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Lead Agencies must have requirements for all caregivers, teachers, and directors at CCDF providers to complete pre-service or orientation training (within 3 months of starting) on all CCDF health and safety standards and child development. The training must be appropriate to the setting and the age of children served. This training must address the required health and safety standards and the content area of child development. Lead Agencies have flexibility in determining the minimum number of training hours to require and are encouraged to consult with Caring for our Children Basics for best practices. Exemptions for relative providers’ training requirements are addressed in question 5.8.1. 122 | P a g e 5.4.1 Health and safety pre-service/orientation training requirements Lead Agencies must certify staff have pre-service or orientation training on each standard that is appropriate to different settings and age groups. Lead Agencies may require pre-service or orientation to be completed before staff can care for children unsupervised. In the table below, check the boxes for which you have training requirements. Is this standard addressed in the pre-service or orientation training? Is the pre-service or orientation training on this standard appropriate to different settings and age groups? Does the Lead Agency require staff to complete the training before caring for children unsupervised? a. Prevention and control of infectious diseases including immunizations ☐X ☐X ☐X b. SIDS prevention and use of safe sleep practices ☐X ☐X ☐X c. Administration of medication ☐X ☐X ☐X d. Prevention and response to food and allergic reactions ☐X ☐X ☐X e. Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic ☐X ☐X ☐X f. Prevention of shaken baby syndrome, abusive head trauma and child maltreatment ☐X ☐X ☐X g. Emergency preparedness and response planning and procedures ☐X ☐X ☐X h. Handling and storage of hazardous materials and disposal of biocontaminants ☐X ☐X ☐X i. Appropriate Precautions in transporting children, if applicable ☐X ☐X ☐X j. Pediatric first aid and pediatric CPR (age- appropriate) ☐X ☐X ☐X k. Child abuse and neglect recognition and reporting ☐X ☐X ☐X l. Child development including major domains of cognitive, social, emotional, physical development and approaches to learning. ☐X ☐X ☐X m. If the Lead Agency does not certify implementation of all the health and safety pre- service/ orientation training requirements for staff in programs serving children receiving CCDF assistance, please describe: California received a preliminary notice of non-compliance from Office of Child Care (OCC) on May 8, 2024, for this provision. The CDSS needs additional time to develop an implementation plan and may seek technical assistance from OCC. California law does not establish training components for all child care facility licensees and staff. For example, only designated child care center staff and family child care home licensees must receive training in pediatric CPR and first aid and preventative health practices. (Health and Safety Code section 1596.866.) Additionally, California needs to add identification of, and protection from, vehicular traffic to the pre-service orientation. The Child Care Licensing Division encourages all child care facility staff and licensees to use the Department’s training tools such as the California Early Childhood Online and the California Child Care Licensing Resources for Parents and Providers website that provides training videos on topic such as: health and safety, bodies of water, disaster planning, transportation, personal rights, food services, and many others. The following URLs have been provided: https://ccld.childcarevideos.org/and https://www.caearlychildhoodonline.org/en_home.aspx n. Are there any provider categories to whom the above pre-service or orientation training requirements do not apply? ☐ No ☐ X Yes. If yes, describe: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision in relation to license-exempt providers and needs additional time to develop an implementation plan. The CDSS has been meeting regularly with the federal TA team to draft health and safety standards for license-exempt providers. It is now focusing its efforts and the TA on developing training requirements and monitoring policies and practices for license-exempt providers. When completed, CDSS will initiate the legislative, regulatory, budgetary and collective bargaining processes to formalize and implement the standards, training and monitoring policies for the license- exempt providers.