PR/Marketing Update Community Coordinated Child Care, Inc.

CERTIFICATION START-UP MEETING

Welcome to 4-C!Housekeeping COLUMBIA, DANE, ROCK and WALWORTH Counties Please silence your phone & do not receive or make calls or texts during the meeting Sign in with full legal name PowerPoint slides in your folder

Introductions4-C Certification Staff

Brianne Amy Jessica Wanda Stephanie Rachel

Please tell us about you:Experience in child careWhy youre here tonight

OUR GOAL is for everyone to leave this meeting knowingThe benefits of becoming a certified child care providerHow many children you are allowed to care for if you become certifiedHow the application process worksHow to prepare your home for the first home visitWhat 4-C can do to help you as a child care provider

The Story of Tammy

Starting a Child Care Business

Tammy loves children. She has a 15 year old daughter and a 10 month old son. After the birth of her son she decided she would like to leave her job and start a child care business in her home. Tammy will be able to stay home with her son and make money by caring for other peoples children.What are Tammys options for her home childcare business?

Unregulated child care no agency is overseeing the quality of the child care

Regulated child care

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What is regulated child care?Regulated child care facilities and homes are expected to have a minimum set of standards. Home child care businesses in Wisconsin may be regulated by Certification (overseen by counties) or Licensing (overseen by the state).

What does being regulated mean to parents when they are looking for care? Background checks and checks for home safetyThe ability to pay for child care using the Wisconsin Shares subsidy program which is government funding that helps parents cover the cost of child careThe comfort of knowing that the provider has completed child care trainings

Licensed Child CareLicensing through the state is required if caring for 4 or more unrelated children under age 7.Licensed providers may care for a maximum of 8 children.Additional training and standards are required beyond what is required for certification.Examples of additional standards include creating program policies, enclosing your yard with a fence or landscaping, meeting square footage requirements, etc.Licensing involves a pre-licensing process and can take 6 months or more to complete. For more information, contact the Department of Children and Families at 608-266-2900 or visit their website at http://dcf.wisconsin.gov/.

What are the benefits of becoming a certified child care provider?Eligible to participate in the Child and Adult Care Food ProgramListed in the 4-C Referral Department databaseEligible to care for state-funded child care clients through the Wisconsin Shares Child Care Subsidy programEligible to participate in YoungStar, Wisconsin's Child Care Quality Rating and Improvement SystemGiven access to a wide variety of resources and technical assistance to help you succeed in the business of family child careEnhances your professional image as a child care provider

How many children am I allowed to care for if Im certified? Maximum Group Size: 6 children There are a variety of ways you can fill these 6 spots. Certified child care providers may care for 3 unrelated children under the age of 7. In other words, you cannot care for 4 or more children who are unrelated to you and are under age 7 at any given time.

Related, unrelated, or residential?

RELATED: The providers natural or adopted children, foster children, stepchildren, grandchildren, brothers, sisters, first cousins, nephews, nieces, uncles and aunts

UNRELATED: Great grand children, great nieces and nephews, and 2nd cousins (your cousins child)

RESIDENTIAL: Children living in the homeChildren living in the home who are present during child care hours and are under age 7 are counted in the maximum number of children. Children 7 years and older that live in the home are not counted in the maximum number of children.

Reminder: We are talking about how the children are related to you not to each other.

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Maximum Number of Children Related Children under 7 years of ageUn-Related Children under 7 years of ageAdditional Children age 7 -12Maximum Number of Children0336132623163306420651066006

NEVER MORE THAN 6 CHILDREN IN CARE

NEVER MORE THAN 3 UNRELATED CHILDREN UNDER AGE 7

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Special Limitation on Infant/Toddler CareChildren under the age of 2 years require a lot of attention. The number of children you may care for at one time will decrease if you have 3 or more children enrolled who are under age 2. This qualifies for all children related or not related.

Number of Children under age 2 Maximum Number of Children061626354*4*

When Children Under the Age of 2 are Present* The only way a provider may care for 4 children under the age of 2 is if at least one of those children is related to the provider.

1 LESS2 LESS

This is Tammys Household

Tammys daughter age 15Tammys son age 10 monthsTammys motherTammys husbandTammy

Which of Tammys children will count in her numbers?

Tammys daughter age 15 yearsTammys son age 10 months

Which of Tammys children will count in her numbers?

Tammys daughter age 15 yearsTammys son age 10 months

Tammys 15 year old is over 7. She does not count in her maximum group size of 6. Lets look at another household

YES!1 of 6 spots filled

Lisa wants to start a child care business. How many of her children will count in her numbers?

