Child Care Assistance. Experience a faster way to fill out and sign forms on the web. Introductory Letter 2. Increase to CCA Initial Income Eligiblity Effective March 1, 2023 the income eligibility limit for those initially applying to the Child Care Assistance (CCA) program will increase from 145% to 155% of Federal Poverty Level (FPL). Box 4826 Des Moines, IA 50305 Fax to: 515-564-4034 Email: recordcheckevals@dhs.state.ia.us CASH ASSISTANCE Employer's Statement of Earnings 470-2844 Financial Support Application 470-0462 Report on Incapacity 470-0447 Request for FIP Beyond 60 Months 470-3826 The document has space for the child care provider to report the infant's status and caregiven. Early Childhood IOWA, Resource Page - links to additional services. 50771. Required information from Department of Health and Human Services (HHS) checklist, 109.7(1). Form parents complete if they refuse to immunize their children because of religion or doctor recommendation. Check with your local city zoning and county regulations for requirements. Tracking form from Department of Health and Human Services (HHS). Parent signature is required. Child Development Homes (CDH) can use this document to post emergency numbers. Box 4826Des Moines, IA 50305, Payment Application for Nonregistered Providers 470-2890, Child Care Assistance Provider Agreement 470-3871, Non-Law Enforcement Record Check Request Form A 595-1489, Non-Law Enforcement Record Check Request Form A (Spanish) 595-1489, Central Child Care Unit1305 E Walnut StDes Moines, IA 50319-0114, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Evaluacion de Cheque del Registro 470-2310(S), Child Care Assistance Application 470-3624, Solicitud Para Child Care Assistance 470-3624(S). Are you new to having a family or maybe you are new to Iowa? Choking Prevention and Food: A Guide for Children Under 4 Years of Age is a 3-page, 8 1/2 x 11 fact sheet on choking prevention strategies, foods to avoid, and serving infants and youngchildren. These newsletters can be found below. Iowa Child Care Resource & Referral provides resources, education and advocacy to support quality child care. This brochure provides tips and treatment information about head lice as recommended by the Iowa Department of Public Health. SING instructions 8. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. This 2-page, 8 1/2 x 11 fact sheet provides information on medication safety including storage, emergencymedications, expired medications and proper disposal. PROMISE JOBS staff administer Child Care Assistance for child care needed to participate in PROMISE JOBS activities. P.O. You may also request an application from your local office. Contact the Centralized Child Care Assistance Eligibility Unit (CCA) at 866-448-4605 or email ccaapps@dhs.state.ia.us for questions about child care. Thefact sheet includes a checklist that early care providers can use to help decreasechildren'sexposure to lead. Learn more about: Articles of incorporation, By-Laws, Board Insurance, Center Director responsibilities or Board member responsibilities in overall management, Strategic Planning: Mission and Vision. If you suspect child abuse, contact the local law enforcement and the Iowa Child Abuse Hotline at 1-800-362-2178. Child care staff use to document an injury or accident. To download a Spanish application, pleaseclick here. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". TheExposure Control Plan is intended to serve as an employer guide to the OSHA Bloodborne Pathogens standard. No information is available for this page.Learn why. Child Care Assistance (CCA) is available to the children of income-eligible parents who are absent for a portion of the day due to employment or participation in academic or vocational training or PROMISE JOBS activities. 800-362-2178 please call if you suspect a child under the age of 18 is being abused or neglected or visit Iowa Department of Health and Human Services (HHS) child abuse website. Adoption 600.8(1)(2). Are 55 years of age or older, regardless of where they are living; or, Reside in a nursing facility, an intermediate care facility for persons with intellectual disability, or a mental health institute, and. Guide, Incorporation To review quality initiatives and credentialing opportunities, visit the Support Your Future section below. 204) 6. These and other agencies can provide services such as training, consultation, collaboration and resource development. The focus is organized into a flexible coordinated network of resources with meaningful partnerships with families, children and young adults. Professional Development Record (Spanish) (Word) form to assist individuals in their professional development plan. General QRS Forms 470-4901 NEW Quality Rating Application for Homes 470-4902 NEW Quality Rating Application for Centers/Preschools/School-Based Programs Articles of Incorporation - Minimum code requirement - Iowa Code section 504.202, Assigning Fiscal Responsibilities - blank, Board Member Selection - Professional Resources, Business Structures - First Children's Finance, Business Structures, For-Profit vs Nonprofit - First Children's Finance, Center Business Plan Outline - First Children's Finance, Center Packet Letter - Steps to starting a Child Care Center, Child Care Aware of America - Child