Federally Mandated Training Topics in Health and Safety Tracking Sheet

Federally Mandated Training Topics in Health and Safety Tracking Sheet

Staff Person / Staff Person / Staff Person / Staff Person / Staff Person
CCDBG ONLINE/INPERSON TRAINING COMPLETE / Date:
☐Online
☐In-Person / Date:
☐Online
☐In-Person / Date:
☐Online
☐In-Person / Date:
☐Online
☐In-Person / Date:
☐Online
☐In-Person
Prevention & Control of Infectious Disease / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Safe Sleep & SIDS Prevention / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Administration of Medication / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Food & Allergic Reactions / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Building & Physical Premises Safety / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Shaken Baby Syndrome/Abusive Head Trauma / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Emergency Preparedness / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Handling & Storage of Hazardous Materials / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Transportation Safety / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete / Date:
☐Online
☐In-Person
☐Not Complete
Pediatric First Aid & CPR / Date:
☐In-Person
☐Not Complete / Date:
☐In-Person
☐Not Complete / Date:
☐In-Person
☐Not Complete / Date:
☐In-Person
☐Not Complete / Date:
☐In-Person
☐Not Complete

* Please refer to Announcement C-16-01 for more information*If online or in-person CCDBG course taken, only complete top box, except for First Aid/CPR

Provider plan to complete:

* To be completed by OCDEL certification staff only. (Cert Rep only completes this section on one page per facility, not for each staff member.)

Facility Name:

PCID:

Cert Rep:

Total # of Staff:

Total # of New Staff:

30% of Total:

Inspection Date: Inspection Type: