Health and Safety Training FAQ
Historical Note: The Child Care Development Block Grant (CCDBG) reauthorization established requirements for the health and safety trainings in 2015. In order to meet these requirements, the Child Care Commission adopted temporary rules for the 11 topic areas in September 2016. In October 2017, rules were adopted to finalize these requirements in what we now reference as Child Care Rules .1102(b) and .1703(c). Staff hired prior to May 1, 2016 had until June 30, 2017 to complete these trainings. After an extension, June 30, 2018 became the new deadline, of which has now passed.
- Who is required to take the health and safety trainings?
All child care administrators and staff members shall complete the health and safety trainings within one year of employment. Staff members include: child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule (.0102), are not staff members. However, if they count in staff/child ratio or have direct caregiving responsibility, they must also meet this requirement. This requirement applies to the following facilities:
- All licensed child care centers
- All licensed family child care homes
- All N.C.G.S. 110-106 Religious Sponsored Programs operating with a Notice of Compliance and participating in the Subsidized Child Care Assistance Program
- All license exempt providers receiving CCDF funding
People exempt from the health and safety trainings include: staff members that do not have caregiving responsibilities for a child or group of children, service providers such as speech therapists, occupational therapists, and physical therapists, and substitute providers who provider services for less than 10 days in a 12-month period. This information is found in Rules .1102(a) and .1703(b).
What about staff members employed as the cook or van driver?
Employees that do not have direct caregiving and supervising responsibilities and/or are not counted in staff/child ratio, do not have to complete the health and safety trainings. This may include cooks or van drivers. A cook who provides coverage in the classroom at any time, must complete the training. Van drivers, who provide direct supervision and caregiving responsibilities and/or counted in staff/child ratio must complete the health and safety trainings.
- Why are child care providers being required to take specific health and safety training?
On November 19, 2014, the federal Child Care and Development Block Grant (CCDBG) Act of 2014 was signed into law. The law reauthorized the Child Care and Development Fund (CCDF) program and made major changes to protect the health and safety of children in child care, promote continuity of access to vouchers for low-income families, better inform parents and the general public about the child care choices available to them, and improve the overall quality of child care and afterschool programs. As part of the new law, States must have pre-service or orientation requirements in place for new hires and ongoing minimum health and safety training requirements in place for current child care providers. Pre-service/orientation and ongoing training must cover eleven specific topic areas:
- Prevention and control of infectious diseases, including immunization;
- Administration of medication, 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 that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic;
- Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event;
- Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants;
- Precautions in transporting children, if applicable
- Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment;
- First Aid and CPR training (appropriate to the ages of children in care);
- Recognizing and reporting child abuse, child neglect, and child maltreatment; and
- Prevention of sudden infant death syndrome and use of safe sleeping practices.
- What is the timeframe for completing the health and safety training requirements?
Now that the deadline of June 30, 2018 has passed for staff that were employed prior to September 1, 2017, all staff must complete the health and safety training requirements within their first year of employment. Documentation of completion of the Health and Safety Training is required. Once the health and safety trainings are complete, they are then required to be completed within a five (5) year cycle.
- What trainings are approved to meet the health and safety training requirements?
There are various ways to successfully complete the training requirements:
- An online training option is available to you at no cost through ProSolutions Training at: http://www.prosolutionstraining.com/northcarolina. If you enroll in the Health and Safety Training for ECE Professionals package, you will be provided a list of health and safety trainings available through ProSolutions Training. You may complete all trainings in the package or complete individual trainings in the package to receive CEU certificates.
- Approved in-person and additional online trainings.
- Other training may count if the training meets the following criteria:
- The training organization is an exempt training agency or is a non-exempt trainer and the trainer can provide the DCDEE signed and approved outline form of the training session
- The majority of the training covers the CCDF required health and safety topic area(s)
- Completion of college coursework or Continuing Education Unit (CEU) credits focused on any of the required health and safety topic areas.
- Do public school teachers have to meet the same health and safety training requirement?
Yes, public school preschool and out-of-school (before/after school) time care teachers/group leaders are required to meet the health and safety training requirements, except they do not have to take training in prevention of sudden infant death syndrome and use of safe sleeping practices because they are not licensed to care for infants. However, preschool teachers must complete training in prevention of shaken baby syndrome, abusive head trauma, and child maltreatment since it applies to programs licensed to care for children up to age five. In afterschool programs which only serve school-age children, group leaders do not have to take trainings related to sudden infant death syndrome or prevention of shaken baby syndrome and abusive head trauma. Professional development and training required for public school employees may be counted as long as the training relates to the required health and safety topic areas. If the principal serves as the administrator, the principal is exempt from completing any of the training requirements.
- What documentation is required to show completion of the health and safety training?
To document your completed training, complete the Record of Health and Safety Training document: .
Include the following information
- Date of training
- Training hours received
- Attached training certificates, course syllabus, or other supporting documentation to show proof of completion of training
- How will compliance of these training requirements be monitored?
