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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 center staff are required to complete a state- developed health and safety refresher course each year. The course is two hours in length and covers 2-4 health and safety topics each year. The course is available both online/on demand and is delivered virtually in English and Spanish through our Great Start to Quality Resource Centers. The course is free. Child Care Licensing has specific rules in place that determine the timing and number of staff that are required to maintain Pediatric First Aid and CPR certification. Training topics align with federally required health and safety topics and include a combination of Child Development Training. Prevention and control of infectious diseases (including immunization). Prevention of Sudden Infant Death Syndrome and use of safe sleeping practices. Administration of medication, consistent with standards for parental consent. Prevention of and response to emergencies due to food and allergic reactions. Building and physical premises safety, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Emergency preparedness and response planning. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants. Precautions in transporting children (if applicable). Pediatric first aid and cardiopulmonary resuscitation (CPR) certification. Recognition and reporting of child abuse and neglect. b. License-exempt child care centers: License exempt military and tribal child care center staff have access to the state developed health and safety refresher course. The course is two hours in length and covers 2-4 health and safety topics each year. The course is available both online/on demand and is delivered virtually in English and Spanish through our Great Start to Quality Resource Centers. The course is free. License exempt tribal child care centers self-certify annually they are meeting they are meeting health and safety requirements. Training topics align with federally required health and safety topics and include a combination of Child Development Training. Prevention and control of infectious diseases (including immunization). Prevention of Sudden Infant Death Syndrome and use of safe sleeping practices. Administration of medication, consistent with standards for parental consent. Prevention of and response to emergencies due to food and allergic reactions. Building and physical premises safety, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Emergency preparedness and response planning. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants. Precautions in transporting children (if applicable).. Pediatric first aid and cardiopulmonary resuscitation (CPR) certification. Recognition and reporting of child abuse and neglect. c. Licensed family child care homes: Licensed family and group home child care staff are required to complete the state-developed health and safety refresher course each year. The course is two hours in length and covers 2-4 health and safety topics each year. The course is available both online/on demand and is delivered virtually in English and Spanish through our Great Start to Quality Resource Centers. The course is free. Child Care Licensing requires that family and group home child care staff maintain valid CPR and Pediatric First Aid certification. Training topics align with federally required health and safety topics and include a combination of Child Development Training. Prevention and control of infectious diseases (including immunization). Prevention of Sudden Infant Death Syndrome and use of safe sleeping practices. Administration of medication, consistent with standards for parental consent. Prevention of and response to emergencies due to food and allergic reactions. Building and physical premises safety, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Emergency preparedness and response planning. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants. Precautions in transporting children (if applicable). Pediatric first aid and cardiopulmonary resuscitation (CPR) certification. Recognition and reporting of child abuse and neglect. d. License-exempt family child care homes: License exempt military and tribal family home providers have access to the state developed health and safety refresher course. The course is two hours in length and covers 2-4 health and safety topics each year. The course is available both online/on demand and is delivered virtually in English and Spanish through our Great Start to Quality Resource Centers. The course is free. License exempt tribal military and tribal family homes self-certify they are meeting health and safety requirements. Training topics align with federally required health and safety topics and include a combination of Child Development Training. Prevention and control of infectious diseases (including immunization). Prevention of Sudden Infant Death Syndrome and use of safe sleeping practices. Administration of medication, consistent with standards for parental consent. Prevention of and response to emergencies due to food and allergic reactions. Building and physical premises safety, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Emergency preparedness and response planning. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants. Precautions in transporting children (if applicable). Pediatric first aid and cardiopulmonary resuscitation (CPR) certification. Recognition and reporting of child abuse and neglect. e. Regulated or registered in-home child care: N/A f. Non-regulated or registered in-home child care: License exempt child care providers both related and unrelated are required to complete a state-developed health and safety refresher course each year. The course is two hours in length and covers 2-4 health and safety topics each year. The course is available both online/on demand and is delivered virtually in English and Spanish through our Great Start to Quality Resource Centers. Training topics align with federally required health and safety topics and include a combination of Child Development Training. Prevention and control of infectious diseases (including immunization). Prevention of Sudden Infant Death Syndrome and use of safe sleeping practices. Administration of medication, consistent with standards for parental consent. Prevention of and response to emergencies due to food and allergic reactions. Building and physical premises safety, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, bodies of water, and vehicular traffic. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Emergency preparedness and response planning. Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants. Precautions in transporting children (if applicable). Pediatric first aid and cardiopulmonary resuscitation (CPR) certification. Recognition and reporting of child abuse and neglect.