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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 child care center staff, including substitutes, are required to complete the mandatory approved health and safety preservice training module within 90 days of hire. Continued ongoing training requirements are then broken down by program type or hours of employment. Staff in year-round programs must complete twenty-four (24) hours of professional development (2 hours a month). Staff in partial year programs are required to demonstrate that staff complete two (2) hours of training per month of operation. Staff members at any program type who work less than twenty hours a week or are listed as a substitute are required to complete twelve (12) hours of professional development per year. In any of these scenarios, four (4) hours of required training per year must be in the one of the following health and safety requirements: (1) Prevention and control of infectious diseases (including immunization) (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices (3) Administration of medication, consistent with standards for parental consent (4) Prevention and response to emergencies due to food and allergic reactions (5) Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic (6) Prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment (7) 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) (8) Handling and storage of hazardous materials and the appropriate disposal of bio contaminants (9) Appropriate precautions in transporting children (if applicable) (10) Pediatric First-Aid and CPR (11) Recognition and reporting of child abuse and neglect. Additionally, all staff must maintain their pediatric first aid and CPR. b. License-exempt child care centers: N/A c. Licensed family child care homes: Family child care providers as well as any assistants or substitutes associated with their program are required to complete the mandatory approved health and safety preservice training module within 90 days of opening/hiring. Continued ongoing training for all family child care providers and full time assistants require them to complete twelve (12) hours of professional development training per calendar year. In partial year programs, Family child care providers and full time assistants are required to complete one (1) hour of professional development pre month of operations. Assistants and substitutes who work less than twenty (20) hours per week are required to complete six (6) professional development hours per year, regardless of the program’s operating schedule. In any of these scenarios, four (4) hours of required training per year must be in the one of the following health and safety requirements: (1) Prevention and control of infectious diseases (including immunization) (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices (3) Administration of medication, consistent with standards for parental consent (4) Prevention and response to emergencies due to food and allergic reactions (5) Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic (6) Prevention of Shaken Baby Syndrome, abusive head trauma, and child maltreatment (7) 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) (8) Handling and storage of hazardous materials and the appropriate disposal of bio contaminants (9) Appropriate precautions in transporting children (if applicable) (10) Pediatric First-Aid and CPR (11) Recognition and reporting of child abuse and neglect. Additionally, all staff must maintain their pediatric first aid and CPR. d. License-exempt family child care homes: N/A e. Regulated or registered in-home child care: N/A f. Non-regulated or registered in-home child care: N/A