Child Care Licensing Resources:

Child Care Forms & Publications

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Form No. Date Title
N/A 04/06 Family Child Care Policy Sample - Word
N/A 04/06 Family Child Care Policy Sample - PDF
CFS-52 09/05 Vehicle Safety Inspection
CFS-53 12/04 Staff Record - Child Care Centers
CFS-53A 12/04 Staff Continuing Education Record - Child Care Centers
CFS-54 12/04 Staff Health Report - Child Care Provider
CFS-55 12/04 Accident Report - Child Care Centers (PDF)
CFS-55 12/04 Accident Report - Child Care Centers (Word)
CFS-56 01/05 Transportation Permission - Child Care Centers
CFS-57 12/04 Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers
CFS-58 12/04 Field Trip or Other Activity Notification/Permission - Child Care Centers
CFS-58R 12/04

ИЗВЕЩЕНИЕ / РАЗРЕШЕНИЕ НА ЭКСКУРСИЮ ИЛИ ДРУГОЕ МЕРОПРИЯТИЕ - ЦЕНТРЫ ПО УХОДУ ЗА ДЕТЬМИ
CFS-58S 12/04 Authorización/Notificación De Excursión Escolar U Otra Actividad De Guarderias
CFS-59 07/05 Authorization to Administer Medication - Child Care Centers
CFS-59R 07/05 РАЗРЕШЕНИЕ НА ПРИЕМ (ВВЕДЕНИЕ) ЛЕКАРСТВА - ЦЕНТРЫ ПО УХОДУ ЗА ДЕТЬМИ
CFS-59S 07/05 Autorización Para Administrar Medicamentos - Centros De Cuidado Infantil
CFS-60 01/06 Child Health Report - Child Care Centers
CFS-60R 02/08 ОТЧЕТ О ЗДОРОВЬЕ РЕБЕНКА - ЦЕНТРЫ ПО УХОДУ ЗА ДЕТЬМИ
CFS-60S 01/06 Informe Médico Del Niño - Guarderias
CFS-61 02/05 Intake for Child Under 2 Years - Child Care Centers
CFS-61R 02/08

ИНФОРМАЦИЯ, НЕОБХОДИМАЯ ДЛЯ ПРИЕМА РЕБЕНКА ДО 2 ЛЕТ - ЦЕНТРЫ ПО УХОДУ ЗА ДЕТЬМИ
CFS-61S 02/05 Admision Para Ninos Menores de 2 Anos - Guarderias
CFS-62 01/05 Child Care Enrollment
CFS-62R 01/05 ЗАЧИСЛЕНИЕ В ЦЕНТРЫ ПО УХОДУ ЗА ДЕТЬМИ
CFS-62S 01/05 Inscripción En El Servicio De Cuidado Infantil (PDF)
CFS-62S 01/05 Inscripción En El Servicio De Cuidado Infantil (Word)
CFS-63 04/07 Licensing Checklist - Group Child Care Centers HFS 46
HFS-64A 02/08 Background Information Disclosure
HFS-64AH 02/08 LUS QHIA UA TXOG DAIM NTAWV QHIA TAWM TXOG KEEB KWM
HFS-64AS 02/05 Instrucciones Para Divulgar Informacion de Antecedentes
CFS-65 01/05 License Application - Group Child Care Centers
CFS-67 01/05 License Application - Family Child Care Centers
CFS-69 10/05 Licensing Checklist - Family Child Care Centers HFS 45
CFS-70 04/07 Licensing Checklist - Day Camps for Children
CFS-78 09/07 Child Care Staff-to-Child Ratio Worksheet Group Child Care Centers
PFS-101 01/06 It Shouldn't Hurt to be a Child
CFS-104 07/07 Alternate Arrival / Release Agreement - Child Care Centers
CFS-297 09/05 Request for Exception
CFS-460 01/05 Fire Safety and Emergency Response Documentation - Family Child Care Centers
CFS-497 11/04 Directory Listing / Mailing Labels Order
CFS-543 01/05 Fire Safety and Emergency Response Documentation - Group Child Care Centers
CFS-782 05/05 License Application - Day Camps for Children
CFS-1675 01/05 Child Record Checklist - Child Care Centers
CFS-1675A 12/04 Staff Record Checklist - Group Child Care Centers
CFS-2022 12/07 Ordering Information - Inquiry Packets
CFS-2026 12/05 Staff Orientation Checklist - Group Child Care Centers
CFS-2027 01/05 Volunteer Training Confirmation - Group Child Care Centers
CFS-2048 02/05 Policy Checklist - Group Child Care Centers
CFS-2114 09/05 Continuing Education Record - Independent Reading / Video Viewing
CFS-2241 01/06 Initial Licensing Checklist - Family Child Care Centers
CFS-2242 01/05 Initial Licensing Checklist - Group Child Care Centers
CFS-2255 04/06 Staff Orientation Checklist - Family Child Care Centers
CFS-2261 11/03 Caregiver Background Checks Substantially Related Investigation Report (PDF)
CFS-2261 11/03 Caregiver Background Checks Substantially Related Investigation Report (Word)
CFS-2344 10/06 Building Inspection Report - Child Care Centers
CFS-2345 07/05 Health History and Emergency Care Plan
CFS-2345S 07/05 Plan Historial De Salud Y Cuidado De Emergencia
CFS-2356 03/06 Policy Checklist - Family Child Care Centers
PFS-3038 08/07 Instructions for Obtaining Forms - Group & Family Child Care Centers
PFS-3064 01/05 Requirements for Caregiver Background Checks for Child Care Centers
DPH-4020L 02/08 Student Immunization Record
DPH-4020S 02/08 Registro De Vacunas Del Estudiante
PFS-4085 07/07 Licensing Collaborative Child Care Programs
PFS-4088 06/05 Use of 10+ Passenger Vans To Transport Children To and From Schools
PFS-4091 02/05 Entry-Level Non-Credit Courses for Licensed Child Care
DPH-4192 02/08 Day Care Immunization Record
DPH-4192S 07/03 Registro De Inmunizaciones Para Guardería Infantil