Section for Child Care Regulations Forms Available from DHSS Warehouse

Updated on 5/3/2012

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29 forms in this list.

Catalog Number Name Quantity Per Unit Program Restrictions

BCC-1 APPLICATION FOR LICENSE TO OPERATE A GROUP CHILD CARE HOME OR CHILD CARE CENTER EACH Section for Child Care Regulations LIMIT/1

BCC-106 REPORT OF ACCIDENT, INJURY AND/OR EMERGENCY MEDICAL CARE EACH Section for Child Care Regulations LIMIT/1

BCC-11 MEDICATION AUTHORIZATION EACH Section for Child Care Regulations LIMIT/1

BCC-12 PARENT'S SPECIALIZED INSTRUCTIONS FOR INFANTS/TODDLERS EACH Section for Child Care Regulations LIMIT/1

BCC-15A EMERGENCY PREPAREDNESS TEMPLATE EACH Section for Child Care Regulations

BCC-16 CHILD CARE FACILITY OVERLAP REQUEST EACH Section for Child Care Regulations LIMIT/1

BCC-17 APPLICATION FOR LICENSE REVISION EACH Section for Child Care Regulations LIMIT/1

BCC-18 PERMISSION FOR CHILD TO LEAVE FACILITY EACH Section for Child Care Regulations LIMIT/1

BCC-1-A INSTRUCTIONS TO APPLICANTS FOR AN INITIAL LICENSE FOR A GROUP CHILD CARE HOME OR CHILD CARE CENTER EACH Section for Child Care Regulations LIMIT/1

BCC-1-B REQUIREMENTS FOR RENEWAL OF GROUP CHILD CARE HOME OR CHILD CARE CENTER LICENSE EACH Section for Child Care Regulations USE TO DELETION, 110214, 5/15/11

BCC-2-1 APPLICATION FOR LICENSE TO OPERATE A CHILD CARE HOME EACH Section for Child Care Regulations LIMIT/1

BCC-2-2 APPLICATION FOR LICENSE TO OPERATE A CHILD CARE HOME (PAGE 2) EACH Section for Child Care Regulations LIMIT/1

BCC-25-1 VARIANCE REQUEST EACH Section for Child Care Regulations LIMIT/1

BCC-25-2 VARIANCE REQUEST/INTEROFFICE COMMUNICATION EACH Section for Child Care Regulations LIMIT/1

BCC-2-A INSTRUCTIONS TO INITIAL APPLICANTS FOR A FAMILY DAY CARE HOME LICENSE EACH Section for Child Care Regulations LIMIT/1

BCC-2-B REQUIREMENTS FOR RENEWAL OF CHILD CARE HOME LICENSE EACH Section for Child Care Regulations LIMIT/1

BCC-47 OBSERVATIONS/DISCUSSIONS EACH Section for Child Care Regulations LIMIT/1

BCC-48 VERIFICATION OF INSPECTION EACH Section for Child Care Regulations LIMIT/300

BCC-5 CHILD IMMUNIZATION HISTORY EACH Section for Child Care Regulations LIMIT/1

BCC-55 CHILDREN'S ENROLLMENT/ATTENDANCE CHART EACH Section for Child Care Regulations LIMIT/1

BCC-56 ASSISTANT APPROVAL REQUEST EACH Section for Child Care Regulations LIMIT/1

BCC-57 RELATED CHILD IN CARE EACH Section for Child Care Regulations LIMIT/1

BCC-6B PARENTS HEALTH STATEMENT FOR SCHOOL AGE CHILD EACH Section for Child Care Regulations LIMIT/1

BCC-73 FACILITY DIRECTOR APPROVAL REQUEST EACH Section for Child Care Regulations LIMIT/1

BCC-8 CHILD CARE PRACTICES & CONCEPTS EACH Section for Child Care Regulations LIMIT/1

BCC-9 SAMPLE WEEKLY MENU EACH Section for Child Care Regulations LIMIT/1

BCC-M-1 LICENSING RULES FOR GROUP CHILD CARE HOMES AND CHILD CARE CENTERS CASE Section for Child Care Regulations PROGRAM APPROVAL REQUIRED

BCC-M-2 LICENSING RULES FOR FAMILY CHILD CARE HOMES CASE Section for Child Care Regulations PROGRAM APPROVAL REQUIRED

BCC-M-3 DHSS (DEPARTMENT OF HEALTH & SENIOR SERVICES) RULES FOR LICENSE-EXEMPT CHILD CARE FACILITIES CASE Section for Child Care Regulations PROGRAM APPROVAL REQUIRED

