About Us

Experienced Trainers

CTO has provided training throughout Ohio since 2013. Our trainers are ODJFS/ODE approved per rule rule 5101:2-12-10  for health courses.

Training Options

We provide BLS for healthcare providers, CPR, First Aid, Communicable Disease, and Child Abuse Recognition & Prevention training.

Continual Learning

CTO is expanding by creating online options, Step Up To Quality training, and additional courses for the workplace.

Our People

Joel & Tara Cosme

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 With a combined background in childcare, public schools, and special education, it became clear to Joel & Tara that many administrators and providers would benefit from hosting training at their own locations, without all the typical stipulations and extra fees. CTO was founded to meet the unique needs of centers and businesses both very small and very large, and of providers both seasoned and new to their fields. Tara holds a B.A. from Bowling Green State University. Joel received his Bachelor's from the University at Buffalo, and recently completed his M.S. in Psychology. They both currently work as providers for individuals with special needs and are opening Community Grounds, a coffee shop and meeting house in their neighborhood. They have an adventurous 12 year old and energetic infant.  Joel conducts all of CTO's CPR & First Aid classes throughout Ohio, and is known to leave participants laughing!  

Denise Grambo

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Denise Grambo is the best Child Abuse Recognition & Prevention trainer in the state of Ohio. She has a degree in social work and has provided training for nearly two decades. She is also a supervisor at Family to Family. Denise ensures that her classes end with everyone understanding the importance of keeping children safe. There is rarely a dry eye in the class from her passionate take on training. 

Carly Stern

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Carly Stern provides Communicable Disease training throughout Ohio. Carly obtained her Bachelor's in social work from Bowling Green State University and her degree in nursing from Columbus State Community College. When she isn't teaching the world about the importance of understanding communicable diseases and working as an RN at Madison Health, she is spending time with her three lovely children and husband.  

Our Growing List of Clients

Action for Children, OSU Child Care Centers, Academy One, Columbus Early Learning Centers, Forest Park Preschool, Worthington Learning Center, Children of America,  Junior Graduates Enrichment Center, Bingham Early Learning Center​, World of Wonders, Balanced Family Academy, The Learning Experience, KinderCare, ​Weiss Learning Center, Paige's Playhouse, Jump City Childcare, Zenith Learning Center, Northwest Christian Childcare, Reynoldsburg KinderCare, The Gathering Place, Radiant Kids Childcare, ​Saint Agatha, Quintus Technologies, Kare-a-Lot Childcare, Creekside Childcare, Berry Leaf KinderCare, Kids Klub Child Care, The Gardner School of Dublin, YWCA of Greater Cleveland, Little Steps Big Steps Child Care, Focus Learning Academy of Northern Columbus, Capital City Dental, American Health Packaging, Agora's Little Gems, MileStone Lane Pataskala,  Children's Discovery Place at Polaris, Cypress Christian School,  Gahanna Christian Academy, Hanna Perkins School, United Methodist Church of London, No Place Like Home of Columbus, Sprout Early Education Center, Cleveland Centers for Families and Children, John Cecil Construction, LEADS Head Start, Pat's Care Away From Home, Madison Pre-K, YWCA Greater Cleveland, Systems28, OSU Star House and hundreds of individuals.