For answers to questions about the CDC program, visit our website at www.michigan.gov/childcare. Choose the correct version of the editable PDF form from the list and get started filling it out. Free Child Care Forms, Printable Reports, Letters 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- /Length 5 0 R To apply for a new license or renew a license, use the applicable applications below. Guidance for Temporary Billing Based on Enrollment and not Attendance memo. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. n# 6H=f,=`S0p~gAs,o(W #1KIUHaF|mI5Ddf)u 4-10) Previous editions obsolete. % Adult Foster Care Application - Special Certification - BCAL-1053. My experience is hardly unique. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. All users have the responsibility to determine whether information obtained from this site is still accurate, current, and complete. Download your copy, save it to the cloud, print it, or share it right from the editor. 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. Select our eSignature tool and say goodbye to the old times with efficiency, affordability and security. The signNow extension gives you a variety of features (merging PDFs, including multiple signers, and many others) to guarantee a better signing experience. Michigan Office of Administrative Hearings and Rules. LARA is dedicated to bridging the gap between civilian and military . 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. You may be trying to access this site from a secured browser on the server. Print and read the applicable Licensing Rules for your Adult Foster Care Home,and 1979 PA 218prior to submitting your application. 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 The web Browser you are currently using is unsupported, and some features of this site may not work as intended. After that, your bcal 4605 is ready. Child Care Licensing - Michigan 3;Vpf !fn'~Y1qU."c.@*vz 4b%"Jt}L ,`z'Up\[8UDz9^OeK6'r#{*%4pSA2A0v69k"0qq4~-#^:Z9fYuKOw35 1 Start completing the fillable fields and carefully type in required information. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. It is the practice of LARA to obtain and verify information from the Child Care Homes Child Care Centers Checklists - Homes and Centers Renewal Applications An Online Resource for Skilled Immigrants. *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><. Get access to thousands of forms. Forms Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. And due to its multi-platform nature, signNow can be used on any gadget, desktop computer or smartphone, irrespective of the operating system. 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. Also, if using the "back" button, the Date Submitted may not appear and hours entered are not stored on the billing screens. Reports of such investigations are considered confidential records under MCL 722.627 and, therefore, ?mN,]jseyV.z~ONYq rK<9qNkFNmsq`_jU.1.Yl^y||EV^e`w7yr__SY;|@67rO3R(r^jO?>\? An Online Resource for Skilled Immigrants. not subject to the Freedom of Information Act (1976 PA 422, as amended). PDF BCAL-5001, Staffing Plan: Child Care Centers, Part 1: All Staff Add the PDF you want to work with using your camera or cloud storage by clicking on the. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Child Care Licensing Rules and Statutes - Michigan 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. Please enable scripts and reload this page. Swimming Provisions - BCAL-1890, Child Care Home Record Requirements - BCAL-5040, Child Care Center Record Requirements - BCAL-5041. We apologize for this inconvenience. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. endobj original source. Click on the Register button. Oq ]DX~s%Scr&=N>&Q%r'@8 ^PS5z`XIm=5 Homes for the Aged Exemption from Licensure. 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. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Corporations, Securities & Commercial Licensing Bureau. }{a,O,o7MYeUyYfAO~;gO}$+m^j1g(/5BdB ql8Z,yW~8vngeid L Licensing forms - Redirect to DHS Home Page (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 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. << Whitmer Makes $23 Million Bipartisan Investment to Start and Expand Child Care Businesses, Application Open 11/7 October 27, 2022 Use a lara incident report 2019 template to make your document workflow more streamlined. Received Medical Treatment if applicable and known Phone Number of Treating Physician / Medical Facility / Hospital if applicable Any Handicaps Health Problems or Exceptions Listed on the Child s Health Records if applicable If Fire Describe Damage PERSON S NOTIFIED law enforcement fire marshal parent/legal guardian etc. History [ edit] Reminder Regarding Temporary Rate Increases and End Dates: For additional information, please see the Child Care Provider Rates and Payments section of the CDC Handbook. "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% Select the document you want to sign and click. 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. The Dept. Playground Inspection Certification Summary CCL-5047 Word, Incident Report CCL-4605 - PDF Michigan Department of Licensing and Regulatory Affairs 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. Corporations, Securities & Commercial Licensing Bureau. Corporations, Securities & Commercial Licensing Bureau. If you have any problems and/or need assistance during the registration process, please contact SIGMA Vendor Payment Support at 1-855-443-6424. You may copy this form if you need additional sheets. Get access to thousands of forms. Self-Certification of Transportation Provisions for Centers CCL-5044 - Word, Volunteer Certification for Field Trip Transportation CCL-5046 - PDF LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. Licensing Rules PDF CD 322 - Child Care Staff Health Assessment - Department of Human Services 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. As these reports contain confidential information they are redacted before being posted on the Child Care Licensing Bureau (CCLB) website. Nh6>a5Pf=@x9HOf6UYf 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. 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
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