Forms and Resources for Child Care Centers and Group Child Care Homes

Forms and documents

Apply for a license

Complete the Initial License Application. Make sure to organize your licensing application and required documents.

Application attachments

• Property History Form
• Fire Marshal Inspection Certificate #5a
• Generic Approval for Childcare #5b, #5c
• Local Health Environmental Inspection Report #5e
• Staff Work Schedule #8a
• Consultant / Head Teacher Data Sheet #9e
• Water Supply Form #11b
• Complaint Procedure
• Sample Policies
• Sample Policies Checklist

For information on the Head Teacher approval process please visit the Early Childhood Professional Registry.

Change or update license

• Notify Licensing About Changes to Your Program (online form)
• Affidavit for Ownership
• Interim Plans for Head Teachers
• School Age Endorsement
• Night Care Endorsement
• Under 3 Endorsement
• Preschool Endorsement
• Potential changes in ownership or operator worksheet

Inspection Forms

• Inspection Form (Sample)
• Corrective Action Plan and Resolving Disputed Violations
• Guide to the Child Care and Youth Camp Investigation Process

Record keeping

• Child Developmental Milestones(English) (Spanish)
• Records to Be Kept on Premises
• Record Retention
• Sample documents
  • Staff Records Checklist 
  • Miscellaneous Records Checklist
  • Parent/Director Authorization to Enroll Child Under 3 in Preschool
  • Parent/Director Authorization to Enroll a 4 Year Old Child in School Age
  • Professional Development Record
  • Emergency Plan

Child enrollment

• Child Enrollment and Emergency Medical Care Form
• Early Childhood Health Assessment Record (Birth to Age 5)
• Immunization Requirements Schedule
• Medical Exemption Certificate
• Health Assessment Record (School Age)
• Sample forms
  • Accident/Illness/Injury Report (Sample)
  • Child Records Checklist (Sample)

Consultant forms

• Sample forms
  • Consultant Log (Social service and dietitian)
  • Consultant Log (Health)
  • Consultant Log (Education)
  • Use of Consultants and Sample Agreement Letters

First aid, CPR and Medication Administration

• First Aid & CPR Courses for Child Care
• Authorization for Administration of Medication
• CPR and Lifeguard Requirements for Swimming or Wading Activities
• First Aid Kit Items List
• Individual Plans of Care in Child Care
• Petition for Special Medication Authorization
• Potassium Iodide (KI) Authorization Form and Fact Sheet
• Sample forms
  • Diaper Cream Authorization Form
  • Individual Plan of Care (Spanish)
  • Medication Checklist
  • Medication Administration Record (MAR)
  • Parent Authorization for Administration of Non-Prescription Topical Medications (Spanish)
  • Written Approval for Administration of Medication Training Certificate for Child Care

New staff and volunteers

• Sample documents
  • New Staff Orientation Checklist

Mandated reporting

• DCF 136 form – report of suspected child abuse or neglect
• DCF mandated reporter online reporting portal
• OEC Center or Group Child Care Self Report (online form)

Technical assistance and support

• Request technical assistance (online form)
• Checklist for Maintaining Regulatory Compliance(English) (Spanish)
• Complying with the ADA
• DCF mandated reporter training

Health and safety resources

• Disease Reporting
• Disposing of Prescription Meds and OTC Products
• Reportable Disease List
• Green Cleaning in Child Care Settings
• Hand Sanitizer Fact Sheet
• Infant Sleep Arrangement Policy
• Integrated Pest Management for Child Care Facilities
• Managing Asthma in Child Care Facilities
• MRSA Fact Sheet
• Child and Adult Care Food Program (CACFP) (Spanish)
• Protecting Children and Staff on Hot Weather Days

For information and resources concerning congenital cytomegalovirus, lead, bed bugs, and other related topics, please visit the CT Department of Public Health (DPH).

For information and resources for license exempt programs administered by public/private schools or municipalities that receive Care 4 Kids subsidy, visit Care 4 Kids.

Videos

Child care centers and group child care homes

Administration of medications