Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. _gg+e8U4unu/!%}]Jiui2m(DX j!8qEWzx7Bv0>XzBU:z.s5E5MIs_RpU8&Y wrQ [Ns]=XQh[#R24)!RmG|1J|3= Wy To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. 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Licensing Rules for Child Care Centers and Homes provide minimum standards for regulated child care providers. The PDF versions are not fillable and are intended for printing. endobj History [ edit] k X(W]GHwr mUe6m\:7AmcYpjY;RfUT;9P`k U+NQs%Hw2>wG>P\a{A &pgmsi 9`f8[PW . The web Browser you are currently using is unsupported, and some features of this site may not work as intended. To help streamline the process, the Child Care Licensing Bureau has developed a form for licensees to request the increase in capacity and a variance to allow for a ratio increase. not subject to the Freedom of Information Act (1976 PA 422, as amended). With signNow, it is possible to eSign as many documents in a day as you need at a reasonable price. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF % 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. 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. 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. *You can now submit your Pennsylvania Child Abuse History Clearance Requestonline. Reminder: Please see the Guidance for Temporary Billing Based on Enrollment and not Attendance memo. Homes for the Aged Exemption from Licensure. Get access to thousands of forms. Our Strong Start supports child care professionals with a team of trained navigators who connect them with grant opportunities, help troubleshoot any barriers in the licensing process, and address any concerns about starting or expanding their business. To help meet this need the Child Care Licensing Bureau is now accepting requests for exceptions to the rules, rule variances, identified by child care professionals as barriers to bringing on new staff members. A full-time day care spot can take months or even years to secure, especially for the youngest children; 80% of day care spots are reserved for children age 3 or older. [R 400.1906(3)] There are animals and pets in the child care home. c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days !tp,3+X =-N;HY(!8h y:ApBeX&Ct.e'me-q%mw#&*'?SejsiyyKcc\Z[5?X2eYcp)sr. You may be trying to access this site from a secured browser on the server. Free Child Care Forms, Printable Reports, Letters 4 0 obj e {LJ ro0`IL,. Only updated Internet Explorer, FireFox, or Google Chrome browsers are compatible with MiLogin. Add the PDF you want to work with using your camera or cloud storage by clicking on the. Michigan Office of Administrative Hearings and Rules. Today, Gov. Enter your 7-digitProvider ID and 6-character PIN, then press the Submit Button. !7]/;xrWY-e [3Q E7z_;$h;~|9sHo>9dN'~_Nw{\J Ywe;]/W.*|hZ0=)>+e*_.rho~x-w+yq6/X)y^4X5b 9~d|3~3UnZ9F1>nA0ww?,pg)_}$:_;t1c2-@57d"|Al@$!Dz&=bA!DO4 g39ATe]h- <> c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days (3) An applicant for a child care center license must disclose the ownership interest in the child care center as . endobj Corporations, Securities & Commercial Licensing Bureau. This information is updated once a day. convenience of interested persons. Get access to thousands of forms. endobj f Use professional pre-built templates to fill in and sign documents online faster. Once youve finished putting your signature on your bcal 4605, decide what you want to do after that - save it or share the doc with other people. Child Care Forms - Department of Human Services LARA assumes no responsibility for any errors or omissions, or for the use of information obtained from this site. And due to its multi-platform nature, signNow can be used on any gadget, desktop computer or smartphone, irrespective of the operating system. Get Form How to create an eSignature for the fillable online michigan family home daycare licensing The Dept. Michigan Child Care Licensing: Your Go-To Guide - Procare Solutions @B/7 +b|sN= 1903 (1d)] All children who reside in the child care home have been immunized as recommended by the Department of Community Health. After that, your bcal 4605 is ready. Renewal application for permit to conduct a child care service: Fill PDF CD 322 - Child Care Staff Health Assessment - Department of Human Services General Provisions - BCAL-1888, Child Care Center Compliance Record, Part 2. My experience is hardly unique. }{a,O,o7MYeUyYfAO~;gO}$+m^j1g(/5BdB ql8Z,yW~8vngeid L Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. N?PQ$xhrjK@1DnpF7"9"VL? Child Care Licensing . Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. PDF Michigan Child Care Background Check Consent and Disclosure [R 400. Swimming Provisions - BCAL-1890, Child Care Home Record Requirements - BCAL-5040, Child Care Center Record Requirements - BCAL-5041. 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. 1 MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CHILD CARE LICENSING BUREAU SPECIAL INVESTIGATION REPORT I. IDENTIFYING INFORMATION License #: DC630019539 Investigation #: 2023D0432005 Complaint Receipt Date: 11/30/2022 Investigation Initiation Date: 12/05/2022 Report Due Date: 01/29/2023 Licensee Name: Berkley Public Schools Licensee Address: 14700 Lincoln For answers to questions about the CDC program, visit our website at www.michigan.gov/childcare. Please note, if you do not register and obtain a SIGMA Vendor ID, MDHHS will not be able to process your payment. of Licensing and Regulatory Affairs (LARA), Child Care Licensing Bureau (CCLB), has summarily suspended the group child care home license of Connie Rookus, located at New Caring for Mi Future start-up grant helps entrepreneurs start a child care business in Michigan, expands access to quality, affordable care for more working families Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Go to the Chrome Web Store and add the signNow extension to your