Lisas daughter Age 4 yearsLisas son Age 7 years

Lisas son Age 8 months

Lisa wants to start a child care business. How many of her children will count in her numbers?

Lisas daughter Age 4 yearsLisas son Age 7 years

Lisas son Age 8 months

Yes, when she is present. She goes to 4K four days a week. When she is at 4K, she does not count in Lisas numbers.

YES!He does not count in her numbers because he lives in the home and is age 7 or older.

1 of 6 spots filled

OR

2 of 6 spots filled

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Which children reside in your home?

Childs Name _______________ Age _______Present during child care? _____

Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Childs Name _______________ Age _______Present during child care? _____Total Residential Children Under Age 2: ______ Total Residential Children Under Ages 2-6: ______

Tammys Related Child Care Clients

Tammys twin nephews, age 4 (dont live in Tammys home)Tammys son age 10 months

3 of 6 spots filledWe know Tammy will be caring for her son. She will also have other clients who are related.

Who are the children related to you, whom you will care for, who do not live in your home?

Childs Name _______________ Age _______Relation? _____

Childs Name ______________ Age _______Relation? _________________Childs Name ______________ Age _______Relation? _________________Childs Name _______________ Age _______Relation? __________________Childs Name _______________ Age _______Relation? __________________

Childs Name _______________ Age _______Relation? _____Total Related Children Under Age 2: ______ Total Related Children Ages 2-12: ______

Who else will Tammys child care clients be?

Children of Friends?Afterschool children? Age 7-12 (related or unrelated)

Tammy has 3 spots she can fill with unrelated children under the age of 7. She may also fill spots with related children or children age 7 and up. Clients referred by 4-C?Other children who are also related to Tammy age 0-12?Clients who saw her flier at the local library?Clients referred by other parents?

What if none of my clients are related to me?

You may still be able to fill all 6 spotsUnrelated children under age 7

Unrelated children ages 7-12

Can I care for more children with more caregivers ?

NO!

There can only be one certified provider per home and no more than 3 unrelated children under age 7 with the maximum group size of 6.

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Take a look at your worksheet.How many spots have you filled?

# of residential children ages 2-6:

______________________________# of related non-residential children under 2:

___________________________________# of residential children under 2:

_____________________________# of related non-residential children age 2-12:

____________________________________TOTAL # _________/6Based on the spots you have filled, how many openings do you have? Who can fill these spots - what ages, related or unrelated?

Tammy has decided to become certified because

She feels good about the amount of children she can care for if she becomes certified. She thinks it will enhance her professional image. She will be eligible to care for children in families who receive Wisconsin Shares subsidy payments.

Getting Started1. Attend a Start-Up Meeting

2. Choose a path

PROVISIONAL CERTIFICATIONor REGULAR CERTIFICATION

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What you should know when deciding: PROVISIONAL & REGULAR CERTIFICATIONRequires Training on Reducing the Risk of Sudden Infant Death Syndrome (SIDS) and Shaken Baby Syndrome Prevention (SBS)

REGULAR CERTIFICATIONRequires about 50 hours of entry level training Fundamentals of Family Child CareIntroduction to the Child Care Profession (SIDS/SBS included in this class)Regularly certified providers are required to complete 5 hours of continuing education each year.

* Parents often seek out providers who have training and are often willing to pay more.

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SIDS/SBS 4-C - See class schedule in your folder or at www.4-c.orgElsewhere by an approved trainer - see www.the-registry.org to search for trainings

Introduction to the Childcare Profession and Fundamentals of Family Childcarehttp://dcf.wi.gov/childcare/licensed/pdf/AgencyList.pdf Madison CollegeOnline or at home studies - handout is availableOther courses may count - submit certificates or transcripts with your application

How to Meet Training Requirements

You can always start off as PROVISIONAL and move up to REGULAR Certification.

What is the difference between an assistant, a substitute, and a volunteer?Substitutes: May be left in sole supervision of the children. Consider a substitute for times you would wish to go on vacation, youre ill, or have appointments.

Assistants and Volunteers: May have contact with your child care clients, however they may not be left alone with the children.

Substitutes, Assistants, and VolunteersAll substitutes, assistants and volunteers must:Complete a Child Care Contact Application which includes background check formsAttend training on SIDS/SBS Be approved in writing by 4-C before work begins

Can I provide care in my home or the childs home? YOUR HOMEIn rare cases, when the care is subsidized and pre-approved in writing by the county, care may be provided in the childs home.

Review QuestionsTrue or False: I have two children of my own under age seven, if I get certified I can legally care for four more unrelated children under the age of seven to get to my maximum of six.

True or False: I can care for more children if I have an assistant.

