Required Licensing Documents Needed to Issue a License 620-01-35-15

(Revised 9/1/25 ML #3938)

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The following requirements are uploaded into the licensing system by the provider and all requirements are reviewed and initialed by both the Licensing Specialist and the Licensing Supervisor prior to a licensing visit and an initial license or renewal license being issued.

 

2-year annual visits require the same requirements, initialing and review

  1. Application to be Licensed, SFN 832

  2. Fire Inspection Report

  3. Documentation of pediatric CPR/AED Cards

  4. Documentation of pediatric First Aid Cards

  5. Cleared CBCU memorandums for all owners/operators, staff members, emergency designees, volunteers, and household members 18 years old and older that reside in the home where care is provided

  6. An SFN 433 must be submitted annually for any individual residing in a home where care is provided who is age 12 through 17

  7. Documentation to verify qualifications of staff members

  8. Programming schedule upon initial licensure or change of hours

  9. Floor Plan with square footage upon initial licensure of residence/facility, expansion of facility or other change in square footage

  10. SFN 517, Child Care Evacuation Disaster Plan

  11. Childcare Provider/Facility Staffing (SFN 1259) or equivalent

  12. Documentation of department approved training to meet training requirements for each provider, emergency designee, and staff member.

  13. Completed Licensing Checklist (SFN 1422 Family, SFN 1423 Center, SFN 1424 Preschool, SFN 1425 Group, or SFN 1257 School Age)

  14. Copy of required policies upon initial licensure or change in policies.

 

Required policies for Family Programs

 

Required policies for Group Programs

 

Required policies for Center Programs

 

Required policies for Preschool Programs

 

Required policies for School Age Programs

 

When applicable, the following additional items may be required:

  1. Copy of pet immunizations

  2. Copy of water test

  3. Copy of all pertinent county forms

  4. Food Inspection report

  5. Liability Insurance