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_____________________________________________________________________________ DIVISION OF WELFARE AND SUPPORTIVE SERVICES Child Care Policy Manual OST/OSR 1 caregiver for every 20 children 40 Example: If you have 80 children in care, the program would need to observe this requirement by maintaining 2 separate groups of 40 children, or more groups with less children in each. Once the program had 81+ children, they would then be required to have 3 (or more) separate groups, none of which could exceed 40 children. Note: The Group Size component of 40 must be observed, while the program maintains the required staff­ to-child ratio of 1:20 (i.e. 1 group of 40 children requires 2 dedicated staff, 1 staff per 20 children). 623.2 Pre-Service and Annual Training All required staff of a license-exempt OST/OSR provider must take at least one hour of dedicated health and safety training during an orientation period of 90 days in each of the following topic areas: • Building and Physical Premises Safety (including the handling and storage of biocontaminants and hazardous materials) • Emergency Preparedness and Response Planning (resulting from a natural or man-made event) • Medication Administration and the Prevention of and Response to Food and Other Allergies in the Child Care Environment • Recognition and Reporting of Child Abuse and Neglect • CPR and First Aid – including Pediatric • Signs of Illness (Bloodborne Pathogens), Prevention and Control of Infectious Diseases, including immunizations • Precautions in Transporting Children (applicable staff only) Note: “Precautions in Transporting Children” training is only required for program staff who are authorized to transport the children in care in a dedicated program vehicle. If a program depends on an outside entity (e.g. a local school district) for transporting children, then the program is not required to provide annual training in this area. Programs that have written policy or program procedure stating that program staff are not permitted to administer medication to children in care will not be required to cover the “Administration of Medication, Consistent with the Standards for Parental Consent” training component. These programs will still be responsible for ensuring they are completing the “Prevention and Response to Food and Other Allergies in the Child Care Environment” component of the training. Additionally, if the program staff have access to an EpiPen for use in these types of environmental emergencies, the program must provide annual training on EpiPens; it is acceptable for this to be taught as part of the “Prevention and Response to Food and Other Allergies in the Child Care Environment” training session. If a staff member has received training (e.g. from an EMT, Paramedic, or other professional training program) in any of the required Reauthorization Health & Safety Training areas, they may provide written documentation to the OST/OSR program from the instructor that identifies the specific course areas that were covered during the process of certification, along with the completion date. Courses must have been completed within the previous year to align with the “annual” training requirement standards. The individual must also provide a copy of their current certification (EMT card, etc.) - this signifies that they successfully completed the training areas to have obtained the stated certification. 600-Provider Information [9] MTL 01/24 July 1, 2024