Review Questions True or False: If my assistant or sub is only coming occasionally, he/she must take the SIDS/SBS class as well.

True or False: I have to take the classes Introduction to the Child Care Profession and Fundamentals of Family Child Care to become provisionally certified.

Application ProcessCertification requires a written application.You will receive all the forms you need to complete your application at the end of tonight's meeting. Lets take a look at the steps of the application

Step 1: 4-C Application

Use your full legal nameA $75 non-refundable application fee is due when you apply.Landlord informationHousing history

Step 1: 4-C Application

Question about interest in Wisconsin Shares Subsidy Payments

Who lives in your home and is 12 or older?

Names of children who live in your home ages 11 and under

Step 1: 4-C Application

List any child care clientsShort answer section about your experience or interest in child care

Step 1: 4-C Application

Indicate if you have completed any of these courses (not all are required), list the date of completion List if you plan to use a substitute and who he/she is (you are not required to have a substitute)

You MUST list an emergency backup provider (this is not the same as a substitute but you can use your substitute if you have one.)

Step 1: 4-C Application

List 3 people who ARE NOT RELATED TO YOU who will provide a reference for you upon request. Include: full name, address and phone numberSign and date your application

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Step 2: Required Additional FormsW-9 Form for tax purposes

Only include a Trade Name if you have registered your business with the IRS. Information located on the back table.

If you register your business with the IRS, you will get an EIN (Employee Identification Number). Otherwise use your social security number.

Step 2: Required Additional FormsTuberculosis Screening/ TB Test

You must have a TB test that has been administered in the last 12 months. You may complete this test at your regular doctor or at a local clinic, such as the Concentra Clinic. See the Public Health Madison & Dane County website for more information: http://www.publichealthmdc.com/disease/TB/testing.cfm

Step 2: Required Additional FormsBackground Information Disclosure Forms (BIDS)Must be completed for:Yourself (the child care provider)Anyone 12 years of age and older living in the homeSubstitutes, assistants, volunteers, employees (prior to working)People temporarily staying in the home (prior to arrival)

Please make sure that each person age 18 or older fills out their own BID form.If you provide false information or intentionally withhold information on your BID form, this may cause your application to be denied.

Step 3: Additional Forms* * when applicableLandlord Permission FormRequired for those who rent their home and want to have a certified child care programEntire form is to be filled out by the landlord

Well Water TestRequired if you do not have public water.Test for bacteria and nitratesMust be completed even if using bottled or filtered water

A Complete ApplicationIncludes:4-C application W-9 tax formTB testBackground release forms (BIDs)Landlord permission form (completed by landlord if applicable)Well water test results (if applicable)$75 non-refundable application fee

Background Checks The following background checks will be conducted: Department of Justice (DOJ) and CCAP (criminal information)DHS (Department of Human Services) and Social Services (abuse, neglect, etc. findings)SOR (Sex Offender Registry)

There are two reasons you may be fingerprinted:You have lived out of state within the past three years.You want to be eligible to receive WI Shares Subsidy payments.Who does this apply to?The certified child care providerAny residents in your home age 18 years and olderAny substitutes, assistants, volunteers, employees, etc.We will send you information about the fingerprinting process after your application has been turned in.

Fingerprinting

Wisconsin Caregiver Background Law

There are certain convictions that are considered serious crimes and that bar a person from being certified or from residing in and/or working in a certified home.There are crimes that:Permanently bar an individualBar an individual for 5 years Require a rehabilitation review to lift a barThere is a list of convictions available. We encourage you to enlist our help, please call with questions.

Application ProcessAll application materials must be submitted together to 4-C.

SIDS/SBS documentation may be submitted at a later time, but must be received before a home visit can be scheduled.

If your paperwork is incomplete, it will be sent back to you this will delay the process and could potentially cause your application to be denied.

You are welcome to bring your application in to 4-C when submitting it and have someone from the Certification Department look it over.

Application Process If you plan on moving within 3 months, please wait to submit your application materials until after you move.

After your application has been processed:If it is approved, you will be contacted to schedule a home visit. If it is denied, you will receive a letter in the mail detailing the reason for denial.

Certification applications typically take a few months to process. However it can take longer to determine if an applicant is fit (according to the Dept. of Children & Families standard).

What does fit mean?Fit includes consideration of:Abuse of alcohol or drugsA history of civil or criminal convictions or administrative rule violations that substantially relates to the caring for childrenExercise of unsound judgment A history of civil or criminal offenses or any other actions that demonstrate an inability to manage the activities of a child care programAfter determining if the applicant is fit, 4-C must approve or deny the applicant within 60 days.

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Short BreakThe doors are locked. Please let us know if you are going outside.

