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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] [x] b. SIDS prevention and use of safe sleep practices [x] [x] [x] c. Administration of medication [x] [x] [x] d. Prevention and response to food and allergic reactions [x] [x] [x] e. Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic [x] [x] [x] f. Prevention of shaken baby syndrome, abusive head trauma and child maltreatment [x] [x] [x] g. Emergency preparedness and response planning and procedures [x] [x] [x] h. Handling and storage of hazardous materials and disposal of biocontaminants [x] [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: N/A 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: All legal nonlicensed providers must take training in pediatric first aid and CPR prior to registration. If caring for children under the age of 5, all legal nonlicensed providers must take training in Preventing Abusive Head Trauma prior to authorization of care for children under 5 and if caring for children under the age of 1, they must take training in Preventing Sudden Unexpected Infant Death Syndrome prior to authorization of care for children under 1. Legal nonlicensed providers who are not related to all children in their care must additionally take training in prevention and control of infectious diseases, administration of medication, prevention and response to food and allergic reactions, building and physical premises safety, abusive head trauma and child maltreatment, emergency preparedness and response planning and procedures, handling and storage of hazardous materials and disposal of biocontaminants, appropriate precautions in transporting children, child abuse and neglect recognition and reporting, and child development within 90 days of caring for unrelated children. Legal nonlicensed providers who are related to all children in their care are not required to take training in prevention and control of infectious diseases, administration of medication, prevention and response to food and allergic reactions, building and physical premises safety, abusive head trauma and child maltreatment, emergency preparedness and response planning and procedures, handling and storage of hazardous materials and disposal of biocontaminants, appropriate precautions in transporting children, child abuse and neglect recognition and reporting, and child development. i. Appropriate Precautions in transporting children, if applicable [x] [x] [x] j. Pediatric first aid and pediatric CPR (age- appropriate) [x] [x] [x] k. Child abuse and neglect recognition and reporting [x] [x] [x] l. Child development including major domains of cognitive, social, emotional, physical development and approaches to learning. [x] [x] [x]