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Helpful Links

Tom Copeland
DHS Licensing webpage
Submit a Question to DHS

CPSC Recall Search website
Family Child Care Provider email listSubscribe to
receive licensing information from DHS
CCIC free coaching services
CCIC coaching service referral process

Child Care Aware Region 4 Fall training calendar

Immunization records clarification by MN Dept. of Health

Relicensing Forms
Workers' Compensation Law Certificate of Compliance
Family Child Care Monitoring Questionnaire  
Safety, Pet Health & Staff Information
Fire & Storm Drill Log with time slot updated 
Training Record
   -To print your Develop training record, choose the 
"Knowledge & Competency Framework Record

Background StudyFill out only for individuals who
have never completed a background study through
Stevens County Human Services.
There is a new process now for background studies.
Please contact your licensor.

    Enrollment Forms
Activity Authorization Form 
Admissions & Arrangements Form- updated 9/2018
Allergy Information Form
Immunization Form   
Liability Insurance Notice- updated 2018 
Permission to Administer Medication
Rule 9502 Summary Form for Parents- updated 2018

Infant Specific Forms

Physician Directive for Alternative Sleep Position- updated 6/2018 
Parental Consent for Swaddling- updated 6/2018
Infant Under 6 Months Rolling Over
- optional form- updated 6/2018
General Information
Age Group Ratios  
Chickenpox Reporting Information 
Custody Disputes & Unmarried Couples
Diapering & Handwashing Requirements
How to Avoid Spreading Germs in Your Daycare
Illness Exclusion Guidelines - For Providers
Keeping Kids Safe emergency planning guide
Poisonous Plants Guide
Record Keeping & Tax Tips
Reportable Disease Poster
Safe Water Temperatures
Supervision- What Does This Mean to Providers
Too Sick for Daycare - Handout for Parents
Training Requirements Spreadsheet
Weather Watch Information Sheet

  General Forms
Accident Report Form
Bleach Alternative Checklist
Chickenpox Reporting Form
Crib Inspection Form  
Emergency Plan template
Floor & Escape Plan 
Mandated Reporter Written Report Form
Physician Report Form
Variance Request Form

Pools & Wading Pools
Wading Pool Risks Sheetupdated 6/2018 
Wading Pool Parent Permissionupdated 6/2018
All the forms above are required when using wading pools
Wading Pool Best PracticesNew 6/2018

Difficult Conversations with Parents Resources
Illinois Early Learning Project
Parent-Caregiver Communication in Child Care Settings
Swimming Pool Risks Sheet- updated 6/2018
Swimming Pool Parent Permission- updated 6/2018
both forms are required when using a swimming pool

Available Resources
Various resources are available to checkout from Stevens County Human Services:  
  • Family Child Care: Record-Keeping Guide
  • Family Child Care: Legal and Insurance Guide
  • Family Child Care: Contracts and Policies
  • Well water test kits
  • Bite Bags
  • Various pamphlets