Please browse through the displays and brochures and view the slide show.

Home Visits

Types of Home VisitsScheduled or unannouncedInitial (first visit)3 Month Follow UpAnnualRenewal MonitoringAttendance CollectionComplaintsTechnical AssistanceRelocation (if you change your residence)

Home Safety

Home SafetyYour home should be safe for all ages.Check all rooms used for care. Look high. Get down low. What do you see? What looks enticing to touch, climb, or pull?Hazardous items need to be locked or be high enough to be inaccessible to all children.Lock or use a doorknob cover for any rooms/doors that children should not have access to, including bedrooms, basements, etc.You may need to use baby gates in certain areas.

Spot the Hazards-Living Room/Play Area

Safety in the Living Room and Play AreasBlind cords should be up high and separated.Outlets need to be covered.Secure cords that can be pulled or cause tripping. Keep small objects that can be swallowed out of reach of young children.Look at desk areas for scissors, staplers, letter openers, etc. and lock up these items. Air freshener, hand sanitizer, other items labeled KEEP OUT OF REACH OF CHILDREN need to be inaccessible to children.

Spot the Hazards-Kitchen

Whats in your drawers?

Safety in the KitchenKnife blocks are not allowed on the counter.The following items should be locked up or placed high out of childrens reach:Sharp objects such as knives, vegetable peeler, cheese grater, pizza cutter, cork screw, other tools Plastic bags, aluminum foil, wax paper, saran wrapCleaning supplies and any item labeled KEEP OUT OF REACH OF CHILDRENAlcoholGarbage cans need to be covered. Outlets should be covered.

Spot the Hazards-Bathroom

Whats in your drawers?

Safety in the BathroomThe following items should be locked or taken out of the bathroom:Any item labeled KEEP OUT OF REACH OF CHILDRENMouthwash, tooth paste, personal care itemsMedicationsPlastic bagsRazors Outlets need to be covered

Best practice is to remove all of these items from the bathroom.

Providing Care in the BasementTwo exits are required.

If 2nd exit is a window, it must meet certain specifications.If this applies to you, see the handout Providing Care in a Basement found in your folder.

Infant CareToys and activities that are safe and developmentally appropriate for infants must be available.

Safe crib or pack n play for each child under one year of age must be available.

Cribs must meet federal standards. Cribs made prior to June 28, 2011 require a Certificate of Compliance from manufacturer. Documentation is required before crib will be approved.

A few more thingsAt least 1 smoke detector and carbon monoxide detector is required on each level of the home.Guns and ammunition must be stored separately, locked, and made inaccessible to children.No smoking indoors/outdoors Home should be clean and uncluttered.There shouldnt be any peeling or chipping paint inside, outside or on equipment

What about pets?Proof of current rabies vaccinations are required for dogs, cats, ferrets. Food and water cannot be accessible to children.Your yard must be free of animal waste.

Phones and Emergency #sA working phone is required.Cell phones are okay.Posting emergency phone numbers including rescue squad, police, fire station, emergency medical care, and poison control is required.A handout with these phone numbers will be provided for you at the first home visit. Report ANY changes in your phone number to 4-C immediately.

Children learn through play.

What do children play with?Dress up clothes, shoes, purses (from your closet)Plastic dishes, cooking utensils, play food (from dollar stores, thrift stores)Puzzles, lacing cards, shape sorters, magnet boardsBlocks, Legos, other building toysBooks, story boards, dolls, childrens cds, homemade instrumentsArt materialsNature items such as rocks, acorns and leavesGamesAnimals and play peopleCars or trucks

How many toys do I need?Indoors: Minimum of 3 per child Outdoors: Minimum of 1 per child

Toys must be accessible to children.

Not having enough toys causes boredom and can lead to behavioral issues. Too many toys can be overwhelming. Try to find a balance.

The best practice is to have additional toys that can be rotated to keep things interesting.

Provide an environment where children can learn.

Indoor Spaces

Materials accessible and sorted by type in binsVariety of Toys-push toys for toddlers

Child size table & chairsIn entry way for helpful transition to and from care Keeps children busy while provider & parents chat

Wide variety of materials accessible for all ages, including infants & toddlers.Mirror attached to wall inside cubby space. Nap Area

Inexpensive shelf for books - toys are low and accessibleSpecial toys up highAttach shelf to wall to avoid tipping

Lets Play Outside!Hot tubs, pools, trampolines cannot be used or accessible to children during childcare hours.

Yard must be free of hazards.Examples: tools, grill utensils, gasoline cans, large holes in the yard, sharp objects, poisonous plants, thistles, etc.

