The Child Care Development Block Grant (CCDBG), or the Child Care and Development Fund (CCDF), is a federal grant that provides funding to North Carolina to improve the quality and accessibility of child care by requiring the establishment of health and safety standards for licensed child care.

North Carolina adopted new health and safety training rules in September 2016 to meet this requirement. These rules require all early educators who have direct responsibility for the care and oversight of children including center administrators and family child care home operators to complete both pre-service and ongoing training in the following areas:

1. Prevention and control of infectious diseases, including immunization
2. Administration of medication, with standards for parental consent
3. Prevention of and response to emergencies due to food and allergic reactions
4. 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
5. Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event
6. Handling and storage of hazardous materials and the appropriate disposal of biocontaminants
7. Precautions in transporting children
8. Prevention of shaken baby syndrome and abusive head trauma and child maltreatment
9. CPR and First Aid
10. Recognizing and Responding to Suspicions of Child Maltreatment
11. Prevention of sudden infant death syndrome and use of safe sleeping practices.

Child care administrators and staff members  must complete health and safety training:

  • within one year of employment, unless they have been completed the training within the year prior to beginning employment AND
  • as part of on-going training,  so that every five years, all of the topic areas will have been covered.
Download a Training Record to track your five-year training cycle.

NC Child Care Rules 10A NCAC 09 .1101-.1103 and .1703 provide more details about these requirements.

The North Carolina Child Care Health and Safety Resource Center has developed high-quality, in-person health and safety training materials for these and other health and safety topics.

Early educators can find training opportunities by contacting a child care health consultant in their community.