5.6 Ongoing Health and Safety Training

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: Maryland requires all licensed and registered child care providers to complete an annual Basic Health and Safety (BHS) training update. Licensing specialists evaluate these areas through review of records and observation to ensure the provider and/or operator maintains compliance. In addition, updates are communicated to providers through newsletters, email blasts and virtual information sessions. The BHS Training Topics include the following: 1. Infant and child first aid and CPR 2. Prevention and control of infectious diseases, including immunizations 3. Safe sleep practices and prevention of sudden infant death syndrome 4. Prevention of shaken baby syndrome, abusive head trauma, and child abuse and neglect 5. Recognition, reporting, and prevention of child abuse and neglect 6. Medication administration, consistent with standards for parental consent 7. Prevention of and response to emergencies caused by food and allergic reactions 8. Emergency preparedness and response for natural disasters and other events 9. Handling, storage, and disposal of hazardous materials 10. Indoor and outdoor safety, including protecting children from hazards, bodies of water, and traffic 11. Safety when transporting children, if applicable 12. Child development Child Care Centers 13A.16.03.05C(1)(a) During an individual’s employment at the center and for 2 years after the date of the individual’s last employment there, maintain a record for each individual that includes: The individual’s: Training, including initial and yearly basic health and safety training, if required under this subtitle. Child Care Center: 13A.16.10.02 A. At all times, including during an off-site activity, at least one child care teacher or the director shall be present who holds a current certificate indicating successful completion of approved: (2) Cardiopulmonary resuscitation (CPR) training through the American Heart Association, or a program with equivalent standards, which is appropriate to all child age groups for which the center is approved. Letter of Compliance: 13A.18.10.02 A. At all times, including during an off-site activity, at least one family child care teacher or the provider shall be present who holds a current certificate indicating successful completion of approved: (1) Basic first aid training through the American Red Cross, or a program with equivalent standards, which is appropriate to all child age groups for which the child care home is approved; and (2) Cardiopulmonary resuscitation (CPR) training through the American Heart Association, or a program with equivalent standards, which is appropriate to all child age groups for which the child care home is approved. B. Whenever a child in care is present, there shall be at least one staff member, or the provider, present who is currently certified in approved first aid and CPR as specified at §A of this regulation. C. Whenever a child in care is being transported under child care home auspices to or from the child care home, there shall be at least one adult present in the vehicle who is currently certified in approved CPR and first aid. This requirement may be met by the driver of the vehicle. b. License-exempt child care centers: Maryland does not have any License-exempt child care centers that receive CCDF. c. Licensed family child care homes: Maryland requires all licensed and registered child care providers to complete an annual Basic Health and Safety (BHS) training update. Licensing specialists evaluate these areas through review of records and observation to ensure the provider and/or operator maintains compliance. In addition, updates are communicated to providers through newsletters, email blasts and virtual information sessions. The BHS Training Topics include the following: 1. Infant and child first aid and CPR 2. Prevention and control of infectious diseases, including immunizations 3. Safe sleep practices and prevention of sudden infant death syndrome 4. Prevention of shaken baby syndrome, abusive head trauma, and child abuse and neglect 5. Recognition, reporting, and prevention of child abuse and neglect 6. Medication administration, consistent with standards for parental consent 7. Prevention of and response to emergencies caused by food and allergic reactions 8. Emergency preparedness and response for natural disasters and other events 9. Handling, storage, and disposal of hazardous materials 10. Indoor and outdoor safety, including protecting children from hazards, bodies of water, and traffic 11. Safety when transporting children, if applicable 12. Child development Family Child Care: 13A.15.06.02B and D Training Requirements Continued Training. A provider shall successfully complete: The health and safety training, as required by the office, by the end of each 12-month period measured each calendar year; D. Current certification in approved basic first aid and CPR training as specified in §A(1)(a) and (b) of this regulation shall be maintained at all times by: (1) The provider; and (2) If applicable, the additional adult. Large Family Child Care: 13A.18.03.03E Program Records Document that the health and safety training, as required by the office, was updated by the end of each 12-month period, measured from the date of initial registration. Large Family Child Care 13A.18.10.02 A. At all times, including during an off-site activity, at least one family child care teacher or the provider shall be present who holds a current certificate indicating successful completion of approved: (1) Basic first aid training through the American Red Cross, or a program with equivalent standards, which is appropriate to all child age groups for which the child care home is approved; and (2) Cardiopulmonary resuscitation (CPR) training through the American Heart Association, or a program with equivalent standards, which is appropriate to all child age groups for which the child care home is approved. d. License-exempt family child care homes: Maryland does not have any License-exempt family child care homes that receive CCDF. e. Regulated or registered in-home child care: License Exempt in-home providers are requited to complete the Basic Health and Safety Annual Update for the calendar year and attend Basic Health and Safety training each year. The BHS Training Topics include the following: 1. Infant and child first aid and CPR 2. Prevention and control of infectious diseases, including immunizations 3. Safe sleep practices and prevention of sudden infant death syndrome 4. Prevention of shaken baby syndrome, abusive head trauma, and child abuse and neglect 5. Recognition, reporting, and prevention of child abuse and neglect 6. Medication administration, consistent with standards for parental consent 7. Prevention of and response to emergencies caused by food and allergic reactions 8. Emergency preparedness and response for natural disasters and other events 9. Handling, storage, and disposal of hazardous materials 10. Indoor and outdoor safety, including protecting children from hazards, bodies of water, and traffic 11. Safety when transporting children, if applicable 12. Child development f. Non-regulated or registered in-home child care: N/A