Equipment must be safe, not cracked, broken or have splinters.

Provide a variety of activities.Examples: Hula hoops, jump ropes, balls, riding toys, toy mowers, bubbles, chalk, etc.

Spot the Hazards - Outside

Outdoor Space Examples

Brain DevelopmentThe birth-to-three period is the fastest rate of brain development across the entire human life span.90% of a childs brain development happens before age 5. ALL caregivers who are a part of a childs life impact his/her brain development.A 3-year-olds brain is twice as active as an adults brain.Babies whose parents and caregivers frequently talk to them know 300 more words by age 2 than babies who are rarely spoken to.Talking, singing, playing and reading are some of the key activities that help a childs brain develop. Child care providers make a big difference!

Help children learn!Plan activities. Use resources available to you in order to help children learn and grow.

The Business of Child Care

Enrollment Forms There are forms that are required to be on file for each child enrolled in your care. This includes children who drop-in, have limited attendance, etc.Children who live in the home only need a health report and an immunization record.Parents should complete the forms and turn in to you before the childs first day. Forms are available on the 4-C website.Consider creating folders with blank enrollment packets.

A Signed Contract with ParentsCertification rules require a written contract between provider and parent.Contract disputes often lead to complaints.A contract can protect your business. Ensure the contract accurately reflects services provided and your programs policies. Be sure to review the contract with parents prior to enrollment.

What items should you include on the contract? Days and times of careFees for carePolicies you wishes to use as part of your business such as: child guidance practices, illness policy, vacation, termination policy, etc.Signature of both parent and provider and date

There is a sample contract available.

Travel TimeThe Authorization to Transport form must be on file for each child, even for walks around the neighborhood. If children are transported in a vehicle:The driver needs a valid drivers license.The vehicle must be registered in Wisconsin and be insured.If the vehicle has a seating capacity of 6 or more passengers in addition to the driver, Wisconsin law requires that your vehicle have a safety alarm. (Information about the vehicle safety alarm is in your folder.)

Attendance RecordsDocumenting attendance is required for every child present during your hours of operation (including your own children).You may use the DCF form or you can create your own. A copy of the DCF form is in your folder.List each child separately.Write actual arrival and departure times.Keep on file for 3 years.

Hours of OperationYou may provide up to 16 hours of care in a 24 hour period. Report any changes in hours of operation immediately to 4-C. Overnight care:You must provide something substantial to sleep on.You need to be awake when children are awake.Activities & toys must still be accessible and certification rules need to be met.

Do you have to buy child care liability insurance? It is not required for Certification, but regular homeowners insurance or renters insurance will not cover accidents that occur during child care hours.Certified providers are required to inform parents of their liability insurance coverage in writing (the contract is a good place for this).If your landlord is hesitant about signing the landlord permission form, purchasing business liability insurance and naming him/her as co-insured may help.

What business costs do you need to consider? Application fees to 4-CHealth and safety items- gates, outlet plugs, safety locks, carbon monoxide detectors, etc.Equipment - nap mats, high chairs, dishes for children, bottles, pack n play, child-sized chairs/tableBusiness supplies - folders, binders, receipt book, etc.Toys, activities, bins, shelvesFood

How much should you charge families for child care? You should set your own rates by considering the following:What items would you provide and what do you expect parents to provide? For example: food or diapersHow extensive is your education background? Experience?Will you offer unique or special perks such as field trips, a specialized curriculum, etc.There is a sheet of average rates available.

How will you be paid?Families usually pay providers in two different ways: Private pay (families pay directly)Wisconsin Shares Child Care SubsidyThe amount of subsidy a provider receives is not intended to be the full payment for care. You may decide to charge the parent a co-pay (extra money beyond subsidy payments in order for your childcare rates to be met).

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How does the Wisconsin Shares Child Care Subsidy work?Parents apply and have prior approval for a provider to receive payments from Wisconsin Shares. You will receive written authorization from Wisconsin Shares confirming approved hours/rates for each child.Counties will not pay providers for caring for children who live in their homes including relatives. 4-C does not manage Wisconsin Shares. Please direct your questions to the county.

Marketing IdeasCreate business cards with your business name, your name and always have them ready to hand out. Advertise in local and free newspapersHang flyers at local businesses, libraries, churches, schools, community centers or other places where parents may be.Put a sign in your yard, on a door or in a window. Use online marketing and social media toolsObtain written permission from a parent if using childrens pictures in any marketing materials.

Review QuestionsTrue or FalseOnly children who receive subsidy payments need to be on the attendance.

True or FalseI need to have my childs immunization records on file.

Yes or NoSometimes my friends child comes for an hour or so in the afternoons. Do I need to have enrollment forms on file for him?

