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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: Child Care Centers and Preschools: KAR 28-4-428a(e)(3) In each licensure year, each program director shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(2)(A), (b)(2)(C) through (J), or subsection (c) and six of the 16 clock-hours shall be in program administration, management, or a related topic. (4) In each licensure year, each staff member counted in the staff-child ratio and each volunteer counted in the staff-child ratio shall complete 16 clock-hours of professional development training based on the staff member’s or volunteer’s job responsibilities and the training needs identified by the program director. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(2)(A), (b)(2)(C) through (J), or subsection (c). Child Care Centers and Preschools: KAR 28-4-428a(b)(3)(A) Recognizing the signs of child abuse or neglect, knowledge on the prevention of child maltreatment, shaken baby syndrome and abusive head trauma, and the reporting of suspected child abuse or neglect; (C) safe sleep practices and sudden infant death syndrome; (D) recognizing when a child is ill and prevention and control of infectious diseases, including immunizations; (E) prevention of and response to emergencies due to food and allergic reactions; (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic; (G) emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility; (H) handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste; (I) precautions when transporting children, if transportation is provided; and (J) medication administration training. Child Care Centers and Preschools: KAR 28-4-428a(c) Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) certifications. Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection. CCDF school age providers are required to obtain 4 hours of ongoing health and safety training annually within the 16 hours relating to recognizing the signs of child abuse or neglect, knowledge on the prevention of child maltreatment, shaken baby syndrome and abusive head trauma, and the reporting of suspected child abuse or neglect; safe sleep practices and sudden infant death syndrome; recognizing when a child is ill and prevention and control of infectious diseases, including immunizations; prevention of and response to emergencies due to food and allergic reactions; building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic; emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility; handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste; precautions when transporting children, if transportation is provided; medication administration training or child/pediatric first aid and pediatric cardiopulmonary resuscitation. During annual inspections, Kansas Department of Health and Environment licensing specialists verify if is this is not completed. A consultation is provided to the licensed facility on the Notice of Survey. This report is shared monthly with the lead agency who internally monitors all CCDF facilities. This requirement will be drafted as a regulation in the updated out of school time regulations. b. License-exempt child care centers: The lead agency does not have any license-exempt eligible CCDF providers. c. Licensed family child care homes: KAR 28-4-114a (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock- hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c). KAR 28-4-114a(b)(3)(A) Recognizing the signs of child abuse or neglect, knowledge on the prevention of child maltreatment, shaken baby syndrome and abusive head trauma, and the reporting of suspected child abuse or neglect; (C) safe sleep practices and sudden infant death syndrome; (D) recognizing when a child is ill and prevention and control of infectious diseases, including immunizations; (E) prevention of and response to emergencies due to food and allergic reactions; (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic; (G) emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility; (H) handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste; 57 (I) precautions when transporting children, if transportation is provided; and (J) medication administration training. KAR 28-4-114a(c) Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) certifications. Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection. d. License-exempt family child care homes: The lead agency does not have any license- exempt eligible CCDF providers. e. Regulated or registered in-home child care: There are no regulated or registered in-home child care providers in Kansas. f. Non-regulated or registered in-home child care: Unregulated in-home care provided by a non-relative is not an allowable type of care for CCDF.