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Lead Agencies must have ongoing training requirements for all caregivers, teachers, and directors of eligible CCDF providers for health and safety standards but have discretion on frequency and training content (e.g., pediatric CPR refresher every year and recertification every 2 years). Lead Agencies have discretion on which health and safety standards are subject to ongoing training. Lead Agencies may exempt relative providers from these requirements. 5.6.1 Required ongoing training of health and safety standards Describe any required ongoing training of health and safety standards for caregivers, teachers, and directors of the following CCDF eligible provider types. a. Licensed child care centers: All licensed child care center caregivers, teachers, and directors must complete the minimum hours of annual in-service trainings required by Department of Children and Families regulations in the Chapter 52 Manual of Requirements. Additional staff training shall be provided as follows: 1. The center shall provide training for each new staff member upon beginning work at the center and for all staff members annually. 2. Such training shall include: i. Basic knowledge of first aid principles; ii. Recognizing the symptoms of illness; iii. Feeding sick children; iv. When and how to call for medical advice; v. Taking children's temperatures; vi. Any other care that may be required for admissible illnesses and conditions; vii. Infection control; viii. Review of center policies and procedures; ix. Child development, including activities for children who are sick; and, x. Communicating with parents concerning a child's illness. b. License-exempt child care centers: N/A c. Licensed family child care homes: N/A d. License-exempt family child care homes: Registered Family Child Care Providers: Caregivers, teachers, and directors must complete ongoing in-service training of at least six (6) hours each year. For all returning caregivers and teachers, the in-service training must include a review of, and updates on, the health, safety, child development, social and emotional behavior intervention, and other subjects covered in the orientation trainings. On-going and professional development training are offered in "Health, Safety, and Child Growth and Development" course and this training covers the following topics: 1. Indoor Safety 2. Safe Outdoor Play 3. Infection Control 4. Diapering and Changing 5. Identifying Allergens 6. EpiPens 7. Evacuation, Fire, and Shelter-in-Place Emergencies 8. Trauma and Adverse Childhood Experiences (ACEs) 9. Supporting Children 10. Medication Administration 11. Shaken Baby Syndrome and Head Trauma 12. Safe Sleep 13. Transportation 14. Self-Care 15. Child Development e. Regulated or registered in-home child care: N/A f. Non-regulated or registered in-home child care: Approved Home/In-Home Providers: Caregivers, teachers, and directors must complete ongoing in-service training of at least six (6) hours each year. For all returning caregivers and teachers, the in-service training must include a review of, and updates on, the health, safety, child development, social and emotional behavior intervention, and other subjects covered in the orientation trainings. On-going and professional development training are offered in "Health, Safety, and Child Growth and Development" course and this training covers the following topics: 1. Indoor Safety 2. Safe Outdoor Play 3. Infection Control 4. Diapering and Changing 5. Identifying Allergens 6. EpiPens 7. Evacuation, Fire, and Shelter-in-Place Emergencies 8. Trauma and Adverse Childhood Experiences (ACEs) 9. Supporting Children 10. Medication Administration 11. Shaken Baby Syndrome and Head Trauma 12. Safe Sleep 13. Transportation 14. Self-Care 15. Child Development