Child Care Provider Forms

 
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Children
Children and Family Services
 
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What you need to know

​​Para traducir este sitio al español, utilice el menú desplegable en la esquina superior derecha marcado como "Select Language" y seleccione español.​​​​​​​​​​

General Forms

​Enrollment

  • Child Care Provider Subsidy Enrollment updated August 2023​ English/Spanish
  • Child Care Center Inspection Checklist updated January 2023 English/Spanish​
  • Family Child Care Home, License Exempt Home, In-Home Inspection Checklist updated January 2023 English/Spanish​​
  • ​License Exempt Family Child Care Home Self-Certification Checklist updated September 2020 English
  • In-Home Child Care Self-Certification Checklist *​please request from your assigned Resource Developer
  • Relative Exempt Request Form updated April 2023 English/Spanish
  • Private Pay Rates updated January 2023 English/Spanish
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Health & Safety Training

  • ​​​Health and Safety Training Verification Form ​​​​updated March 2023 English/Spanish
    • NEW! The Health and Safety Training Verification Form now combines the previously separate Health and Safety Verification (Prepare to Care) and Pediatric First Aid/CPR Verification into one.​
  • License Exempt and In-Home Training Verification Form NEW​​ April 2023​ English/Spanish
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​​Pediatric First Aid & CPR

  • Child Care Center Pediatric First Aid & CPR Reimbursement Request updated April 2023 English/Spanish​

All Child Care Subsidy providers and staff are required to complete pediatric first aid and cardiopulmonary resuscitation training. Below is a list of approved training providers and/or courses for providers to reference.

  • Approved Pediatric First Aid/CPR Courses updated October 2023 English/Spanish

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Fillable Calendars

  • Child Care Center, Family Child Care Home I & II, & License Exempt Calendar updated July 2023 English/Spanish
  • In-Home (License Exempt) Calendar updated July 2023 English/Spanish

​Not Fillable Calendars

  • Child Care Center, Family Child Care Home I & II, & License Exempt Calendar ​updated July 2023 English/Spanish
  • In-Home (License Exempt) Calendar updated July 2023 English/Spanish

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