4 0 obj Today, Gov. Open the email you received with the documents that need signing. amended (MCL 722.621 - 722.638). Please enable scripts and reload this page. endobj 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 . 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. Use professional pre-built templates to fill in and sign documents online faster. 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. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. 5m. 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. The Child Care Organizations Act (1973 PA 116) provides authority to establish these rules. 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. Summer 2022 Child Care Stabilization Grants. 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. Open the doc and select the page that needs to be signed. With over 9,000 vacancies, shortages of staff are impacting the industrys ability to serve children and families. Whitmer Launches New Program to Help Entrepreneurs Open New Child Care Programs, Increase Availability of Affordable Care for Parents, LARA Hosts Child Care Provider Access Fair In Petoskey. 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. stream Get Form How to create an eSignature for the fillable online michigan family home daycare licensing 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. 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 Required for new building/renovations only. After that, your bcal 4605 is ready. 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. Corporations, Securities & Commercial Licensing Bureau. Out Strong Start is a program focusing on recruiting new child care entrepreneurs and helping current child care entrepreneurs expand. Corporations, Securities & Commercial Licensing Bureau. Licensing Rules for Child Care Centers and Homes provide minimum standards for regulated child care providers. 85UN#"&`Qr)jp+ZtsTewBUY^X_X<3yMtR5+ *You can now submit your Pennsylvania Child Abuse History Clearance Requestonline. To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. To apply for either license, please follow the instructions specific to each category. Only updated Internet Explorer, FireFox, or Google Chrome browsers are compatible with MiLogin. Forms Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. << lara child care forms michigan child care payment schedule 2021 Create this form in 5 minutes! The statutes listed are referenced in the licensing rules. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please note, if you do not register and obtain a SIGMA Vendor ID, MDHHS will not be able to process your payment. 2023 airSlate Inc. All rights reserved. f 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. Required Camp Policies and Documents Guidance. Michigan Office of Administrative Hearings and Rules. Use professional pre-built templates to fill in and sign documents online faster. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. stream Add the Child care renewal application for editing. 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. All child care providers are required to have a licensing notebook on-site and available during regular business hours. Reminder: Please see the Guidance for Temporary Billing Based on Enrollment and not Attendance memo. Use signNow to electronically sign and share Lara bcal for eSigning. Business Entity Forms. n# 6H=f,=`S0p~gAs,o(W #1KIUHaF|mI5Ddf)u ?mN,]jseyV.z~ONYq rK<9qNkFNmsq`_jU.1.Yl^y||EV^e`w7yr__SY;|@67rO3R(r^jO?>\? !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@$!Dz&=bA!DO4 g39ATe]h- Decide on what kind of eSignature to create. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. Sec. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. >;Njd*-B^do,P4{upzTKpZlWz eV +NP?o]1`dj?oQW5A~fA6X pj; signNow helps you fill in and sign documents in minutes, error-free. Gov. *4UQuJ^'ILrlE~bPF8/'K'OeV'#o@=G6A.Bay`H Hlr&Ee/c{m .UB|Fl:S'`D"C@ Thq8H=0;<4>SLW{8V:Z$H4FK&\)C> K L@ GaL\x><. /Filter /FlateDecode As new information becomes available, we will update this message area. CawfPHhFo.3@1}~Yq8Tf;rW.OY^]k=u,_9mVt H,8jaZ.+\pD;gTDsa0qpD/MK2H/%0[9.-71K66bRsw} C+,sTx71O 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 3 0 obj Oq ]DX~s%Scr&=N>&Q%r'@8 ^PS5z`XIm=5 c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days Certification of School Building Fire Safety Provisions CCL-5043 - Word, Self-Certification of Transportation Provisions for Centers CCL-5044 - PDF General Provisions - BCAL-1888, Child Care Center Compliance Record, Part 2. Get access to thousands of forms. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Child Care Homes Child Care Centers Checklists - Homes and Centers Renewal Applications Add the PDF you want to work with using your camera or cloud storage by clicking on the. As these reports contain confidential information they are redacted before being posted on the Child Care Licensing Bureau (CCLB) website. Install the signNow application on your iOS device. Providers submitting billing are timing out before the PDF invoice displays. 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 Caring for Mi Future is a $100 million strategy to open 1,000 new child care programs by the end of 2024. a. I am responsible for any child care charges for periods before my provider completes the Great Start to Quality Orientation. Reminder: Keep up with important billing dates with the 2023 Payment Schedule at www.michigan.gov/childcare. 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. Michigan Office of Administrative Hearings and Rules. Create your eSignature, and apply it to the page. 3;Vpf !fn'~Y1qU."c.@*vz 4b%"Jt}L ,`z'Up\[8UDz9^OeK6'r#{*%4pSA2A0v69k"0qq4~-#^:Z9fYuKOw35 1 To apply for a new license or renew a license, use the applicable applications below. Click onthe Register button. _gg+e8U4unu/!%}]Jiui2m(DX j!8qEWzx7Bv0>XzBU:z.s5E5MIs_RpU8&Y wrQ [Ns]=XQh[#R24)!RmG|1J|3= Wy Go digital and save time with signNow, the best solution for electronic signatures. Child Care License Designee CCL-5003 - Word, Certification of School Building Fire Safety Provisions CCL-5043 - PDF This information is updated once a day. Also, if using the "back" button, the Date Submitted may not appear and hours entered are not stored on the billing screens. Look through the document several times and make sure that all fields are completed with the correct information. Search for the document you need to eSign on your device and upload it. 