?n&/Q2[Gk2Ax2$ - ?)*por~$g*O #|}}r51yq!k]Iz Get access to thousands of forms. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Licensing Rules The sigNow extension was developed to help busy people like you to decrease the stress of putting your signature on papers. << 4 0 obj Required for new building/renovations only. 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. Use professional pre-built templates to fill in and sign documents online faster. 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. 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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- 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 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, Statewide Search for Licensed Child Care Centers/Homes, Provider Map for Licensed Child Care Centers/Homes, Child Care Providers Closed/Suspended Due to Disciplinary Action, LARA Summarily Suspends a Group Child Care Home License in Kent County, Gov. _gg+e8U4unu/!%}]Jiui2m(DX j!8qEWzx7Bv0>XzBU:z.s5E5MIs_RpU8&Y wrQ [Ns]=XQh[#R24)!RmG|1J|3= Wy The Child Care Licensing Bureau (CCLB) performs state licensing regulatory duties as required by state laws and federal requirements. 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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. Corporations, Securities & Commercial Licensing Bureau. Staffing Plan: Child Care Center CCL-5001 - Word A Camp SITE and Camp PROGRAM are licensed separately. There are three variants; a typed, drawn or uploaded signature. Environmental Health Provisions - BCAL-4668, Child Care Center Compliance Record, Part 3. We recommend providers use the Save & Continue feature to save their hours while we correct these issues. Reports may be obtained by making a Freedom of Information Act request. /Length 5 0 R 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. 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. /Filter /FlateDecode e1~BcU_+add;*^9,>a^9!:TNeS%{8*]Keq`&Ji7uSr{'shrZ~) Child Care Licensing . Forms for child foster care Minnesota Adoption and Child Foster Care Application DHS-4258A (9-17) (PDF) Minnesota Corporate Child Foster Care Application DHS-4258H (8-17) (PDF) Parental Consent for Swaddling an Infant DHS-7218 (7-13) (PDF) Physician Directive for Alternative Infant Sleep Position DHS-7216 (7-13) (PDF) Forms for family child care Install the signNow application on your iOS device. lara child care forms michigan child care payment schedule 2021 Create this form in 5 minutes! Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Once registered in SIGMA VSS, you will receive a SIGMA Vendor ID that will allow you to get paid for services performed. 2023 airSlate Inc. All rights reserved. An Online Resource for Skilled Immigrants. The Child Care Organizations Act (1973 PA 116) provides authority to establish these rules. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. >> Child care staffing shortages throughout the state have made it difficult to find caregivers for our youngest Michiganders. 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. The Dept. 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