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[R 400.1936 (1)] If yes, list: Corporations, Securities & Commercial Licensing Bureau. You may copy this form if you need additional sheets. !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@$!Dz&=bA!DO4 g39ATe]h- Fire Safety Provisions - BCAL-0722, Child Care Center Compliance Record, Part 4. My experience is hardly unique. *4UQuJ^'ILrlE~bPF8/'K'OeV'#o@=G6A.Bay`H Hlr&Ee/c{m .UB|Fl:S'`D"C@ Thq8H=0;<4>SLW{8V:Z$H4FK&\)C> K L@ GaL\x><. All users have the responsibility to determine whether information obtained from this site is still accurate, current, and complete. PDF Ownership Interest Disclosure The statutes listed are referenced in the licensing rules. 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. b. CDC payments will be issued to me and I am responsible for paying my provider. Forms Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. f Use professional pre-built templates to fill in and sign documents online faster. The PDF versions are not fillable and are intended for printing. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. PDF DHS-4025, Child Development and Care Provider Verification Michigan Office of Administrative Hearings and Rules. Statewide Search for Licensed Child Care Centers and Homes Begin automating your eSignature workflows today. After that, your bcal 4605 is ready. BCAL-5001 Part 2 (Rev. Once registered in SIGMA VSS, you will receive a SIGMA Vendor ID that will allow you to get paid for services performed. If you have questions concerning filing your taxes, see page 5 of the CDC Handbook or contact your tax preparer. Michigan Office of Administrative Hearings and Rules. Swimming Provisions - BCAL-1890, Child Care Home Record Requirements - BCAL-5040, Child Care Center Record Requirements - BCAL-5041. The Dept. Business Entity Forms. 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- Go to the Chrome Web Store and add the signNow extension to your browser. 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. If you wish to share the bcal 4605 with other parties, it is possible to send the file by electronic mail. /Length 5 0 R License Application Packet - Michigan To apply for aChild Care Home or Center licensesee the instructions below and apply online at MiLogin. Our technical support staff is aware of this issue and is currently working to correct it. The Word documents are fillable and are intended for electronic completion. General Provisions - BCAL-1888, Child Care Center Compliance Record, Part 2. State of Michigan Department of Licensing and Regulatory Affairs Lansing This is one piece of a historic $1.4 billion investment to expand access to quality, affordable child care for families. Reminder: Please see the Guidance for Temporary Billing Based on Enrollment and not Attendance memo. %PDF-1.7 The Child Care Licensing Bureau (CCLB) performs state licensing regulatory duties as required by state laws and federal requirements. Staffing Plan: Child Care Center CCL-5001 Excel, Child Care License Designee CCL-5003 - PDF 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. Providers do not need to take any action at this time. The notebook must include all licensing study and special investigation reports issued and related corrective actions developed after 5/27/10. /Filter /FlateDecode Sec. An Online Resource for Skilled Immigrants. I will inform you before each occurrence. Use its powerful functionality with a simple-to-use intuitive interface to fill out Lara daycare forms online, eSign them, and quickly share them without jumping tabs. 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 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. Whitmer Makes $23 Million Bipartisan Investment to Start and Expand Child Care Businesses, Application Open 11/7, Gov. Forms & Publications - Michigan k X(W]GHwr mUe6m\:7AmcYpjY;RfUT;9P`k U+NQs%Hw2>wG>P\a{A &pgmsi 9`f8[PW . Required for new building/renovations only. Get access to thousands of forms. Decide on what kind of eSignature to create. 85UN#"&`Qr)jp+ZtsTewBUY^X_X<3yMtR5+ }{a,O,o7MYeUyYfAO~;gO}$+m^j1g(/5BdB ql8Z,yW~8vngeid L Log in to the editor with your credentials or click on Create free account to test the tool's functionality. <> Today, Gov. 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 *You can now submit your Pennsylvania Child Abuse History Clearance Requestonline. Required Camp Policies and Documents Guidance. 1903 (1d)] All children who reside in the child care home have been immunized as recommended by the Department of Community Health. ?tfmV:gH3e4C+ \-lSXnD\fMC"o.2nDZBzfvwk o;3/ Disclaimer: Licensing and registration records are made available on this website by LARA to provide immediate access to information for the Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. c. I am responsible for reporting child care payments to the IRS and issuing my provider a Form W-2 or Form 1099 MISC, if appropriate. lara child care forms michigan child care payment schedule 2021 Create this form in 5 minutes! 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. Child Care Licensing Rules and Statutes | Child Care Licensing Licensing Rules for Child Care Centers and Homes provide minimum standards for regulated child care providers. L [H 3f&Yh!00\SLN32TDNf0m#|RQI,}g6T]a#hsxd B~/ Use a lara incident report 2019 template to make your document workflow more streamlined. Choose the correct version of the editable PDF form from the list and get started filling it out. The Dept. 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. Click onthe Register button. You may be required to add "Michigan.gov" to your compatibility view settings for the application to be submitted successfully. 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. LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. endobj Reminder: Keep up with important billing dates with the 2023 Payment Schedule at www.michigan.gov/childcare. 4 0 obj Obtain access to a GDPR and HIPAA compliant platform for optimum simpleness. 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. Start completing the fillable fields and carefully type in required information. The following table gives a summary of each of these child care license types, its definition under Michigan law, and where to find the associated rules and regulations. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. [R 400.1906(3)] There are animals and pets in the child care home. Draw your signature or initials, place it in the corresponding field and save the changes. Complete this form within 72 hours of calling in a suspicion of abuse or neglect. As new information becomes available, we will update this message area. BCAL-3900, Child In Care Statement/Receipt - IA Rugby.com Print and read the Licensing Rules for Home for the Aged,and 1978 PA 368(emphasis Part 201 and 213) prior to submitting your application. %PDF-1.5 % 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. Open the doc and select the page that needs to be signed. LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Out Strong Start is a program focusing on recruiting new child care entrepreneurs and helping current child care entrepreneurs expand. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. The whole procedure can last a few moments. "# +bc5iA F WXJT3H>.Le|e0}etGyJFx{ln(oTm=uYwQhW#Cf~53a4~I &!p"fy}L Eo$% Forms for child foster care Minnesota Adoption and Child Foster Care Application DHS-4258A (9-17) (PDF) Minnesota Corporate Child Foster Care Application DHS-4258H (8-17) (PDF) Parental Consent for Swaddling an Infant DHS-7218 (7-13) (PDF) Physician Directive for Alternative Infant Sleep Position DHS-7216 (7-13) (PDF) Forms for family child care Child Care Licensing . >> _gg+e8U4unu/!%}]Jiui2m(DX j!8qEWzx7Bv0>XzBU:z.s5E5MIs_RpU8&Y wrQ [Ns]=XQh[#R24)!RmG|1J|3= Wy If you have any problems and/or need assistance during the registration process, please contact SIGMA Vendor Payment Support at 1-855-443-6424. PDF Michigan Child Care Background Check Consent and Disclosure \,%s-&F"K?^j?qfAnL.YT.G$By\\9aOX 'A*SHIY]j~BuQb:|T2O7|?NWW{G@u/V\>>Vt+[7,F?)5}lyrO+qDJeGn9gqM#tt+mhN}T(!S Michigan Child Care Licensing: Your Go-To Guide - Procare Solutions 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! c. A child care licensee, licensee designee, or program director shall report to the department within 3 business days Add the Child care renewal application for editing. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 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. of Licensing and Regulatory Affairs (LARA), Child Care Licensing Bureau (CCLB) will host a Child Care Access Fair at North Central Michigan College in Petoskey on Apri LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. 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.