CCDBG Health and Safety Training: Guidelines for Approved Trainers

Reviewed/Updated June 2026

On November 19, 2014, the Child Care Development Block Grant (CCDBG) Act of 2014 was signed into law. The law reauthorized the Child Care and Development Fund (CCDF) program to improve the health and safety of children in child care and improve the overall quality of Early Care and Education settings. New health and safety training requirements were established as part of the reauthorization and have been adopted into Nevada’s State Child Care Licensing regulations (Adopted Regulation of the State Board of Health LCB File R092-16).

The Nevada Registry was entrusted with the task of creating the content guidelines for each of the five courses as well as determining which approved trainers will be eligible to deliver training in these topics. CCDBG Health and Safety Training will be approved only when the content requirements and trainer qualifications have been met. Therefore, the course title and objectives must match the information that follows. To expedite the approval process, copy and paste from the sections below when submitting requests, keeping in mind the content delivered must match content submitted for approval.

Required Health and Safety Training

The following CCDBG health and safety training is required within 90 days of employment for new employees. Existing caregivers are required to complete the new training in accordance with their facility’s licensure date.

Topic 1: Building and Physical Premises Safety Including the Storage and Handling of Bio-Contaminants and Hazardous Materials
Topic 2: Emergency Preparedness and Response Planning Resulting from a Natural or Man-Made Event
Topic 3: Medication Administration and the Prevention of and Response to Food and Other Allergies in the Child Care Environment
Topic 4: Prevention of Shaken Baby Syndrome and Abusive Head Trauma
Topic 5: Transportation and Field Trip Safety in the Early Childhood Environment

NOTE: Though the CCDBG health & safety training topics are considered one-time requirements, individuals working in facilities licensed by the State may be required to retake the course if completed more than three years prior (at the discretion of their Licensing Surveyor).

Topic 1: Building and Physical Premises Safety Including the Storage and Handling of Bio-Contaminants and Hazardous Materials

Eligible Trainers

Approved Topic Trainers with official (and relevant) certification
Early Childhood Trainers who have completed a Nevada Registry approved online course in Building and Physical Premises Safety Including the Storage and Handling of Bio-Contaminants and Hazardous Materials

Course Objectives

Identify common hazards throughout the school facility
Identify procedures for ensuring toy safety
Identify safe and age-appropriate toys for children of various age groups and developmental levels
Define safety standards and practices in the infant/toddler environment
Identify safe practices for preventing poisoning from plants, chemicals, and other materials
Identify safe storage of bio-contaminants and hazardous materials
Identify common causes of outdoor injuries
Identify effective practices for preventing outdoor injuries
Identify major factors in playground safety, including surfacing, overall design, maintenance, and supervision
Identify potentially hazardous environmental factors, including plants, insects, and toxic fumes
Identify important water safety practices
Identify basic preventative strategies, including transitions, setting limits, avoiding distractions while supervising, and preparing for the unexpected
Incorporate guidelines set forth in Nevada Child Care Regulation NAC432A.250 (Building and grounds) and NAC432A.415 (Safety and sanitation of toys and other objects used in play)

Note: In addition to covering the content of the NAC regulations within the training, it is recommended that every participant be provided with a copy of the relevant section of the regulations (the most current Child Care Regulations can be found on the Nevada Legislature’s website under the Nevada Administrative Code).

Number of Hours Required: Two

Topic 2: Emergency Preparedness and Response Planning Resulting from a Natural or Man-Made Event

Eligible Trainers

Approved Topic Trainers with official (and relevant) certification
Early Childhood Trainers who have completed a Nevada Registry approved online course in Emergency Preparedness and Response Planning Resulting from a Natural or Man-Made Event

