Child Care Licensing Rules and Statutes | Child Care Licensing Licensing Rules for Child Care Centers and Homes provide minimum standards for regulated child care providers. Staffing Plan: Child Care Center CCL-5001 Excel, Child Care License Designee CCL-5003 - PDF An Online Resource for Skilled Immigrants. *You can now submit your Pennsylvania Child Abuse History Clearance Requestonline. Use signNow to electronically sign and share Lara bcal for eSigning. As a result, you can download the signed bcal 4605 to your device or share it with other parties involved with a link or by email. Forms for child foster care Minnesota Adoption and Child Foster Care Application DHS-4258A (9-17) (PDF) Minnesota Corporate Child Foster Care Application DHS-4258H (8-17) (PDF) Parental Consent for Swaddling an Infant DHS-7218 (7-13) (PDF) Physician Directive for Alternative Infant Sleep Position DHS-7216 (7-13) (PDF) Forms for family child care Environmental Health Provisions - BCAL-4668, Child Care Center Compliance Record, Part 3. Summer 2022 Child Care Stabilization Grants. 1903 (1d)] All children who reside in the child care home have been immunized as recommended by the Department of Community Health. The signNow extension gives you a variety of features (merging PDFs, including multiple signers, and many others) to guarantee a better signing experience. Z49u0w~eC>?'reS@`v5qupy&V&k>!iLA)fILMa5pV\TAkIn2=]=J dYTewz]Ttk} XEnfG2k]O5A]03XD^O&dQKR//' =nTk6.d`| />LvXQ{$=mya+bP_$aJt> )26hkK+AHEYb&xz?XEgu``5+`q.wBLc#XC$*E9QK \+1iv58mQk:5A/0GcYG%}0K'cw"e,x_Dkps{S6B}(7C6i>rW "1=rW +N9! As new information becomes available, we will update this message area. The Dept. You will find a camp licensing overview, camp rules and statutes, forms, and resources to assist you at http://www.Michigan.gov/laracamps. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. Print and read the Licensing Rules for Home for the Aged,and 1978 PA 368(emphasis Part 201 and 213) prior to submitting your application. To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. We recommend providers use the Save & Continue feature to save their hours while we correct these issues. %PDF-1.7 c++$U,y#Ohiizbz.kD'!vz$A[Nd[vLfx"dZLgr"T(^gM3^F2MUx{,[2LtPTm=4VOhjjB,LVKv 8KiY2\NVi"V?U0N~WE-@! The statutes listed are referenced in the licensing rules. Received Medical Treatment if applicable and known Phone Number of Treating Physician / Medical Facility / Hospital if applicable Any Handicaps Health Problems or Exceptions Listed on the Child s Health Records if applicable If Fire Describe Damage PERSON S NOTIFIED law enforcement fire marshal parent/legal guardian etc. 85UN#"&`Qr)jp+ZtsTewBUY^X_X<3yMtR5+ An Online Resource for Skilled Immigrants. After its signed its up to you on how to export your bcal 4605: download it to your mobile device, upload it to the cloud or send it to another party via email. [R 400. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. n# 6H=f,=`S0p~gAs,o(W #1KIUHaF|mI5Ddf)u (Ru>wr)K"Ef'77(@lk\C]nn*!\|C_I6[lo)s%>rI3buH:%rg#YNZ*rS]|(gR-S5[l+m8OK9|)?h;Tu?*iwl.ch"JC?P {s6>]h[24v J,n[D"GCgT^Q Jo%q7:QaIIw 8GOjT Create your eSignature, and apply it to the page. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Today, Gov. << /Filter /FlateDecode Add the Child care renewal application for editing. Reminder: Please see the Guidance for Temporary Billing Based on Enrollment and not Attendance memo. }{a,O,o7MYeUyYfAO~;gO}$+m^j1g(/5BdB ql8Z,yW~8vngeid L There are three variants; a typed, drawn or uploaded signature. Select our eSignature tool and say goodbye to the old times with efficiency, affordability and security. Create an account using your email or sign in via Google or Facebook. Start completing the fillable fields and carefully type in required information. k X(W]GHwr mUe6m\:7AmcYpjY;RfUT;9P`k U+NQs%Hw2>wG>P\a{A &pgmsi 9`f8[PW . 4-10) Previous editions obsolete. Look through the document several times and make sure that all fields are completed with the correct information. Install the signNow application on your iOS device. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. LARA provides licensing services for three types of child care operations: family child care homes, group child care homes, and child care centers. