(Michigan, Texas, Florida, Missouri, Pennsylvania)

All states require health documentation and safety training before issuing a child care license.

Your state portal will list required forms and training.

Michigan

Licensing Portal:
https://www.michigan.gov/mileap/early-childhood-education/cclb

Required Health Documentation (Michigan)

• Medical clearance form completed by a healthcare provider

• TB test (valid for 12 months)

Your doctor must complete the official licensing medical form. Incomplete or unsigned forms will be rejected.

TB Testing (Michigan)

• Must be within 12 months of submission

• Must include official documentation

• Expired TB results will delay approval

Required Training (Michigan)

• CPR/First Aid

• Safe Sleep training (if caring for infants)

If you are not enrolling infants, Safe Sleep may not be required.

Common Delays in Michigan

• Medical form missing signature

• TB test expired

• CPR certificate expired

• Safe Sleep training incomplete

• Training certificate uploaded but illegible

Texas

Texas CCR Portal:
https://childcare.hhs.texas.gov/Child_Care/

Required Health Documentation (Texas)

• TB test (if required by local health authority)

• Medical clearance may be required depending on program type

Required Training (Texas)

• Pre-service training hours

• CPR/First Aid certification

• Orientation requirements

Training must be documented inside the CCR system.

Common Delays in Texas

• Training hours not recorded in CCR

• CPR certificate expired

• Insurance documentation missing (separate requirement)

• TB documentation incomplete

Florida

Florida Licensing:
https://www.myflfamilies.com/services/licensing/child-care-licensure

Required Training (Florida)

• State-mandated training modules

• CPR/First Aid

• Early literacy training

• Safe Sleep (if applicable)

Florida often requires training through state-approved providers.

Common Delays in Florida

• Training not logged in the state system

• Designated substitute not trained

• Background screening not linked to training record

• County-specific health forms missing

Missouri

Missouri Licensing:
https://dese.mo.gov/childhood/child-care

Required Training (Missouri)

• Pre-service orientation

• CPR/First Aid

• Health screening documentation

Common Delays in Missouri

• Orientation not completed

• Fire inspection documentation missing

• Health documentation incomplete

Pennsylvania

PA DHS Licensing:
https://www.pa.gov/agencies/dhs/programs-services/provider-licensing

Required Health & Training (Pennsylvania)

• Medical clearance

• TB screening

• CPR/First Aid

• Mandated reporter training

Common Delays in Pennsylvania

• Mandated reporter training not documented

• TB documentation outdated

• Clearances expired before approval

When to Contact Your State

Contact your state licensing office if:

• A required training does not show as completed

• A certificate was rejected

• Your training status has not updated

Wonderschool cannot update training records in state systems.