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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: 16 hours: substitutes (10 hours) /volunteers (8 hours) must show evidence of completion of a training course, workshop, or class and shall be different from the training topic areas completed in the prior 12-month period, and shall be in at least two (2) of the following topic areas: (1) physical care of the young child; (2) care of the sick child; (3) child nutrition; (4) child growth and development; (5) children with special needs; (6) learning activities and play; (7) family engagement; (8) managing challenging behaviors; (9) community resources; (10) prevention of child maltreatment and abuse; (11) pediatric first aid and child cardiopulmonary resuscitation; (12) health and safety; (13) child care business or program management; (14) physical environment; and (15) safe sleep if permitted to care for children less than one year of age. b. License-exempt child care centers: 8 hours and must show evidence of completion of a training course, workshop, or class and shall be different from the training topic areas completed in the prior 12-month period, and shall be in at least two (2) of the following topic areas: (1) physical care of the young child; (2) care of the sick child; (3) child nutrition; (4) child growth and development; (5) children with special needs; (6) learning activities and play; (7) family engagement; (8) managing challenging behaviors; (9) community resources; (10) prevention of child maltreatment and abuse; (11) pediatric first aid and child cardiopulmonary resuscitation; (12) health and safety; (13) child care business or program management; (14) physical environment; and (15) safe sleep if permitted to care for children less than one year of age. c. Licensed family child care homes: 16 hours: substitutes (10 hours) /volunteers (8 hours) must show evidence of completion of a training course, workshop, or class and shall be different from the training topic areas completed in the prior 12-month period, and shall be in at least two (2) of the following topic areas: (1) physical care of the young child; (2) care of the sick child; (3) child nutrition; (4) child growth and development; (5) children with special needs; (6) learning activities and play; (7) family engagement; (8) managing challenging behaviors; (9) community resources; (10) prevention of child maltreatment and abuse; (11) pediatric first aid and child cardiopulmonary resuscitation; (12) health and safety; (13) child care business or program management; (14) physical environment; and (15) safe sleep if permitted to care for children less than one year of age. d. License-exempt family child care homes: 8 hours and must show evidence of completion of a training course, workshop, or class and shall be different from the training topic areas completed in the prior 12-month period, and shall be in at least two (2) of the following topic areas: (1) physical care of the young child; (2) care of the sick child; (3) child nutrition; (4) child growth and development; (5) children with special needs; (6) learning activities and play; (7) family engagement; (8) managing challenging behaviors; (9) community resources; (10) prevention of child maltreatment and abuse; (11) pediatric first aid and child cardiopulmonary resuscitation; (12) health and safety; (13) child care business or program management; (14) physical environment; and (15) safe sleep if permitted to care for children less than one year of age. e. Regulated or registered in-home child care: 8 hours (Regulated exempt in-home care) must show evidence of completion of a training course, workshop, or class and shall be different from the training topic areas completed in the prior 12-month period, and shall be in at least two (2) of the following topic areas: (1) physical care of the young child; (2) care of the sick child; (3) child nutrition; (4) child growth and development; (5) children with special needs; (6) learning activities and play; (7) family engagement; (8) managing challenging behaviors; (9) community resources; (10) prevention of child maltreatment and abuse; (11) pediatric first aid and child cardiopulmonary resuscitation; (12) health and safety; (13) child care business or program management; (14) physical environment; and (15) safe sleep if permitted to care for children less than one year of age. f. Non-regulated or registered in-home child care: N/A