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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: In Colorado, staff working in child care centers must annually complete the following trainings: standard precautions training, staff working in infant rooms must complete safe sleep training; staff must complete Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, and when to report suspected or know child abuse. Staff must complete the following training every two years: staff working with children less than 3 years of age complete shaken baby/ abusive head trauma training, CPR and first aid training, staff not required by rule to be certified in CPR and First Aid must complete the Department approved Introduction to First Aid and CPR module. At least one staff member with current department-approved medication administration training and delegation must always be on duty. This training is good for 3 years. Staff working in a school-age program must annually complete the required training: standard precautions; staff responsible for the collection, review, and maintenance of the child immunization records must annually complete the Colorado Department of Public Health and Environment immunization course; and all staff must complete a Department- approved training about child abuse prevention, including common symptoms and signs of child abuse. Staff working in a child care center or a school-age program must be retrained when there are changes to the building and physical premises training. b. License-exempt child care centers: N/A c. Licensed family child care homes: Primary providers, applicant 2, equally qualified providers, qualified substitutes, and all staff members must annually complete the training: standard precautions; must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect (2.312 H); Department approved safe sleep training; Individuals responsible for collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment immunization course. Primary providers, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete the training every two years: First Aid & CPR training from infant to twenty-one years of age; staff not required by rule to be certified in First Aid and CPR must complete the Department-approved First Aid and CPR module; shaken baby/abusive head trauma. Primary providers, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete the department-approved course of training for medication administration (2.312 E) every three years. They must also be retrained if there are changes to the building and physical premises training. d. License-exempt family child care homes: Non-relative Qualified Exempt Providers providing care under the Colorado Child Care Assistance Program (CCCAP) complete the following training annually: Emergency and Disaster Preparedness for Child Care Providers, How Experiences Impact Early Brain Development (Year 1); Infant Safe Sleep Practices; Injury Prevention for Homes; Introduction to First Aid and CPR; Medication Administration Training; Playground Safety for Homes; Preventing Shaken Baby Syndrome and Abusive Head Trauma; Recognition and Reporting of Child Abuse and Neglect; Standard Precautions, including Prevention and Control of Infectious Diseases and Immunization; CCCAP Provider Basics Course; Transportation Rules; a child development course of their choosing (Year 2). All training is Department approved and completed in CDEC Professional Development Information System. e. Regulated or registered in-home child care: N/A f. Non-regulated or registered in-home child care: Non-relative Qualified Exempt Providers providing care under the Colorado Child Care Assistance Program (CCCAP) complete the following training annually: Emergency and Disaster Preparedness for Child Care Providers, How Experiences Impact Early Brain Development (Year 1); Infant Safe Sleep Practices; Injury Prevention for Homes; Introduction to First Aid and CPR; Medication Administration Training; Playground Safety for Homes; Preventing Shaken Baby Syndrome and Abusive Head Trauma; Recognition and Reporting of Child Abuse and Neglect; Standard Precautions, including Prevention and Control of Infectious Diseases and Immunization; CCCAP Provider Basics Course; Transportation Rules; a child development course of their choosing (Year 2). All training is Department approved and completed in CDEC Professional Development Information System.