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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). Per Title 391, FCCH I/II are required to have First Aid/CPR prior to their license. In a center setting, at least one staff member with First Aid/CPR training must be on the premises at all times during operation. Anyone providing transportation must have a current certificate First Aid/CPR. Draft regulations for Licensing will specify CPR to be 'pediatric CPR'. 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 defined as immediate family (aunts, uncles, grandparents, or sibling) and are exempt from this requirement.

11. Recognition and reporting of child abuse and neglect -- Provide a brief summary of how this standard is defined (i.e., what is the standard, content covered, practices required, etc.) Providers must practice and have an understanding of recognizing and immediately reporting any signs of child abuse or neglect.If a provider notices an injury that is unexplained or not consistent with the explanation given and doesn't appear to be accidental, they must document and report. A provider must call the Nebraska Child Abuse and Neglect Hotline. A provider should gather all relevant information before calling the hotline (i.e.. child's name, date of birth, parent's names, phone numbers, Nebraska Page 165 of 314