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- Note - Forms for parents to complete are indicated in red.
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*Indicates forms to be submitted to KDHE
Instructions for Completing CCL 201 07/2010
*CCL 201 Application 07/2010 en EspañolCL 201
*CCL 002 Request for KBI/SRS Registry Check 02/2010 en EspañolCL 002
*Fire/Life Safety Agreement (located at www.ksfm.ks.gov)
Portfolio Supplemental Forms in the LDCH/GDCH application packet
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Supplemental Forms for the LDCH/GDCH
CCL 005 Yearly Mechanical Safety Check 02/2010 en EspañolCL 005
CCL 009 Health Assessment, 16 & Older 02/2010 en EspañolCL 009
CCL 010 Authorization for Emergency Medical Care 02/2010 en EspañolCL 010
CCL 026 Short-Term Medication Authorization 02/2010 en EspañolCL 026
CCL 027 Long-Term Medication Authorization 02/2010 en EspañolCL 027
CCL 028 Notification of Injury, Illness, Critical Incident 02/2010
CCL 029 & 029a Child Medical Record, Immunization History, & Health Assessment 02/2009
CCL 034 Parental Permission, Off-Premise Trips 07/2010 en EspañolCL 034
CCL 035 Parental Permission, Off-Premise, Group Trips 07/2010 en EspañolCL 035
CCL 204 Provider’s Self-Evaluation Checklist 09/2003
CCL 206 Report of Directed Readings 09/2003
CCL 207 Record of Observations 09/2003
Additional forms not in the application packet
CCL 031 Request for Exception 09/2003
CCL 032 Request for Amendment 08/2010 en EspañolCL 032
CCL 205 Schedule of Enrollment 09/2003
Informational
Child Care Initial & Annual Surveys 06/2010
CCL 006 Reporting Suspected Abuse/Neglect 02/2010 en EspañolCL 006
CCL 008 Licensing & Registration of Child Care 09/2007 en EspañolCL 008
CCL 011 Recommended Health Supervision 12/2008
CCL 012 Behavior and Guidance 02/2010 en EspañolCL 012
CCL 025 Diapering of Children in Child Care 09/2003
CCL 033 Comparing RDCH, LDCH, & GDCH 02/2010 en EspañolCL 033
CCL 036 Selecting Child Care: Guide for Parents 03/2010
CCL 037 Guidelines for Exclusion 02/2010 en EspañolCL 037
CCL 208 Guidelines for Training: LDCH/GDCH 02/10
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