| C.C.A attendance forms 470-3872 |
Used to track the times in and out for children who are having their child care paid for by DHS through child care assistance. |
| C.C.A Agreement 470-3871 |
Form that providers fill out prior to being approved as eligible to provide child care assistance care. It lists your rates and the rules you must abide by in order to provide care through child care assistance. |
| Consents and Releases |
For any type of provider to use. Parents complete the form about who is authorized to pick up a child, what type of field trips are approved, and a photo release. This form should be kept in the child’s file at the child care program. |
| DHS Child Care Assistance |
More information from DHS regarding child care assistance rates. |
| Emergency Contact Form |
Required for a registered child development home. It lists the phone numbers for fire, paramedic, poison control, and each child’s parents, doctor, and emergency contact. |
| Emergency Plan Diagram |
Required for a registered child development home. You write and draw your plan in case of fire or tornado and where your outside meeting place is. |
| Fire Symbol |
Form with two fire symbols that you must display in registered child development homes by your designated fire exits. |
| Fire & Tornado Symbol |
Form with 1 symbol each for fire and tornado symbols required to be displayed in a registered child development home. |
| Getting Started |
A 19 page document from Redleaf National Institute with information about starting a family child care business. |
| Immunization Exemption Form |
Form parents complete if they refuse to immunize their children because of religion or doctor recommendation. |
| Injury Report Form |
Form from Healthy Child Care Iowa for child care staff or registered child development home to use to document an injury or accident. One copy is to be kept in the child’s file and one copy given to the parent or guardian. |
| Medication Record |
Form to be completed by the parent and provider when an enrolled child is given any medicine, topical cream, sunscreen, diaper ointment, breathing treatment, etc. Parent signature is required. |
| Monthly Fire Drills Smoke Alarms Tornado Drills |
Form to document when provider has practiced monthly fire/tornado drills and changed batteries in smoke alarms. |
| Physicians Statement Health Form |
Form to be used by child care provider and copy kept in provider files |
| Reg. Guidelines comm143 Child Development Home Registration Guidelines |
A 101 page document listing detailed rules and regulations concerning home registration. |
| Rules 441-110 |
A 13 page document listing guidelines for rules and regulations. |
| School Age Health Status Forms |
Packet of required information to be kept in the children’s file for each child enrolled. |
