Child Development Home B Asthma Action Plan is a multi-color 1-page, 8 1/2 x 11 form child care businesses may use when care planning for a child with asthma. Child Care Assistance (CCA) is available to the children of income-eligible parents who are absent for a portion of the day due to employment or participation in academic or vocational training or PROMISE JOBS activities. Contact the Centralized Child Care Assistance Eligibility Unit (CCA) at 866-448-4605 or email ccaapps@dhs.state.ia.us for questions about child care. Are you new to having a family or maybe you are new to Iowa? Our state-specific browser-based blanks and crystal-clear guidelines remove human-prone mistakes. Box 4826Des Moines, IA 50305Fax to: 515-564-4034Email:recordcheckevals@dhs.state.ia.us, Employer's Statement of Earnings 470-2844, Request for FIP Beyond 60 Months 470-3826, Requirements of Claiming Good Cause 470-0170, Review/Recertification Eligibility Document 470-2881, Ten-Day Report of Change for FIP and Medicaid 470-0499, Informe de Cambios de Diez Dias para FIP y Medicaid 470-0499(S), Solicitud de Ayuda Financiera 470-0462(S), Financial Support Application 470-0462(Multi-Program*), Child Care Assistance Application 470-3624(Child Care Assistance Only), Solicitud Para Child Care Assistance 470-3624(S)(Solamente Child Care Assistance), *Multi-program application can be used to apply for Food Assistance, Child Care Assistance, and Cash Assistance, Health Care Coverage and Help Paying Cost Application 470-5170, Solicitud de cobertura mdica y asistencia para abonar el costo 470-5170(S), Authorization to Obtain or Release Health Care Information 470-3951, Request to Amend Health Information 470-3950, Request for a List of Disclosures 470-3985, Request to Restrict Use or Disclosure of Health Information 470-3953, Request for Access to Health Information 470-3952, Request to Change How Health Information is Provided 470-3947, Autorizacion para Obtener o Proporcionar Informacion Sobre el Cuidado de la Salud 470-3951(S), HIPAA Privacy OfficerIA Dept of Human Svcs1305 E WalnutDes Moines, IA 50319, Consumer Directed Attendant Care Individual Provider Enrollment - 470-3638, HCBS Consumer-Directed Attendant Care Agreement 470-3372, Suspected Dependent Adult Abuse Report 470-2441, Central Abuse RegistryIA DHSP.O. If you were directed here from the Human Services benefits portal because you do not have an email address, download the paper application to apply. Forms and resources for Center Directors. General QRS Forms 470-4901 NEW Quality Rating Application for Homes 470-4902 NEW Quality Rating Application for Centers/Preschools/School-Based Programs Funding provided by the Iowa Department of Health and Human Services through the Child Care Development Fund, Child Care Home Accepting Child Care Assistance, Iowa Department of Health and Human Services (HHS) child abuse website. Form to document training requirements prior to registration and tracking of required professional development hours for each registration period. This 2-page, 8 1/2 x 11 fact sheet provides information on the three-step process formanual dishwashing and how to monitor to ensure that sanitizing is done. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Required information for HHS checklist, 110.9(4)D. The provider should give this form to the parent/guardian of the attending child, to have the form completed by a physician. Is registered with Iowa Department of Health and Human Services (HHS), May or may not have a signed Child Care Assistance (CCA) Provider Agreement with Department of Health and Human Services (HHS), Is sometimes referred to as a registered home provider, Department of Health and Human Services (HHS) will complete annual inspections, Child and Adult Care Food Program (CACFP), Environment Rating Scale (ERS) Assessment, Registration & Regulatory Requirements - Department of Health and Human Services (HHS), Program for Infant/Toddler Care of Iowa (PITC), Registered with the Iowa Department of Health and Human Services (HHS), Not registered with Iowa Department of Health and Human Services (HHS), The only guideline for a Child Care Home (CCH) is Iowa Code Section 237A.3, To be available for referrals, a nonregistered program must complete a background check with CCR&R. A Child Development Home (CDH) is a registered child care facility and categorized as either an A, B, C or C1. Iowa's child welfare system of care is child and family driven providing a cross-system spectrum of effective, community-based services, supports, policies, and processes for children and youth, from birth through young adulthood. Use this form to prepare for your DHS annual inspection. The fact sheet includes storage and handling guidelines. To download a Spanish application, pleaseclick here. State Record Check Guide 7. Forms, Real Estate Optional Training. Spanish, Localized Funding provided by the Iowa Department of Health and Human Services through the Child Care Development Fund, Iowa Department of Health and Human Services (HHS) child abuse website. If you think that you may be eligible, be sure to complete the following steps: Submit a WAGE$ Application Including income verification Assistance may also be available for a limited period of time to the children of a parent looking for employment. With federal approval, DHS waived national fingerprinting check requirements during the COVID-19 pandemic to alleviate the financial burden of implementing checks for child care centers. Phone: 866-448-4605 Toll Free Fax: 515 564-4032 The Centralized Child Care Assistance (CCA) Payment and Registration Unit processes child care payments for providers and handles all provider applications, renewals, and changes reported by providers. Fire Marshal Requirements - Iowa State Fire Marshal's