5.4 Pre-Service or Orientation Training on Health and Safety Standards

Lead Agencies must have requirements for all caregivers, teachers, and directors at CCDF providers to complete pre-service or orientation training (within 3 months of starting) on all CCDF health and safety standards and child development. The training must be appropriate to the setting and the age of children served. This training must address the required health and safety standards and the content area of child development. Lead Agencies have flexibility in determining the minimum number of training hours to require, and are encouraged to consult with Caring for our Children Basics for best practices. Exemptions for relative providers’ training requirements are addressed in question 5.8.1. 5.4.1 Health and safety pre-service/orientation training requirements Lead Agencies must certify staff have pre-service or orientation training on each standard that is appropriate to different settings and age groups. Lead Agencies may require pre-service or orientation to be completed before staff can care for children unsupervised. In the table below, check the boxes for which you have training requirements. -- Is this standard addressed in the pre-service or orientation training? Is the pre-service or orientation training on this standard appropriate to different settings and age groups? Does the Lead Agency require staff to complete the training before caring for children unsupervised? a. Prevention and control of infectious diseases (including immunizations) [x] [x] [ ] b. SIDS prevention and use of safe sleep practices [x] [x] [ ] c. Administration of medication [x] [x] [ ] d. Prevention and response to food and allergic reactions [x] [x] [ ] e. Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic [x] [x] [ ] f. Prevention of shaken baby syndrome, abusive head trauma and child maltreatment [x] [x] [ ] g. Emergency preparedness and response planning and procedures [x] [x] [ ] h. Handling and storage of hazardous materials and disposal of biocontaminants [x] [x] [ ] i. Appropriate Precautions in transporting children, if applicable [ ] [ ] [ ] j. Pediatric first aid and pediatric CPR (age- [x] [x] [ ] m. If the Lead Agency does not certify implementation of all the health and safety pre- service/orientation training requirements for staff in programs serving children receiving CCDF assistance, please describe: The pre-service Orientation discusses vehicle-related injuries (in recognizing and removing/limiting potential safety hazards) but does not discuss precautions in transporting children. g. Per the preliminary notice on 6/15/2023, the pre-service Orientation training is missing components required for Emergency Preparedness and Response training. Current non- compliances included: lack of requirements for volunteer training and participation in drills, and accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions. Kentucky requests additional time to develop the policy for further compliance. Proposed regulations will support the correction of the non- compliances and are anticipated to be complete by the end of 2024. Additionally, considerations for specifc populations mentioned will be further developed in the Orientation content. i. After further review this is an area that needs to be updated in our preservice Orientation curriculum and we will be correcting Orientation to include this with an expected time frame of December 2024. While vehicular related accidents are covered in Orientation, Transportation related regulations and resources are available. j. Per the preliminary notice on 6/15/2023, the preservice Orientation was not compliant in the requirement for pediatric first aid and pediatric CPR (age appropriate). Orientation was updated to include a section on pediatric first aid and CPR training in 2021. The Lead Agency also created a training specific to CPR and First Aid., "Non Certified First Aid and CPR for Early Childhood Professionals" to ensure each staff member in a program has training in these areas, if not a certification. 922 KAR 2:090 Child care center licensure Section 11 Staff Requirements: (3) For a child-care center licensed for infant, toddler, or preschool-age children, at least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a) Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. All Certified providers and contracted substitutes are required to have certification in age- appropriate CPR and First Aid. appropriate) k. Child abuse and neglect recognition and reporting [x] [x] [ ] l. Child development including major domains of cognitive, social, emotional, physical development and approaches to learning. [x] [x] [ ] 922 KAR 2:100 Certification of family child care homes Section 10 (6) Standards for the provider: (6) Prior to being left alone with a child, an assistant shall be certified by a cabinet- approved agency in infant, child, and adult: (a) Cardiopulmonary resuscitation (CPR); and (b) First aid. n. Are there any provider categories to whom the above pre-service or orientation training requirements do not apply? [ ] No [x] Yes. If yes, describe: Registered relative child care providers are not required to obtain pre-service Orientation, however they are able to receive CCAP (CCDF-eligible funds). Any license-exempt providers are not required to obtain pre-service Orientation.