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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: 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. At least one staff member at a child care center (director or teacher) must have sixteen (16) hours of health and safety training which includes eight (8) hours of pediatric CPR and first aid. Pediatric CPR and first aid must be renewed every two years and a one-time 8 hours of preventive health practices. All child care center staff and licensees must take mandated reporter training every two years which includes training on child maltreatment and shaken baby syndrome. Staff that have limited English proficiency are exempt from the mandated reporter training if training is not made available in their primary language. b. License-exempt child care centers: California received a preliminary notice of non- compliance from Office of Child Care (OCC) on December 13, 2021, for this provision 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, including which agency will be conducting the monitoring. 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. c. Licensed family child care homes: 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. All family child care home licensees must have sixteen (16) hours of health and safety training which includes eight (8) hours of pediatric CPR and first aid. Pediatric CPR and first aid must be renewed every two years and a one-time 8 hours of preventive health practices. All family child care home licensees and staff must take mandated reporter training every two years which includes training on child maltreatment and shaken baby syndrome. Staff that have limited English proficiency are exempt from the mandated reporter training if training is not made available in their primary language. d. License-exempt family child care homes: California received a preliminary notice of non- compliance from OCC on December 13, 2021, for this provision 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, including which agency will be conducting the monitoring. 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. e. Regulated or registered in-home child care: California received a preliminary notice of non- compliance from OCC on December 13, 2021, for this provision 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, including which agency will be conducting the monitoring. 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. f. Non-regulated or registered in-home child care: California received a preliminary notice of non-compliance from OCC on December 13, 2021, for this provision 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, including which agency will be conducting the monitoring. 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.