Allergy and Social Media Parent Permission Sheet Spanish and English

Beneath are forms you tin apply in the business concern of family unit child care in Fairfax County.

Fairfax County is committed to nondiscrimination in all canton programs, services and activities. To request reasonable accommodations or to receive the information from the below forms in an alternate format, call 703-324-8100 or TTY 711.

• Initial Application for Allow Forms
• General Family Child Care Business concern Forms
• Emergency Preparedness Forms
• Medical Forms
• USDA CACFP Forms

Initial Application for Permit Forms

You are strongly encouraged to call 703-324-8100 and annals for one of our costless Preparing for Your Permit orientations designed to help you empathize the full process for applying for your family child intendance permit. You lot are too encouraged to read nearly the process and let requirements on the web page, Become a Family Child Care Provider.

• Home Child Care Facility Application Form     English    Spanish
• Sworn Argument or Affirmation for Child Intendance Programs Form       English language    Spanish

Y'all must also submit a Child Protective Services Central Registry Release of Data form. To asking a copy of the CPS Release of Information Class in English or Spanish, please electronic mail ofcceps@fairfaxcounty.gov or call 703-324-8100, TTY 711.

Waiver Agreement and Statement for the Fingerprint National Background Check      English

Each adult 18 years or older living in the domicile including the applicant and all substitute care providers, must submit a signed waiver granting the Role for Children permission to request and review results from the Fingerprint National Background Check. We will not exist able to send you this information until we have a waiver and fee for each adult in your home.

In one case you submit the waiver and the $27 per developed, nosotros volition transport you instructions on where to go to get the fingerprints done. An additional $8.72 fee is required for each developed at the fourth dimension you lot schedule the fingerprinting appointment online. Please do not add this fee to the $27 payment.

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General Family Child Care Business Forms

Change of Developed Living in Your HomeEnglish    Spanish
If anyone age 18 years or older moves into your dwelling house, or your child turns eighteen years of historic period afterwards y'all have received your child care permit, submit sections C, D and E of the Home Kid Care Facility Awarding class in English or Spanish to the Role for Children. Each adult must complete and submit the Sworn Statement course, the Child Protective Services Central Registry Release of Information form and the Waiver Understanding and Argument form. To request a copy of the CPS Release of Information Grade in English or Spanish, please e-mail Tammi Daniels or call 703-324-8100, TTY 711. Mail all iii forms to: The Fairfax Canton Office for Children, Community Education and Provider Services, 12011 Government Middle Parkway, Suite 800, Fairfax, VA 22035.

Kid Care Agreement   English    Spanish
This form outlines the policies and procedures of your business organization and is an agreement of the care and payment for care between you and the parents. You can modify this grade to fit your concern practices.

Child Care Website Database - Provider Course
Use this course to request changes to the information near your family child care business or center program that is posted on the Role for Children's website.

Child's File Checklist      English    Spanish
This form helps yous assemble and organize important information needed for each child in your care.

Daily Attendance Record    English    Spanish
This course captures the daily inflow and departure of children in your care.

Permission to Participate in Swimming and Wading Activities    English    Spanish
This grade documents a parent's permission for a child to participate in a pond or wading activeness and asks the parent to identify the kid's swimming ability.

Allow Visit     English language    Spanish
This form is helpful in preparing for your renewal visit from your child care specialist. It lists the items you lot need programme and prepare ahead to take care of needed requirements, certifications and documents that yous demand to be able to prove your kid care specialist to successfully complete your renewal visit.

Playground and Outdoor Safety Checklist      English    Spanish
This form helps you program ahead to make sure the area and equipment that children will be using is safe and appropriate for their utilise. It helps yous retrieve through how to prepare for rubber outdoor play, supervise children co-ordinate to their age and how to contact local authorities if child is missing or severely injured.

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Emergency Preparedness Forms

Emergency Contact Information   English    Spanish
This is a form parents fill out so that you will know how to reach them during an emergency. It besides lists the people they have authorized to option upwards their children from your programme.

Emergency Preparedness and Supplies Guide    English language    Spanish
This checklist will help you create an emergency preparedness plan needs to cover equally many ways as yous can to protect children. Make certain your plan for a variety of emergencies-burn, severe weather, terrorism, intruders, health crunch, loss of utilities, environmental disasters and relocation or evacuation too as the supplies needed to support your plan.

Emergency Preparedness Plan English    Spanish
Y'all are required by police to take a written emergency program the covers emergency evacuation, emergency preparedness plans including shelter-in-place and lockdown procedures, and a parent notification plan. Your program includes ways to practice with all household members and document your preparedness.

Monthly Evacuation/Burn Drill Tape     English    Spanish
Utilize this grade to document monthly drills. You will be required to nowadays information technology when you apply for your permit renewal.

Monthly Shelter in Place and Lockdown Drill Tape     English    Spanish
If at that place is a community emergency, official may tell residents to shelter-in place. Utilise this grade to doc-ument that you do moving the children quickly in your designated shelter-in-place. You tin also this class to document your lockdown drill which is required annually. A SIP is a place in your home where y'all go along food, equipment and supplies in instance you and the children need to stay sheltered for a long period of time. A lockdown space in your home is where yous can secure yourself and children from an intruder in your home for a long period of fourth dimension.

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Medical Forms

Administering Prescription or Nonprescription Medication Record Class   English    Spanish
By law, you must complete medication administration preparation in gild to legally give medication to children in your care. You tin use this form to document medication parents accept authorized you to give their children. Yous can create your own form, merely you must keep a tape of any medication you administer.

Authorization for Emergency Medical Treatment      English    Spanish
Parents make full out this grade to authorize you to accept their child to the infirmary or urgent care facility if the parents cannot be reached in time. It also includes information that will exist useful to the medical professionals treating the child.

Injury or Accident Report   English    Castilian
You lot tin can use this form to certificate injuries that occur to children while in care and share the information with parents.

Parent Notification of Allergic Reaction or Exposure   English language    Spanish
Allergic reaction or and exposure to an allergen is a real danger for children with allergies. Yous must notify parents if their child is exposed to an allergen even if there are no symptoms. This documents your contact with the parent, that you followed the allergic programme and that you accept considered ways to prevent this in the future.

Parent Notification of Sick Kid Care Policy     English    Spanish
This policy outlines for parents your expectations of when a child can exist in intendance and when a kid is also sick to stay in care. Ill children who attend child care programs while contagious can brand other children sick. Having a joint understanding helps parent prepare for when their child may need to be picked upward from care due to illness.

Quick View Reference Canvass       English    Spanish
The course captures all important medical information about medication allergies, nutrient allergies, intolerances or dietary brake on one course. You must mail service this information so that the information remains confidential and is kept out of view of others.

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USDA CACFP Forms

USDA Nutrient Programme Affiche      English    Castilian
Family kid care providers who participate in the USDA Child and Adult Intendance Food Plan must post i of these posters to notify parents that the provider participates in the plan.

USDA Food Program Flyer for Parents     English language    Spanish
Family kid intendance providers who participate in the USDA Child and Adult Care Food Program must give one of these flyers to each parent enrolled in the USDA Food Program.

Meal Guidelines
Meal Guidelines is set of nutrient components, food items, and minimum quantities required for a breakfast, lunch, supper and snacks for a specific age grouping of children or infants. Select the repast guideline that corresponds with the historic period of the child in care.

  Meal Guidelines for Infants 0-11 months       English language    Castilian
Repast Guidelines for Children i-12 years       English    Spanish

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