Care Center Provider Resource, Director Competencies - Early Childhood Iowa, Emergency Preparedness - Template and tools, First Children's Finance Center Resources - Business tools, Iowa Principles and Practices for Charitable Nonprofit Excellence, NAEYC Code of Ethical Conduct and Statement of Commitment. & Estates, Corporate - Note: Form 470-2618, Election of Medicaid Hospice Benefit, must accompany this Case Activity Report for hospice patients. Chapter 237A also requires centers to comply with state health and fire safety laws. Spanish, Localized Follow the simple instructions below: The prep of lawful documents can be costly and time-consuming. This applies to all persons who perform renovation, remodeling, or repainting for compensation in target housing or a child-occupied facility. You can apply for the FPP at an FPP family planning clinic. Iowa Department of Human Services Child Care Provider Physical Examination Report Child Care Center Personnel ? Thisis a 2-sided(8 1/2 x 11) color brochure. Eligibility for consultation from the Department of Health and Human Services (HHS) in all aspects of child care. Fill out Iowa Dhs Child Care Forms within a few minutes by using the recommendations below: Send your new Iowa Dhs Child Care Forms in a digital form when you are done with filling it out. To determine eligibility for employees of licensed child care centers the following form is REQUIRED to be filled out by the Center Director or On-site Supervisor for the location where . The front has a weather chart, back has weather-related health information. Child Care Resource & Referral (CCR&R) provides professional development and consultation services that support the child care business's ability to achieve and maintain regulatory status in good standing and work to achieve and maintain performance at higher quality levels in Iowas Quality Rating and Improvement System, Iowa Quality for Kids (IQ4K). Supporting Breastfeeding is a 2-page, 8 1/2 x 11 fact sheet on ways child care providers can support breastfed infants and their parents. Examples of forms and other available information on this site include: Physical forms for all ages, breastfeeding support, child illness guide, diapering procedures, electrical outlet safety, exposure plan, first aid checklist, handwashing instructions, infant daily report, injury report, mandatory reporting site poster, sleep safe policy, etc. Required information from HHS checklist, 109.9(2)a. Packet of required information to be kept in the childrens file for each child enrolled. Chart to help plan for safe daily outdoor time. This 2-page (8 1/2 x 11) form may be used by providers forInfant Safe Sleep Policy. Handbook, DUI This 1-page (8 1/2 X 11) color posterprovides instruction on the three-step process for manual dishwashing. If you have concerns regarding a specific child care provider or child care business that is not meeting Iowa regulations, please contact the Iowa Child Care Complaint Hotline at 844-786-1296. If you do not know whether your provider is approved, ask your DHS CCA worker for assistance. Funding provided by the Iowa Department of Health and Human Services through the Child Care Development Fund, Child Care Home Accepting Child Care Assistance, Iowa Department of Health and Human Services (HHS) child abuse website. Health and Safety Forms. Form to document training requirements prior to registration and tracking of required professional development hours for each registration period. Consultants provide technical assistance and consultations to meet the individualized needs of each provider. Comply with our simple actions to get your Iowa Dhs Child Care Forms prepared quickly: Make use of the quick search and powerful cloud editor to make a precise Iowa Dhs Child Care Forms. A registered child care location is in a single-family residence that is owned, rented or leased by the child care provider. Required information from Department of Health and Human Services (HHS) checklist, 109.6(7) and 109.9(1)a. Submit the necessary fields (these are yellow-colored). This page contains up-to-date news regarding child care initiatives from HHS. A Child Care Home accepting Child Care Assistance (CCHA) is a nonregistered child care facility that is approved to accept Child Care Assistance(CCA). Child Care Licensing Standards and Procedures (Comm. Required information from HHS checklist, 110.9(4)A and B. Packet of required information to be kept in the childrens file for each child enrolled. The Unit also processes child care payments for providers and handles all provider applications, renewals, and changes reported by providers. If you have employees with child support questions, they can get more information about our services, including payment information, by calling the child support automated information line at 888-229-9223 or go online to childsupport.ia.gov . This8 1/2 x 11 color poster titled "Your Partner in Protecting Children" was designed for child care providers to postfor notifying parents that they operate a mandatory child abuse reporting site. Iowa Department of Human Services 417 E. Kanesville Blvd. Iowa Department of Health and Human Services (HHS) requires additional training during each licensing period. If you live in Iowa, call the state office at 1-800-532-1579. A Child Care Center (CCC) or a Preschool is a commercial facility providing child care for many children. This 2-page, 8 1/2 x 11 fact sheet provides information about keeping children safe around windows. Theft, Personal The best part is assistance from a CCR&R Child Care Consultant is always 100% FREE! Suggested poster by Child Care Nurse Consultants for Health & Safety Assessment. Business. HHS Child Care Reports - Showing the history of complaints and compliance reports. Iowa Administrative Code Chapter 109 5. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Spanish, Localized Technology, Power of Yes Zip Date No Instructions Please check. Save the papers or print your PDF version. This link will take you to the Iowa Child Restraint Law document. Each individual child care employee will need to submit their own application. The provider is responsible for the completion of all required criminal record check forms. The fact sheet includes color pictures of bed bugs andresources. Download these handouts to print yourself orcontact your local Child Care Nurse Consultant forcopies. Prestige of a Certificate of Registration that shows the parents and the public that you meet the minimum requirements for child care in the state of Iowa and your commitment to keeping children safe in your care. This updated (April 2022) 1-page (8 1/2 x 11) first aid checklist may be used by child care providers for assessing and monitoring first aid kits. This 16-page (8 1/2 x 11) set of Medication Administration Skills Competency test-out sheets includes the steps for 8 forms of medications that are frequently administered in the child care setting. Quality Rating System. They are also responsible for the selection of approved families for placement of Iowa's foster and adoptive children. The Tobacco Use Prevention and Control Divisionat Iowa HHS has established aBest Practice policyforchildcarehomes and centers. Childhood Lead Poisoning: Reduce the Risks for Children in Early CareEnvironments isa 2-page (8 1/2 x 11) fact sheet on childhood lead poisoning prevention. USLegal fulfills industry-leading security and compliance standards. To apply for State Supplementary Assistance, go to the Human Services benefits portaland complete the HHS application. SECTION 1 - TRANSACTION TYPE . Information should be readily accessible for equipment checks of smoke detectors, carbon monoxide detectors, fire extinguisher and evacuation equipment. **Under Construction - please stop back, this section undergoing frequent updates, Orientation Guidebook to Child Care Licensing in Iowa, Child Care Consultant Area Map - DHS Licensing Consultant Map, Emergency Preparedness - Template and Tools, Iowa Quality for Kids (IQ4K) - Quality Rating and Improvement System, Recruitment & Retention - Recruitment for Early Childhood Professionals. Full details about the . Required information for HHS Checklist, 109.15(3)a/Infant, 109.10(1)a/Preschool, 109.10(1)b/School-age. This 2-page, 8 1/2 x 11 colorform can be used by child care providers to document medication given to children while at care. Iowa Child Care Resource & Referral provides resources, education and advocacy to support quality child care. Required information for HHS checklist, 109.10(15)b. A direct link to the Iowa Department of Health Smoke Free Air Act information including a link to print signs. Us, Delete Required information for HHS Checklist, 109.10(10). If the immunizations are further behind than can be caught up in 60 days, another provisional can be issued for an additional 60 days. . A Step Above Child Care and Learning Center, LLC. Minimum required training for registration: CCR&R Professional Development Opportunities, Child Development Associate (CDA) CredentialTM, HHS Approved Professional Development Opportunities, Business Technical Assistance for Child Development Homes - featuring CCR&R, First Children's Finance and Child Care Collaborative of Iowa, Child Development Associate (CDA) Credential - Nationally recognized credential for early care and education, ChildNet 3.0 - Series training for home child care programs, Iowa Quality for Kids (IQ4K) - Iowas Quality Rating and Improvement System (QRIS), Sign-up for HHS/CCR&R Emails - Stay connected and register to receive correspondence from HHS & CCR&R, Sign-up for HHS/CCR&R Text Updates - Stay connected and register to receive correspondence from HHS & CCR&R, Update Your File - Update your file and program surveys. We are excited to have additional ways to connect families with our free referral services. 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 Forms, Real Estate Download the English version of this form Fill out Iowa Dhs Child Care Forms within a few minutes by using the recommendations below: Choose the document template you need from our collection of legal forms. Iowa DHS. To apply forSNAP and/or cash assistance programs (FIP or RCA), go to theonline benefits portalor download theHHS Food and Financial Support Application(Solicitud de Ayuda Financiera). Healthy Child Care Iowa (HCCI) offers the products below to assist you in offering quality child care to Iowa's children. Satisfaction of knowing you meet the minimum requirements for child care in accordance with the Iowa Administrative Code. 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