New York State Office Of Children And Family Services Month: Year: Child Care Attendance Sheet

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NEW YORK STATE
LDSS-4443 (5/2014) FRONT
OFFICE OF CHILDREN AND FAMILY SERVICES
Month:
Year:
CHILD CARE ATTENDANCE SHEET
Program Name:
INSTRUCTIONS: Actual times in and out must be recorded in the spaces below. Check box if child is absent. Daily health care check must be checked after conducted. If there are health care concerns, notes
must be recorded elsewhere. CACFP participants may use this form to record each child’s food participation for each day.
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Food
FOOD*
FOOD*
FOOD* Date
FOOD*
FOOD*
Date
/
/
Date
/
/
/
/
Date
/
/
Date
/
/
Totals
CHILD’S NAME
B
B
IN
OUT
B
IN
OUT
B
IN
OUT
B
IN
OUT
B
IN
OUT
AM
AM
AM
AM
AM
AM
First Name
L
L
L
L
L
L
PM
Last Name
PM
PM
PM
PM
PM
S
S
S
S
S
S
Absent
Absent
Absent
Absent
Absent
EV
DOB:
/
/
EV
EV
EV
EV
EV
Health check
Health check
Health check
Health check
Health check
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Food
FOOD*
FOOD*
FOOD* Date
FOOD*
FOOD*
CHILD’S NAME
Date
/
/
Date
/
/
/
/
Date
/
/
Date
/
/
Totals
B
IN
OUT
IN
OUT
IN
OUT
IN
OUT
IN
OUT
B
B
B
B
B
AM
AM
AM
AM
AM
AM
First Name
L
L
L
L
L
L
PM
Last Name
PM
PM
PM
PM
PM
S
S
S
S
S
S
Absent
Absent
Absent
Absent
Absent
EV
DOB:
/
/
EV
EV
EV
EV
EV
Health check
Health check
Health check
Health check
Health check
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Food
FOOD*
FOOD*
FOOD* Date
FOOD*
FOOD*
Totals
CHILD’S NAME
Date
/
/
Date
/
/
/
/
Date
/
/
Date
/
/
B
B
IN
OUT
B
IN
OUT
B
IN
OUT
B
IN
OUT
B
IN
OUT
AM
AM
AM
AM
AM
AM
First Name
L
L
L
L
L
L
PM
Last Name
PM
PM
PM
PM
PM
S
S
S
S
S
S
Absent
Absent
Absent
Absent
Absent
EV
DOB:
/
/
EV
EV
EV
EV
EV
Health check
Health check
Health check
Health check
Health check
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Food
FOOD*
FOOD*
FOOD* Date
FOOD*
FOOD*
CHILD’S NAME
Date
/
/
Date
/
/
/
/
Date
/
/
Date
/
/
Totals
B
B
IN
OUT
B
IN
OUT
B
IN
OUT
B
IN
OUT
B
IN
OUT
AM
AM
AM
AM
AM
AM
First Name
L
L
L
L
L
L
PM
Last Name
PM
PM
PM
PM
PM
S
S
S
S
S
S
Absent
Absent
Absent
Absent
Absent
EV
DOB:
/
/
EV
EV
EV
EV
EV
Health check
Health check
Health check
Health check
Health check
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Food
FOOD*
FOOD*
FOOD* Date
FOOD*
FOOD*
Totals
CHILD’S NAME
Date
/
/
Date
/
/
/
/
Date
/
/
Date
/
/
B
IN
OUT
IN
OUT
IN
OUT
IN
OUT
IN
OUT
B
B
B
B
B
AM
AM
AM
AM
AM
AM
First Name
L
L
L
L
L
L
PM
Last Name
PM
PM
PM
PM
PM
S
S
S
S
S
S
Absent
Absent
Absent
Absent
Absent
EV
DOB:
/
/
EV
EV
EV
EV
EV
Health check
Health check
Health check
Health check
Health check
*B=Breakfast AM= AM snack L= Lunch PM= PM snack S= Supper EV= Night snack
Page totals B
AM
L
PM
S
EV

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