5 Health and Safety of Child Care Settings....................................................................................... 49 5.1 Licensing Requirements............................................................................................................... 50 5.2 Ratios, Group Size, and Qualifications for CCDF Providers...........................................................51 5.3 Health and Safety Standards for CCDF Providers......................................................................... 54 5.4 Pre-Service or Orientation Training on Health and Safety Standards...........................................65 5.5 Monitoring and Enforcement of Licensing and Health and Safety Requirements........................67 5.6 Ongoing Health and Safety Training............................................................................................. 72 5.7 Comprehensive Background Checks............................................................................................ 73 5.8 Exemptions for Relative Providers................................................................................................84