You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. 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- LARA provides licensing services for three types of child care operations: family child care homes, group child care homes, and child care centers. e {LJ ro0`IL,. You may copy this form if you need additional sheets. 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. }{a,O,o7MYeUyYfAO~;gO}$+m^j1g(/5BdB ql8Z,yW~8vngeid L Complete this form within 72 hours of calling in a suspicion of abuse or neglect. An Online Resource for Skilled Immigrants. The notebook must include all licensing study and special investigation reports issued and related corrective actions developed after 5/27/10. *4UQuJ^'ILrlE~bPF8/'K'OeV'#o@=G6A.Bay`H Hlr&Ee/c{m .UB|Fl:S'`D"C@ Thq8H=0;<4>SLW{8V:Z$H4FK&\)C> K L@ GaL\x><. Summer 2022 Child Care Stabilization Grants. [R 400.1936 (1)] If yes, list: Playground Inspection Certification Summary CCL-5047 Word, Incident Report CCL-4605 - PDF As new information becomes available, we will update this message area. Staffing Plan: Child Care Center CCL-5001 - Word The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Enter your 7-digitProvider ID and 6-character PIN, then press the Submit Button. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Keystone State. !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@$!Dz&=bA!DO4 g39ATe]h- Business Entity Forms. b. I understand that if I am a child care staff member, I shall report to the child care facility within 3 business days after I have been arraigned for or convicted of 1 or more of the crimes listed in MCL 722.115r. The signNow application is equally as productive and powerful as the web tool is. PFaD,;5UVrf$@`{&0,TrG,@(vb(v6Fr}Y[*ALewgALuchj%]FLz8U). Michigan Office of Administrative Hearings and Rules. _gg+e8U4unu/!%}]Jiui2m(DX j!8qEWzx7Bv0>XzBU:z.s5E5MIs_RpU8&Y wrQ [Ns]=XQh[#R24)!RmG|1J|3= Wy Requesting Increases to Capacity and Ratio for Homes. Reminder: Keep up with important billing dates with the 2023 Payment Schedule at www.michigan.gov/childcare. lara child care forms michigan child care payment schedule 2021 Create this form in 5 minutes! You may be trying to access this site from a secured browser on the server. LARA assumes no responsibility for any errors or omissions, or for the use of information obtained from this site. To apply for a new license or renew a license, use the applicable applications below. 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. Corporations, Securities & Commercial Licensing Bureau. General Provisions - BCAL-1888, Child Care Center Compliance Record, Part 2. And due to its multi-platform nature, signNow can be used on any gadget, desktop computer or smartphone, irrespective of the operating system. 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 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 >;Njd*-B^do,P4{upzTKpZlWz eV +NP?o]1`dj?oQW5A~fA6X pj; (3) An applicant for a child care center license must disclose the ownership interest in the child care center as . After that, your bcal 4605 is ready. The recent changes to PA 116 allows family and group homes to request an increase in capacity if the licensee meets certain conditions. Obtain access to a GDPR and HIPAA compliant platform for optimum simpleness. All child care providers are required to have a licensing notebook on-site and available during regular business hours. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. All users have the responsibility to determine whether information obtained from this site is still accurate, current, and complete. 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. Michigan Office of Administrative Hearings and Rules. 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. Add the Child care renewal application for editing. stream convenience of interested persons. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. 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). 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 $1,000 for 38,000 child care professionals. Draw your signature or initials, place it in the corresponding field and save the changes. Corporations, Securities & Commercial Licensing Bureau. \,%s-&F"K?^j?qfAnL.YT.G$By\\9aOX 'A*SHIY]j~BuQb:|T2O7|?NWW{G@u/V\>>Vt+[7,F?)5}lyrO+qDJeGn9gqM#tt+mhN}T(!S Select our eSignature tool and say goodbye to the old times with efficiency, affordability and security. 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. Today, Gov. 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. stream 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. The Dept. Staffing Plan: Child Care Center CCL-5001 Excel, Child Care License Designee CCL-5003 - PDF LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. 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. L [H 3f&Yh!00\SLN32TDNf0m#|RQI,}g6T]a#hsxd B~/ e1~BcU_+add;*^9,>a^9!:TNeS%{8*]Keq`&Ji7uSr{'shrZ~) 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$*E9QK \+1iv58mQk:5A/0GcYG%}0K'cw"e,x_Dkps{S6B}(7C6i>rW "1=rW +N9! Corporations, Securities & Commercial Licensing Bureau. The Dept. (Ru>wr)K"Ef'77(@lk\C]nn*!