ODJFS/ODE & OSHA approved training throughout Ohio since 2013

About Us

Experienced Trainers

CTO has provided training throughout Ohio since 2013. Our trainers are ODJFS/ODE approved per 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

Joel & Tara Cosme

Joel & Tara Cosme


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 his M.S. in Psychology from UoP. They both currently work as providers for individuals with special needs and own Community Grounds, a coffee shop and meeting house in their neighborhood. They have an adventurous 14 year old, energetic todller, and sweet infant.  Joel conducts all of CTO's CPR, First Aid, other classes throughout Ohio, and is known to leave participants laughing! 

Denise Grambo

Joel & Tara Cosme

Joel & Tara Cosme


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

Joel & Tara Cosme

Carly Stern


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 ChildrenOSU Child Care CentersAcademy One, Columbus Early Learning CentersForest Park PreschoolWorthington Learning Center, Children of America,  Junior Graduates Enrichment CenterBingham Early Learning Center​World of WondersBalanced Family AcademyThe Learning ExperienceKinderCare, ​Weiss Learning Center, Paige's PlayhouseJump City ChildcareZenith Learning CenterNorthwest Christian Childcare, Reynoldsburg KinderCareThe Gathering Place, Radiant Kids Childcare, ​Saint AgathaQuintus Technologies, Kare-a-Lot Childcare, Creekside Childcare, Berry Leaf KinderCareKids Klub Child Care, The Gardner School of Dublin, YWCA of Greater ClevelandLittle Steps Big Steps Child CareFocus Learning Academy of Northern ColumbusCapital 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, St. Peter's Childcare, Lakewood Community Care Center, Primrose School of Worthington, Groveport Madison Schools, Pride-N-Joy Preschool, The Little Barnyard Preschool, Systems28, OSU Star House, Fuchs Mizrachi School, Yabi Nursery & ChildCare, Affordable Dentures, Ferguson Construction, Baker Law Group, All About Kids Child Care,  Rickenbacker Woods Foundation Learning Center, Children's Development Center of Lima,  and hundreds of individuals.