Catalog Number	Name	Quantity Per Unit	Program	Restrictions
BCC-1	APPLICATION FOR LICENSE TO OPERATE A GROUP CHILD CARE HOME OR CHILD CARE CENTER	EACH	Section for Child Care Regulations	LIMIT/1
BCC-106	REPORT OF ACCIDENT, INJURY AND/OR EMERGENCY MEDICAL CARE	EACH	Section for Child Care Regulations	LIMIT/1
BCC-11	MEDICATION AUTHORIZATION	EACH	Section for Child Care Regulations	LIMIT/1
BCC-12	PARENT'S SPECIALIZED INSTRUCTIONS FOR INFANTS/TODDLERS	EACH	Section for Child Care Regulations	LIMIT/1
BCC-15A	EMERGENCY PREPAREDNESS TEMPLATE	EACH	Section for Child Care Regulations
BCC-16	CHILD CARE FACILITY OVERLAP REQUEST	EACH	Section for Child Care Regulations	LIMIT/1
BCC-17	APPLICATION FOR LICENSE REVISION	EACH	Section for Child Care Regulations	LIMIT/1
BCC-18	PERMISSION FOR CHILD TO LEAVE FACILITY	EACH	Section for Child Care Regulations	LIMIT/1
BCC-1-A	INSTRUCTIONS TO APPLICANTS FOR AN INITIAL LICENSE FOR A GROUP CHILD CARE HOME OR CHILD CARE CENTER	EACH	Section for Child Care Regulations	LIMIT/1
BCC-1-B	REQUIREMENTS FOR RENEWAL OF GROUP CHILD CARE HOME OR CHILD CARE CENTER LICENSE	EACH	Section for Child Care Regulations	USE TO DELETION, 110214, 5/15/11
BCC-2-1	APPLICATION FOR LICENSE TO OPERATE A CHILD CARE HOME	EACH	Section for Child Care Regulations	LIMIT/1
BCC-2-2	APPLICATION FOR LICENSE TO OPERATE A CHILD CARE HOME (PAGE 2)	EACH	Section for Child Care Regulations	LIMIT/1
BCC-25-1	VARIANCE REQUEST	EACH	Section for Child Care Regulations	LIMIT/1
BCC-25-2	VARIANCE REQUEST/INTEROFFICE COMMUNICATION	EACH	Section for Child Care Regulations	LIMIT/1
BCC-2-A	INSTRUCTIONS TO INITIAL APPLICANTS FOR A FAMILY DAY CARE HOME LICENSE	EACH	Section for Child Care Regulations	LIMIT/1
BCC-2-B	REQUIREMENTS FOR RENEWAL OF CHILD CARE HOME LICENSE	EACH	Section for Child Care Regulations	LIMIT/1
BCC-47	OBSERVATIONS/DISCUSSIONS	EACH	Section for Child Care Regulations	LIMIT/1
BCC-48	VERIFICATION OF INSPECTION	EACH	Section for Child Care Regulations	LIMIT/300
BCC-5	CHILD IMMUNIZATION HISTORY	EACH	Section for Child Care Regulations	LIMIT/1
BCC-55	CHILDREN'S ENROLLMENT/ATTENDANCE CHART	EACH	Section for Child Care Regulations	LIMIT/1
BCC-56	ASSISTANT APPROVAL REQUEST	EACH	Section for Child Care Regulations	LIMIT/1
BCC-57	RELATED CHILD IN CARE	EACH	Section for Child Care Regulations	LIMIT/1
BCC-6B	PARENTS HEALTH STATEMENT FOR SCHOOL AGE CHILD	EACH	Section for Child Care Regulations	LIMIT/1
BCC-73	FACILITY DIRECTOR APPROVAL REQUEST	EACH	Section for Child Care Regulations	LIMIT/1
BCC-8	CHILD CARE PRACTICES & CONCEPTS	EACH	Section for Child Care Regulations	LIMIT/1
BCC-9	SAMPLE WEEKLY MENU	EACH	Section for Child Care Regulations	LIMIT/1
BCC-M-1	LICENSING RULES FOR GROUP CHILD CARE HOMES AND CHILD CARE CENTERS	CASE	Section for Child Care Regulations	PROGRAM APPROVAL REQUIRED
BCC-M-2	LICENSING RULES FOR FAMILY CHILD CARE HOMES	CASE	Section for Child Care Regulations	PROGRAM APPROVAL REQUIRED
BCC-M-3	DHSS (DEPARTMENT OF HEALTH & SENIOR SERVICES) RULES FOR LICENSE-EXEMPT CHILD CARE FACILITIES	CASE	Section for Child Care Regulations	PROGRAM APPROVAL REQUIRED