Except as set forth in §B of this regulation, before an individual may be used as an additional adult, the provider shall ensure that the individual: Is 18 years old or older; Attends an information session presented by the office concerning the requirements of this subtitle for the care of children younger than 2 years old; Files with the office: A completed additional adult application form; Signed and notarized release forms giving the office permission to examine records of abuse and neglect of children and adults for information about the applicant; Completed information, on a form supplied by the office, for each of the applicant's substitutes; and A medical report on the applicant based on a medical evaluation conducted within the previous 12 months by a practicing physician, certified nurse practitioner, or registered physician's assistant, and signed by the individual who conducted the evaluation; Applies for a federal and State criminal background check at a designated office in the State; If residing or having resided in a state other than Maryland within 5 years before being hired as an additional adult: Applies for a state criminal background check to be performed by a duly authorized entity within that state; and Requests the non-Maryland state entity performing the criminal background check to transmit the result of that background check directly to the Agency; Holds a current certificate indicating successful completion of approved basic first aid and CPR training applicable to children younger than 2 years old; and Presents evidence of having completed approved SIDS training within the previous 5 years. A provider may not use an individual as an additional adult unless the office has approved the individual in that capacity.