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Childcare CPR & first aid requirements

First Aid & CPR Massachusetts

If you work in childcare in Massachusetts — 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.

Requirements at a glance

Regulatory framework 606 CMR 7.00 — Department of Early Education and Care (EEC) regulations
Governing authority Massachusetts Department of Early Education and Care (EEC)
Training hours Varies by provider
Renewal period Every 2 years
New hire deadline Before starting work
Min. certified staff 1 — Minimum on-site at all times
Online training acceptance Online courses accepted
Every 2 years Online courses accepted

What Massachusetts requires

Under 606 CMR 7.00 — Department of Early Education and Care (EEC) regulations, administered by Massachusetts Department of Early Education and Care (EEC), childcare providers must maintain current first aid and CPR certification that covers infant, child, and adult techniques.

The key requirements are:

  • Certification renewal: Every 2 years. Your certification must remain current throughout your employment.
  • Timing: Certification is required before beginning work with children.
  • On-site coverage: At least 1 certified staff member(s) must be present at all times when children are in care — including during outdoor activities, field trips, and transportation.

How our courses meet these requirements

Our first aid and CPR courses cover everything required by Massachusetts's childcare regulations: infant CPR, child CPR, adult CPR, AED use, choking response, and pediatric first aid. The curriculum follows the latest ILCOR 2025 guidelines — the same scientific evidence base that informs the standards referenced in 606 CMR 7.00 — Department of Early Education and Care (EEC) regulations.

Online training is fully accepted for childcare certification in Massachusetts. Our courses allow you to complete your training at your own pace, on your own schedule, without taking time away from the children you serve.

Don't wait for renewal day

Expired certifications put your facility's license at risk and, more importantly, leave children without a trained responder. Whether you're a new hire needing certification or a veteran provider approaching renewal, our courses make it easy to stay compliant.

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