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Child Care Center, Preschool & Head Start
Application Packet Forms
- CCL 150 Regulations to Consider (PDF)
- CCL 301 App for a NEW CCC, PS or HS (PDF)
- CCL 301a Instructions CCC, PS, HS (PDF)
- CCL 301b Application Checklist CCC (PDF)
- CCL 301c Site Approval (PDF)
- CCL 302 Renewal Application CCC, PS, HS (PDF)
- CCL 303 Closure Notification (PDF)
- CCL 305 Immunization Report Form (PDF)
- CCL 306 Infant and Toddler Care CCC (PDF)
- CCL 310 Staff Training and Qualifications (PDF)
- CCL 311 Staff Qualifications Chart KAR 28-4-429(h) (PDF)
- CCL 312 Staff Qualifications Chart KAR 28-4-429 Program Director (PDF)
- CCL 401 Orientation Checklist for Child Care Center Preschool (PDF)
- CCL 002 Background and Registry Check (PDF)
- CCL 002 Background and Registry Check Spanish (PDF)
- CCL 002a CCC-PS-HS Affiliate Roles (PDF)
- CCL 002a CCC-PS-HS Affiliate Roles Spanish (PDF)
- CCL 028a Critical Incident Report (PDF)
- Critical Incident Reporting FAQs (PDF)
- Corrective Action Plan Provider Instructions (PDF)
- Corrective Action Plan Template (PDF)
Supplemental Forms in Application Packet
- CCL 002 Background and Registry Check (PDF)
- CCL 002 Background and Registry Check Spanish (PDF)
- CCL 002a CCC-PS-HS Affiliate Roles (PDF)
- CCL 002a CCC-PS-HS Affiliate Roles Spanish (PDF)
- CCL 005 Yearly Mechanical Safety Check (PDF)
- CCL 005 Yearly Mechanical Safety Check Spanish (PDF)
- CCL 009 Health Assessment, 16 and Older (PDF)
- CCL 009 Health Assessment, 16 and Older Spanish (PDF)
- CCL 010 Authorization for Emergency Medical Care (PDF)
- CCL 010 Authorization for Emergency Medical Care Spanish (PDF)
- CCL 026 Short-Term Medication Authorization (PDF)
- CCL 026 Short-Term Medication Authorization Spanish (PDF)
- CCL 027 Long-Term Medication Authorization (PDF)
- CCL 027 Long-Term Medication Authorization Spanish (PDF)
- CCL 029 and 029a Child Medical Record, Immunization History, and Health Assessment (PDF)
- CCL 029 and 029a Child Medical Record, Immunization History, and Health Assessment Spanish (PDF)
- CCL 034 Parental Permission, Off-Premise Trips (PDF)
- CCL 034 Parental Permission, Off-Premise Trips Spanish (PDF)
- CCL 035 Parental Permission, Off-Premise, Group Trips (PDF)
- CCL 035 Parental Permission, Off-Premise, Group Trips Spanish (PDF)
- CCL 203 Child Care Centers Self-Audit Survey Tool (PDF)
- CCL 203 Preschool Self-Audit Survey Tool (PDF)
- CCL 207 Record of Observations (PDF)
- CCL 307a Instructions for Completing CCL 307 (PDF)
- CCL 307 Application for Program Director Approval (PDF)
Supplemental Forms not in Application Packet
Informational Documents
- Child Care Initial and Annual Surveys (PDF)
- Child Care Initial and Annual Surveys Spanish (PDF)
- Child Care Complaint Survey Information (PDF)
- Child Care Complaint Survey Information Spanish (PDF)
- CCL 006 Reporting Suspected Abuse and Neglect (PDF)
- CCL 006 Reporting Suspected Abuse and Neglect Spanish (PDF)
- CCL 008 Licensing of Child Care (PDF)
- CCL 011 Recommended Health Supervision (PDF)
- CCL 012 Behavior and Guidance (PDF)
- CCL 012 Behavior and Guidance Spanish (PDF)
- CCL 025 Diapering of Children in Child Care (PDF)
- CCL 025 Diapering of Children in Child Care Spanish (PDF)
- CCL 036 Selecting Child Care Guide for Parents (PDF)
- CCL 037 Guidelines for Exclusion (PDF)
- CCL 037 Guidelines for Exclusion Spanish (PDF)