NC Child Care Rules

NC Childcare Rules .0725(f) and .1705(b) (4) require that caregivers responsible for the care of infants in their programs must complete the Infant Toddler Safe Sleep and SIDS Risk Reduction in Child Care Training (ITS-SIDS Training.)

The following people are required to complete ITS-SIDS training:

  • center directors/ owners/ operators of programs licensed to care for infants 12 months of age or younger
  • caregivers who are scheduled to work in the infant room
  • substitutes and volunteers who work in the infant room and are counted in the staff/ child ratio
  • family child care providers licensed to care for infants 12 months of age or younger

Caregivers working for a child care center must complete the ITS-SIDS Training within four months of the hire date. If training has been completed within the last three years, individuals do not have to repeat training when hired at a new center, but should be able to show his or her certificate as proof of training. A family child care provider must complete the training within four months of receiving a license. Each person required to take the training must complete the training every three years after the initial training was completed. Caregivers in North Carolina must take the ITS-SIDS training from a trainer who has completed the ITS-SIDS Train-The-Trainer Curriculum provided through the NC Child Care Health and Safety Resource Center

The ITS-SIDS Training for caregivers is a face-to-face course. It covers background information about Sudden Infant Death Syndrome (SIDS) and sleep-related deaths and all NC Child Care Rules related to safe sleep policies. It includes additional Best Practice options for safe sleep practices in early care and education settings.

The NC Child Care Health and Safety Resource Center maintains a current list of ITS-SIDS trainers. To find a trainer in your area contact the Resource Center at (800) 367-2229 and choose 1, then 2. or visit