DCYFâs 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. The child care licensing program is a component of the services provided by Department of Children and Families (DCF). Licensed Provider Search and Inspection Results. DFPS protects the unprotected - children, elderly, and people with disabilities - from abuse, neglect, and exploitation. Child care facilities/providers should direct all questions to their local child care surveyor. Register to receive time-sensitive messages about emergencies and certain non-emergency events – straight from us to you. You can use the sample forms as they are or change them to meet your needs. Forms and Documents for Child Care Providers. Contact your Regional Licensing Office to: Ask questions about child care licensing regulations; Become licensed to operate a child care program (Child Care Center or Family Child Care Home)File a complaint against a program that you believe is violating a child care licensing law or regulation. Licensing Requirements for Centers. Registration Requirements for Family-Group. Child Care Licensing Information Request - BCHS-CC 001 ; Child Care Forms Request ; Medication Permission and Instructions for Child Care Homes/Child Care Centers - BCAL-1243 ; Permiso e Instrucciones Para la Medicación Para Casas de Cuidado/Guarderias - BCAL-1243-SP ; Employee Notification to Child Care Center of Arraignment - BCAL-1486 ; Application for Child Care Plan ⦠You, as parents, are the best one to evaluate the care given to your children. Required forms. Child Care Licensing. Below are forms and documents for your inspections. Rules, Guidelines, Forms, and Resources for Child Care and Nursery School Providers. Mid-County Offices 8751 Ulmerton Road, Suite 2000 Largo, FL 33771-3832 new Date().getFullYear()>2010&&document.write(new Date().getFullYear()); Utah Department of Health - All Rights Reserved. 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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