New Enrollment Form (One per family) Child Information Form (One per Child) Parent Agreement (One per Family) DHS Parent Agreement (only if using OKDHS EBT card) Visit. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. Be sure to get your application in before the grant closes. Child Information Record BCAL-3731 Licensing Rules for Child Care Centers BCAL PUB 8 Health Appraisal [children] (MDHHS/BCAL-3305) - This form can only be downloaded and printed from our Web site or ordered from the Department of Health and Human Services, via fax at . Make the Form Easy to Register. 2. Approval for a special use permit or other similar permit to run a group child care home must be obtained from your city or township, per the Michigan Zoning Enabling Act, 2006 PA 110. 2-2021 may be used. Supplemental Information Form (BCAL-3737). While basic information is updated by the State of Michigan, you will need to inquire with specific child care programs regarding current and upcoming openings, rates, hours, etc. Somewhere just inside the entryway is … Download the file in your preferred format before proceeding onto the steps below. How to Make Professional Childcare Registration Forms. 3. Print and read the Licensing Rules for Family and Group Child Care Homes or the Licensing Rules for Child Care Centers and 1973 PA 116 prior to submitting your application. Zoning Approval for Group Child Care Homes (BCAL-3748). No need to create forms... simply choose the forms that you feel are best for your daycare... then click, print and use! Attendance forms are the easiest way to keep track of exactly how many hours each of the children are in your care. [R 400. • Application for license DHS-7118 (PDF) For more information about licensing forms, call (651) 431-6500; or fax to (651) 431-7643. Date Printed4. APPLICATION ... Michigan Department of Licensing and Regulatory Affairs Bureau of Community and Health Systems P.O. If you need help writing the corrective action plan, please contact me. Part 4 – Individual Rights a. I understand that upon my written request, the department will provide a copy of any disqualifying record Enrollment Forms – The first form parents should complete is an enrollment form, which can be attached to the childcare contract governing your daycare agreement. The bureau program is designed to protect the health, safety and welfare of children receiving care and services in licensed child care settings. State of Michigan - Department of Licensing and Regulatory Affairs - Child Care Licensing Instructions: Unless otherwise indicated, all requested information must be provided. Licensed Child Care. The center shall keep it on file and accessible in the center. Help guides on how to set up an account, link a license, apply for a new license, or renew a license can be found under each of the separate profession links. Step 2. (1) At the time of a child's initial attendance, a center shall obtain a child information card, using a form provided by the department or a comparable substitute, that is completed and signed by the child's parent. ALLEGATION: The complainant drove by the child care to see if the child care was open and noticed a green bucket infant swing hanging from a tree, very high up. Any individual who is employed by a child care provider and any individual who may have unsupervised access to children in care should have a comprehensive criminal background check. The Guidance for … Parents Deal with Lesser Stress. Childcare Emergency Services Registration Form 43. Sample Registration Form for Childcare 44. School Age Childcare Registration Form 45. Sample Day Care Registration Form 46. Extended Childcare Registration Form You can use the sample forms as they are or change them to meet your needs. Ms. DuBois did not maintain the names, addresses, and telephone numbers for each child care staff member. Below are forms and documents for your inspections. CHILD IN CARE STATEMENT/RECEIPT [R.400.1907(b)] State of Michigan Department of Licensing and Regulatory Affairs Child Care Licensing Bureau Licensee Name Child(ren)’s Name(s) (Last, First, Middle Initial) - This form shall not be completed for Child Care Staff or Volunteers. Box 30664 Lansing, MI 48909-8164 Or email to BCALLicensingUnit@michigan.gov 611 W. OTTAWA P.O. NAME OF FORM FORM # QUANTITY . The rule changes for Child Care Centers took effect on December 18, 2019. Nestled in a quiet neighborhood of San Marcos is a California state licensed provider Lara Family Childcare run by Lara Trofimov. Department of Commerce (1965–1996) 517-335-9855. 1903 (1d)] All children who reside in the child care home have been immunized as recommended by the Michigan Department of Health and Human Services. 2-2021 may be used. Child Care Licensing Access Fairs. LeBrun, and child care staff members Danielle Heinritz, Bridget Cinas, and Martaysia Brown from 10:00am until 11:00am. This message area was updated Tuesday, May 17, 2022. Enrollment forms should include the names and contact information of parents, along with emergency contacts and information about other parties authorized to drop off or pick up. R 400.8143 Children's records. The required forms are part of rule and cannot be changed. DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR 611 W. OTTAWA P.O. 1. Consent and Disclosure Form Completion Date4. … DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR 611 W. OTTAWA P.O. This form is available for download in PDF, ODT, and Word formats. Forms Request CDC revised 216 / LARA is an equal … Child Care Licensing Bureau. 