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11 Section 2: Program Standards Training Requirements All providers* and staff who work with children are required to complete the following: • Pediatric First Aid/CPR training • Prepare to Care health and safety pre-service orientation training Providers must complete these trainings before subsidy enrollment; staff are allowed 90 days but must be supervised by a certified staff member until the trainings have been completed. Copies of certificates must be available for DHHS review upon request. *Note: License-exempt and in-home providers may be exempt if approved as a relative provider. Ongoing Professional Development Licensed providers must comply with regulations governing training requirements for licensed child care providers. Children’s Services Licensing maintains licensed provider training records. To learn more about additional training options available to licensed providers, see page 38. License-exempt and in-home providers are required to complete four clock hours of approved annual training. At least two clock hours of training must be a topic from the health and safety standards outlined in the Child Care Provider Subsidy enrollment. Training requirements will be reviewed by the RD during the provider’s annual renewal. TRAINING OPPORTUNITIES To learn more about training opportunities, see Appendix on page 43: Nebraska Early Childhood Professional Record System necprs.ne.gov/training-public Nebraska Early Childhood Training Center www.education.ne.gov/oec/early- childhood-training-center Secondhand Smoke Secondhand smoke, also called environmental tobacco smoke, is the smoke exhaled by smokers and smoke from the burning end of a cigarette, cigar or pipe. The smoke from the end of a lit cigarette contains many harmful chemicals, including hydrogen cyanide and carbon monoxide. Evidence shows vaping is no better as far as exposing non-smokers to dangerous chemicals and the scented clouds of vape “smoke” are far more likely to attract young noses. When someone smokes around a newborn, the infant has a higher risk of Sudden Infant Death Syndrome (SIDS). Children who breathe in cigarette smoke have a higher risk of developing other serious medical problems, including ear infections and hearing problems, upper respiratory infections, bronchitis, pneumonia, lung cancer, heart disease, cataracts or eye disease and asthma. As a provider, you are prohibited from smoking and/or vaping in any part of the home/facility where care is being provided. For more information, contact: Tobacco Free Nebraska at 402-471-2101 or 1-800-745-9311.