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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: Per Iowa Administrative Rules 441.109.7(2)b. Following their first year of employment, all center directors and all staff shall: (1) Maintain current certification for Iowa’s training for the mandatory reporting of child abuse; infant, child and adult CPR; and infant, child and adult first aid. b. License-exempt child care centers: N/A, Iowa does not have license-exempt child care centers c. Licensed family child care homes: Staff at licensed family child care homes are required to take on-going training to maintain mandatory reporter, CPR and First Aid certification per Iowa Administrative Rules 441.110.10(1) Required Trainings: b. Prior to registration, the provider shall complete two hours of Iowa’s training for mandatory reporting of child abuse as required by Iowa Code section 232.69. The provider shall maintain a valid certificate indicating expiration date. c. Prior to registration, the provider shall complete first-aid and cardiopulmonary resuscitation (CPR) training that meets the following requirements: (1) Training shall be provided by a nationally recognized training organization, such as the American Red Cross, American Heart Association, National Safety Council, the American Safety and Health Institute, or MEDIC First Aid or by an equivalent trainer using curriculum approved by the department. (2) CPR training shall include certification in infant and child CPR. (3) The provider shall maintain a valid certificate indicating the date of first-aid training and the expiration date. (4) The provider shall maintain a valid certificate indicating the date of CPR training and the expiration date. d. License-exempt family child care homes: Staff at licensed-exempt family child care homes are required to take on-going training to maintain mandatory reporter, CPR and First Aid certification per Iowa Administrative Rules. 120.10(2) Prior to issuance of a provider agreement, the provider shall complete two hours of Iowa’s training for mandatory reporting of child abuse as required by Iowa Code section 232.69. The provider shall maintain a valid certificate indicating expiration date. 441.120.10(3) Prior to issuance of a provider agreement, the provider shall complete first- aid and cardiopulmonary resuscitation (CPR) training that meets the following requirements: a. Training shall be provided by a nationally recognized training organization, such as the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute or MEDIC First Aid or by an equivalent trainer using curriculum approved by the department. b. CPR training shall include certification in infant and child CPR. c. The provider shall maintain a valid certificate indicating the date of first-aid training and the expiration date. d. The provider shall maintain a valid certificate indicating the date of CPR training and the expiration date. e. Regulated or registered in-home child care: N/A, all in-home care is paid with state funds and not CCDF-eligible. f. Non-regulated or registered in-home child care: N/A, all in-home care is paid with state funds and not CCDF-eligible.