Health & Safety Training

Health & Safety Training Guide for DHS Licensed and Registered Child Care Providers and License-Exempt Child Care Providers used by Child Care Subsidy Clients

On November 19, 2014, Congress passed and President Obama signed the Child Care Development Block Grant (CCDBG) Act of 2014, Public Law (P.L.) 113-186, which reauthorizes the Child Care Development Fund (CCDF) grant.  The CCDBG Act requires states to establish minimum standards for health and safety requirements for regulated and exempt providers caring for children whose family receives a subsidy from the Department of Human Services (DHS).

The Department of Human Services (DHS) will be amending the rules for regulated and child care subsidy services, Chapters 17-798.2, 17-891.1, 17-892.1, 17-895, and 17-896, Hawaii Administrative Rules (HAR), to implement the revised health and safety requirements, which includes training for child care providers.  In order to satisfy the initial training requirements, all licensed and registered child care providers and exempt child care providers must review the “Basic Health and Safety Practices: Child Care Provider’s Guide” and complete an Assessment as part of the regulatory requirements and requirements for families to continue to receive a child care subsidy from DHS and use their current exempt provider.

The Department has the Basic Health and Safety Guide translated versions available for viewing and printing copies

On-Going Annual Health & Safety Training

Once the initial training requirements are meet by all licensed and registered child care providers and exempt child care providers, providers shall demonstrate and provide written evidence to show completion of training within one year of completion of initial training and annually thereafter.

Exempt Providers

Exempt Center-Based providers and Exempt Home-Based providers shall complete a minimum of eight (8) hours of training in at least two (2) of the following topic areas:

  • Physical care of the young child;
  • Care of the sick child;
  • Child nutrition;
  • Child growth and development;
  • Children with special needs;
  • Learning activities and play;
  • Family engagement;
  • Managing challenging behaviors;
  • Community resources;
  • Prevention of child maltreatment and abuse;
  • First aid and child cardiopulmonary resuscitation;
  • Health and safety;
  • Child care business or program management;
  • Physical environment; or
  • Safe Sleep training [if permitted to care for children less than (1) year of age].


To receive credit for on-going training, please complete the annual training cover sheet and submit it with all your documents.

Annual training cover sheet

Cover sheet to submit to Learning to Grow (LTG)

Mail the cover sheet and training certificates to:

Learning to Grow
University of Hawaii at Manoa
2442 Campus Road
Honolulu, HI  96822