Review Questions How many hours a day can I provide care?

If I start care at 7 a.m., until what time can I provide care?

If I have 6 children in care, how many toys do I need to have accessible to children indoors? Outdoors?

YoungStar Summary

YoungStar is a quality improvement and rating program using a 2-5 star system.Star rating is determined by training, experience, environment set up, etc. You must be certified or licensed before participating.A professional consultant comes to your home to go over how the program works and to help with an aspect of your child care program that you would like to improve. If caring for children who receive Wisconsin Shares subsidy, you are required to be a part of YoungStar.You are able to get money (microgrants) to put towards materials for your child care program or classes for you.

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If you decide to be a YoungStar rated provider

You will not receive Shares subsidy payments until you have submitted a completed YoungStar application.The higher the star level your program obtains, the higher the Shares subsidy reimbursement rate.

YoungStar Website: http://dcf.wisconsin.gov/youngstar

Public WebsiteBoth certification compliance information and YoungStar rating details are on a public website.

This includes results of home visits such as compliance statements, rule violations, and correction plans.

http://dcf.wisconsin.gov/childcare/licensed/search.HTM

Food ProgramAll children ages 0 through 12 years in child care are eligible to participate in Child and Adult Care Food Program (CACFP) program. Each child can be paid for either two meals and one snack or two snacks and one meal per day.Providers need to follow the same nutritional requirements regardless of participating in the food program.The food program will provide you with recipes, nutritional information, meal plans and ideas, free nutrition training, newsletters, a calendar keeper, etc.Food program consultants will come to your home and work with you.On average providers receive $250 a month depending on the number of children in care and the amount of meals/snacks being served.

How will your taxes be affected by opening a child care business? All child care providers are required by law to file taxes with the IRS.If you are paid with Wisconsin Shares payments, you will receive a 1099 tax form from the county showing the amount were paid. Taxes are not deducted from these payments.Income for your taxes will include parent fees, Wisconsin Shares payments, food program reimbursements, etc. Taxes are not automatically taken out of these payments.You are responsible for tracking your income. You could save a lot of money by deducting expenses for your child care. Be sure to save your receipts!

Professional DevelopmentThe 4-C Professional Development Department is dedicated to offering high quality trainings and career growth to Early Care and Education professionals at various stages of their professional development.Provides technical assistance.Offers in-person training as well as correspondence courses.Develops trainings to meet specific needs including on-demand training.Creates innovative programs such as Make-n-Takes.

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4-C Family Support Services

4-C receives about 200 calls each month from parents who are searching for child care options. About 75% are looking for infant care.

4-C referral department maintains a database of all regulated programs (certified family child care, licensed family child care, group centers) in Columbia, Dane, Dodge, Jefferson, Green, Rock, Sauk, and Walworth counties.

Providers location, hours, ages, and days willing to do care are matched with parents calling 4-C. The parent is responsible for contacting providers regarding current openings.

Providers should not rely solely on 4-C to obtain new clients. Providers should also advertise on their own.

It is the providers responsibility to keep referral up to date regarding their program.

4-C Resource RoomThemed KitsChildrens BooksThe Paper ShopLending LibraryBooks for SaleThe Lamination StationThe Die Cut CornerProvider ComputerActivity and Craft Store

All providers and family members are welcome!

The Certification Department is here to help and offer technical assistance with the application process as well as any assistance that is needed throughout your certification.

If you have any questions, please dont hesitate to contact us!608-271-9181 www.4-C.org

Whats next?Thank you for coming!Fill out the yellow evaluation form in your folder.Pick up an application packet, extra BID forms, and a YoungStar application.Call or stop by with any questions regarding the application process.Take your SIDS/SBS class (see the class information and registration form in your folder).Look over the home visit checklist in your folder to prepare your home.

APPLICATIONFORCHILDCARECERTIFICATIONCOMPLETEANDRETURNTO4C:5OdanaCourt,Madison,WI53719

FOROFFICEUSEONLY:Date:__________________CertificationFee$_____PaidMethodofPayment

Cash Check MoneyOrder CreditCard

1.APPLICANTINFORMATION

*Byprovidingyouremailaddressyouareexpressinginterestin4Candconsenttoreceiveemailsfrom4C.

