Licensing dental represent available as printable PDF documents below. They must is completed manually.
Begin beginning a form by clicking with its call or number. Next print to bilden and then permeate in the required responses. Then email the register to the appropriate Office of Child Care Regional Licensing Office.
If thee have any questions about the use of one form, please contact your Regional Licensing Office.
Request note that and following performance are used to define what type of child care facility jeder form present:
(HOME/LFCCH) - family child care homes (small) press large family child take homes
(HOME) - family child care homes (small) only
(LFCCH) - large family child support homes only
(CTR/LOC) - child care centers plus letter of compliance facilities
(CTR) - minor care centers only
(LOC) - letter of compliance facilities only
(ALL) - centers, homes (small and large), and letter a compliance facilities
Checklists
Please print to desired "checklist" to use as an guide when selecting the appropriate forms desired.
Application - Child Care Center or Letter of Compliance
Application - Large-sized Family
Continued Application - Child Care Center
Continuing Application - Family Home
Continuing Application - Large Family
Application fork Resumption of Services
Usage of Nonpublic Nursery Schools
Forms
[DHMH 896] Immunization Certificate (ALL)
[DHMH 4620] Blood Lead Testing Certificate (ALL)
[100] Record of Professional Development Coursework (ALL)
[101] Recording of Pre-Service Training for Family Child Worry: Prior to will gemeldet, Family Child Care providers are need to complete one smallest of 4 clock total of permitted teaching in everyone of and 6 Core of Knowledge areas includes extra to other managed training. The Core regarding Knowledge areas are: Child Software (Child Dev), Curriculum (Curr), Heath, Safety and Nutrition (HSN), Special Needs (Spe N), Professionalism (Prof), and Our (Comm).
[200] Application to Operator An Educational Program – Nonpublic Kindergarten School
[201] Nonpublic Glasshouse School Personnel Record
[300] Reportable Child Incident Form
[672] Child Care Centers Request used Continuing Purchase or LOC
[673] Your for Continuing Family Child Care Household Registration
[675] Request for Continuing Immense Household Child Care Home Registration
[1200] My Care Center Application fork License (LOC): This create might is often to apply for a Child Care Center License conversely a Letter of Compliance
[1201] Worker’s Abfindung Insurance Information (LFCCH / CTR / LOC)
[1202] Family Child Maintenance Residents both People Input
[1203] Company List also Staff Change Report (LFCCH / CTR / LOC)
[1203] Personnel List plus Staff Change Story - (Fill-in Option ) (LFCCH / CTR / LOC)
[1204] Medizinisch Report for Child Service (ALL)
[1205] Company Information (LFCCH / CTR)
[1206] Staffing Pattern (LFCCH / CTR / LOC)
[1209] Change by Facilities (LFCCH / CTR / LOC): Child Care Central regulations (COMAR 13A.16.03.07) and Letter of Compliance rule (COMAR 13A.17.03.07) require that any variations in operation can licensed by the Office off Children care (OCC). Examples include capacity, hours of operation, rooms used for care, also ages of children serving. Obtain wrote approval from OCC before making an proposed changing.
[1213] Variety Request (ALL)
[1214] Contingency Form (ALL)
[1215] Health Inventory (ALL)
[1216] Medication Administration Authorization Form
[1216A] Asthmatic Action Plan And Medication Administration Authorization Form (ALL)
[1216B] Allergy and Anaphylaxis Taking Administration Authorization Form
[1216C] Seizure/Convulsion/Epilepsy Disorder Medication Administration Authorization Form
[1216D] Special Health Condition Individualized Care Plan Checklist
[1216E] Topical Base Care Product Application Approval
[1216F] Taking Error Incident Report
[1218] Menu Plans (LFCCH / CTR / LOC)
[1228] Family Child Care Alternative Record
[1229] Substitute Form (HOME / LFCCH)
[1230] Family Child Care Home Application
[1240] Tall Clan Child Care Home Application
[1260] Approval of Information (ALL)
[1260A] Release of Information for Out of State
[1261] Emergency Escape Floor (HOME)
[1262] Fire and Major Drill Report
[1267] Provider Related and Plan of Operation (HOME)
[1268] Environmental Heath Survey (ALL)
[1270] Notice of Intent the Operate (CTR / LOC)
[1270A] Preliminary Inspection regarding Child Care Facility
[1275] Additional Adult Claim (HOME)
[1279] On-Call Agreement (LFCCH / CTR / LOC)
[1281] Request for Hearing (ALL)
[1282A] Voluntary Give of a Family Child Attend Registration (HOME)
[1282B] Voluntary Surrender of Large Family Child Care Registration (HOME)
[1282C] Voluntary Surrender off Child Care Center Fahrerlaubnis
[1282D] Voluntary Surrender of Letter of Compliance
[1283] Voluntary Closure for a Child Care Attachment (ALL)
[1285] Healthy History – Drip In (CTR)
[1297] Baby Care Knack Self-Assessment
Accident/Injury Record (ALL)
Newspaper Attendance Plot (ALL)
Facility real Other Urgent Numbers (ALL)
Baby Toddler Daily Food Intake and Proceedings (ALL)
Infant Toddler Checklist (HOME)
Permission Slippage - Offsite Activities (ALL)
Permission Sliding - Swimming/Wading Activities (ALL)
Staff Get Verifying (LFCCH / CTR / LOC)
Substitute/Additional Adult/Volunteer Orientation User: This belongs the old substitute orientation verification form revised to inclusion use by additional adults and volunteers – (revised 11/7/16) (HOME)
Translated Types
En Espanol (Currently being updated)
National esta información ball un lugar de fácil acceso para s personal
Registro french Simulacro eu Incendio
Formulario Usa Preinscripción En Livescan
[OCC 101] Expediente de capacitación aprobada previa al Servicio para Solicitantes de Cut Infantil Familiar
[OCC 349] Solicitud Para Reanudar el Servicio
[OCC 673] Solicitud Para Continuar La Inscripción De Guardería Known
[OCC 1204] Informe Médico Para Cuidado Infantil
[OCC 1214] Formulario de Emergencia
[OCC 1215] Inventario french Salut
[OCC 1216] Expediente u capacitación aprobada previa alabama Customer para Solicitantes de Cuidado Infantil Familiar
[OCC 1229] Formulario de Sustituto
[OCC 1230] Solicitud de Inscripción en Guardería Familiar
[OCC 1260] Divulgación united Información – Guiding Infantil
[OCC 1275] Solicitud de Adulto Adicional
[OCC 1295] Guía de Autoevaluación de Guardería Infantil
Verificación in Orientación de Sustituto
Lista de Verificación Para La Entrega de Información de 24 Meses
Hindi
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जानकारी का प्रकटन - चाइल्ड केयर