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. To apply for a new license or renew a license, use the applicable applications below. Start putting your signature on bcal 4605 by means of tool and become one of the numerous satisfied customers whove previously experienced the advantages of in-mail signing. Child Care Licensing . Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Reminder Regarding Temporary Rate Increases and End Dates: For additional information, please see the Child Care Provider Rates and Payments section of the CDC Handbook. As these reports contain confidential information they are redacted before being posted on the Child Care Licensing Bureau (CCLB) website. To apply for either license, please follow the instructions specific to each category. Click on the Register button. Michigan Office of Administrative Hearings and Rules. Reducing Barriers to Licensure for Military Families, Corporations, Securities & Commercial Licensing, Find / Verify a Licensed Professional or Business, Make a Complaint About a Licensed Professional or Business, Look Up Underground Storage Tank Information, Access the Online Liquor Ordering (OLO) System, Regulated Products, Professions, & Businesses Activities, Resources for Veterans & Military Families, https://dev.michigan.local/som/json?sc_device=json, Playground Inspection Certification Summary CCL-5047 Word, Go to An Online Resource for Skilled Immigrants, Medical Marijuana Program (MMMP) Patients & Caregivers, Learn About CRA Rules, Laws & Regulations, Find / Verify a CRA Licensed Professional or Business, Make a Complaint About a CRA Licensed Professional or Business, Track Marijuana Inventory - Statewide Marijuana Monitoring System (Metrc), Find Panel, Public Hearing & Workgroup Information, Find a Disciplinary Action Report or Document, Learn About CCL Rules, Laws & Regulations, Find / Verify a CCL Licensed Professional or Business, Make a Complaint About a CCL Licensed Professional or Business, Apply for / Renew a BCC License or Permit, Find / Verify a BCC Licensed Professional or Business, Make a Complaint About a BCC Licensed Professional or Business, Learn About Examinations & Continuing Education, Find / Verify a BCHS Licensed Professional or Business, Make a Complaint About a BCHS Licensed Professional or Business, Go to Corporations, Securities & Commercial Licensing, Find / Verify a CSCL Licensed Professional or Business, Make a Complaint About a CSCL Licensed Professional or Business, Contact the Michigan Liquor Control Commission, Local Government & Law Enforcement Resources, Go to Michigan Office of Administrative Hearings and Rules, Administrative Hearings Frequently Asked Questions, Request to Attend a Hearing (for Media Professionals), Go to Michigan Indigent Defense Commission, Learn About Continuing Legal Education (CLE), Make a Complaint or Inquiry About a Utility Provider, Compare Natural Gas Utilities Options (MI Gas Choice), Submit an Underground Utilities Locate Request (MISS DIG 811), Learn About Natural Gas & Pipeline Providers, Learn About Rules of Practice and Procedure, Find / Verify a BPL Licensed Professional or Business, Make a Complaint About a BPL Licensed Professional or Business, Michigan Automated Prescription System (MAPS), Find / Verify a UCC Licensed Professional or Business, Make a Complaint About a UCC Licensed Professional or Business, Go to Apply for / Renew a License or Permit, Go to Find / Verify a Licensed Professional or Business, Go to Make a Complaint About a Licensed Professional or Business, Go to Look Up Underground Storage Tank Information, Go to Look Up a Controlled Substance (MAPS), Go to Access the Online Liquor Ordering (OLO) System, Go to Look Up a Disciplinary Action Report, Go to Submit a Request for Information (FOIA), Go to Regulated Products, Professions, & Businesses Activities, Go to Requesting Information from LARA (FOIA), Go to Resources for Veterans & Military Families, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Spanish, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Arabic, Michigan Child Care and Education Professional Development Record for Child Care Centers CCL-4591 - PDF, Michigan Child Care and Education Professional Development Record for Child Care Centers CCL-4591 - Word, Staffing Plan: Child Care Center