Office, Comm 204 - HHS Licensing Standards & Procedures, Comm 204, Section 109.6(1-5) - Requirements for Center Director and On-Site Supervisor, Comm 204 - Center Director Qualifications Point Chart, Comm 204 - On-Site Supervisor Qualifications Point Chart, Comm 204 - School-age Director Qualifications Point Chart, Comm 204 - School-age On-Site Supervisor Qualifications Point Chart, Chapter 170 - Requirements for Child Care Assistance (CCA), Child Care Assistance Forms and Information, Department of Health and Human Services (HHS) Child Care Provider Portal, Emergency Preparedness - Resources to help write plans and procedures, Fingerprints and SING - Record check guide. The focus is organized into a flexible coordinated network of resources with meaningful partnerships with families, children and young adults. USLegal fulfills industry-leading security and compliance standards. 844-786-1296 please call the Iowa Child Care Complaint Hotline if you have concerns regarding a child care provider. Click here for most recent updates and resources regarding COVID-19 and issues related to child care and family wellness. CCR&R offers resources to help! To best meet the needs of individuals served through this system of care and the dedicated professionals responsible for system of care service delivery and best possible outcomes, Iowas system of care will be improved though the implementation of new service contracts that go into effect starting July 1, 2017. Required information from HHS checklist, 109.9(2)a. Packet of required information to be kept in the childrens file for each child enrolled. 800-362-2178 please call if you suspect a child under the age of 18 is being abused or neglected or visit Iowa Department of Health and Human Services (HHS) child abuse website. Form to document when provider has practiced monthly fire/tornado drills and changed batteries in smoke alarms. Thefact sheet includes a checklist that early care providers can use to help decreasechildren'sexposure to lead. To apply for full medical benefits, please visitdhsservices.iowa.gov. X Child Day Care 237A.5, 237A.20. A Child Care Home (CCH) is a nonregistered child care facility. Complete and return the Application for Services form found online at www.childsupport.ia.gov. LLC, Internet Required information for HHS checklist, 110.14(3)C. Child Development Homes (CDH) can use this document to learn about emergency exits. Get access to thousands of forms. Guide, Incorporation Asthma Care Brochure is a multi-color 2-page, 8 1/2 x 11 document to help child care businesses complete the Asthma Action Plan. To review quality initiatives and credentialing opportunities, visit the Support Your Future section below. #1 Internet-trusted security seal. Department of Human Services > Search Begin Main Content Area Page Content Increase to CCA Initial Income Eligiblity Effective March 1, 2023 the income eligibility limit for those initially applying to the Child Care Assistance (CCA) program will increase from 145% to 155% of Federal Poverty Level (FPL). American with Disabilities Act (ADA) - FAQ for child care programs, Area Education Agency (AEA) - Special Education Services, Birth to 21, Child and Adult Care Food Program (CACFP) - Reimbursement Program for Meals & Snacks, Child Care Nurse Consultant (CCNC) - Experts in Child Health, Care & Safety, Child Care WAGE$ IOWA - Salary Supplement Program, First Children's Finance - Business Resource Center for Child Care Centers, Iowa DCI - Launchpad for Non-Criminal Justice Forms, Iowa Source Link - Helping Iowa Business Start and Grow, T.E.A.C.H. Many providers are already approved by DHS to provide care for the CCA program. Child Care and Development Block Grant. Links to resources that child care businesses might find helpful. Introductory Letter 2. 21731. If the immunizations are further behind than can be caught up in 60 days, another provisional can be issued for an additional 60 days. Remember that your income, citizenship and identity must be verified. Child Development Home Providers Name Date of Examination Patient may: ? Child Abuse 232.71 STATE OF and children will be covered at 50% of the employees amount. Choose the document template you need from our collection of legal forms. & Estates, Corporate - Being identified to community resources, such as extension services, Community Action programs, Head Start and Child Care Nurse Consultants and Child Care Resource & Referral (CCR&R) agencies. Recruitment and Retention Bonus Application Recruitment and Retention Bonuses FAQ Iowa DHS Recruitment and Retention Bonus Program Based on recommendations within the Governor's Child Care Task Force Report, DHS will provide Recruitment and Retention Bonuses to support the childcare system and its employees. If you live in Iowa, call the state office at 1-800-532-1579. If you have questions or need assistance regarding the information provided on this page, please contactFDHS@dhs.state.ia.us. DHS is responsible for approving families to become foster and adoptive families. Please contact your Child Care Consultant with any questions you may have. Required information for HHS Checklist, 109.10(10). Parent signature is required. Department of Health and Human Services (HHS) Referrals,Iowa Quality for Kids (IQ4K) Strategies, ChildNet Certifications or training key concepts. Employers call 877-274-2580 or email csrue@dhs.state.ia.us . Des Moines, IA 50305. Written policies required by 441 Iowa Administrative Code Chapter 109. Reports may also be made at any time by calling the toll-free 24-hour hotline at: 1-800-362-2178 If you are uninsured and wish to apply for COVID-19 Testing medical coverage, complete anApplication for COVID-19 Testing Coverage-(Solicitud de cobertura de la prueba para detectar el COVID-19). Anaphylaxis Action Plan is a 2 page, 8 1/2 x 11 form child care businesses may use when planning the care of a child withallergy requiring Epinephrine (Epi pen) injection. There are five categories of home child care facilities recognized under Iowa law, based on the number of children in care, the space available for child care and the providers education and experience: Child Development Home A PROMISE JOBS staff administer Child Care Assistance for child care needed to participate in PROMISE JOBS activities. The poster prints full color, on8 1/2 x 11paper. