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. Learn more about the Missouri Professional Development System.

Clock Hour Training Requirements +

  • All clock hour training must be approved by the Section for Child Care Regulation.
  • For in-person training sessions or conferences that take place outside of Missouri and do not appear on the Missouri Workshop Calendar or the Pre-Approved National Conferences/Trainings list, it is possible to have it individually reviewed for clock hour approval. Send the information to for review. If it is approved for clock hour credit, it will be forwarded to OPEN to enter the approved training into the registry.
  • Online training must be submitted by the trainer or training organization through the Missouri Workshop Calendar (MWC) and be approved by the Department to count for clock hour credit.
  • All training scheduled on the Missouri Workshop Calendar (MWC) has been approved by SCCR for clock hours.
  • Online/on-demand providers are responsible for maintaining a list of approved courses on the Missouri Workshop Calendar (MWC). If a training is not on the list, contact the training provider to see if the specific title has been approved in Missouri..
  • Clock hours for the previous year will be reviewed at the first inspection of each year.
  • Although Missouri shares common core competencies with Kansas, there is not a reciprocal training approval agreement between Missouri and any other state.

For questions regarding clock hour training, contact

Clock Hour Training Review +

Clock hour training for the previous year will be reviewed and verified at the first inspection each year.

  • All staff members need a MOPD Id number that can be obtained on the OPEN website.
  • All completed training must be on the Toolbox training report.
  • Child care owners/directors need to create an individual Toolbox account and request program level access (PLA) in order to access training reports for their staff.

How and When Will Training Records Reach OPEN? +

Clock hour credit reaches OPEN in the following ways:

  • For in-person training, the trainer will submit attendance following the completion of the training. Training records will be sent to OPEN within a week of the trainer completing attendance.
  • For online – live training, the trainer will submit attendance following the completion of the training. Training records will be sent to OPEN within a week of the trainer completing attendance.
  • Online/On-Demand training is submitted by the training organization per an agreement the training organization has with OPEN. For specific timeframes consult the OPEN website.
  • For online/On-demand trainings listed on the Missouri Workshop Calendar OPTION B tab, completion certificates must be manually uploaded at the top of that page. Training records will be sent to OPEN after the certificate has been verified for accuracy.
  • OPEN does not manually enter any in-person or online training into the Toolbox. If you do not see your training record in the Toolbox contact the trainer/training organization directly for assistance.

Pre-approved National Conferences/Trainings +

Some national conferences and trainings have been pre-approved for clock hour credit. To be recorded in the Toolbox, child care providers must submit documentation of completion to OPEN via email for entry into the individual’s record at

Click here for a listing of pre-approved national conferences/trainings.

Child-related College Credit +

College credits must appear on the Toolbox training report. To have courses entered for clock hour credit the individual must submit transcripts to OPEN for entry. Any approved courses will be added to the individual’s training record. Send transcripts to

Click here for a list of child-related college courses.

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

Safe Sleep Training must be on the Toolbox safe sleep training report.

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

First Aid/CPR training must be conducted fully 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. The provider must receive certification from the approved model. On-line only First Aid/CPR is not allowed.

For First Aid/CPR training to count toward annual clock hour requirements the trainer must submit an application for clock hour credit through the Missouri Workshop Calendar (MWC) and be approved by SCCR. For blended training, only the in-person component will be eligible for clock hour credit.

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.

Toolbox and MOPD Registry +

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.

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