Caregivers in licensed child care facilities are required to receive 12 clock hours of training approved by the Department of Health and Senior Services from January 1 to December 31 each year.

Clock Hour Training Requirements +

  • Training hours will be prorated at one clock hour per month of employment for staff beginning employment within the year for which records are being reviewed.
  • Clock hours are not pro-rated for intermittent staff, such as substitutes or those on temporary absence.
  • Clock hours required by staff at a facility are not prorated, regardless of the number of months per year or hours per week the facility is in operation.
  • All training sessions must be approved to award clock hours by the Section For Child Care Regulation including training provided by directors.
  • If a training session does not appear on the Missouri Workshop Calendar and you would like to have it individually reviewed for clock hour approval, send the information to If it is approved for clock hour credit you will receive an email documenting the approval for you to put in your file with the certificate of completion for the training.
  • All training on the Missouri Workshop Calendar (MWC) has been approved by SCCR for clock hours.
  • Clock hours may not be carried over to the next year.
  • Clock hours may not be earned while staff is being counted in ratio.
  • Trainers may not be awarded clock hour for training sessions they are approved to conduct.
  • Clock hours for duplicate training taken within the same calendar year will not be counted.
  • Clock hours for the previous year will be reviewed at the first inspection of the new year.

For questions regarding clock hour training, contact

Clock Hour Training Review Checklist +

Clock hour training for the previous year will be reviewed and verified at the first inspection each year. For information about clock hour verification, reference:

The checklist provides information about what documentation is required for the annual clock hour review that will be conducted at the first regulatory inspection each year. This guide also provides information on what will be accepted. Print your program’s online clock hour training report from the Toolbox at OPEN’s website. It is important to update your staff throughout the year so that your reports will contain all of the information needed to verify compliance for your facility.

Safe Sleep Training +

Section 210.223, RSMo. requires child care facilities licensed to provide care to children less than one (1) year of age to complete department-approved training on the recent safe sleep recommendations of the American Academy of Pediatrics (AAP) every three years.

  • Family Child Care Homes – 19 CSR 30-61.105(5)
  • Group Child Care Homes and Child Care Centers – 19 CSR 30-62.102 (4)

Click here for a listing of department approved safe sleep trainings.

First Aid/CPR +

The following national models are accepted by the Section For Child Care Regulation for First Aid/CPR:

  • American Academy of Pediatrics PedFACTs
  • American Red Cross
  • American Heart Association
  • American Safety and Health Institute
  • American Trauma Event Management (ATEM)
  • Emergency Care and Safety Institute
  • EMS Safety
  • National Safety Council
  • ProTrainings

On-line only First Aid/CPR is not accepted. Training must be conducted in person or as a blended training that includes on-line learning with an in person skills assessment. Any trainer who has the proper credentialing to provide First Aid/CPR training from one of the listed models may conduct training that satisfies the CPR/First Aid requirement. For training to count toward annual clock hour requirements it must be processed through the Missouri Workshop Calendar.

Missouri Workshop Calendar +

Training published on the Missouri Workshop Calendar (MWC) is approved for clock hours. Providers may use the MWC to:

  • View scheduled clock hour training
  • Register for training sessions
  • Locate online training available 24/7 on the “Online On Demand” tab
  • Check the approval status of national training events on the “Pre-Approved National” tab

Technical issues associated with the MWC, or instructions on how to use the Missouri Workshop Calendar should be directed to Child Care Aware of Missouri at or 1-800-200-9017.

The Toolbox and MOPD Registry – Print Your Program Training Report! +

Directors, owners, and program designees can use the Toolbox to print Program Training Reports and keep track of other staff records, such as First Aid and CPR certification. It is easy to set up a program on the Toolbox website. After a program is set up, the licensing specialist, director, and owner can review and print program training records online. This will greatly cut down on the amount of time spent reviewing training records on-site during an inspection. It is important to update your Toolbox by adding/removing staff throughout the year. For information on adding/removing staff, how to run reports and much more, visit OPEN’s website.

Individuals can use the Toolbox to print individual training reports and monitor professional development records. The Toolbox also provides access to professional self-assessment and professional development planning tools. To use the Toolbox to view and print individual training records, individuals must be a member of the MOPD Registry.

The MOPD Registry tracks child care clock hours, education, work experience, First Aid and CPR certifications, and other professional development for child care professionals. Child care professionals who enroll in the MOPD Registry and create an account on the Toolbox website can then monitor and print their own professional development records. Enrolling in the MOPD Registry is easy. Visit OPEN’s website and click on the MOPD Registry link for additional information.

Questions about the MOPD Registry and the Toolbox should be directed to OPEN at or by calling 573-884-3373.

Texas A & M Online/On-demand Training +

Some Online/On-demand trainings taken through Texas A & M will be eligible for clock hour credit in Missouri. If you would like to have the credit on your Toolbox training reports, you will need to manually upload your certificate through the Missouri Workshop Calendar. Consult the list of approved trainings prior to taking a course to ensure credit will be issued. If you have questions about a training that is not on the list please direct that to

Click here for a listing of approved Texas A & M trainings.

Child Care Nurse Consultation Program Services +

Who can receive Child Care Nurse Consultation Program Services?

  • Child Care Providers
  • Families
  • Children

What services are offered?

  • Consultation at child care homes, group homes, or centers regarding child health and safety concerns,
  • Training for child care providers to improve their knowledge of healthy and safe practices, (Training clock hours are awarded to child care staff.),
  • Education and health consultation for family members of children enrolled in a child care facility, and
  • Health Promotion presentations for children in child care settings.

Topics may include:

  • Communicable Disease
  • Immunization
  • Sanitation
  • Children with Special Needs
  • Dental Health
  • Handwashing
  • Emergency Preparedness
  • First Aid/CPR
  • Nutrition
  • Injury Prevention and Safety
  • Asthma...and many others

What does it cost?

Local Health Departments provide most child care consultation, training, and education resources at no cost.

For more information:

Contact your Local Public Health Agency to request additional information from the Child Care Health Consultant. If you have questions about the availability of a Health Consultant in your area, contact the Missouri Department of Health and Senior Services, Center for Local Public Health Services at:

  • P.O. Box 570
    Jefferson City, Missouri 65102
  • or by calling