Child Care Licensing 620-01-35-01

(NEW 10/1/16 ML #3480)

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Licensing packets shall be made available at the county agency and should include the following:

 

  1. N.D.A.C. as applicable
  2. N.D.C.C ch. 50-11.1
  3. Cover Letter
  4. SFN 832 Application to be Licensed
  5. SFN 845 Child Information Sheet
  6. SFN 847 Parent’s Statement on Health of Child
  7. SFN 16038 Certificate of Immunization
  8. IRS Form W-9 Request for Taxpayer ID # & Certification
  9. SFN 1425 Compliance Check List/Group Child Care
  10. SFN 1422 Compliance Check List/Family Child Care
  11. Pre-Licensing Checklist – Group CC Home
  12. Pre-Licensing Checklist – Family CC Home
  13. Basic Child Care Information
  14. Annual Training Form
  15. SFN 508 Authorization for Background Check (2 given in pkt)
  16. Instructions and forms for fingerprint background check
  17. SFN 115 Family/Group Child Care Facility Fire Safety Checklist
  18. Ch. 75-03-09 ND Group Child Care (Light Blue)
  19. Ch. 75-03-09 ND Family Child Care (Gold)
  20. SFN 517. Child Care Evacuation Disaster Plan
  21. SFN 383 Serious Accident Injury or Illness Report
  22. SFN 438 Incident Report Form
  23. Sample Policy Statement
  24. Brochures:

Child and Adult Care Food Program (CACFP)
Bright and Early brochure
Growing Futures brochure
Head Start and Early Head Start brochure
Financial Assistance flyer