b) Sudden Infant Death Syndrome (SIDS) prevention and use of safe sleeping practices; (c) Medication administration; (d) Prevention of and response to emergencies due to food and allergic reactions; 25 Effective September 13, 2021 (e) Building and physical premises safety; (f) Prevention of shaken baby syndrome and abusive head trauma; (g) Emergency preparedness and response planning; (h) Handling and storage of hazardous materials/correct disposal of bio contaminants; (i) Recognition and reporting of child abuse and neglect; (j) First aid and CPR; (k) If applicable, appropriate precautions in transporting children; (l) Child Development. b. License-exempt child care centers: According to the HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program and the HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Out of School Time Facilities Participating in the Child Care Subsidy Program : Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (a) Prevention and control of infectious diseases (including immunizations); (b) Sudden Infant Death Syndrome (SIDS) prevention and use of safe sleeping practices; (c) Medication administration; (d) Prevention of and response to emergencies due to food and allergic reactions; (e) Building and physical premises safety; (f) Prevention of shaken baby syndrome and abusive head trauma; (g) Emergency preparedness and response planning; (h) Handling and storage of hazardous materials/correct disposal of bio contaminants; (i) Recognition and reporting of child abuse and neglect; (j) First aid and CPR; (k) If applicable, appropriate precautions in transporting children; (l) Child Development. c. Licensed family child care homes: According to the CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES FAMILY NIGHTTIME HOMES AND GROUP DAY CARE HOMES GROUP NIGHTTIME HOMES REGULATIONS AND PROCEDURES: Thereafter, the licensee shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (1) Prevention and control of infectious diseases (including immunization); (2) If applicable, sudden infant death syndrome (SIDS) prevention and use of safe sleeping practices; (3) Medication administration; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety; (6) If applicable, prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning; (8) Handling and storage of hazardous materials/correct disposal of bio contaminants; (9) Recognition and reporting of child abuse and neglect; (10) First aid and CPR; (11) If applicable, appropriate precautions in transporting children. Thereafter, the substitute shall have at least one (1) hour of annual training from an outside source in each of the following eleven (11) required topic areas: (1) Prevention and control of infectious diseases (including immunizations); (2) Sudden infant death syndrome (SIDS) prevention and use of safe sleeping practices; (3) Medication administration; (4) Prevention of and response to emergencies due to food and allergic Reactions; (5) Building and physical premises safety; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning; (8) Handling and storage of hazardous materials/correct disposal of Bio contaminants; (9) Recognition and reporting of child abuse and neglect; (10) First Aid and CPR; (11) If applicable, appropriate precautions in transporting children. According to the HEALTH and SAFETY GUIDELINES REQUIREMENTS AND PROCEDURES For Facilities Participating in the Child Care Subsidy Program Chapter D Staff. 2. Records on Staff a. Records on all staff, including substitutes and volunteers, shall be kept confidential, and shall be on file in the facility at the time of employment. Records shall include but need not be limited to: (2) Thereafter, child care workers/teachers shall have at least one (1) hour of annual training from an outside source in each of the following twelve (12) required areas: (a) Prevention and control of infectious diseases (including immunizations); (b) Sudden Infant Death Syndrome (SIDS) prevention and use of safe sleeping practices; (c) Medication administration; (d) Prevention of and response to emergencies due to food and allergic reactions; 25 Effective September 13, 2021 (e) Building and physical premises safety; (f) Prevention of shaken baby syndrome and abusive head trauma; (g) Emergency preparedness and response planning; (h) Handling and storage of hazardous materials/correct disposal of bio contaminants; (i) Recognition and reporting of child abuse and neglect; (j) First aid and CPR; (k) If applicable, appropriate precautions in transporting children; (l) Child Development. d. License-exempt family child care homes: N/A e. Regulated or registered in-home child care: N/A f. Non-regulated or registered in-home child care: N/A