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. Child Care Licensing . "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% endobj Child care staffing shortages throughout the state have made it difficult to find caregivers for our youngest Michiganders. Whitmer Makes $23 Million Bipartisan Investment to Start and Expand Child Care Businesses, Application Open 11/7, Gov. 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. ?n&/Q2[Gk2Ax2$ - ?)*por~$g*O #|}}r51yq!k]Iz And due to its multi-platform nature, signNow can be used on any gadget, desktop computer or smartphone, irrespective of the operating system. An Online Resource for Skilled Immigrants. MS Word STAFFING PLAN: CHILD CARE CENTERS PART 2: LEAD CAREGIVERS Date of Completion Infant/Toddler Caregivers Name of Lead Caregiver Infant/Tod-Date of Assignment Age group or Assigned room Education Exper- Play Observation - Preschool Lesson Plan Weekly Chart - Sample Daily Schedule - Printable Personnel and Staff Forms Here are some free printable sample Personnel and Employee forms and reports that you can modify and print for your own use. 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. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Corporations, Securities & Commercial Licensing Bureau. Click on the name of the facility for more detailed information including online inspection reports completed on or after July 1, 2002. I will inform you before each occurrence. Select our eSignature tool and say goodbye to the old times with efficiency, affordability and security. We apologize for this inconvenience. The Dept. You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. Make these fast steps to edit the PDF Child care renewal application online free of charge: Sign up and log in to your account. Corporations, Securities & Commercial Licensing Bureau. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Staffing Plan: Child Care Center CCL-5001 - Word Michigan Office of Administrative Hearings and Rules. [R 400.1906(3)] There are animals and pets in the child care home. LARA is dedicated to bridging the gap between civilian and military . History [ edit] LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Create an account using your email or sign in via Google or Facebook. Reports of such investigations are considered confidential records under MCL 722.627 and, therefore, Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 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). The Word documents are fillable and are intended for electronic completion. BCAL-5001 Part 2 (Rev. @B/7 +b|sN= The signNow application is equally as productive and powerful as the web tool is. Michigan Office of Administrative Hearings and Rules. These child care forms include printable curriculum forms and child care lesson plans. b. CDC payments will be issued to me and I am responsible for paying my provider. Printing and scanning is no longer the best way to manage documents. The notebook must include all licensing study and special investigation reports issued and related corrective actions developed after 5/27/10. 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 $1,000 for 38,000 child care professionals. The best way to generate an eSignature for your PDF document online, The best way to generate an eSignature for your PDF document in Google Chrome, How to make an electronic signature for signing PDFs in Gmail, How to create an electronic signature right from your smart phone, How to create an electronic signature for a PDF document on iOS, How to create an electronic signature for a PDF on Android OS, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. Print and read the Licensing Rules for Home for the Aged,and 1978 PA 368(emphasis Part 201 and 213) prior to submitting your application. My experience is hardly unique. Fire Safety Provisions - BCAL-0722, Child Care Center Compliance Record, Part 4. Connect to a smooth web connection and start completing forms with a fully legitimate electronic signature within minutes. Adult Foster Care Application - Special Certification - BCAL-1053. Download your copy, save it to the cloud, print it, or share it right from the editor. x][o8~/H I&2; 8n H$^[5`tGY'ow/6={{g?efy^mI_&O'/? Nh6>a5Pf=@x9HOf6UYf Corporation Forms; Limited Liability Company Forms; Limited Liability Partnership Form; . Licensing Rules Requesting Increases to Capacity and Ratio for Homes. Transportation Provisions - BCAL-1891, Child Care Center Compliance Record, Part 5. 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. Obtain access to a GDPR and HIPAA compliant platform for optimum simpleness. 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. Once registered in SIGMA VSS, you will receive a SIGMA Vendor ID that will allow you to get paid for services performed. Print and read the applicable Licensing Rules for your Adult Foster Care Home,and 1979 PA 218prior to submitting your application. <>/Metadata 257 0 R/ViewerPreferences 258 0 R>> All users have the responsibility to determine whether information obtained from this site is still accurate, current, and complete. 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 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, Statewide Search for Licensed Child Care Centers/Homes, Provider Map for Licensed Child Care Centers/Homes, Child Care Providers Closed/Suspended Due to Disciplinary Action, LARA Summarily Suspends a Group Child Care Home License in Kent County, Gov. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. 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 <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> %PDF-1.7 Providers do not need to take any action at this time. !tp,3+X =-N;HY(!8h y:ApBeX&Ct.e'me-q%mw#&*'?SejsiyyKcc\Z[5?X2eYcp)sr. You may find the MiLogin RegistrationInstructionshelpful to navigate the website. Playground Inspection Certification Summary CCL-5047 Word, Incident Report CCL-4605 - PDF 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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