lara child care forms

1903 (1d)] All children who reside in the child care home have been immunized as recommended by the Department of Community Health. The Word documents are fillable and are intended for electronic completion. "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF [R 400. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. Also, if using the "back" button, the Date Submitted may not appear and hours entered are not stored on the billing screens. 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. If you wish to share the bcal 4605 with other parties, it is possible to send the file by electronic mail. 2 0 obj 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. All you have to do is download it or send it via email. 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. 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, 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, applicable Licensing Rules for your Adult Foster Care Home. \,%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 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. Begin automating your eSignature workflows today. 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. You may find the MiLogin RegistrationInstructionshelpful to navigate the website. The Dept. Select the area where you want to insert your eSignature and then draw it in the popup window. << Swimming Provisions - BCAL-1890, Child Care Home Record Requirements - BCAL-5040, Child Care Center Record Requirements - BCAL-5041. 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. ?mN,]jseyV.z~ONYq rK<9qNkFNmsq`_jU.1.Yl^y||EV^e`w7yr__SY;|@67rO3R(r^jO?>\? 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. Caring for Mi Future is a $100 million strategy to open 1,000 new child care programs by the end of 2024. 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. Select our eSignature tool and say goodbye to the old times with efficiency, affordability and security. Corporations, Securities & Commercial Licensing Bureau. The whole procedure can last a few moments. %PDF-1.7 And due to its multi-platform nature, signNow can be used on any gadget, desktop computer or smartphone, irrespective of the operating system. 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. Go digital and save time with signNow, the best solution for electronic signatures. 85UN#"&`Qr)jp+ZtsTewBUY^X_X<3yMtR5+ Click, Fillable Online Michigan Family Home Daycare Licensing, Rate able Online Michigan Family Home as 5 stars, Rate able Online Michigan Family Home as 4 stars, Rate able Online Michigan Family Home as 3 stars, Rate able Online Michigan Family Home as 2 stars, Rate able Online Michigan Family Home as 1 stars, how to become a licensed childcare provider in michigan, unlicensed child care provider michigan payment, michigan child care licensing application, michigan child care payment schedule 2021, Nm affordable housing credit claim form help 2011, Can I Sign South Dakota Standstill Agreement, Sign South Dakota Standstill Agreement Mobile, Sign South Dakota Standstill Agreement Now, Sign South Dakota Standstill Agreement Later, Sign South Dakota Standstill Agreement Myself, Sign South Dakota Standstill Agreement Free. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. Install the signNow application on your iOS device. All child care providers are required to have a licensing notebook on-site and available during regular business hours. x\o\U"$QWy7&jfgf.C*j+ S D?C)vQS| RJU c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. The Dept. /Filter /FlateDecode To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. x][o8~/H I&2; 8n H$^[5`tGY'ow/6={{g?efy^mI_&O'/? Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. 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. The PDF versions are not fillable and are intended for printing. Open the email you received with the documents that need signing. >;Njd*-B^do,P4{upzTKpZlWz eV +NP?o]1`dj?oQW5A~fA6X pj; 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 As new information becomes available, we will update this message area. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Follow our step-by-step guide on how to do paperwork without the paper. Nh6>a5Pf=@x9HOf6UYf 3;Vpf !fn'~Y1qU."c.@*vz 4b%"Jt}L ,`z'Up\[8UDz9^OeK6'r#{*%4pSA2A0v69k"0qq4~-#^:Z9fYuKOw35 1 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. L [H 3f&Yh!00\SLN32TDNf0m#|RQI,}g6T]a#hsxd B~/ Certification of School Building Fire Safety Provisions CCL-5043 - Word, Self-Certification of Transportation Provisions for Centers CCL-5044 - PDF Sec. Adult Foster Care Application - Special Certification - BCAL-1053. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. not subject to the Freedom of Information Act (1976 PA 422, as amended). Incorrect Star Ratings: A system issue has caused some licensed and registered providers to be paid at a rate that is incorrect for their star levels. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Important Notice: Providers who anticipate receiving payments from the Michigan Department of Health and Human Services (MDHHS) or the Michigan Department of Education (MDE). @B/7 +b|sN= Make these fast steps to edit the PDF Child care renewal application online free of charge: Sign up and log in to your account. Due to the President's Day Holiday, payments that would normally be issued on Thursday, 2/23/2023, will have a one-day delay and will be issued on Friday, 2/24/2023 instead. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Fire Safety Provisions - BCAL-0722, Child Care Center Compliance Record, Part 4. LARA assumes no responsibility for any errors or omissions, or for the use of information obtained from this site. Search for the document you need to eSign on your device and upload it. 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. n(@g#LiV]zP%Z:~Gq{6W Ps~[il,y.7Z2\Z]6%K\,dRAwghs\I[-FjVd6Q".4uxhE;#O=huj\Py!cRsi;T$(Lk=u9^TM7{zk.xZoF+~[`U-)XO&nTNgwaWj}|#;!iq4FYpE04FHRDTbel1^m>6h@z^P*hHe2]L?zqTzdnH9{Sah11:H +%93R?y '{1|u6)u&,Aehnv8C:%zYiJ|"-Z%V9C(RupDJ\glaR<8jwI.D 7,Prv,c5]E6hm2MFv5ag &Fmv$u14w](BlQ"x_gZ6\Pr5%e1n-ni!7NjX 8kZ )ZvCpC-1=4.]lr[eYcfkB Use its powerful functionality with a simple-to-use intuitive interface to fill out Lara daycare forms online, eSign them, and quickly share them without jumping tabs. An Online Resource for Skilled Immigrants. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. History [ edit] Click on the name of the facility for more detailed information including online inspection reports completed on or after July 1, 2002. The following table gives a summary of each of these child care license types, its definition under Michigan law, and where to find the associated rules and regulations. State of Michigan - Licensing and Regulatory Affairs - Child Care Licensing Bureau 722.115m Child care center, group child care home, or family child care home; requirements for licensure; disclosure of ownership interest. Please enable scripts and reload this page. Only updated Internet Explorer, FireFox, or Google Chrome browsers are compatible with MiLogin. All child care providers are required to have a licensing notebook on-site and available during regular business hours. Michigan Office of Administrative Hearings and Rules. To date, the governor has expanded access to free or low cost child care for 150,000 more kids and their families, awarded nearly $1 billion in grants to nearly 6,000 child care businesses, and provided bonuses up to $1,000 for 38,000 child care professionals. 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. k X(W]GHwr mUe6m\:7AmcYpjY;RfUT;9P`k U+NQs%Hw2>wG>P\a{A &pgmsi 9`f8[PW . I will inform you before each occurrence. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. This is one piece of a historic $1.4 billion investment to expand access to quality, affordable child care for families. Corporations, Securities & Commercial Licensing Bureau. The Word documents are fillable and are intended for electronic completion. CawfPHhFo.3@1}~Yq8Tf;rW.OY^]k=u,_9mVt H,8jaZ.+\pD;gTDsa0qpD/MK2H/%0[9.-71K66bRsw} C+,sTx71O Disclaimer: Licensing and registration records are made available on this website by LARA to provide immediate access to information for the Corporations, Securities & Commercial Licensing Bureau. As a result, you can download the signed bcal 4605 to your device or share it with other parties involved with a link or by email. ?n&/Q2[Gk2Ax2$ - ?)*por~$g*O #|}}r51yq!k]Iz endobj Guidance for Temporary Billing Based on Enrollment and not Attendance memo. Child Care License Designee CCL-5003 - Word, Certification of School Building Fire Safety Provisions CCL-5043 - PDF Michigan Office of Administrative Hearings and Rules. You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. Providers do not need to take any action at this time. Reports of such investigations are considered confidential records under MCL 722.627 and, therefore, The sigNow extension was developed to help busy people like you to decrease the stress of putting your signature on papers. 