Childcare CPR & first aid requirements
First Aid & CPR Maryland
If you work in childcare in Maryland — whether at a daycare, preschool, home-based care, or camp — first aid and CPR certification is not optional. It's a licensing requirement, and for good reason: children are among the most vulnerable to choking, allergic reactions, and injuries. Being prepared to respond can mean everything.
What Maryland requires
Maryland regulation COMAR 13A.16.10.02, administered by the State Department of Education's Office of Child Care, requires at least one child care teacher or the director certified in first aid and CPR to be present at all times. Centers licensed for more than 20 children must keep at least one certified staff member for every 20 children present.
Anaphylaxis and medication administration
Under COMAR 13A.16.11.04, medication may be given only by an employee who has completed approved medication-administration training (or a nurse or Board-certified medication technician), with signed parental authorization and storage children cannot reach. Maryland separately certifies child care staff to administer epinephrine through the state's Emergency Use Auto-Injectable Epinephrine Program, so a trained adult can respond to anaphylaxis on the spot.
How our courses meet these requirements
A recognized, standards-based certification — online theory paired with a hands-on skills check — meets Maryland’s requirement and keeps your team ready to act.
Don't wait for renewal day
A severe allergic reaction or a stopped heart unfolds in seconds, and a caregiver who has trained on CPR and epinephrine acts decisively while precious time would otherwise slip away. The families in your rooms are trusting you with everything. A recognized, standards-based certification — including blended online-and-in-person options — keeps your center staffed to the ratio and ready when it counts.