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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 LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. All child care providers are required to have a licensing notebook on-site and available during regular business hours. An Online Resource for Skilled Immigrants. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. ?tfmV:gH3e4C+ \-lSXnD\fMC"o.2nDZBzfvwk o;3/ CawfPHhFo.3@1}~Yq8Tf;rW.OY^]k=u,_9mVt H,8jaZ.+\pD;gTDsa0qpD/MK2H/%0[9.-71K66bRsw} C+,sTx71O Get access to thousands of forms. Staffing Plan: Child Care Center CCL-5001 - Word Disclaimer: Licensing and registration records are made available on this website by LARA to provide immediate access to information for the 3;Vpf !fn'~Y1qU."c.@*vz 4b%"Jt}L ,`z'Up\[8UDz9^OeK6'r#{*%4pSA2A0v69k"0qq4~-#^:Z9fYuKOw35 1 Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. An assistant caregiver may care for your child in my absence. Whitmer Makes $23 Million Bipartisan Investment to Start and Expand Child Care Businesses, Application Open 11/7, Gov. c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days x][o8~/H I&2; 8n H$^[5`tGY'ow/6={{g?efy^mI_&O'/? Swimming Provisions - BCAL-1890, Child Care Home Record Requirements - BCAL-5040, Child Care Center Record Requirements - BCAL-5041. 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 LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. 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. PDF DHS-4025, Child Development and Care Provider Verification Go to the Chrome Web Store and add the signNow extension to your browser. 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. signNow helps you fill in and sign documents in minutes, error-free. Look through the document several times and make sure that all fields are completed with the correct information. e1~BcU_+add;*^9,>a^9!:TNeS%{8*]Keq`&Ji7uSr{'shrZ~) Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. The PDF versions are not fillable and are intended for printing. [R 400.1936 (1)] If yes, list: Out Strong Start is a program focusing on recruiting new child care entrepreneurs and helping current child care entrepreneurs expand. 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LARA assumes no responsibility for any errors or omissions, or for the use of information obtained from this site. Child care staffing shortages throughout the state have made it difficult to find caregivers for our youngest Michiganders. Michigan Office of Administrative Hearings and Rules. !tp,3+X =-N;HY(!8h y:ApBeX&Ct.e'me-q%mw#&*'?SejsiyyKcc\Z[5?X2eYcp)sr. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Self-Certification of Transportation Provisions for Centers CCL-5044 - Word, Volunteer Certification for Field Trip Transportation CCL-5046 - PDF "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. c++$U,y#Ohiizbz.kD'!vz$A[Nd[vLfx"dZLgr"T(^gM3^F2MUx{,[2LtPTm=4VOhjjB,LVKv 8KiY2\NVi"V?U0N~WE-@! Z49u0w~eC>?'reS@`v5qupy&V&k>!iLA)fILMa5pV\TAkIn2=]=J dYTewz]Ttk} XEnfG2k]O5A]03XD^O&dQKR//' =nTk6.d`| />LvXQ{$=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! @B/7 +b|sN= [R 400. If you have any problems and/or need assistance during the registration process, please contact SIGMA Vendor Payment Support at 1-855-443-6424. As these reports contain confidential information they are redacted before being posted on the Child Care Licensing Bureau (CCLB) website. The Child Care Organizations Act (1973 PA 116) provides authority to establish these rules. Go digital and save time with signNow, the best solution for electronic signatures. It is the practice of LARA to obtain and verify information from the 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. convenience of interested persons. 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Connect to a smooth web connection and start completing forms with a fully legitimate electronic signature within minutes. 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. History [ edit] 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- Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. /Filter /FlateDecode Use a lara incident report 2019 template to make your document workflow more streamlined. To apply for either license, please follow the instructions specific to each category. 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