CCL-5001 - PDF, Staffing Plan: Child Care Center CCL-5001 - Word, Staffing Plan: Child Care Center CCL-5001 Excel, Child Care License Designee CCL-5003 - PDF, Child Care License Designee CCL-5003 - Word, Certification of School Building Fire Safety Provisions CCL-5043 - PDF, Certification of School Building Fire Safety Provisions CCL-5043 - Word, Self-Certification of Transportation Provisions for Centers CCL-5044 - PDF, Self-Certification of Transportation Provisions for Centers CCL-5044 - Word, Volunteer Certification for Field Trip Transportation CCL-5046 - PDF, Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF, Family and Group Child Care Home Compliance Record - BCAL-4601, Preparing for Your License Renewal Fire Safety Inspection - BCAL-5048, Child Care Center Compliance Record, Part 1. Homes for the Aged Exemption from Licensure. View child care resources regarding COVID-19 and Monkeypox information from the Center for Disease Control and the Michigan Department of Health and Human Services. If you are a provider/licensed child care provider that will be expecting compensation for services performed for MDHHS/MDE clients, you need to register with the Statewide Integrated Governmental Management Applications (SIGMA) Vendor Self Service (VSS) at www.michigan.gov/sigmavss. b. CDC payments will be issued to me and I am responsible for paying my provider. endobj Summer 2022 Child Care Stabilization Grants:To go directly to information about the Summer 2022 grants, click the following link: Summer 2022 Child Care Stabilization Grants. b. I understand that if I am a child care staff member, I shall report to the child care facility within 3 business days after I have been arraigned for or convicted of 1 or more of the crimes listed in MCL 722.115r. This message area was updated Tuesday, February 21, 2023. CHILD CARE STAFF HEALTH ASSESSMENT (55 Pa. Code 3270.151, 3280.151 and 3290.151) NAME OF PERSON EXAMINED (Please print) REASON FOR EXAMINATION Initial employment in child care Biennial re-examination THIS SECTION TO BE COMPLETED BY EMPLOYER This physical examination is for the purpose of employment in a child care facility. Michigan Office of Administrative Hearings and Rules. Proudly founded in 1681 as a place of tolerance and freedom. Gov. Make these fast steps to edit the PDF Child care renewal application online free of charge: Sign up and log in to your account. Guidance for Temporary Billing Based on Enrollment and not Attendance memo. Use professional pre-built templates to fill in and sign documents online faster. The whole procedure can last a few moments. These child care forms include printable curriculum forms and child care lesson plans. LARA is dedicated to bridging the gap between civilian and military . signNow helps you fill in and sign documents in minutes, error-free. Complete this form within 72 hours of calling in a suspicion of abuse or neglect. Decide on what kind of eSignature to create. Once youve finished putting your signature on your bcal 4605, decide what you want to do after that - save it or share the doc with other people. Reports of such investigations are considered confidential records under MCL 722.627 and, therefore, Click onthe Register button. Reminder: Keep up with important billing dates with the 2023 Payment Schedule at www.michigan.gov/childcare. You can now submit your Pennsylvania Child Abuse History Clearance Request, Application for Certificate of Compliance for Center Group and Family, CD 51 (formerly CY 51) Child Health Assessment, CD 357 Documentation of Emergency Plan Delivery, CD 357 Request For Waiver of Child Care Facility Regulation, CY 863 Verbal Request for Release of Child, CY 867 Emergency Contact/Parental Consent Form, CY 113 Pennsylvania Child Abuse History Clearance, CY999 Consent/Release of Information Authorization Form, SP 4-164 Request for Criminal Record Check, PW 29A Day Care Services Enrollment/Attendance Record. original source. x\o\U"$QWy7&jfgf.C*j+ S D?C)vQS| RJU 2 0 obj Business Entity Forms. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. The Word documents are fillable and are intended for electronic completion. You may find the MiLogin RegistrationInstructionshelpful to navigate the website. Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF <>/Metadata 257 0 R/ViewerPreferences 258 0 R>> Corporations, Securities & Commercial Licensing Bureau. Follow our step-by-step guide on how to do paperwork without the paper. Providers do not need to take any action at this time. Child Care Homes Child Care Centers Checklists - Homes and Centers Renewal Applications N?PQ$xhrjK@1DnpF7"9"VL? The PDF versions are not fillable and are intended for printing. Go to the Chrome Web Store and add the signNow extension to your browser. All child care providers are required to have a licensing notebook on-site and available during regular business hours. 5m. Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% Additional questions may be directed to the appropriate Regional Office of Child Development: *FOR QUESTIONS REGARDING YOUR PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE APPLICATION, CONTACT CHILDLINE AT 1-877-371-5422. Tax Questions: Please keep in mind that CDC staff are not tax experts and are unable to answer questions related to filing your taxes. Important Notice: Providers who anticipate receiving payments from the Michigan Department of Health and Human Services (MDHHS) or the Michigan Department of Education (MDE). LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. The best way to generate an eSignature for your PDF document online, The best way to generate an eSignature for your PDF document in Google Chrome, How to make an electronic signature for signing PDFs in Gmail, How to create an electronic signature right from your smart phone, How to create an electronic signature for a PDF document on iOS, How to create an electronic signature for a PDF on Android OS, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. b. I understand that if I am a child care staff member, I shall report to the child care facility within 3 business days after I have been arraigned for or convicted of 1 or more of the crimes listed in MCL 722.115r. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Open the email you received with the documents that need signing. A Camp SITE and Camp PROGRAM are licensed separately. Get Form How to create an eSignature for the fillable online michigan family home daycare licensing The notebook must include all licensing study and special investigation reports issued and related corrective actions developed after 5/27/10. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Use professional pre-built templates to fill in and sign documents online faster. You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. Print and read the applicable Licensing Rules for your Adult Foster Care Home,and 1979 PA 218prior to submitting your application. Child Care License Designee CCL-5003 - Word, Certification of School Building Fire Safety Provisions CCL-5043 - PDF Application for Child Care Plan Review (BCHS-FS-13), Child Care Center Notice of Arraignment or Conviction CCL-1486 - PDF, Child Care Center Notice of Arraignment or Conviction CCL-1486 - Word, Child Information Record - CCL-3731 Web Proected, Child Information Record - BCAL 3731-AR (Arabic), Documento de Informacin del Nio Estado de Michigan - BCAL-3731-SP, Written Information Packet Documentation CCL-4340 - PDF, Written Information Packet Documentation CCL-4340 - Word, Change of Use Space Request for School-Age Programs Located in Schools CCL-4342 - PDF, Change of Use Space Request for School-Age Programs Located in Schools CCL-4342 - Word, Lead Hazard Risk Assessment Summary CCL-4344 - PDF, Lead Hazard Risk Assessment Summary CCL-4344 - Word, No Change in Building Construction Declaration CCL-2129 - PDF, No Change in Building Construction Declaration CCL-2129 - Word, Infant/Toddler Primary Caregiver Documentation CCL-4557 - PDF, Infant/Toddler Primary Caregiver Documentation CCL-4557 - Word, Center Fire and Tornado Drill Record - CCL-4593 - PDF, Center Fire and Tornado Drill Record - CCL-4593 - Word, Staffing Plan: Child Care Center CCL-5001 - PDF Requesting Increases to Capacity and Ratio for Homes. [R 400.1936 (1)] If yes, list: Licensing Rules c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. Please note, if you do not register and obtain a SIGMA Vendor ID, MDHHS will not be able to process your payment. CDC Provider Login Enter your 7-digitProvider ID and 6-character