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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: 30 clock hours of annual training for directors; 24 clock hours of annual training for caregivers. Standards: §§746.1301, 746.1309, 746.1311, 746.1315, 744.1301, 744.1309, and 744.1311 Brief description of applicable standards: CCR minimum standards for licensed child care centers, school-age, before-, and after-school programs require all caregivers to receive annual training on the following health and safety topics: - prevention, recognition, and reporting of child maltreatment; - emergency preparedness; - immunizations and preventing and controlling the spread of communicable diseases; - administering medication; - preventing and responding to emergencies due to food or an allergic reaction; - understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and - handling, storing and disposing of hazardous materials In addition to the required health and safety topics, caregivers and directors must: Have a current certificate of training with an expiration or renewal date in pediatric first aid and CPR; Complete transportation safety training annually, if applicable; Complete water safety training annually, if applicable; and If a caregiver provides care for a child younger than 24 months, one hour of the annual training must include recognizing and preventing shaken baby syndrome and abusive head trauma, understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS), and understanding early childhood brain development. This training requirement also applies to a director if the center provides care for children younger than twenty-four months of age. b. License-exempt child care centers: N/A c. Licensed family child care homes: 30 clock hours of annual training for primary caregivers; 24 clock hours of annual training for substitute/assistant caregivers in LCCH who are counted in ratio on more than ten separate occasions in one training year; and 15 clock hours of annual training for substitute/assistant caregivers in a RCCH who are counted in ratio on more than 10 separate occasions in one training year. Standards: §§747.1303, 747.1305, 747.1309, and 747.1313 Brief description of applicable standards: CCR minimum standards for licensed and registered child care homes requires all caregivers to receive annual training on the following health and safety topics: - prevention, recognition, and reporting of child maltreatment - emergency preparedness - immunizations and preventing and controlling the spread of communicable diseases - administering medication - preventing and responding to emergencies due to food or an allergic reaction - understanding building and physical premises safety - handling, storing and disposing of hazardous materials In addition to the required health and safety topics, caregivers must: Have a current certificate of training with an expiration or renewal date in pediatric first aid and CPR; Complete transportation safety training annually, if applicable; Complete water safety training annually, if applicable; and If the home provides care for a child younger than 24 months, one hour of the annual training must include recognizing and preventing shaken baby syndrome and abusive head trauma, understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS), and understanding early childhood brain development. 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