1903 (1d)] All children who reside in the child care home have been immunized as recommended by the Department of Community Health. Signed. Chapter 5101:2-12 Child Care Centers Chapter 5101:2-13 Child Care Type A Homes Chapter 5101:2-14 Child Care Type B Home CHILD CARE FAMILY/GROUP HOME RENEWAL APPLICATION PROCESS I. Eligibility Date4. Child care licensing regulations cover many topics, including the following: The number of children one adult can care for a time (child-staff ratio) and the number of children allowed in a class (group size) Supervision of children. [R 400.1906(3)] There are animals and pets in the child care home. If you change any of the sample forms, be sure they still contain all information required by rule. MAIL COMPLETED FORM TO: Michigan Department of Licensing and Regulatory Affairs Child Care Licensing Bureau P O Box 30664 Lansing, MI 48909 Licensing Consultant (if known): LICENSEE/APPLICANT NAME County LICENSE NUMBER (If assigned) Club License Application (LCC-102) Livescan Fingerprint Background Request (LCC-105) - Instructions & Form. Forms listed are in the portable document format (PDF). Forms for child care centers are now located on the updated Licensed Child Care Centers web page. 651-431-6500. Your local zoning authority Fillable and printable Child Care Enrollment Form 2022. Also see Important Notice below regarding reimbursement from MDHHS. Fill, sign and download Child Care Enrollment Form online on Handypdf.com Former names. 2-2020 and Rev. For answers to questions about the Child Development and Care program, including topics such as enrollment, billing, and important updates, please visit our website at www.michigan.gov/childcare I give permission to _____, licensed by the Department of Licensing and Regulatory Affairs to secure emergency medical treatment for the above named minor child while in care. Click on the name of the facility for more detailed information including online inspection reports completed on or after July 1, 2002. 1The following individuals must have an orientation: licensees, licensee designees, child care staff members, child care aides. A copy of this form must be provided to parents. I will inform you before each occurrence. Step 2 – Initial Information. The Oklahoma Child Care Facilities Licensing Act (10 O.S., § 401-410), enacted in 1963, authorizes OKDHS to administer the licensing program. Click on the chapter name to go directly to the following rules. Explore Different Templates to Adjust Later. An assistant caregiver may care for your child in my absence. Spring 2022 Grants: The Spring 2022 grant application will close at 6:00 p.m. on Thursday, May 26th. ... Forms & Publications; Online Services; Regulatory Compliance Division; Testing & Education; ... Child Care Licensing Quick Links. Step 3. The Child Care Licensing Bureau is hosting eight Access Fairs this Spring. After reviewing the help guides, if you have any questions, please contact us at … Resources for Veterans. Additional forms may be presented and/or required at the time of enrollment. Professional Services Get Offered. Begin by recording the date when the child is to arrive. We provide a warm, safe, entertaining, and developing care Monday through Friday, 7:30 AM to 5:30 PM, and may have special hours during holidays. Michigan Department of Licensing and Regulatory Affairs. This responsibility includes developing minimum requirements for child care programs, revising existing requirements, and implementing policies and procedures for the licensing program. Printable Child Care Forms - Attendance Records. Safety of the building (such as emergency exits, cleanliness and repairs, and potential dangers) Annual Evaluation7 You may copy this form if you need additional sheets. Step 1. ... Michigan Department of Licensing and Regulatory Affairs Bureau of Community and Health Systems P.O. Highlights of the rule changes that apply to both family and group child care homes and child care centers: I certify that I accurately completed this form and if anything changes, I will … [R 400.1936 (1)] If yes, list: 5-2021) Previous editions BCAL -3900 Rev. BOX 30664 LANSING, MICHIGAN 48909 ... use our corrective action plan form or create your own. The Child Care Licensing Bureau performs state licensing regulatory duties as required by state laws and federal requirements. Abuse/ Neglect. Learn more EBU Paperwork - MSU Student Parent Resource Center. 9/14/2021) Previous editions BCAL -3900 Rev. Step 1 – Download the Form. 5/19) Page 4 of 5 LARA is an equal opportunity employer/program. Due to the Memorial Day Holiday, payments that would normally be issued on Thursday, 6/2/2022, will be issued on Friday, 6/3/2022 instead. 12/29/2021 Exit conference Exit conference with Kimberly Vaughn. The rule changes for Family and Group Child Care Homes took effect on December 13, 2019. Ask for the Important Details. BCHS-WBC-4001 (Rev. (g) Child development. Author: Case-French, Candice (LARA) Created Date: 07/27/2021 11:15:00 Title: Center Fire and Tornado Drill Record … I will inform you before each occurrence. Rules The emanuals websitecontains all rules, forms, procedure and manual letters. ... to review under the Statewide Search for Licensed Child Care Centers and Homes. A copy of this form must be provided to parents. All child care programs in our state are required to be licensed, registered, approved, or legally exempt. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. [R 400.1906(3)] There are animals and pets in the child care home. I recommended that Ms. DuBois create a form for each staff member’s file or have each complete the relevant sections of a child information card.