Clear Form
*DHS-7952A-ENG*
DHS-7952A-ENG 9-19
Yearly In-Service Training Record
Licensed Child Care Centers
The center director, staf persons, substitutes, and unsupervised volunteers must complete in-service training each calendar year according to
MN Statute, section 245A.40, subdivision 7. Training for orientation cannot be used to meet in-service training requirements according to MN
Statutes, section 245A.40, subdivision 1. Documentation of in-service training is required.
In-service Hours In-service Hours
Name License Number Calendar Year Required Completed
0.00
Choose one of the following postions to describe the role of the individual: Check all that apply:
(Center Director, Staf Person, Substitute, Unsupervised Volunteer) Works with infants Works with toddlers
Works with preschool children Works with school age children
Check the box below that most closely describes the individual’s weekly hours worked in the center. Working hours should be considered the amount of time worked in the center,
whether paid or unpaid.
12 hours required if working hours are less than 20 hours per week
24 hours required if working hours are more than 20 hours per week
Substitutes and Unsupervised Volunteers have no minimum in-service hour requirement but must complete training
on required topics
Required Training for Center Directors, Staf Persons, Substitutes, and Unsupervised Volunteers
Date Training Organization or Training
Training topics to be completed each calendar year Completed Trainer Name Hours
Abusive Head Trauma training for individuals working with a child under school age
per MN Statutes, section 245A.40, subd. 5a; Can be N/A for centers with only school
age children
Allergy Prevention and Response training on details of center policy per MN
Statutes, section 245A.41, subd. 1
Center child care program plan training on details of the center’s child care program
plan, per MN Rules, part 9503.0045
Emergency Preparedness training on the details of the center’s Emergency Plan per
MN Statutes, section 245A.41, subd. 3
Handling and Disposal of Bodily Fluids training on details of center policy per MN
Statutes, section 245A.41, subd. 2
Handling Emergencies and Accidents training on details of center policy per MN
Rule, part 9503.0110, subp. 1
Health policies training on details of center policy per MN Rules 9503.0140, subp. 1
Reporting Responsibilities and training per MN Statutes, section 626.556 and MN
Rules, part 9503.0130
Risk Reduction Plan training must include details on center’s Risk Reduction Plan per
MN Statutes, 245A.66, subd. 2
Sudden Unexpected Infant Death training for individuals working with infants per
MN Statutes, section 245A.40, subd. 5; Can be N/A for centers not serving infants.
Training topics to be completed every other calendar year
Child Development and Learning training as required per MN Statutes, section
245A.40, subd. 2
Cultural Dynamics training as required per MN Statutes, section 245A.40, subd. 7 (4)
Disabilities training as required per MN Statutes, section 245A.40, subd. 7 (5)
Training topics to be completed every 5 calendar years
Child passenger restraint training for individuals that place children in child restraint
systems per MN Statutes, section 245A.18, subd. 2
Total training hours from
completed required trainings 0.00
above
Additional training to meet total required hours
The center director, staf persons, substitutes, and unsupervised volunteers must complete in-service training each calendar year. The license
holder must ensure that in-service training documentation identifes the number of total training hours required, name of the training, the
date completed, the appropriate Knowledge and Competency Framework (KCF) Area, and the number of hours completed, according to MN
Statutes, section 245A.40, subdivision 7.
In-service Training Requirements
Training Name Training Organization/Trainer Date Completed KCF Content Area Clock Hours
Documentation of in-service training must include the Minnesota Knowledge and Competency Framework (KCF) content area:
Content Area I: Child Development and Learning, Content Area II: Developmentally Appropriate Learning Experiences, Content Area III: Relationships
with Families, Content Area IV: Assessment, Evaluation and Individualization, Content Area V: Historical & Contemporary Development of Early Childhood
Education, Content Area VI: Professionalism, Content Area VII: Health, Safety and Nutrition, Content Area III: Application through Clinical Experiences
When the calendar year’s training hours are completed, total the clock hours from box 1 and box 2. Enter the total in the In-service Hours Completed box on Page 1
Total Clock Hours
0.00 + Total Clock Hours
0.00 + Other Clock
= Total of Boxes 1 - 3 0.00
from Page 1 from Page 2 Hours Attached
Other training required every other calendar year (not counted toward in-service training hours)
Pediatric CPR and First Aid training Date Completed
Pediatric Cardiopulmonary Resuscitation (CPR) for individuals as required per MN Statutes, section 245A.40, subd. 4;
Attach a copy of training verifcation
Pediatric First Aid training for individuals as required per MN Statutes, section 245A.40, subd. 3; Attach a copy of training
verifcation
Verifcation
I received training for orientation and yearly in-service as required for my position at this certifed child care center. Date Completed
Supervisor Verifcation
Signature of Supervisor attesting to the accuracy of training information and approval of in-service training above Date Completed