\|C_I6[lo)s%>rI3buH:%rg#YNZ*rS]|(gR-S5[l+m8OK9|)?h;Tu?*iwl.ch"JC?P {s6>]h[24v J,n[D"GCgT^Q Jo%q7:QaIIw 8GOjT f The sigNow extension was developed to help busy people like you to decrease the stress of putting your signature on papers. To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. Proudly founded in 1681 as a place of tolerance and freedom. Reports may be obtained by making a Freedom of Information Act request. You can now submit your Pennsylvania Child Abuse History Clearance Request, Application for Certificate of Compliance for Center Group and Family, CD 51 (formerly CY 51) Child Health Assessment, CD 357 Documentation of Emergency Plan Delivery, CD 357 Request For Waiver of Child Care Facility Regulation, CY 863 Verbal Request for Release of Child, CY 867 Emergency Contact/Parental Consent Form, CY 113 Pennsylvania Child Abuse History Clearance, CY999 Consent/Release of Information Authorization Form, SP 4-164 Request for Criminal Record Check, PW 29A Day Care Services Enrollment/Attendance Record. After its signed its up to you on how to export your bcal 4605: download it to your mobile device, upload it to the cloud or send it to another party via email. The Dept. Use professional pre-built templates to fill in and sign documents online faster. An Online Resource for Skilled Immigrants. Child care staffing shortages throughout the state have made it difficult to find caregivers for our youngest Michiganders. x][o8~/H I&2; 8n H$^[5`tGY'ow/6={{g?efy^mI_&O'/? 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. /Length 5 0 R >> Our technical support staff is aware of this issue and is currently working to correct it. % 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, Playground Inspection Certification Summary CCL-5047 Word, 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, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Spanish, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Arabic, Michigan Child Care and Education Professional Development Record for Child Care Centers CCL-4591 - PDF, Michigan Child Care and Education Professional Development Record for Child Care Centers CCL-4591 - Word, Staffing Plan: Child Care Center CCL-5001 - PDF, Staffing Plan: Child Care Center CCL-5001 - Word, Staffing Plan: Child Care Center CCL-5001 Excel, Child Care License Designee CCL-5003 - PDF, Child Care License Designee CCL-5003 - Word, Certification of School Building Fire Safety Provisions CCL-5043 - PDF, Certification of School Building Fire Safety Provisions CCL-5043 - Word, Self-Certification of Transportation Provisions for Centers CCL-5044 - PDF, Self-Certification of Transportation Provisions for Centers CCL-5044 - Word, Volunteer Certification for Field Trip Transportation CCL-5046 - PDF, Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF, Family and Group Child Care Home Compliance Record - BCAL-4601, Preparing for Your License Renewal Fire Safety Inspection - BCAL-5048, Child Care Center Compliance Record, Part 1. ?tfmV:gH3e4C+ \-lSXnD\fMC"o.2nDZBzfvwk o;3/ A Camp SITE and Camp PROGRAM are licensed separately. The PDF versions are not fillable and are intended for printing. The notebook must include all licensing study and special investigation reports issued and related corrective actions developed after 5/27/10. Make these fast steps to edit the PDF Child care renewal application online free of charge: Sign up and log in to your account. that explains how to bill in the manner. 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. 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. 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. Michigan Office of Administrative Hearings and Rules. 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. This policy will be in effect through September 30, 2023. Create an account using your email or sign in via Google or Facebook. Michigan Office of Administrative Hearings and Rules. <>/Metadata 257 0 R/ViewerPreferences 258 0 R>> "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% x\o\U"$QWy7&jfgf.C*j+ S D?C)vQS| RJU !tp,3+X =-N;HY(!8h y:ApBeX&Ct.e'me-q%mw#&*'?SejsiyyKcc\Z[5?X2eYcp)sr. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. An assistant caregiver may care for your child in my absence. endobj Records and reports of suspected child abuse or neglect are subject to the Child Protection Law, 1975 PA 238, as Printing and scanning is no longer the best way to manage documents. 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. History [ edit] Out Strong Start is a program focusing on recruiting new child care entrepreneurs and helping current child care entrepreneurs expand. 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, Rules and Statutes | Child Care Licensing. Download your copy, save it to the cloud, print it, or share it right from the editor. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. *You can now submit your Pennsylvania Child Abuse History Clearance Requestonline. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment.
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