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L. Physical Plant (4) The Program and surrounding premises must be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Program. P. Staff Training (1) Prior to assignment to children or tasks, all Employees (i.e., volunteers, students-in-training, independent contractors, etc.) and Provisional Employees must receive initial program orientation. (2) The initial program orientation must include the following subjects: (a) The program's policies and procedures; (b) The portions of these standards dealing with the care, health and safety of children; (d) Reporting requirements for suspected cases of child abuse, neglect or deprivation; communicable diseases and serious injuries; (g) The administration of medicine; (i) Hand washing; (l) Prevention of HIV/Aids and blood borne pathogens.

(3) Health & Safety Orientation training. Each staff member with direct care responsibilities shall complete health and safety orientation training within the first 90 days of employment. The state-approved training hours obtained will count toward required first year training hours. The training must address the following health and safety topics. The training must address the following health and safety topics: (a) Prevention and control of infectious diseases; (c) Administration of medication, consistent with standards for parental consent; (h) Handling and storage of hazardous materials and the appropriate disposal of bio contaminants;

(4) Annual training. (a) Every calendar year after the first year of employment, the Director, Provisional Employees and Employees shall attend ten (10) clock hours of various training which is offered by an accredited college, university or vocational program or other Department-approved source. (b) The annual ten (10) clock hours of training shall include the following: 2. At least two (2) hours in on-going child development and health and safety related topics, which could include, but not be limited to: (i) Child development (e.g., developmental domains (cognitive; social and emotional; physical development and motor skills; communication, language, and literacy; approaches to play and learning), discipline and guidance techniques, children with special needs); (ii) Health (e.g., nutrition and the support of breast feeding, physical activity, prevention and control of illnesses and infectious diseases, immunizations, prevention of and response to emergencies due to food and allergic reactions,