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". You may also request an application from your local office. This updated (April 2022) 1-page (8 1/2 x 11) first aid checklist may be used by child care providers for assessing and monitoring first aid kits. Required information for HHS Checklist, 110.8(4)A. Required information for HHS Checklist, 109.15(3)a/Infant, 109.10(1)a/Preschool, 109.10(1)b/School-age. Supporting Breastfeeding is a 2-page, 8 1/2 x 11 fact sheet on ways child care providers can support breastfed infants and their parents. The Unit also processes child care payments for providers and handles all provider applications, renewals, and changes reported by providers. Request for Child and Dependent Adult Abuse Information 470-0643. Consultation topics may include: Contact a CCR&R Community Development Specialist in Your Area. If you were directed here from the Human Services benefits portal because you do not have an email address, download theApplicationfor Health Coverage and Help Paying Costs(Solicitudde cobertura mdica y sistencia para abonar el costo) to apply. Links to resources that Child Care Centers might find helpful. You are not required to use any of the templates and tools offered, although the tools and templates will help you meet requirements in Iowa law. Childcare Compliance and Complaint Reports: Call the Abuse Hotline at 1-800-362-2178, available 24 hours a day, 7 days a week. Know how youll contact one another and reconnect if separated. 1. Establish a family meeting place thats familiar and easy to find. Center Budget Template from Opportunities Exchange. Submit the necessary fields (these are yellow-colored). Please seek services as you normally would. A system is in already in place for regulated Iowa child care homes providers, their assistants and residents to have national fingerprints paid for. Chart to help plan for safe daily outdoor time. Providers will be responsible for having their fingerprints "rolled" before submitting their registration materials. You can now apply for Rent Reimbursement for 2022 and 2021 claims using any device that connects to the internet. Us, Delete The Infant Safe Sleep Policy follows the American Academy of Pediatrics' infant safe sleep standards to prevent sudden infant death syndrome (SIDS) and sleep-related deaths. Required information for HHS checklist, 110.8(3)C. Form to be completed by the parent and provider when an enrolled child is given any medicine, topical cream, sunscreen, diaper ointment, breathing treatment, etc. To apply forSNAP and/or cash assistance programs (FIP or RCA), go to theonline benefits portalor download theHHS Food and Financial Support Application(Solicitud de Ayuda Financiera). Box 4826Des Moines, IA 50305, Payment Application for Nonregistered Providers 470-2890, Child Care Assistance Provider Agreement 470-3871, Non-Law Enforcement Record Check Request Form A 595-1489, Non-Law Enforcement Record Check Request Form A (Spanish) 595-1489, Central Child Care Unit1305 E Walnut StDes Moines, IA 50319-0114, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Evaluacion de Cheque del Registro 470-2310(S), Child Care Assistance Application 470-3624, Solicitud Para Child Care Assistance 470-3624(S). Fire and tornado symbols may be used as visual aids to help children understand the required written emergency plans posted by the primary and secondary exits. Child Development Home C, C1, Child Care Home Accepting Child Care Assistance, Child Care Assistance Forms and Information, Iowa Department of Health and Human Services (HHS) - Child Care Provider Portal, Emergency Preparedness - Resources to help write plans and procedures. Direct Deposit Authorization Form. This 2-page, 8 1/2 x 11 document from Iowa HHS provides COVID-19 guidance for licensed child care centers, regulated child development homes, before-and-afterschool care, and temporary child care settings supporting the essential workforce. Required information for HHS checklist, 109.10(15)b. For information on how to apply for Nursing Facility Medicaid visit the Long Term Care page. This 2-page, 8 1/2 x 11 colorform can be used by child care providers to document medication given to children while at care. Iowa's training for the mandatory reporting of child abuse. These and other agencies can provide services such as training, consultation, collaboration and resource development. If you have concerns regarding a specific child care provider or child care business that is not meeting Iowa regulations, please contact the Iowa Child Care Complaint Hotline at 844-786-1296. The front has a weather chart, back has weather-related health information. Child Care Center Resources 9. Child Development Homes (CDH) can use this document to post emergency numbers. Iowa law requires child care providers to have a written emergency plan in place by October 1, 2016. Good Neighbor Iowa is a statewide public education campaign to reduce childrens exposure to commonly-used lawn pesticides. The provider should give this form to the parent/guardian of the attending child, to have the form completed by a physician. Required information for HHS checklist, 110.8(1)A. 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