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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: Licensed child care centers: Staff persons shall obtain available ongoing professional development relating to health and safety topics prior to obtaining professional development in other topics. All child care staff in a certified child care program must complete pre-service training including all federal requirements for Child Care and Development Block Grant (CCDBG) health and safety trainings topics, outlined below, within 90 days of hire: Prevention and control of infectious diseases (including immunizations) Prevention of Sudden Infant Death Syndrome (SIDS) & Use of Safe Sleep Practices Administration of Medication, consistent with standards for parental consent Prevention of and Response to Emergencies due to Food and Allergic Reactions Building and Physical Premises Safety, including Identification of and Protection from Hazards, Bodies of Water and Vehicular Traffic Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (such as violence at a child care facility), within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5195a(a)(1)) that shall include procedures for evacuation, relocation, shelter-in place and lock down, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodation of infants and toddlers, children with disabilities, and children with chronic medical conditions Handling and Storage of Hazardous Materials and the Appropriate Disposal of Bio- contaminants Appropriate precautions in Transporting Children Pediatric First Aid & Pediatric Cardiopulmonary Resuscitation (CPR) Recognition and Reporting of Child Abuse and Neglect (Mandated Reporter Training) In addition, all child care staff and volunteers must comply with the Child Protective Service Law (CPSL) and Chapter 3490, which includes completing Recognition and Reporting of Child Abuse and Neglect (Mandated Reporter Training) and renew it at least every five years. Pediatric First Aid and Pediatric CPR training must be conducted by an approved Pennsylvania Quality Assurance System (PQAS) Instructor using an OCDEL recognized PQAS curriculum for compliance with certification regulations. b. License-exempt child care centers: Pennsylvania does not have license exempt child care centers. c. Licensed family child care homes: Licensed child care centers: Staff persons shall obtain available ongoing professional development relating to health and safety topics prior to obtaining professional development in other topics. All child care staff in a certified child care program must complete pre-service training including all federal requirements for Child Care and Development Block Grant (CCDBG) health and safety trainings topics, outlined below, within 90 days of hire: Prevention and control of infectious diseases (including immunizations) Prevention of Sudden Infant Death Syndrome (SIDS) & Use of Safe Sleep Practices Administration of Medication, consistent with standards for parental consent Prevention of and Response to Emergencies due to Food and Allergic Reactions Building and Physical Premises Safety, including Identification of and Protection from Hazards, Bodies of Water and Vehicular Traffic Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (such as violence at a child care facility), within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5195a(a)(1)) that shall include procedures for evacuation, relocation, shelter-in place and lock down, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodation of infants and toddlers, children with disabilities, and children with chronic medical conditions Handling and Storage of Hazardous Materials and the Appropriate Disposal of Bio- contaminants Appropriate precautions in Transporting Children Pediatric First Aid & Pediatric Cardiopulmonary Resuscitation (CPR) Recognition and Reporting of Child Abuse and Neglect (Mandated Reporter Training) In addition, all child care staff and volunteers must comply with the Child Protective Service Law (CPSL) and Chapter 3490, which includes completing Recognition and Reporting of Child Abuse and Neglect (Mandated Reporter Training) and renew it at least every five years. Pediatric First Aid and Pediatric CPR training must be conducted by an approved Pennsylvania Quality Assurance System (PQAS) Instructor using an OCDEL recognized PQAS curriculum for compliance with certification regulations. d. License-exempt family child care homes: Pennsylvania does not have license exempt family child care homes. e. Regulated or registered in-home child care: Pennsylvania does not have regulated or registered in home child care. f. Non-regulated or registered in-home child care: Pennsylvania does not have non- regulated or registered in-home child care.