5.6 Ongoing Health and Safety Training

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: Ohio Administrative Code (OAC) Rule 5101:2-12-10 A)What are the health training requirements for a child care center? (1)All child care staff members are to be currently trained in first aid and cardiopulmonary resuscitation (CPR) appropriate for the age and developmental levels of the children in care. (a)First aid and CPR trainings are to be completed within the first ninety days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the center is to have at least one trained child care staff member on-site (in each building) during all hours of operation who meets this requirement. (2) A center shall have at least one child care staff member on-site (in each building) during all hours of operation who is currently trained in the management of communicable disease. (3) All child care staff members are to be currently trained in child abuse and neglect recognition and prevention. Appendix A - (a)Child abuse and neglect recognition and prevention training is to be completed within the first sixty days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the center is to have at least one trained child care staff member on-site (in each building) during all hours of operation who meets this requirement. (4) Trainings shall meet course and trainer requirements in appendix A to this rule. (5)If a child care staff member meets the trainer requirements in appendix A to this rule for a health training, that person is considered to meet the training requirement for that health training pursuant to paragraphs (A)(1) and (A)(2) of this rule. (6) Audiovisual or electronic media training shall not be used to meet the CPR training requirement pursuant to paragraph (A)(1) of this rule unless there is also an in-person component of the training. Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization Course Content for Management of Communicable Disease 1. Follows the curriculum prescribed by the Ohio Department of Job and Family Services Is valid for three years. Course Content for Child Abuse and Neglect Recognition and Prevention 1. The Ohio department of job and family services child abuse and neglect recognition and prevention training which is valid for two years, OR 2. Course created that covers all of the following topics which is valid for three years: • Ohio law and rules pertaining to child abuse and neglect, including definitions, reporting and confidentiality requirements and the requirement to report suspected abuse or neglect by child care staff members if observed or suspected • Physical and behavioral indicators of child abuse and neglect • Details on reporting, including penalty, immunity and how and to whom to report • Race, equity, and diversity including how implicit biases may impact reporting • The investigatory role of the children's protective services agency • The sharing of information and the role of law enforcement, licensing and the courts in reports of child abuse and neglect • Helping families who have occurrences of abuse or neglect • Prevention of child abuse and neglect in the center, including: staff supervision and training, policies and procedures and appropriate discipline b. License-exempt child care centers: NA c. Licensed family child care homes: Ohio Administrative Code (OAC) Rule 5101:2-13-10- A)What health training is required for a licensed family child care provider prior to licensure? The family child care provider is to complete the following: (1)Current certification in first aid and cardiopulmonary resuscitation (CPR). Training shall be appropriate for all of the ages and developmental levels of children in care. (2)Current training in management of communicable disease . (3)Current training in one of the following child abuse and neglect recognition and prevention trainings: (a)Ohio department of job and family services (ODJFS) child abuse and neglect recognition and prevention training. (b)Child abuse and neglect recognition and prevention training as described in appendix A to this rule.(B)What health training is required for a licensed family child care provider once licensed? (1)Maintain current certification in first aid and CPR. The training shall be appropriate for all of the ages and developmental levels of children in care. (2)Maintain current training in management of communicable disease and child abuse and neglect recognition and prevention. (3)Audiovisual or electronic media training shall not be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in- person component of the training. (C)What health training is required for a family child care staff member and a substitute child care staff member? (1)Prior to being left alone with children, but within the first ninety days of hire, all child care staff members shall complete and remain current in the following: (a)CPR. (b)First aid. (c)Management of communicable disease. (d) One of the following child abuse and neglect recognition and prevention trainings: (i)ODJFS child abuse and neglect recognition and prevention training. (ii)Child abuse and neglect recognition and prevention training as described in appendix A to this rule. (D)What are the requirements for the health trainings pursuant to paragraphs (A), (B) and (C) of this rule? (1)The trainings are to meet course and trainer requirements in appendix A to this rule. (2)Audiovisual or electronic media training is not to be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in- person component of the training. (3)If the child care staff member meets the trainer requirements in appendix A to this rule for a health training, that person is considered to meet the training requirement for first aid, CPR, or management of communicable disease. Appendix A-Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 3. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 4. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact and inhaled d. License-exempt family child care homes: NA e. Regulated or registered in-home child care: Ohio Administrative Code (OAC) Rule 5101:2- 14-03- A)What health training is to be completed before an in-home aide (IHA) may be certified? The IHA is to complete the following prior to certification: (1)Current certification in first aid and cardiopulmonary resuscitation (CPR). Both the first aid and the CPR trainings are to be appropriate for the ages and developmental levels of the children in care, as described in appendix A to this rule. (2)Current training in management of communicable diseases as described in appendix A to this rule. (3)Current training in one of the following child abuse and neglect recognition and prevention trainings: (a)Ohio department of job and family services (ODJFS) child abuse and neglect recognition and prevention training. (b)Child abuse and neglect recognition and prevention training as described in appendix A to this rule. (4)If the IHA meets the trainer requirements in appendix A to this rule for a health training, the person is considered to meet the health training requirement for that health training, pursuant to paragraphs (A) and (B) of this rule. (5)Audiovisual or electronic media training is not to be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in- person component of the training. (B)What are the on-going health training requirements for a certified IHA? (1)Maintain current certification in first aid and cardiopulmonary resuscitation (CPR) appropriate for the ages and developmental levels of the children in care, as described in appendix A to this rule. (2)Maintain current training in management of communicable diseases and child abuse and neglect recognition and prevention, as described in appendix A to this rule. Appendix A- Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 3. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 4. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization. Course Content for Management of Communicable Disease 1. Follows the curriculum prescribed by the Ohio Department of Job and Family Services (ODJFS) 2. Is valid for three years Course Content for Child Abuse and Neglect Recognition and Prevention 1. The Ohio department of job and family services child abuse and neglect training which is valid for two years, OR 2. Course created that covers all the following topics which is valid for three years: ￿ Ohio law and rules pertaining to child abuse and neglect, including definitions, reporting and confidentiality requirements and the requirement to report suspected abuse or neglect by IHA if observed or suspected ￿ Physical and behavioral indicators of child abuse and neglect ￿ Details on reporting, including penalty, immunity and how and to whom to report. ￿ Race, equity and diversity including how implicit biases may impact reporting ￿ The investigatory role of the children's protective services agency ￿ The sharing of information and the role of law enforcement, licensing and the courts in reports of child abuse and neglect ￿ Helping families who have occurrences of abuse or neglect ￿ Prevention of child abuse and neglect in the child's home, including: ￿ IHA supervision and training, policies and procedures and appropriate discipline Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical service instructor Management of Communicable Disease Trainers 1. Licensed physician, PA, APRN, CNP, or RN 2. Emergency medical services instructor 3. Current trainer employed by local health department Child Abuse and Neglect Recognition and Prevention Trainers 1. Authorized trainer for a public children services agency (PCSA) 2. Person with at least an associate degree in social work, child development or related field from accredited college and two years of experience professionally assessing Appendix A to Rule 5101:2-14-03 child abuse and neglect for a PCSA or an agency contracted by a PCSA or providing counseling to abused children or training others in child abuse prevention or the combination of experience and training 3. Licensed physician, PA, APRN, CNP, or RN with two years of experience professionally assessing child abuse and neglect or providing counseling to abused children or training others in child abuse prevention or the combination of experience and training f. Non-regulated or registered in-home child care: NA