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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.

6. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment -- Provide a brief summary of how this standard is defined (i.e., what is the standard, content covered, practices required, etc.) Providers must be trained in recognizing and immediately reporting any signs of child abuse or neglect, including shaken baby syndrome. Providers must be aware of the signs of abusive head trauma including: bleeding in the eyes or retinal hemorrhaging which is unique to abusive head trauma and not likely to be seen in other injuries or accidents. Providers must call the Nebraska Child Abuse and Neglect Hotline.

-- List all citations for these requirements, including those for licensed and license- exempt providers For Licensed providers: 391 NAC 1-006.04B; 391 NAC 2-006.04B; and 391 NAC 3- 006.08A. 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 Nebraska Page 159 of 314