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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: Child Care Licensing upon an annual inspection will review licensed facility staff training and will require trainings that are 3 years or older to be retaken. Further, in the Nevada Administrative Code it is required that CPR is taken every 2 years and recognizing and reporting child abuse is retaken every 5 years as a standard. b. License-exempt child care centers: All CCDF-eligible providers are required to complete mandatory training on required health and safety topics including, but not limited to, identifying/reporting child abuse and neglect, transporting children, disposal of biocontaminants, handling/storage of hazardous materials, medication administration, etc. during an orientation period of 90 days, and annually thereafter. The Annual Health and Safety Checklist completed by The Children’s Cabinet or The Las Vegas Urban League during the annual monitor for license-exempt providers evaluates compliance with required initial and ongoing training. c. Licensed family child care homes: Child Care Licensing upon an annual inspection will review licensed facility staff training and will require trainings that are 3 years or older to be retaken. Further, in the Nevada Administrative Code it is required that CPR is taken every 2 years and recognizing and reporting child abuse is retaken every 5 years as a standard. d. License-exempt family child care homes: All CCDF-eligible providers are required to complete mandatory training on required health and safety topics including, but not limited to, identifying/reporting child abuse and neglect, transporting children, disposal of biocontaminants, handling/storage of hazardous materials, medication administration, etc. during an orientation period of 90 days, and annually thereafter. The Annual Health and Safety Checklist completed by The Children’s Cabinet or The Las Vegas Urban League during the annual monitor for license-exempt providers evaluates compliance with required initial and ongoing training. e. Regulated or registered in-home child care: All CCDF-eligible providers are required to complete mandatory training on required health and safety topics including, but not limited to, identifying/reporting child abuse and neglect, transporting children, disposal of biocontaminants, handling/storage of hazardous materials, medication administration, etc. during an orientation period of 90 days, and annually thereafter. The Annual Health and Safety Checklist completed by The Children’s Cabinet or The Las Vegas Urban League during the annual monitor for license-exempt providers evaluates compliance with required initial and ongoing training. f. Non-regulated or registered in-home child care: All CCDF-eligible providers are required to complete mandatory training on required health and safety topics including, but not limited to, identifying/reporting child abuse and neglect, transporting children, disposal of biocontaminants, handling/storage of hazardous materials, medication administration, etc. during an orientation period of 90 days, and annually thereafter. The Annual Health and Safety Checklist completed by The Children’s Cabinet or The Las Vegas Urban League during the annual monitor for license-exempt providers evaluates compliance with required initial and ongoing training.