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Describe: (License) Training on sudden infant death syndrome and the use of safe-sleep practices must be completed by child care center director, teachers, and aids, with 50% of teachers having this completed within three years from the operative date. Family Child Care Homes must complete this training within three years of their operative date, and every five years afterwards.

-- How often does the state/territory require that this training topic be completed by caregivers, teachers, and directors in licensed-exempt CCDF programs? Annually Other Describe: License-exempt providers must take a minimum of 2 hours out of the 4 annual hours on any required health and safety topic. The provider can choose the specific health and safety topic as they see fit.

3. Administration of medication, consistent with standards for parental consent -- Provide the citation for this training requirement, including citations for both licensed and license-exempt providers Ongoing health and safety training on this topic is a requirement for all licensed providers. This would include all CCDF licensed providers. 391 NAC 1-006.04EB; 391 NAC 2-006.04E; and 391 NAC 3-006.10D

License-exempt providers are required to complete 4 annual hours of training, 2 of which are to be topics from the Health and Safety required trainings. For license- exempt providers, this is currently outlined in the Child Care Subsidy Provider Agreement found on-line at http://dhhs.ne.gov/Pages/Child-Care-Provider-Forms.aspx . 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 Nebraska Page 192 of 314