As DCDEE consultants conduct monitoring visits to child care facilities, they will be verifying if all staff members have completed the required training. Programs will be cited for non-compliance if the health and safety requirements are not in compliance. Failure to comply with child care requirements may result in an administrative action.
- If a person is enrolled in college coursework and the course title includes “health and safety” and/or the syllabus covers the majority of the health and safety topics, can it count?
Yes, the person must maintain proof of course completion and description of the course or any other supporting documentation to show what topics were covered and successfully complete the course. Examples of proof may include the course description, syllabus, ProSolutions certificate(s), and transcript.
- Will staff still be able to carry forward training hours to the next year?
Yes, a person may carry forward training hours that are in excess of the previous year’s requirements to meet up to one-half of the current year’s required on-going training hours.
- Can one training cover multiple health and safety topic areas and if so, can the one training be counted to meet those topic areas?
Yes, training may cover multiple required health and safety topics and may be counted to meet more than one topic area. There is not a specified amount of time required for training sessions. The focus is to ensure training is related to the required health and safety topic area.
- Is it true DCDEE offers FREE online training to meet the health and safety training topic areas?
Yes. DCDEE has contracted with ProSolutions Training to offer all the required health and safety trainings online; except for First Aid and CPR. Also, required training on Recognizing and Responding to Suspicions of Child Maltreatment is offered FREE online through Prevent Child Abuse NC. You can access this training through a link provided with the ProSolutions Training or by visiting https://www.preventchildabusenc.org/services/trainings-and-professionaldevelopment/rrcourse. To access these trainings go the North Carolina website page for ProSolutions Training at: http://www.prosolutionstraining.com/northcarolina/
- Do you get training certificates after each ProSolutions training module or must you complete all modules to be eligible for a certificate?
Yes. When you enroll in the Health and Safety Training for ECE Professionals package, you will be provided a list of health and safety trainings available through ProSolutions Training. You may complete all trainings in the package or complete individual trainings in the package to receive CEU or training certificates.
- Do you have to take all the ProSolutions trainings listed under each topic area to meet the health and safety training requirements?
Yes, you must complete all the ProSolutions training available under each of the required training topics to satisfy the requirement for training in each topic area.
- For the ProSolutions Training I noticed optional nutrition and physical activity training listed. Is this training truly optional or are we supposed to complete these training sessions?
These trainings are optional and not required.
- Do I have to take training in the topic area of precautions for transporting children if the child care program I work for does not transport children?
No, you only need to complete training in the topic area of precautions for transporting children, if applicable.
- For the ProSolutions Training, I wanted to confirm that it's a total of 20 hours from ProSolutions online training, which includes the 2 hours of Recognizing and Responding to Suspicions of Child Maltreatment offered by Prevent Child Abuse NC.
Yes, the training is a total of 20 training hours if you complete all the ProSolutions Training offered, you will complete 10 of the 11 topic areas, excluding CPR and First Aid.
- Can I complete the ProSolutions Training during naptime?
Yes, if you maintain compliance with applicable child care requirements.
- Can ProSolutions Training be conducted in groups at child care facilities?
No, child care facilities cannot conduct group trainings for their staff regarding the ProSolutions on-line modules. The ProSolutions training must be done individually because this training provides the individual with the option to obtain CEU’s. To get CEU’s, testing is required; therefore, this training must be completed on an individual basis and not a group basis. If group training is preferred, the facility administrator or operator should talk to their local resource and referral agency to arrange a training. Many of these agencies have trainings that will meet the health and safety requirements.
- ProSolutions asks for a state Registry ID number (see below) when creating an account. What do I enter in this field?
In the State Registry ID field, you will enter your NCID username. For detailed instructions on getting an NCID username, click here. Your training certificate will not be issued until you enter the State Registry ID or NCID username.
Specific training topic questions:
- Does First Aid and CPR count for on-going (contact) hours?
As of October 1, 2017, CPR and First Aid no longer count toward on-going (contact) hours. CPR and First Aid courses, appropriate for the ages of children in care, should be taken from a trainer recognized by one of the DCDEE approved organizations.
- What training can meet the emergency preparedness and response planning topic area?
Trainings related to emergency preparedness and response planning (including ProSolutions trainings) may be counted, provided they meet the topic area outline in Rule .1102(b) and the training meets the DCDEE criteria for an approved training. The NC Emergency Preparedness and Response in Child Care training required by North Carolina Child Care Rules .0607 and .1714 would count for both the health and safety training requirement and Rules .0607 and .1714.
- I teach 3 and 4-year old children. Why do I have to take training on prevention of sudden infant death syndrome and use of safe sleeping practices?
Many child care programs are licensed to care for children birth to twelve years of age. Teachers may be assigned one age group, but have to be a substitute in another age group or provide coverage while the primary teacher steps away. Completing training in prevention of sudden infant death syndrome and use of safe sleeping practices will ensure you have basic information related to caring for infants.
- Would Get Ready/Get Set/Go training count for the precautions in transporting children topic area?