Enter your 7-digitProvider ID and 6-character PIN, then press the Submit Button. 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. All you have to do is download it or send it via email. 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. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. 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$*E9QK \+1iv58mQk:5A/0GcYG%}0K'cw"e,x_Dkps{S6B}(7C6i>rW "1=rW +N9! n(@g#LiV]zP%Z:~Gq{6W Ps~[il,y.7Z2\Z]6%K\,dRAwghs\I[-FjVd6Q".4uxhE;#O=huj\Py!cRsi;T$(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 /Filter /FlateDecode 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. 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 Keystone State. Whitmer Makes $23 Million Bipartisan Investment to Start and Expand Child Care Businesses, Application Open 11/7, Gov. An Online Resource for Skilled Immigrants. 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. The whole procedure can last a few moments. % stream k X(W]GHwr mUe6m\:7AmcYpjY;RfUT;9P`k U+NQs%Hw2>wG>P\a{A &pgmsi 9`f8[PW . c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days To apply for either license, please follow the instructions specific to each category. n# 6H=f,=`S0p~gAs,o(W #1KIUHaF|mI5Ddf)u Michigan Office of Administrative Hearings and Rules. %PDF-1.5 )4sysa(!T+@Ghy/& p s9u"t%@N?r4, *iT?95:~ <6wcJ\H7vtH{! Play Observation - Preschool Lesson Plan Weekly Chart - Sample Daily Schedule - Printable Personnel and Staff Forms Here are some free printable sample Personnel and Employee forms and reports that you can modify and print for your own use. 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 Transportation Provisions - BCAL-1891, Child Care Center Compliance Record, Part 5. Please enable scripts and reload this page. 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 <>/Metadata 257 0 R/ViewerPreferences 258 0 R>> <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. CDC Provider Login Enter your 7-digitProvider ID and 6-character PIN, then press the Submit Button This message area was updated Tuesday, February 21, 2023. (3) An applicant for a child care center license must disclose the ownership interest in the child care center as . An Online Resource for Skilled Immigrants. If you wish to share the bcal 4605 with other parties, it is possible to send the file by electronic mail. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 4 0 obj endobj There are three variants; a typed, drawn or uploaded signature. 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 . Also, if using the "back" button, the Date Submitted may not appear and hours entered are not stored on the billing screens. %PDF-1.7 I will inform you before each occurrence. +z7?A}W 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. 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. 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. 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). All child care providers are required to have a licensing notebook on-site and available during regular business hours. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. 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. Print and read the applicable Licensing Rules for your Adult Foster Care Home,and 1979 PA 218prior to submitting your application. 3;Vpf !fn'~Y1qU."c.@*vz 4b%"Jt}L ,`z'Up\[8UDz9^OeK6'r#{*%4pSA2A0v69k"0qq4~-#^:Z9fYuKOw35 1 To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. 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. 4-10) Previous editions obsolete. Add the Child care renewal application for editing. 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. N?PQ$xhrjK@1DnpF7"9"VL? [R 400.1906(3)] There are animals and pets in the child care home. Licensing Rules for Child Care Centers and Homes provide minimum standards for regulated child care providers. Fire Safety Provisions - BCAL-0722, Child Care Center Compliance Record, Part 4. Corporations, Securities & Commercial Licensing Bureau. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. }{a,O,o7MYeUyYfAO~;gO}$+m^j1g(/5BdB ql8Z,yW~8vngeid L LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Playground Inspection Certification Summary CCL-5047 Word, Incident Report CCL-4605 - PDF Click onthe Register button. Use professional pre-built templates to fill in and sign documents online faster. "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% A full-time day care spot can take months or even years to secure, especially for the youngest children; 80% of day care spots are reserved for children age 3 or older. not subject to the Freedom of Information Act (1976 PA 422, as amended). 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 . 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-
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