NameofApplicant: DateofBirth:

AddressofApplicant: City: ZIP: County:

AlternateAddress(ifprovidinginhomecareatanalternateaddress): SocialSecurityNumber:

PreferredLanguage:

PrimaryPhone:HomeCell

SecondaryPhone:HomeCell

Willyouneedtranslationservices?YesNo

*EmailAddress:

Doyourentthepropertywherethecarewillbeprovided? Yes No Ifyes,youmustsubmitenclosedLandlordPermissionForm(filledoutandsignedbyyourlandlord).LandlordName: Phone:

Pleaselistalloftheaddresseswhereyouhaveresidedinthelast3years. Fillouttheinformationasbestyoucan.Ifyouneedmorespacespleaseattachadditionalinformation.Address From Until Landlordsname Landlordsphonenumber

Hasanyresidentinyourhomelivedoutsideofthecountytheycurrentlyresideinwithinthepast3years?YesNoIfyes,pleaselistpersonsname,city/county/statelivedin,anddateslivedthere:

AreyoucurrentlyLicensed/CertifiedforFosterCare,ChildCareLicensingorAdultCareinyourhome?YesNoIfyes,aRegulatoryAgencyApprovalFormwillneedtobeonfile.RegulatingAgencyName: TypeofLicense/Certificate:

2.RESIDENTS/CLIENTS

HaveyoueverbeenLicensed/CertifiedforFosterCare,ChildCareLicensing,orAdultCare?YesNo

HaveyoueverhadaLicense/CertificateforFosterCare,ChildCareLicensing,orAdultCaredenied,suspendedorrevoked?YesNoIfyes,explain:

WaterSupply:PublicPrivateWellIfyouhavewellwater,youmustsubmitresultsofawellwatertestbeforeyoucanbecertified.Dateoflastwatertest_________.

Doyouhavepetsinyourhome?YesNoProofofRabiesvaccinationsforcats,dogs,andferretsisneededatinitialhomevisit.Doyoucurrentlyhaveanymedicalconcernsthatwouldpotentiallyinhibityourabilitytocareforchildren?YesNoIfyes,explain:DoyouwishtobeeligibletoreceiveWisconsinSharesreimbursement?YesNoUnsure

Pleaselistalladultsaswellaschildren12yearsandolder livinginyourhome,includingindividualsthatmightresideinthehomeparttime.YoumustsubmitaBackgroundInformationDisclosureForm(BID)foreachpersonlistedhere.Name Relationship DateofBirth SocialSecurityNumber

Pleaselistallchildrenlivinginthehomeage11andyounger(natural,adopted,fosterorresidential).

Name DateofBirth Name DateofBirth

3.EXPERIENCEBrieflydescribethereasonyouwanttobeacertifiedfamilychildcareprovider.Pleaseexplainanypastorcurrentexperienceworkingwithchildrenotherthanyourown.Whatdoyouconsiderthemostimportantideasandtasksinprovidingqualitychildcare?Howdoyoumanagechildren?Brieflydescribeyourlearningcurriculum,includingthetypesofactivitiesyouwillofferaswellastheplayequipmentyouhaveavailableforchildren.Pleasedescribeyourdisciplinarypolicyand/orbehaviortechniquesthatyouplantousewithchildren.

Pleaselistallchildrenforwhomchildcareiscurrentlyprovidedfor:

Name DateofBirth Relatedtoyou(circleone)

Describerelation(ifapplicable)

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

4.EDUCATION/TRAININGIndicateaYesorNoforeachitemlisted andacompletiondate.Also,attachproofofcompletionwhenapplicable.

CourseName Completed?(circleone)Completion

DateShakenBabySyndrome(SBS) YesNo

SuddenInfantDeathSyndrome(SIDS) YesNo

TheIntroductiontotheChildCareProfession YesNo

TheFundamentalsofFamilyChildCare YesNo

CollegeTranscriptswith2ormorecreditsinEarlyChildhood/ChildDevelopment YesNo

AA(AssociatesDegree)orBA/BSdegreeinEarlyChildhoodDevelopment YesNo

AA(AssociatesDegree)orBA/BSdegreeNOTinEarlyChildhoodDevelopment YesNo

5.SUBSTITUTE/ASSISTANT/VOLUNTEER

Iintendtousea:substituteemployeevolunteerIdonotintendtouseasubstituteemployeeorvolunteer.Ifyouplantouseasubstitute,employeeorvolunteer,youmustsubmitaChildCareContactpacketwhichincludes:ChildCareContactApplication,BIDform(BackgroundInformationDisclosureForm),$10fee(nonhouseholdmemberonly)andproofofSIDS/SBStraining.PLEASENOTE:Thesubstitute,employeeorvolunteermustbeapprovedinwritingby4Cbeforebeinghired/utilized.Provideinformationaboutthesubstitute,employeeorvolunteerbelow:Name: Phone:

Address: City: ZIP:

SIDScompletiondate:______________

SBScompletiondate:_______________

DateofBirth: SocialSecurityNumber:

