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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 CCDF eligible child care centers must complete the annual 10 clock-hours or one CEU of in-service training concentration on children ages birth through 12 must be completed in one or more of the following areas (college level courses will be accepted): • Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, shaken baby syndrome, use of safe sleep practices, administration of medicine, emergency preparedness, and handling of hazardous materials; • Pediatric CPR; • First Aid (may be taken to meet the in-service requirement only once every two years); • Nutrition; • Child development - typical and atypical; • Child transportation and safety; • Behavior management; • Working with families; • Design and use of child-oriented space; • Community, health and social service resources; • Child abuse; • Child care for multilingual children; • Working with children with disabilities in child care; • Safety in outdoor play; • Literacy; • Guidance and discipline; • Computer technology; • Leadership development/program management and child care personnel supervision; • Age-appropriate lesson planning; • Homework assistance for school-age care; • Food safety training; • Developing special interest centers/spaces and environments; • Other course areas relating to child care or child care management; • Any of the online courses offered through the Department’s child care website. b. License-exempt child care centers: All CCDF eligible child care centers must complete the annual 10 clock-hours or one CEU of in-service training concentration on children ages birth through 12 must be completed in one or more of the following areas (college level courses will be accepted): • Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, shaken baby syndrome, use of safe sleep practices, administration of medicine, emergency preparedness, and handling of hazardous materials; • Pediatric CPR; • First Aid (may be taken to meet the in-service requirement only once every two years); • Nutrition; • Child development - typical and atypical; • Child transportation and safety; • Behavior management; • Working with families; • Design and use of child-oriented space; • Community, health and social service resources; • Child abuse; • Child care for multilingual children; • Working with children with disabilities in child care; • Safety in outdoor play; • Literacy; • Guidance and discipline; • Computer technology; • Leadership development/program management and child care personnel supervision; • Age-appropriate lesson planning; • Homework assistance for school-age care; • Food safety training; • Developing special interest centers/spaces and environments; • Other course areas relating to child care or child care management; • Any of the online courses offered through the Department’s child care website. c. Licensed family child care homes: All operators and large family child care home employees must complete a minimum of 10-clock-hours or one CEU of in-service training concentrating on children ages birth through 12 years annually during the operator’s 12- month licensing period. The annual 10-clock-hours or one CEU of in-service training must be completed in one or more of the following areas (college level courses will be accepted): • Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, and shaken baby syndrome; use of safe sleep practices; administration of medicine, emergency preparedness; handling of hazardous materials; • Safe Sleep Practices- American Pediatrics Standards; • SIDS Sudden Infant Death Syndrome; • Pediatric CPR; • First Aid (may only be taken to meet the in-service requirement once every two years); • Nutrition; • Child development typical and atypical; • Social and Emotional Development • Child transportation and safety; • Behavior management; • Working with families; • Design and use of child-oriented space; • Community, health and social service resources; • Child abuse; • Child care for multilingual children; • Working with children with disabilities in child care; • Safety in outdoor play; • Literacy; • Guidance and discipline; • Computer technology; • Leadership development/program management and child care personnel supervision; • Age appropriate lesson planning; • Homework assistance for school-age care; • Developing special interest centers/spaces and environments; • Other course areas relating to child care or child care management; or • Any of the online courses offered through the Department’s child care website. d. License-exempt family child care homes: All operators and large family child care home employees must complete a minimum of 10-clock-hours or one CEU of in-service training concentrating on children ages birth through 12 years annually during the operator’s 12- month licensing period. The annual 10-clock-hours or one CEU of in-service training must be completed in one or more of the following areas (college level courses will be accepted): • Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, and shaken baby syndrome; use of safe sleep practices; administration of medicine, emergency preparedness; handling of hazardous materials; • Safe Sleep Practices- American Pediatrics Standards • SIDS Sudden Infant Death Syndrome • Pediatric CPR; • First Aid (may only be taken to meet the in-service requirement once every two years); • Nutrition; • Child development typical and atypical; • Social and Emotional Development • Child transportation and safety; • Behavior management; • Working with families; • Design and use of child-oriented space; • Community, health and social service resources; • Child abuse; • Child care for multilingual children; • Working with children with disabilities in child care; • Safety in outdoor play; • Literacy; • Guidance and discipline; • Computer technology; • Leadership development/program management and child care personnel supervision; • Age appropriate lesson planning; • Homework assistance for school-age care; • Developing special interest centers/spaces and environments; • Other course areas relating to child care or child care management; or • Any of the online courses offered through the Department’s child care website. e. Regulated or registered in-home child care: f. Non-regulated or registered in-home child care: 10 hours or one CEU of annual in-service training with concentration in topic areas that include health and safety, safe sleep practices, behavior management, working with families, literacy, working with children with disabilities, leadership development, and child care management.