Sample Contract Cancellation Letter printable pdf download

Monitoring Appendix M

Sample Contract Cancellation Letter

Generic Tribal CCDF Program

123 Miller Street

Jones, ND 71234

Date

Jane Doe Family Child Care Home

123 Morgan Rd.

Miller, ND 71234

Dear Ms. Doe,

This letter is being written to notify to you of the cancellation of your contract with the Generic Tribal CCDF

Program. The reason for the cancellation is your documented inability to maintain compliance with the Tribal

Health and Safety Child Care Standards as you agreed to when you signed the contract.

You have been found to be out of compliance four times during the last twelve months. Some of the violations

were repeated and serious. The specific monitoring inspections and violations are listed below:

April 1, 2015 - The home was without heat and water as all utilities have been cut off due to non-

payment of bills. The provider was smoking in the same room where the children were. A plan of

correction was completed and a non-compliance letter was sent. Please refer to the attached

monitoring inspection for details.

April 7, 2015 - Utilities were all restored. However, the provider was again smoking in the room

where children were in care. A plan of correction was completed and a letter of non-compliance

was sent. Please refer to the attached monitoring inspection for details.

August 12, 2015 - Children were not being properly supervised. A plan of correction was

completed and a non-compliance letter was sent. Please refer to the attached monitoring

inspection for details.

October 15, 2015 - Children were again found unsupervised. Please refer to the attached

monitoring inspection for details.

If you believe this action is in error, you may request an administrative review of this decision by submitting a

written request to our Tribal CCDF Administrator. This request must be submitted within 10 calendar days from

your receipt of this letter. The request must include documentation explaining your grounds for appeal. The

request for an administrative review should be mailed to:

Generic Tribal CCDF Program A

TTN: Tribal CCDF Administrator

123 Miller Street

Jones, ND 71234

March 2017

Sample Contract Cancellation Letter