6.EMERGENCYBACKUPPROVIDERPleaselistanadultwhocanprovideassistanceintheeventofanunexpectedemergency.Theemergencybackupprovidermustbeatleast18yearsofageorolder,beabletoprovideanacceptablelevelofchildcare,andpreferablyiswithin5minutes.Name: Phone:

Address: City: Zip:

7.REFERENCESList3individualsunrelatedtoyou,whoarefamiliarwithyouandyourabilitytocareforchildren.Theseindividualswillbemailedaformfrom4Ctocompleteonyourbehalf.Name:First,Last Address: Street,City,Zip Phone:

8.AUTHORIZATIONIauthorizetheDepartmentofChildrenandFamiliesand/orthecertifyingagencytorequestandreceiveanyinformationthatisappropriateandnecessaryfortheadministrationofcertificationforchildcareprograms.Sourcesofinformationmayinclude,butarenotlimitedto,DepartmentofCorrections,DepartmentofJustice,DivisionofUnemploymentInsurance,DepartmentofRegulationandLicensing,InternalRevenueService,DepartmentofRevenue,DepartmentofTransportation,WisconsinTechnicalCollegeSystemoranyothereducationalinstitution,countydepartmentsofsocial/humanservices,lawenforcementagenciesoracurrentorformeremployer.Personallyidentifiableinformationcollectedonthisformmaybeused,inpart,throughcomputermatchingtoverifyinformationwiththedepartments,agenciesandemployersidentifiedabove.Iacceptlegalresponsibilityforcomplyingwithalladministrativerulesaspromulgatedbythedepartmentundertheauthorityofs.48.651,Wis.Stats.BysignatureIsignifyawillingnesstoprovidethecertifyingagencyand/orDepartmentofChildrenandFamilieswithinformationtoverifywhetherornottherequirementsforcertificationaremetandfurtherauthorizethecertifyingagencyordepartmenttomakesuchinvestigationasisnecessaryforverificationofthesefactors,includingaccesstothepremisesanytimeduringhoursofoperation.Iaffirmthatallstatementsmadeinthisapplicationandanyattachmentsaretrueandcorrecttothebestofmyknowledge.Iunderstandthatfailuretosubmitcorrectortruthfulinformationoromittinginformationisgroundsfordenial,revocationorothersanctionundertheauthorityofapplicablestatutesoradministrativecodes.Crediblestatementsmadetothecertifyingagencyand/ordepartmentthatcontradictinformationIprovideundermywrittenattestationalsomaybegroundsfordenial,revocationorothersanctionofcertification.Iwillcomplywithalllaws,rulesandregulations.IunderstandandagreethatIamresponsibleforensuringthatanypersonwhoisemployedorwhohasanyroleintheoperationofmychildcareprogramwillcomplywithalllawsandregulationspertainingtochildcareprograms,includingch.48ChildrensCodeands.49.155WisconsinShares:ChildCareSubsidyoftheWisconsinStatutes,chs.DCF202ChildCareCertificationandDCF201AdministrationofChildCareFundsoftheWisconsinAdministrativeCodes;andTitle7C.F.R.Part226ChildandAdultCareFoodProgramoftheFederalRegulationsoftheU.S.DepartmentofAgriculture.IfurtherunderstandandagreethatImaybeheldlegallyresponsibleforanyactionsoromissionsofanypersonwhoisemployedatmychildcareprogramorwhohasanyroleintheoperationofmychildcareprogram.Iunderstandandagreethatfailuretocomplymayresultinanenforcementactionincludingrevocation,denialortheassessmentofforfeiture.Inaddition,IunderstandthatmyapplicationwillnotbeprocessedwithoutpaymentofthenonrefundableapplicationfeeandthatifIdonotsubmitalloftherequiredapplicationmaterialsinatimelymanner,thismaycausemyapplicationtobedeniedorvoid.ApplicantSignature:X________________________________________________Date:____________________________

Tuberculosis Skin Test Form

For Family Child Care Certification

When on file, this completed form will meet the requirement of DCF 202.08, Wisconsin Administrative

Code.

Name of Child Care Provider

Date of negative PPD Tuberculin skin test**

If positive, date of negative chest X-ray

**NOTE: if provider has a history of positive TB tests, enter date re-evaluated for re-activation

or for signs/symptoms of TB ____________________ and enter results in Comments section.

Comments: ____________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Signature of Licensed Health Professional

Type or print name of Health Professional

Health Professionals office address (Street, City, State, Zip)

Date of Result

Community Coordinated Child Care 5 Odana Ct. Madison, WI 53719

phone (608) 271-9181 fax (608) 271-5380