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Annually

Other Describe: As seen fit. Licensed child care providers (not including substitutes or volunteers) must obtain 12 clock hours of annual training. Staff who work 20 hours or less each week must complete six hours of annual training. Staff who provide direct care includes the licensee, director, teacher, aid, and anyone else caring for children who count in the staff to child ratio. Training must include but is not limited to the following topics: safe environments; healthy environments; learning environments; physical development; cognitive learning; communication; creative learning; self- esteem; social development; guidance; family relationships; program management; and professionalism.

-- 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.

6. Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment -- 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 1-006.04B; 391 NAC 2-006.04E; and 391 NAC 3-006.08A 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 Nebraska Page 196 of 314