"Listing of Trainings Completed by Facility and Family/Group Care Staff, Residents, Employees, Substitutes, Alternates, and Volunteers" - Nevada

Listing of Trainings Completed by Facility and Family/Group Care Staff, Residents, Employees, Substitutes, Alternates, and Volunteers is a legal document that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada.

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  • Released on January 1, 2018;
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LISTING OF TRAININGS COMPLETED BY FACILITY AND FAMILY/GROUP CARE STAFF, RESIDENTS, EMPLOYEES,
SUBSTITUTES, ALTERNATES, AND VOLUNTEERS
FACILITY:
LICENSE DATE:
FACILITY ADDRESS: ____________________________________________________
INITIAL TRAINING COURSES DUE WITHIN 120 DAYS
Continuing Training
SHAKEN
ADMINISTRATION
BUILDING &
EMERGENCY
TRANSPORTATION
WELLNESS
DATE
C
L
NEVADA
TB EXPIRES
CPR EXPIRES
FIRST
SIGNS
CHILD
SIDS
BABY
HUMAN
OF MEDICATION
PHYSICAL
PREPAREDNESS
(1 HOUR)
(CHILDHOOD
DATE,
GENERAL
PRINTS
&
E
REGISTRY ID #
(2 YRS
AID
OF
ABUSE &
(2hrs)
SYNDROME
GROWTH AND
(2 HOURS)
PREMISES SAFETY,
(2 HOURS)
OBESITY)
REGISTRY #,
ORIENTATION
DATE
INFORMATION
EXPIRE:
R
T
FROM DATE
Taken
ILLNESS
NEGLECT
AND ABUSIVE
DEVELOPMENT
INLCUDING
2 HOURS 120
TRAINING
*
T
TAKEN)
(2hrs)
(2hrs)
HEAD
OR POSITIVE
STORAGE OF BIO-
DAY INITIAL &
HOURS
EXP. DATE
E
*Must be
TRAUMA
GUIDANCE
CONTAMINANTS
ANNUAL
WRITTEN
R
taken every
(1 HOUR)
(3 hours)
(2 HOURS)
24 ANNUAL
BLOOD-BORNE
EVIDENCE
5 years
***
HOURS within
PATHOGENS
**
Facility
Licensing year
1. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
2. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
3. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
4. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
PLEASE USE MONTH/DATE/YEAR IN EACH OF THE ABOVE COLUMNS; A CHECKMARK IS NOT SUFFICIENT
* Consent and Release Form
** Clearance Letter from Child Care Licensing
*** Child Wellness-Healthy Nutrition/Obesity Prevention/Physical Activity
REMINDER: 12 hours of annual training must be specific to the age group the facility is licensed for; Symptoms of Illness may be counted toward the annual training once every 36 months.
(Revised 01-18)
LISTING OF TRAININGS COMPLETED BY FACILITY AND FAMILY/GROUP CARE STAFF, RESIDENTS, EMPLOYEES,
SUBSTITUTES, ALTERNATES, AND VOLUNTEERS
FACILITY:
LICENSE DATE:
FACILITY ADDRESS: ____________________________________________________
INITIAL TRAINING COURSES DUE WITHIN 120 DAYS
Continuing Training
SHAKEN
ADMINISTRATION
BUILDING &
EMERGENCY
TRANSPORTATION
WELLNESS
DATE
C
L
NEVADA
TB EXPIRES
CPR EXPIRES
FIRST
SIGNS
CHILD
SIDS
BABY
HUMAN
OF MEDICATION
PHYSICAL
PREPAREDNESS
(1 HOUR)
(CHILDHOOD
DATE,
GENERAL
PRINTS
&
E
REGISTRY ID #
(2 YRS
AID
OF
ABUSE &
(2hrs)
SYNDROME
GROWTH AND
(2 HOURS)
PREMISES SAFETY,
(2 HOURS)
OBESITY)
REGISTRY #,
ORIENTATION
DATE
INFORMATION
EXPIRE:
R
T
FROM DATE
Taken
ILLNESS
NEGLECT
AND ABUSIVE
DEVELOPMENT
INLCUDING
2 HOURS 120
TRAINING
*
T
TAKEN)
(2hrs)
(2hrs)
HEAD
OR POSITIVE
STORAGE OF BIO-
DAY INITIAL &
HOURS
EXP. DATE
E
*Must be
TRAUMA
GUIDANCE
CONTAMINANTS
ANNUAL
WRITTEN
R
taken every
(1 HOUR)
(3 hours)
(2 HOURS)
24 ANNUAL
BLOOD-BORNE
EVIDENCE
5 years
***
HOURS within
PATHOGENS
**
Facility
Licensing year
1. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
2. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
3. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
4. NAME:
PHONE:
TITLE:
Hire Date:
Start Date:
PLEASE USE MONTH/DATE/YEAR IN EACH OF THE ABOVE COLUMNS; A CHECKMARK IS NOT SUFFICIENT
* Consent and Release Form
** Clearance Letter from Child Care Licensing
*** Child Wellness-Healthy Nutrition/Obesity Prevention/Physical Activity
REMINDER: 12 hours of annual training must be specific to the age group the facility is licensed for; Symptoms of Illness may be counted toward the annual training once every 36 months.
(Revised 01-18)