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006.10A.

The Child Care Subsidy Program held a public hearing on October 25, 2019. A second public hearing is required and pending a hearing date. Health and safety standards and training requirements are in the draft regulations for Title 392.

To meet compliance with the Health and Safety requirements while regulations are pending, the Lead Agency in assistance with their legal department revised the Child Care Subsidy Provider Agreement. This agreement outlines the required Health and Safety standards and training requirements for each Subsidy program is to adhere by. Agreements are renewed annually and signed by the subsidy program.

-- Describe any variations by category of care (i.e., center, FCC, in-home) and licensing status (i.e., licensed, license-exempt). Children's Services Licensing regulations apply for all licensed providers (CCDF and non-CCDF). CCDF regulations and the Child Care Subsidy Provider Agreement applies for all licensed providers with a CCDF agreement and all licensed-exempt providers.

-- Describe any variations based on the age of the children in care N/A

-- Describe if relatives are exempt from this requirement Relatives are not exempt from this requirement, it is outlined on their provider agreement.

2. Prevention of sudden infant death syndrome and the use of safe-sleep practices -- Provide a brief summary of how this standard is defined (i.e., what is the standard, content covered, practices required, etc.) To address SIDS and safe sleep, there are staffing requirements for nap/sleep times to ensure safety of the children. Infants must sleep on their back unless there is a medical reason and written note from physician. Providers must have appropriate sleeping surfaces for all. Sleep surfaces must not be the top level of a bunk bed for Nebraska Page 154 of 314