PIN, then press the Submit Button This message area was updated Tuesday, February 21, 2023. Download your copy, save it to the cloud, print it, or share it right from the editor. endobj This information is updated once a day. Required Camp Policies and Documents Guidance. The PDF versions are not fillable and are intended for printing. If you wish to share the bcal 4605 with other parties, it is possible to send the file by electronic mail. The recent changes to PA 116 allows family and group homes to request an increase in capacity if the licensee meets certain conditions. [R 400.1906(3)] There are animals and pets in the child care home. Required for new building/renovations only. CawfPHhFo.3@1}~Yq8Tf;rW.OY^]k=u,_9mVt H,8jaZ.+\pD;gTDsa0qpD/MK2H/%0[9.-71K66bRsw} C+,sTx71O !tp,3+X =-N;HY(!8h y:ApBeX&Ct.e'me-q%mw#&*'?SejsiyyKcc\Z[5?X2eYcp)sr. Reports may be obtained by making a Freedom of Information Act request. This is one piece of a historic $1.4 billion investment to expand access to quality, affordable child care for families. Family and Group Home Increased Capacity and Ratio Request - Word Version, Family and Group Home Increased Capacity and Ratio Request PDF Version, Waiver for Decreasing Capacity Fillable Word Version, Waiver for Decreasing Capacity PDF Version, Request of Child Care Forms CCL-2021 PDF, Request of Child Care Forms CCL-2021 Word, Child Care Licensing Information Request - CCL 001 -PDF, Child Care Licensing Information Request - CCL 001 - Word, Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243 PDF, Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243 Word, Permiso e Instrucciones Para la Medicacin Para Casas de Cuidado/Guarderias - CCL-1243-SP - PDF, Permiso e Instrucciones Para la Medicacin Para Casas de Cuidado/Guarderias - CCL-1243-SP - Word, Background Check and Fingerprinting Information, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200, Notification of Changes in Status-Family and Group Child Care Home - CCL-1485 - PDF, Notification of Changes in Status-Family and Group Child Care Home - CCL-1485 - Word, Medical Clearance Request - CCL-3704 - PDF, Medical Clearance Request - CCL-3704 - Word, Child Information Record - CCL-3731 - PDF, Child Information Record - CCL-3731 - Word, Child Information Record - CCL 3731-AR (Arabic), Documento de Informacin del Nio Estado de Michigan - CCL-3731-SP, Zoning Approval for Group Child Care Homes - CCL-3748 - PDF, Zoning Approval for Group Child Care Homes - CCL-3748 - Word, Declaracin/Recibo de Nios en Cuidado - CCL-3900-SP, Child in Care Statement/Receipt - CCL-3900 - PDF, Child in Care Statement/Receipt - CCL-3900 - Word, Training Record Family/Group Child Care Homes - CCL-4590 PDF, Training Record Family/Group Child Care Homes - CCL-4590 - Word, Assistant Caregiver Certifications - CCL-4595 - PDF, Assistant Caregiver Certifications - CCL-4595 - Word, Home Fire and Tornado Drill Record - CCL-4593 - PDF, Home Fire and Tornado Drill Record - CCL - 4593 - Word, Licensing Notebook Summary Sheet - CCL-5052 - PDF, Licensing Notebook Summary Sheet - CCL-5052 - Word, Request for Modification of the Terms of the License - CCL-5054 - PDF, Request for Modification of the Terms of the License - CCL-5054 - Word, Variance Request Early Childhood Program Director Fillable Word Version, Variance Request Early Childhood Program Director PDF Version, Variance Request School-Age Program Director Fillable Word Version, Variance Request School-Age Program Director PDF Version, Variance Request Lead Caregiver Fillable Word Version, Variance Request Lead Caregiver PDF Version, Child Care Licensing Information Request - BCHS-CCL 001 - PDF, Child Care Licensing Information Request - BCHS-CCL 001 - Word, Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243 - PDF, Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243 - Word, Permiso e Instrucciones Para la Medicacin Para Casas de Cuidado/Guarderias - CCL-1243-SP - Word. I will inform you before each occurrence. <> Department of Human Services > Find a Document > For Providers > Child Care Forms Central Region (717) 772-7078 or (800) 222-2117 Northeast Region (570-963-4371 or (800) 222-2108 Southeast North and Southeast South Region (215) 560-2541 or (800) 346-2929 Western Region (412) 565-5183 or (800) 222-2149