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Reason(s) for non-compliance: • The Lead Agency does not require pre-service or orientation training on sudden infant death syndrome and safe sleep for substitutes in licensed centers, licensed family child care homes, or license-exempt family child care, as required by 98.44(b)(1)(i). (Plan Question 5.4.1m) • The Lead Agency annual unannounced inspection for licensed centers or licensed family child care providers, and annual inspection for license-exempt family child care providers for compliance with pre-service or orientation training requirements related to sudden infant death syndrome and safe sleep does not cover substitutes, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) Overall Target Completion Date: 09/30/2025 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency does not require pre-service or orientation training on sudden infant death syndrome and safe sleep for substitutes in licensed centers, licensed family child care homes, or license-exempt family child care, as required by 98.44(b)(1)(i). (Plan Question 5.4.1m) 09/30/2025 2 The Lead Agency will update the definition of child care staff in Title 392 regulations to include substitutes. 01/31/2025 3 The Lead Agency will revise the Prepare to Care and Lincoln/Lancaster Health and Safety trainings to include appropriate CCDF information. 09/30/2025 4 The Lead Agency will add the definition for child care staff to the child care enrollment agreement. The Lead Agency will require all child care staff to complete Prepare to Care. 09/30/2025 5 The Lead Agency annual unannounced inspection for licensed centers or licensed family child care providers, and annual inspection for license- exempt family child care providers for compliance with pre-service or orientation training requirements related to sudden infant death syndrome and safe sleep does not cover substitutes, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) 09/30/2025 6 Train Lead Agency staff to monitor trainings completed by child care staff/substitutes. 09/30/2025 QUALITY IMPROVEMENT AND SUPPORT FOR CHILD CARE