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Childcare CPR & first aid requirements

First Aid & CPR Hawaii

If you work in childcare in Hawaii — 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 frameworkHaw. Admin. Rules § 17-892.1-22 (First aid and child CPR): at least one adult caregiver with a current pediatric first aid certificate and at least one with a current child CPR certificate (American Red Cross, American Heart Association, or equivalent) must be present whenever children are present.
Governing authorityHawaii Department of Human Services, Benefit, Employment and Support Services Division
Min. certified staffAt least one adult caregiver with a current first aid certificate and at least one with a current child CPR certificate must be present at the facility whenever children are present.
Online training acceptanceOnline courses accepted
Online courses accepted

What Hawaii requires

Hawaii Administrative Rules § 17-892.1-22, administered by the Department of Human Services, require at least one adult caregiver with a current pediatric first aid certificate and at least one with a current child CPR certificate — from a recognized certifying program — to be present at the facility whenever children are there. The rule accepts equivalent programs and does not prohibit online or blended delivery, so a course that pairs online learning with an in-person skills check qualifies. Certification is kept current on the program's cycle, commonly every two years.

Anaphylaxis and medication administration

Hawaii's child care rules are quiet on epinephrine and anaphylaxis: they provide only that physician-prescribed medication in its original labeled container may be given with signed parental authorization and kept out of children's reach, then returned to the family when no longer needed. There is no stock-epinephrine, locked-storage or medication-training mandate. As best practice, any child with a known severe allergy should have an epinephrine auto-injector on site and a written care plan so every caregiver knows the signs and the steps.

How our courses meet these requirements

A recognized, standards-based certification — online theory paired with a hands-on skills check — meets Hawaii’s requirement and keeps your team ready to act.

View early-childhood first-aid courses

Don't wait for renewal day

When a child chokes or stops breathing, the first minutes belong to whoever is standing closest, long before an ambulance can reach the door. Certification keeps that moment in prepared hands, reassures the families who trust your program, and keeps your facility meeting Hawaii's requirement. A recognized course that blends online learning with an in-person skills evaluation satisfies the rule and works around island schedules.

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