TX Childcare Homes Min. Standards 2018 | Texas OnSite CPR

TX Childcare Homes Min. Standards 2018

April 2021 Guidelines

Chapter 747, Minimum Standards for Child-Care Homes

The Health and Human Services Commission approved adopted rule packets related to orientation, annual training, and ongoing training requirements for caregivers in Chapter 747, Minimum Standards for Child-Care Homes.

The rule changes go into effect October 8, 2018.


The rule changes are to further implement the health and safety requirements established by the Child Care Development Block Grant Act (CCDBG) of 2014 by making the minimum standards more consistent with the Act’s requirements. The CCDBG makes significant reforms to raise the health, safety, and quality of child care, including specifying mandatory training topics.

Overview of Changes

The most significant changes are explained below. However, there are also non-significant changes that clarify or reorganize the minimum standards for better readability and understanding, make each consistent with Chapters 744 and 746 as appropriate, delete outdated grandfather clauses, and update citations. 

You may view the updated Chapter 747, Minimum Standard publication, the Revision Memo that outlines all of the changes, and the adopted rules in an underlined and strike through format on the CCL website at Child Care Licensing Minimum Standards.

Significant changes regarding pediatric first-aid and pediatric CPR requirements

  • Requires all caregivers to receive training in pediatric first-aid (with rescue breathing and choking) and pediatric CPR, and the training must be ongoing. The training must be completed:
  • By the primary caregiver before the home is licensed or registered;
  • By the substituted caregiver before being counted in the child-caregiver ratio; and
  • By the assistant caregiver within 90 days of employment. 

For field trips, at least one caregiver per group of children must have current training in pediatric first-aid and pediatric CPR.


Significant changes regarding primary caregiver qualifications, orientation, annual training, and ongoing training requirements

  • A primary caregiver’s qualifications must include training in:
  • “The prevention, recognition, and reporting of child maltreatment;” and 
  • “Understanding the developmental stages of children.”

The changes to §747.1303 were made to streamline and reduce redundancies in the training rules by placing all of the training requirements for caregivers in one rule that is easy to find. The updated chart lists each type of training that is required, including the number of hours required, if applicable, who is required to take the training, and when the training must be completed. 

Orientation must be completed within seven days of employment and before a caregiver may have unsupervised access to children.

The question and answer to the rules relating to orientation and annual training have been altered so each rule only notes the curriculum that is required.

Orientation must include an “understanding of the developmental stages of children”. 

The annual training requirements must include one hour of annual training in the “prevention, recognition, and reporting of child maltreatment”. 

Regarding any training requirements for the “prevention, recognition, and reporting of child maltreatment”, the phrase “child abuse and neglect” has been replaced with “child maltreatment” to be more consistent with the federal health and training topic in the CCDBG and the HRC §42.04261. [Note: This change in phrasing will not impact how the minimum standard is monitored or cited.]

The primary caregiver and any employee must have two hours of transportation safety training if the home transports children (who are chronologically or developmentally younger than nine).

Additional Information

  1. Child Care Licensing staff will provide Technical Assistance (TA) for a six month period (October 8, 2018 - April 8, 2019) on new and amendedminimum standards that go into effect October 8, 2018.
  2. If your current first-aid certification or CPR certification does not specify “Pediatric”, you may use current training until it expires. At the time of expiration, a course for pediatric first-aid and pediatric CPR will need to be obtained. 

CPR and First-Aid Resources

  • First-Aid American Heart Association Guidelines


  • CPR Guidelines:


  • Free First-Aid through AgriLife:

Basic First Aid: Protecting the Well-Being of the Children in Your Care


Any questions about the procedures outlined in this communication should be directed to MSC@hhsc.state.tx.us.

~Child Care Licensing