browser. Fire Safety Provisions - BCAL-0722, Child Care Center Compliance Record, Part 4. Open the doc and select the page that needs to be signed. Printing and scanning is no longer the best way to manage documents. Corporations, Securities & Commercial Licensing Bureau. Providers do not need to take any action at this time. L [H 3f&Yh!00\SLN32TDNf0m#|RQI,}g6T]a#hsxd B~/ The web Browser you are currently using is unsupported, and some features of this site may not work as intended. The sigNow extension was developed to help busy people like you to decrease the stress of putting your signature on papers. Child Care Licensing - Michigan Child Care Licensing Rules and Statutes - Michigan To apply for a new license or renew a license, use the applicable applications below. All child care providers are required to have a licensing notebook on-site and available during regular business hours. Licensing Rules for Family and Group Child Care Homes, NORMAS DE CONCESIN DE LICENCIAS PARA HOGARES DE CUIDADO INFANTIL FAMILIARES Y GRUPALES - BCAL-PUB-714-SP, Licensing Rules for Family and Group Child Care Homes_Arabic, Licensing Rules for Family and Group Child Care Homes_Chinese, Licensing Rules for Child Care Centers - Amended 2/22/2022, Child Protection Law, 1975 PA 238 - DHHS PUB-3, Child Care Organizations Act, 1973 PA 116 - BCAL PUB-14, Michigan Vehicle Code (Booster Seats), 1949 PA 300, MCL 257.710e, Children's Product Safety Act, 2000 PA 219, Michigan Vehicle Code (Child Restraints), 1949 PA 300, MCL 257.710d, Listed Offenses from the Sex Offenders Registration Act, 1994 PA 295, MCL 28.722(e). Reports may be obtained by making a Freedom of Information Act request. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> x\o\U"$QWy7&jfgf.C*j+ S D?C)vQS| RJU 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! The notebook must include all licensing study and special investigation reports issued and related corrective actions developed after 5/27/10. Select the area where you want to insert your eSignature and then draw it in the popup window. An assistant caregiver may care for your child in my absence. An Online Resource for Skilled Immigrants. We recommend providers use the Save & Continue feature to save their hours while we correct these issues. PDF Ownership Interest Disclosure Forms & Publications - Michigan Requesting Increases to Capacity and Ratio for Homes. An Online Resource for Skilled Immigrants. This policy will be in effect through September 30, 2023. Summer 2022 Child Care Stabilization Grants. LARA provides licensing services for three types of child care operations: family child care homes, group child care homes, and child care centers. The Child Care Organizations Act (1973 PA 116) provides authority to establish these rules. You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. 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. of Licensing and Regulatory Affairs (LARA), Child Care Licensing Bureau (CCLB) will host a Child Care Access Fair at North Central Michigan College in Petoskey on Apri LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. c. I am responsible for reporting child care payments to the IRS and issuing my provider a Form W-2 or Form 1099 MISC, if appropriate. 2 0 obj Reports may be obtained by making a Freedom of Information Act request. 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. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. You may find the MiLogin RegistrationInstructionshelpful to navigate the website. \,%s-&F"K?^j?qfAnL.YT.G$By\\9aOX 'A*SHIY]j~BuQb:|T2O7|?NWW{G@u/V\>>Vt+[7,F?)5}lyrO+qDJeGn9gqM#tt+mhN}T(!S 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. To apply for either license, please follow the instructions specific to each category. 5m. ?tfmV:gH3e4C+ \-lSXnD\fMC"o.2nDZBzfvwk o;3/ An Online Resource for Skilled Immigrants. Important Notice: Providers who anticipate receiving payments from the Michigan Department of Health and Human Services (MDHHS) or the Michigan Department of Education (MDE). The signNow extension gives you a variety of features (merging PDFs, including multiple signers, and many others) to guarantee a better signing experience. Whitmer Makes $23 Million Bipartisan Investment to Start and Expand Child Care Businesses, Application Open 11/7, Gov. Business Entity Forms. Log in to the editor with your credentials or click on Create free account to test the tool's functionality. As new information becomes available, we will update this message area. All you have to do is download it or send it via email. 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 Follow our step-by-step guide on how to do paperwork without the paper. CDC Provider Login - Michigan Department of Health and Human Services +z7?A}W The statutes listed are referenced in the licensing rules. Tax Questions: Please keep in mind that CDC staff are not tax experts and are unable to answer questions related to filing your taxes. Staffing Plan: Child Care Center CCL-5001 - Word Lara Incident Report - Fill Out and Sign Printable PDF Template | signNow 3;Vpf !fn'~Y1qU."c.@*vz 4b%"Jt}L ,`z'Up\[8UDz9^OeK6'r#{*%4pSA2A0v69k"0qq4~-#^:Z9fYuKOw35 1 signNow makes eSigning easier and more convenient since it offers users a number of extra features like Merge Documents, Invite to Sign, Add Fields, etc. [R 400.1936 (1)] If yes, list: Child Care Homes Child Care Centers Checklists - Homes and Centers Renewal Applications All child care providers are required to have a licensing notebook on-site and available during regular business hours. Obtain access to a GDPR and HIPAA compliant platform for optimum simpleness. Choose the correct version of the editable PDF form from the list and get started filling it out. /Length 5 0 R The Dept. Create an account using your email or sign in via Google or Facebook. 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.
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