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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: The following courses are required of all child care staff and be recertified in the Health and Safety Standards training every two years. CCDF Healthy and Safety Standards Unit 1: Building and Grounds Safety Unit 2: Transportation Unit 3: Emergency and Disaster Response Unit 4: First Aid and CPR Unit 5: Sudden Infant Death Syndrome (SUID/SIDS) Unit 6: Administration of Medication Unit 7: Prevention and Response to Allergic Reactions Unit 8: Prevention and Control of Infectious Disease Unit 9: Understanding Child Development Unit 10: Shaken Baby Syndrome and Abusive Head Trauma (SBS/AHT) Unit 11: Child Abuse and Neglect b. License-exempt child care centers: The following courses are required of all child care staff and be recertified in the Health and Safety Standards training every two years. CCDF Healthy and Safety Standards Unit 1: Building and Grounds Safety Unit 2: Transportation Unit 3: Emergency and Disaster Response Unit 4: First Aid and CPR Unit 5: Sudden Infant Death Syndrome (SUID/SIDS) Unit 6: Administration of Medication Unit 7: Prevention and Response to Allergic Reactions Unit 8: Prevention and Control of Infectious Disease Unit 9: Understanding Child Development Unit 10: Shaken Baby Syndrome and Abusive Head Trauma (SBS/AHT) Unit 11: Child Abuse and Neglect c. Licensed family child care homes: The following courses are required of all child care staff and be recertified in the Health and Safety Standards training every two years. CCDF Healthy and Safety Standards Unit 1: Building and Grounds Safety Unit 2: Transportation Unit 3: Emergency and Disaster Response Unit 4: First Aid and CPR Unit 5: Sudden Infant Death Syndrome (SUID/SIDS) Unit 6: Administration of Medication Unit 7: Prevention and Response to Allergic Reactions Unit 8: Prevention and Control of Infectious Disease Unit 9: Understanding Child Development Unit 10: Shaken Baby Syndrome and Abusive Head Trauma (SBS/AHT) Unit 11: Child Abuse and Neglect d. License-exempt family child care homes: Effective October 1, 2024 with the 2025-2027 State Plan the Lead Agency will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs. The following courses are required of all child care staff and be recertified in the Health and Safety Standards training every two years. CCDF Healthy and Safety Standards Unit 1: Building and Grounds Safety Unit 2: Transportation Unit 3: Emergency and Disaster Response Unit 4: First Aid and CPR Unit 5: Sudden Infant Death Syndrome (SUID/SIDS) Unit 6: Administration of Medication Unit 7: Prevention and Response to Allergic Reactions Unit 8: Prevention and Control of Infectious Disease Unit 9: Understanding Child Development Unit 10: Shaken Baby Syndrome and Abusive Head Trauma (SBS/AHT) Unit 11: Child Abuse and Neglect e. Regulated or registered in-home child care: The following courses are required of all child care staff and be recertified in the Health and Safety Standards training every two years. CCDF Healthy and Safety Standards Unit 1: Building and Grounds Safety Unit 2: Transportation Unit 3: Emergency and Disaster Response Unit 4: First Aid and CPR Unit 5: Sudden Infant Death Syndrome (SUID/SIDS) Unit 6: Administration of Medication Unit 7: Prevention and Response to Allergic Reactions Unit 8: Prevention and Control of Infectious Disease Unit 9: Understanding Child Development Unit 10: Shaken Baby Syndrome and Abusive Head Trauma (SBS/AHT) Unit 11: Child Abuse and Neglect f. Non-regulated or registered in-home child care: A preliminary notice was issued on 6/15/2023, due to the Lead Agency not having evidence of enforceable standards for license exempt center and registered family child care. Effective October 1, 2024 with the 2025-2027 State Plan the LA will no longer allow license-exempt programs to participate in CCDF. These programs will be required to become fully licensed and adhere to all policy and procedure requirements as well as training required of any licensed programs.