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Lead Agencies must have requirements for all caregivers, teachers, and directors at CCDF providers to complete pre-service or orientation training (within 3 months of starting) on all CCDF health and safety standards and child development. The training must be appropriate to the setting and the age of children served. This training must address the required health and safety standards and the content area of child development. Lead Agencies have flexibility in determining the minimum number of training hours to require, and are encouraged to consult with Caring for our Children Basics for best practices. Exemptions for relative providers’ training requirements are addressed in question 5.8.1. 5.4.1 Health and safety pre-service/orientation training requirements Lead Agencies must certify staff have pre-service or orientation training on each standard that is appropriate to different settings and age groups. Lead Agencies may require pre-service or orientation to be completed before staff can care for children unsupervised. In the table below, check the boxes for which you have training requirements. -- Is this standard addressed in the pre-service or orientation training? Is the pre-service or orientation training on this standard appropriate to different settings and age groups? Does the Lead Agency require staff to complete the training before caring for children unsupervised? a. Prevention and control of infectious diseases (including immunizations) [x] [x] [ ] b. SIDS prevention and use of safe sleep practices [x] [x] [ ] c. Administration of medication [x] [x] [ ] d. Prevention and response to food and allergic reactions [x] [x] [ ] e. Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic [x] [x] [ ] f. Prevention of shaken baby syndrome, abusive head trauma and child maltreatment [ ] [ ] [ ] g. Emergency preparedness and response planning and procedures [x] [x] [ ] h. Handling and storage of hazardous materials and disposal of biocontaminants [x] [x] [ ] i. Appropriate Precautions in transporting children, if applicable [x] [x] [ ] j. Pediatric first aid and pediatric CPR (age- [ ] [ ] [ ] m. If the Lead Agency does not certify implementation of all the health and safety pre- service/orientation training requirements for staff in programs serving children receiving CCDF assistance, please describe: Pediatric first aid and pediatric CPR (age appropriate) and child abuse and neglect recognition and reporting are both required for all provider types. Both courses are offered individually and are required to be taken as individual courses not in conjunction with pre-service training. Both Pediatric Pre-Service, pediatric first aid and pediatric CPR and child abuse and neglect recognition and reporting are required to be completed for all child care provider types within 3 months of employment. All pre-service modules that do not currently address the pre-service standard in the orientation training are being revised in 2025. Preliminary notice dates 12/13/21 and 3/11/24. 1) A letter of agreement has been implemented requiring Family Child Care Facility staff and substitutes to complete pre-service training within three months of employment. 2) A letter of agreement has been implemented requiring Family Child Care Facility operator and staff to complete pediatric CPR and pediatric First Aid training. 3) and 4) A letter of agreement has been implemented requiring Family Child Care Homes and Family Child Care Informal/Relative Homes to complete child abuse recognition and prevention training within three months of operating. n. Are there any provider categories to whom the above pre-service or orientation training requirements do not apply? [x] No [ ] Yes. If yes, describe: