5.4 Pre-Service or Orientation Training on Health and Safety Standards

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. 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] 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: Current certifications in CPR including a skills demonstration and first aid for the ages of the children in care is required to obtain a family child are license. Pediatric first aid and pediatric CPR (age-appropriate) is required in the first two months of hire in centers and for staff in large family child care. Unless a staff member is currently certified, a licensee shall ensure all staff members, except for early childhood aides and school-age aides, complete certifications in first aid and in cardiopulmonary resuscitation (CPR) within two months of hire. The certifications must be appropriate to the ages of the children in care. CPR classes must include a "hands-on" skill demonstration. Once staff members become qualified as an early childhood or school-age intern, they must complete CPR and first aid certifications within two months. Certifications must be kept current. At least one staff member certified in first aid and CPR, applicable to the ages of the children, must be present when children are present, including the beginning and end of the day and during off-site activities. Child development, including major domains of cognitive, social, emotional, physical development and approaches to learning, is required in professional preparation for family child care providers, center assistant teachers, teachers and administrators. Delaware does not consider this a part of "preservice training;" it is part of its preservice qualification requirements. Delaware had a preliminary notice of non compliance on this on (1/10/2023). DE requires providers and staff members to complete the OCCL Health and Safety training to be completed before the license is issued for FCCH/LFCCH providers and during orientation for center and youth camps. The training includes the topics listed below, and training scripts have been provided to OCC as evidence. • Emergency preparedness and response planning, disaster and evacuation plans and procedures • Safe sleep practices, including prevention of sudden infant death syndrome; • Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; • Routine and emergency health care including health exclusions, prevention, and 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] recognition of the symptoms of childhood illnesses, including reportable communicable diseases and immunizations; • Prevention of and response to emergencies due to food and allergic reactions; • Building and physical premises safety; • Handling and storage of hazardous materials and proper disposal of biocontaminants; • Safety measures in transporting children, and • Administration of medication. Delaware monitors trainings required for the FCCH/LFCCH providers prior to issuing the child care license. A license is issued only when this training is completed. OCCL also monitors the providers and substitutes at each annual full compliance visit by reviewing all qualifications and required training hours. This documentation must be submitted with the initial application and is continued to be monitored for any changes with substitutes when the change is requested. Delaware monitors the administrator and staff members qualifications prior to issuing the child care license. A license is issued only when the administrator and at least one teacher have the needed training and qualification certifications. OCCL also monitors new staff members at each annual full compliance visit by reviewing all staff qualifications and required training hours. While Camp Regulations require Orientation training (Reg. #24) to include many topics including but not limited to training on OCCL regulations, positive behavior management, emergency preparedness, and building and physical premises safety, Delaware will specifically add orientation training topics to correct this deficit. The completion of this training is confirmed at the onsite visit. Delaware will address its non-compliance for the Youth Camps by updating the Youth Camp regulations with this requirement with the plan to have revised regulations out for public comment in winter 2025 and finalized by summer 2025. n. Are there any provider categories to whom the above pre-service or orientation training requirements do not apply? [x] No [ ] Yes. If yes, describe: