Package 2. We’re committed to promoting the health, safety, and welfare of Connecticut’s children. Apply for Benefits. Mid-County Offices 8751 Ulmerton Road, Suite 2000 Largo, FL 33771-3832 The Inspection Checklists are the ones used by Child Care Attestation of Good Moral Character. Office of Child Care Licensing Contact Information. Child Care Licensing and Administration Division of Early Care and Learning, CDHS 1575 Sherman Street, 1st Floor Denver, CO 80203 Phone: 1-800-799-5876 or 303-866-5948 Fax: 303-866-4453 cdhs_oec_communications@state.co.us Contact your Licensing Specialist for information regarding your facility or technical assistance. Below are forms and documents for your inspections. Wisconsin's Licensed Child Care Programs. Please take a few minutes of your time to complete this Survey. Phone: (813) 264-3925 ext. Below are forms and documents for your inspections. There are thirteen Regional Licensing Offices that operate within the Licensing Branch. Chapter 34 of the Texas Family Code allows a parent to authorize certain relatives or voluntary caregivers in a Parental Child Safety Placement to take specified actions and obtain services on behalf of a child if the parent is unable to for some reason. If you change any of the sample forms, be sure they still contain all information required by rule. You, as parents, are the best one to evaluate the care given to your children. Licensed Family Child Care Providers are evaluated every two years before re licensing. There are many forms and publications to help child care providers run a child care business in Wisconsin. Child Care Licensing complaints can be filed online (select "Request for Service") where you are able to track updates and receive results by e-mail, or by calling the Broward County Call Center at 311 or 954-831-4000. Parents use the Resource and Referral Agencies to obtain lists of child care providers, including those licensed by the Child Care Licensing … DWS Approved Family, Friend, and Neighbor (DWS FFN), License Exempt DWS Approved (LE DWS) Facilities and Programs, Regulated License Exempt (LE) Facilities and Programs, Office of Child Care -Department ofWorkforce Services(DWS), Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC), Immunization Protection in Child Care (IPiCC), Find and Review a Child Care Facility Record, Accidents and Fatalities in Child Care Facilities, How to Submit Background Check Forms, Fingerprints, & Fees, Background Check Requests From Other States, Affidavit of Lawful Presence in the United States, Child Care Licensing (CCL) Live Scan Fingerprint Processing Form, Accident, Incident, or Injury Report - Serious, Accident, Incident, or Injury Report - Minor, Admission Agreement & Health Assessment - Center and Out of School Time Program, Contrato de Admisi�n & Evaluaci�n de Salud del Ni�o/a - Center and Out of School Time Program, Admission Agreement & Health Assessment - Hourly Center, Behavior Expectations and Positive Guidance, Emergency Preparedness, Response, and Recovery Plan, Plan de Emergencias - Preparaci�n, Respuesta, y Recuperaci�n, Formulario de Permiso Para la Administraci�n de Medicinas, Hourly Center Annual Announced Inspection, Hourly Center Annual Unannounced Inspection, Out of School Time Pre-License Inspection, Out of School Time Annual Announced Inspection, Out of School Time Annual Unannounced Inspection, Contrato de Admisi�n & Evaluaci�n de Salud del Ni�o/a, Licensed Family Annual Announced Inspection, Licensed Family Annual Unannounced Inspection, Licensed Family Child Care Quality System Verification, Child Attendance Form - before and after school. On May 9, 2016, the Ministry of Education filed new and revised regulations under the Child Care and Early Years Act, 2014 with the Ontario registrar. Tampa, FL 33602. Licensing Requirements All child care providers receiving payment through the NJ Child Care Subsidy Program must be licensed or registered by the Department of Children and Families, Office of Licensing (DCF/OOL) or approved by the Department of Human Services, Division of Family Development (DHS/DFD). Manager: Angela Chowning. It is very important that you obtain information and guidance specific to your situation at the local level. Contact Us. Critical information on COVID-19 cases, testing, as well as daily healthcare system capacity. Forms & Documents. Rules, Guidelines, Forms, and Resources for Child Care and Nursery School Providers. For confidentiality purposes, only the Program Administrator sees your comments. Register to receive time-sensitive messages about emergencies and certain non-emergency events – straight from us to you. Child Enrollment Information - #1. Registration Requirements for Family-Group. Child Care Program License Sample Packet Forms, Checklists, Administrative Tips-Tools, Sample Formats. 2900 - General Record and Statement of Child’s Health for Admission to Child Care Facility 2901 - Staff Medical Statement 2902 - Application to Operate a Child Care Facility 2905 - … For original copies of the sample forms listed above, call the Child Care Licensing Unit at (603) 271-9025. The required forms are part of rule and cannot be changed. Registration Requirements for Family-Group. For assistance using the Child Care Licensing System please contact 1-855-457-5478 (toll-free) / 416-314-6230 (local) or childcare.helpdesk@ontario.ca. DCYF’s resource to support early learning professionals with successful implementation of the Foundational Quality Standards for Early Learning Programs as defined in Chapter 110-300 WAC. Forms; Child Care Licensing Policy and Procedures Handbook. Child Care Licensing. Physical Examination Form for Driver Applicant. This includes child care centers, school‐based programs, summer camps and home … Child Care Vehicle Inspection. Licensed Provider Search and Inspection Results. CF FSP 1649A - Attestation of of Good Moral Character CF FSP 5337 - Child Abuse Reporting Guide - English CF FSP 5337 - Child Abuse Reporting Guide - … Child Care Licensing Forms for Providers: 2759: Acknowledgement and Certificate of Completion of Medical Consent TrainingPDF Document: CPS/Child Placement/Medical Consent / Medical Services: 2760: Controlling Person FormWord Document (PDF Document) Child Care Licensing Forms for Providers : 2784: General Residential Operation and Residential Treatment Center Documentation … Child Care Licensing Forms & Publications. DHS Blog. F ile a Child Care Licensing Complaint. Child Care Licensing Forms Form 1099, Operational Discipline and Guidance Policy Form 1100, Daily Buildings and Grounds Checklist Form 2550, Operational Policy on Infant Safe Sleep (… 53565. … Child Care Paper Applications. FL Dept of Health in Pinellas - Pinellas County Child Care Licensing Program 727-507-4857 PinellasPCLB@flhealth.gov Fax. Child care licensing forms; Child care Background Screenings; Apply for a Family Child Care Home License; Apply for a Child Care Center License; Report a Concern about Child Care; Find a Child Care Licensing Consultation Class; Child Care Programs & Inspection Guide; Contact us. All forms have Address: 3152 Clay Mangum Ln. FAQ. NEW - Covid-19 Guidance for Child Care Programs. Personnel Record - #6. List of Forms. Department of Human Services > Find a Document > For Providers > Child Care Forms. Upload Forms to CCL. We’re here to help! The required forms are part of rule and cannot be changed. The Division of Licensing oversees licensing programs for child care centers, group child care homes, family child care homes, and youth camps. Licensing forms. Enforcement Fact Sheet. Find a Child Care Licensing Consultation Class, R3 Economic Recovery Financial Assistance, CF FSP 1649A - Attestation of of Good Moral Character, CF FSP 5337 - Child Abuse Reporting Guide - English, CF FSP 5337 - Child Abuse Reporting Guide - Español, CF/PI 175-70 - Influenza Brochure - English, CF/PI 175-70 - Influenza Brochure - Español, HC CCL 15 - Field Trip Permission Form - English, HC CCL 15 - Field Trip Permission Form - Español, HC CCL24 - Medication Authorization - English, HC CCL24 - Medication Authorization - Español, HC CCL25 - Accident/Incident Report - English, HC CCL25 - Accident/Incident Report - Español, HC CCL 71 - Discipline practices and procedures - English, HC CCL 71 - Discipline practices and procedures - Español, HC CCL5012 - Child Enrollment Form - English, HC CCL5012 - Child Enrollment Form - Español, CF FSP 5268 - In-service Training Record - English, HC CCL2 - Center Consultation Registration - English, HC CCL 18 - Staff / Volunteer / Substitute Form - English, HC CCL 18 - Staff / Volunteer / Substitute Form - Español, HC CCL27 - Playground Safety Checklist - English, HC CCL 32 - Request for local law enforcement check for staff - English, HC CCL 38 - Child care licensing application form - English, HC CCL 46 - Center Transportation/Walking Attendance Sheet - English, HC CCL 47 - Bus Driver Physical - English, HC CCL 53 - Child Care Vehicle Inspection - English, HC CCL 62 - Licensing Procedures for New Child Care Facilities - English, HC CCL 62 - Licensing Procedures for New Child Care Facilities - Español, HC CCL 92 - School Age Child Care Licensing Application Form - English, HC CCL 99 - School Readiness Provider Application - English, Know Your Child Care Facility Brochure - English, HC CCL 14 - Children's Enrollment Data Checklist - English, HC CCL 14 - Children's Enrollment Data Checklist - Español, HC CCL 15 - Transportation/Field Trip Permission Agreement - English, HC CCL 15 - Transportation/Field Trip Permission Agreement - Español, HC CCL 19 - Household Members Substitute Employee Form - English, HC CCL 20 - Child's Information Card - English, HC CCL 21 - Authorization for Emergency Medical Treatment - English, HC CCL 23 - Verification of Employment History - English, HC CCL 23 - Verification of Employment History - Español, HC CCL 34 - Family child care pre-application - English, HC CCL 34 - Family child care pre-application - Espanol, HC CCL 36 - Family child care home licensure application with confirmation - English, HC CCL 36 - Family child care home licensure application with confirmation - Español, HC CCL 45 - In-Service Training Record Family Child Care and Large Family Child Care Homes - English, HC CCL 45 - In-Service Training Record Family Child Care and Large Family Child Care Homes - Español, HC CCL46 - LFCCH Transportation Attendance Sheet - English, HC CCL46 - LFCCH Transportation Attendance Sheet - Español, HC CCL 65 - Family child care home playground safety tips - English, HC CCL 82 - Family Child Care Home Monthly Sign In/Sign Out Sheet - English, HC CCL 83 - Daily Attendance Log - English, HC CCL 110 - FCCH Transportation Walking Attendance Sheet - English, HC CCL 110 - FCCH Transportation Walking Attendance Sheet Español, HC CCL 112 - FCCH Playground Safety Checklist Every Other Month - English, HC CCL 112 - FCCH Playground Safety Checklist Every Other Month - Español, Know Your Family Child Care Home - English, Know Your Large Family CC Insert B1 - English. 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