Dcf-F-2438 - Daily Attendance Record - Child Care Centers

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DEPARTMENT OF CHILDREN AND FAMILIES
STATE OF WISCONSIN
Division of Early Care and Education
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DCF-F-2438 (N. 01/2009)
Daily Attendance Record – Child Care Centers
Use of form: Family Child Care Centers are required to complete Section A and Section B in order to comply with DCF 250.04(6)(b); Section C may be completed to ensure compliance
with 250.04(5)(d). Failure to comply may result in issuance of a noncompliance statement. This form may be used by Group Child Care Centers to ensure compliance with DCF
251.04(6)(b) and 251.04(5)(a)8, by Day Camps for Children to ensure compliance with DCF 252.41(4)(c) and 252.41(3)(a)6, and by certified providers to ensure compliance with DCF
202.08(5)(i) and 202.09(6)(f). Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m), Wisconsin Statutes]. Completion of this form may also
help ensure compliance with the Child and Adult Care Food Program regulation 7 CFR 226.18(e) and child care subsidy rules under DCF 201.
Instructions: The daily attendance record must be kept on file for the length of time the child is enrolled in the center for licensed centers and for at least 3 years for certified providers.
SECTION A – Facility and Timeframe:
Name – Facility
Facility ID Number
Week of (mm/dd/yyyy) through (mm/dd/yyyy)
SECTION B – Daily Attendance Record: Enter the child’s full name and check the Age of Child designation checkbox for each child in attendance during the week. In the rows
corresponding to the child’s name, record the actual time the child arrives and the actual time the child departs (do not record this information in advance). Times must be recorded
immediately upon the child’s arrival and departure, and the record must reflect all children in care at any given time. It is recommended that providers have the parents review
this form for accuracy at the end of the week and sign the form as verification that it is correct.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Name – Child
Parent Sign Off
Age of Child
(First and Last)
(signature)
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
1.
Under 2
2 or older
School age
2.
Under 2
2 or older
School age
3.
Under 2
2 or older
School age
4.
Under 2
2 or older
School age
5.
Under 2
2 or older
School age
6.
Under 2
2 or older
School age
7.
Under 2
2 or older
School age
8.
Under 2
2 or older
School age
9.
Under 2
2 or older
School age

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