Ohio Department of Job and Family Services
BASIC INFANT INFORMATION
FOR CHILD CARE CENTERS AND TYPE A HOMES
This information should be completed by the parents prior to the child's first day at the center. This information should be updated periodically as the
infant's needs change.
Child's Date of Birth
What are you feeding your infant?
(Check all that apply)
Liquid foods (formula brand)
Amount of feedings
Frequency of feedings
My infant likes a bottle warmed: (Check one)
Very warm/NOT HOT
Juice (type, amount, when?)
Does child use a cup yet?
(baby food, brand, types, amounts, frequency)
Are foods served room temperature or warmed?
(types, amounts, frequency, special instructions)
(if center is to prepare.)
How frequently should staff check/change your child's diaper?
(pacifier, blankies, etc.)
Hints for getting baby to sleep.
*You must secure a sleep position waiver from your child's physician if
your baby is to sleep on their tummy or side. Please contact the center administrator for this form.
Any additional information about your child that would be helpful or you would like staff to know.
Primary Caregiver Signature
Date form last updated
JFS 01218 (3/2007)