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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.

CCDF providers are required to compelte pediatric first aid and CPR training and be certified.

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.

-- How often does the state/territory require that this training topic be completed by caregivers, teachers, and directors in licensed CCDF programs? Annually Other Describe: Pediatric First Aid and CPR certificates are good for two years. This is required for all who provide care for children, including licensee, director, teacher, aid, and anyone else caring for children who count in the staff to child ratio. To remain certified, providers must complete the training every two years.

-- 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: Every two years, as certification ends. Nebraska Page 202 of 314