Course Objectives

Differentiate between an emergency and a disaster
Identify recommendations for storage of emergency food, water, and other basic supplies
Identify recommendations for continuity of business following a disaster
Identify basic requirements regarding disaster planning and preparedness
Identify recommended strategies and practices for helping children and adults cope in the aftermath of disaster
Identify and differentiate between responsibilities of administrators and staff members during and after disasters
Define mitigation as it relates to emergency management
Identify the importance of promoting resilience in children
Define and demonstrate understanding of impact and relief
Identify typical responses to disaster from children in various age groups
Identify recommended safe practices and policies for responding to various types of disasters and security threats, including tornadoes, storms, earthquakes, and terrorist attacks
Incorporate guidelines set forth in Nevada Child Care Regulation NAC432A.280 (Plan for emergencies, drills, posting of plans, daily sign-in sheets, fire safety, maintenance and availability of reports)

Number of Hours Required: Two

Topic 3: Medication Administration and the Prevention of and Response to Food and Other Allergies in the Child Care Environment

Eligible Trainers

Approved Topic Trainers who are Licensed Nurses/Physicians

Course Objectives

Demonstrate an understanding of the roles and responsibilities of adults involved in a child’s health and treatment plan
Recognize rules and recommendations for administration of over-the-counter and prescription medications in the child care environment
Demonstrate an understanding of training and authorization levels required for administration of various types of medication
Identify key information to include in a program’s medication administration policy
Identify safe medication receipt, storage, and handling practices
Demonstrate an understanding of the Seven Rights of Medication Administration
Identify recommended strategies and best practices for administering medication to children of various ages and abilities
Identify recommended procedures for ensuring safety and efficacy
Identify recommended information to include in a child’s medical file
Identify the Eight Major Food Allergens
Define contact-sensitive and airborne-sensitive as they relate to food allergies
Identify strict avoidance as the only effective way to prevent allergic reactions
Identify causes of cross-contamination as it relates to food allergens
Identify proper policies and procedures for storing foods in the center
Identify causes of non-typical contact with allergens
Identify safe practices for staff, children, and parents to follow to minimize the risk of allergic reactions
Identify signs, symptoms, and recommended medical procedures for responding to allergic reactions
Incorporate guidelines set forth in Nevada Child Care regulations NAC432A.376 (Medication) and NAC432A.585 (Procedures for use and administration of medication/ill children)

Number of Hours Required: Two

Topic 4: Prevention of Shaken Baby Syndrome and Abusive Head Trauma

Eligible Trainers

Approved Topic Trainers who are Licensed Nurses/Physicians

Course Objectives

Define shaken baby syndrome and abusive head trauma
Identify the causes of shaken baby syndrome and abusive head trauma
Identify the symptoms of shaken baby syndrome and abusive head trauma
Identify long-term effects of shaken baby syndrome and abusive head trauma
Identify strategies and practices for preventing shaken baby syndrome and abusive head trauma in the child care setting
Identify tips for educating parents about shaken baby syndrome and abusive head trauma

Number of Hours Required: One (if working with infants under 12 months of age)

Topic 5: Transportation and Field Trip Safety in the Early Childhood Environment

Eligible Trainers

Approved Topic Trainers with official (and relevant) certification
Early Childhood Trainers who have completed a Nevada Registry approved online course in Transportation and Field Trip Safety in the Early Childhood Environment

Course Objectives

Identify key recommendations from the National Transportation Safety Board regarding child passenger safety
Identify responsibilities of a center’s transportation supervisor, drivers, and other staff with relation to transporting young children
Identify recommended practices for maintaining a center’s bus or other transport vehicle
Demonstrate understanding of recommended practices for the use of child restraint systems according to the National Transportation Safety Board and the National Highway Traffic Safety Administration
Identify safe vehicle operating procedures
Identify recommended procedures for loading and unloading buses and other transport vehicles as well as safe riding practices
Identify recommended practices for conducting evacuation drills and emergency management
Demonstrate understanding of safe practices for planning and managing field trips
Incorporate guidelines set forth in Nevada Child Care Regulations Revised NAC432A.290 (found in R092-16) and NAC432A.520 (General requirements; requirements for field trips)

Number of Hours Required: One (if facility provides transportation, training is required for each person who provides transportation)