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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: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 26 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 2. All staff shall have fifteen (15) hours of job specific training each year, including child development training, for the ages of children they work with. This shall be training focused on their job responsibilities, such as Hands on Routine Care for infants, or Basics of Assessment for preschool staff. b. License-exempt child care centers: NA c. Licensed family child care homes: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 26 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 2. All staff shall have fifteen (15) hours of job specific training each year, including child development training, for the ages of children they work with. This shall be training focused on their job responsibilities, such as Hands on Routine Care for infants, or Basics of Assessment for preschool staff. d. License-exempt family child care homes: NA e. Regulated or registered in-home child care: All new staff, including volunteers who are counted in the ratios, shall receive the following orientation within three (3) months of employment (and every three (3) years thereafter) and shall not be left alone with children until this is completed. 1. Introduction (eight (8) clock hours) a. Proper supervision of children; b. Behavioral guidance practices; c. Safe sleep practices for infants; d. Shaken baby syndrome; which includes prevention (Carter’s Law, Act 1208); e. Appropriately responding to a crying or fussy infant or child; f. Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers; g. Mandated reporter training; h. Administering medication; i. Caring for children with special needs or care plans; j. Transportation and car seat safety; k. Policies regarding release of children to authorized individuals; l. Prevention and control of infectious diseases; m. Building and physical premises safety, including the identification of, and protection from, hazards, bodies of water, and vehicular traffic; n. Nutrition and physical activities; o. Prevention and response to food sensitivities and allergic reactions; p. Basic child development; and q. The handling and storage of hazardous materials and the appropriate disposal of bio contaminants. 26 See Division website for a list of courses, that the Division maintains contracts for, which meet the above requirements. 2. All staff shall have fifteen (15) hours of job specific training each year, including child development training, for the ages of children they work with. This shall be training focused on their job responsibilities, such as Hands on Routine Care for infants, or Basics of Assessment for preschool staff. f. Non-regulated or registered in-home child care: NA