License Application Addendum Page 4
ADVERTISEMENT
1
2
3
4
5Minnesota Department of Human Services
April 2013
Office of Inspector General
Licensing Division
Child Care Center (DHS Rule 3) License Application
d.
Unqualified Substitute Report
e.
Experienced Aide Report
f.
Child Care Immunization Record
(sample form for children’s records)
g.
Health Care Summary
(sample form for children’s records)
h.
Incident/Injury Report Form
i.
Separation Report
j.
Monthly Crib Safety Inspection Form
k.
Variance Request
2. Additional information:
The following are links to online information related to child care services. You may
want to bookmark or add these sites to your internet favorites for future reference:
a. For general licensing information go to
DHS Licensing
b. For licensing forms go to
Licensing Forms
c. For annual license renewal information, go to
License Renewal Information
d. For information on specific licensing requirements, go to
DHS Licensing Licensed Programs and Services
e. For information on background study requirements, go to
DHS Licensing Background Studies
f.
For information on maltreatment requirements and investigations, go to
DHS Licensing Maltreatment
Investigations
g. To find DHS licensed programs, go to
DHS Licensing Information Lookup
h. For information on all types of licenses issued in Minnesota, go to
License Minnesota
i.
For information on
reportable
diseases, go to the Minnesota Department of Health website
j.
For information on
Emergency Preparedness, Response, and
Recovery, go to the Minnesota Department of
Health website
D. Applicable Rules and Laws
The following laws and rules apply to the provision child care centers licensed according to Minnesota Statutes, chapter
245A:
•
Minnesota Rules, chapter
9503
(DHS Rule 3).
•
Minnesota Statutes, chapter 245A, Human Services Licensing Act
•
Minnesota Statutes, chapter 245C, Background Study Act
•
Minnesota Statutes, section, 626.556, Maltreatment of Minors Act (MOMA)
You may order a book of the Child Care Center Laws & Rules online from Minnesota’s Bookstore at
or by calling 651-297-3000 or 800-657-3757.
E. License Application Checklist
Use the
License Application Checklist
to help you prepare your license application. You must verify that all forms and
materials identified on the checklist have been completed and are included in your license application before you submit it
to the DHS Licensing Division.
4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Rhode Island - Mandatory Addendum Form To License Application - Tax Payer Status Affidavit / Identity Verification
Legal
Convictions And Pending Charges - Application Addendum - Wisconsin Department Of Regulation And Licensing
Legal
Related Categories
Parent category: Legal