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that result in a medical reaction, and clear instructions in the event of an exposure to the factor. (E) Building and physical premises safety. (i) Physical environment standards must be designed, constructed, and maintained in a manner that is safe, clean, and functional for child care.

(F) Prevention of abusive head trauma. (i) Providers must be trained in recognizing and immediately reporting any signs of abusive head trauma. (1) Reports must be made to the Nebraska Child Abuse and Neglect Hotline. (G) Emergency preparedness: (i) Providers are required to create an emergency preparedness plan in each of the following areas: (1) Evacuation; (2) Relocating; (3) Shelter-in-place; (4) Lockdown; (5) Reunification with families; (6) Continuity of operations; (7) Accommodations of infants and toddlers; (8) Accommodations of children with disabilities; (9) Completing fire drills; and (10) Completing tornados drills. (H) Handling and storage of hazardous materials. (i) Poisonous materials and medications must be stored in a safe and locked area to prevent access to children. Waterproof storage must be used for soiled or wet clothing. Providers must follow sewer requirements to maintain sanitation and must properly dispose of garbage and rubbish. (I) Appropriate precautions in transporting children. (i) No child(ren) left alone in a vehicle; Page 33 of 41