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, 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, Vehicle Protection Product Warrantor Forms. e1~BcU_+add;*^9,>a^9!:TNeS%{8*]Keq`&Ji7uSr{'shrZ~) Transportation Provisions - BCAL-1891, Child Care Center Compliance Record, Part 5. *You can now submit your Pennsylvania Child Abuse History Clearance Requestonline. Incident Report CCL-4605 - Word, Parent Notification of the Licensing Notebook CCL-5053 PDF, Parent Notification of the Licensing Notebook CCL-5053 - Word, Multiple Occupancy Documentation for Child Care Centers CCL- 2118 PDF, Multiple Occupancy Documentation for Child Care Centers CCL- 2118 Word, Ownership Interest Disclosure CCL-2119 PDF, Ownership Interest Disclosure CCL-2119 Word. Requesting Increases to Capacity and Ratio for Homes. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. This message area was updated Tuesday, February 21, 2023. There are three variants; a typed, drawn or uploaded signature. A Camp SITE and Camp PROGRAM are licensed separately. Corporation Forms; Limited Liability Company Forms; Limited Liability Partnership Form; . 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. *4UQuJ^'ILrlE~bPF8/'K'OeV'#o@=G6A.Bay`H Hlr&Ee/c{m .UB|Fl:S'`D"C@ Thq8H=0;<4>SLW{8V:Z$H4FK&\)C> K L@ GaL\x><. Once registered in SIGMA VSS, you will receive a SIGMA Vendor ID that will allow you to get paid for services performed. [R 400.1906(3)] There are animals and pets in the child care home. 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. /Length 5 0 R For answers to questions about the CDC program, visit our website at www.michigan.gov/childcare. % Select the area you want to sign and click. You will find a camp licensing overview, camp rules and statutes, forms, and resources to assist you at http://www.Michigan.gov/laracamps. Summer 2022 Child Care Stabilization Grants. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 3 0 obj 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. The PDF versions are not fillable and are intended for printing. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. An Online Resource for Skilled Immigrants. % Open the doc and select the page that needs to be signed. 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 1 0 obj Create your eSignature, and apply it to the page. Homes for the Aged Exemption from Licensure. Click on the Register button. The Michigan Department of Licensing and Regulatory Affairs ( LARA ), originally the Department of Commerce among other names, is a principal department in the Michigan executive branch that oversees employment, professional licensing, construction, and commerce . 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$*E9QK \+1iv58mQk:5A/0GcYG%}0K'cw"e,x_Dkps{S6B}(7C6i>rW "1=rW +N9! stream With over 9,000 vacancies, shortages of staff are impacting the industrys ability to serve children and families. f amended (MCL 722.621 - 722.638). signNow helps you fill in and sign documents in minutes, error-free. If you are a provider/licensed child care providerthat will be expecting compensation for services performed for MDHHS/MDE clients, you need to register with the Statewide Integrated Governmental Management Applications (SIGMA) Vendor Self Service (VSS) atwww.michigan.gov/sigmavss. n# 6H=f,=`S0p~gAs,o(W #1KIUHaF|mI5Ddf)u Michigan Office of Administrative Hearings and Rules. <>/Metadata 257 0 R/ViewerPreferences 258 0 R>> a. I am responsible for any child care charges for periods before my provider completes the Great Start to Quality Orientation. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. !7]/;xrWY-e [3Q E7z_;$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- (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 Records and reports of suspected child abuse or neglect are subject to the Child Protection Law, 1975 PA 238, as N?PQ$xhrjK@1DnpF7"9"VL? The signNow application is equally as productive and powerful as the web tool is. It is the practice of LARA to obtain and verify information from the Child Care Licensing . Child Care Homes Child Care Centers Checklists - Homes and Centers Renewal Applications 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. Also see Important Notice below regarding reimbursement from MDHHS. Create an account using your email or sign in via Google or Facebook. PFaD,;5UVrf$@`{&0,TrG,@(vb(v6Fr}Y[*ALewgALuchj%]FLz8U).

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