Child Care Provider Information

The information sheets and forms are Adobe PDF documents or links to the MN Department of Human Services web pages and will open in a separate window.  


Admissions Packet

1. Family Child Care Admission and Arrangements (Minnesota Department of Human Services)

​2. Family Child Care Allergy Information Form (Minnesota Department of Human Services)
           

3. Family and Group Family Day Care Rule Summary For Parents (Minnesota Department of Human Services)

4.  Immunization Record (181 KB) 

5.  Prescription and Non-Prescription Medication Administration Permission (Minnesota Department of Human Services)

6.  Reporting Abuse Policy (133 KB)

 

Change of Premise

1.  Family Child Care Monitoring Questionnaire (91 KB)

2.  Family Systems Application  (120 KB) 

3.  Floor and Escape Plan (Minnesota Department of Human Services)

 

General Information & Forms

​1.  Annual Training Requirements (28 KB)

​2.  Bleach Alternative Checklist (106 KB)

3.  Child/Adult Ratios and Age Restrictions (12 KB)

4.  Child Care Licensing Contact Information (22 KB)

5.  Crib Inspection Monthly Form (DHS 16_178540)

6.  Emergency Phone Numbers (MN Department of Human Services)

7.  Family Child Care Liability Insurance Notice to Parents (Minnesota Department of Human Services)

8.  Fire and Storm Drill Log (MN Department of Human Services)

9.  Food Programs (MN Department of Education)

10. Guidelines for Developing a Provider Policy (25 KB) 

11. Serious Injury Reporting Form (MN Department of Human Services)

12. Infant Less Than Six Months of Age Regularly Rolling Over (Minnesota Department of Human Services)


13.  Initial Requirements for New Second Adult Caregivers, Substitutes and Helpers (19 KB)

 

14. Licensing Fees (34 KB)

15. Parental Consent for Swaddling an Infant (Minnesota Department of Human Services)

16. Physician Directive for Infant Sleep Position (Minnesota Department of Human Services)

17. Physician's Report (Minnesota Department of Human Services)

18. Preschool Programs (12 KB)

19. Training and Tracking Information Form (92 KB)

20. Variance Request.pdf (152 KB) 

 

Wading Pools & Swimming Pools

Provider Information:


1.  Wading Pool Best Practices - Family Child Care (Minnesota Department of Human Services)

Parent Information:

1.  Wading Pool Risks - Family Child Care (Minnesota Department of Human Services)

2.  Swimming Pool Risks - Family Child Care (Minnesota Department of Human Services)

3.  Wading Pool Permission Form - Family Child Care (Minnesota Department of Human Services)

4.  Swimming Pool Permission Form - Family Child Care (Minnesota Department of Human Services)