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-- 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.

4. Prevention of and response to emergencies due to food and allergic reactions -- Provide a brief summary of how this standard is defined (i.e., what is the standard, content covered, practices required, etc.) A child's record must include a list of the child's allergies and intolerance to food, insect bites, or stings, or other factors that result in a medical reaction, and clear instructions in the event of an exposure to the factor.

-- List all citations for these requirements, including those for licensed and license- exempt providers For Licensed providers: 391 NAC 1-006.21; 391 NAC 2-006.21; and 391 NAC 3- 006.28.

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). Nebraska Page 157 of 314