This document offers definitions for age groups along with a chart of child/adult ratios.
This form is used to request a variance to permit the use of a cradleboard in a licensed setting.
This document is the paper form of the electronic checklist in ELICI that licensors use.
This document describes services that are not required to be licensed.
If you are requesting reconsideration of your correction order, you can complete this form to request it be reviewed more quickly.
This form is to document a licensed professional’s approval for an infant under one year of age to wear a helmet while sleeping in a licensed program.
This document is required when making a request for clarification of an interpretation of a licensing requirement during the annual visit.
When a fire marshal inspection is requested for a property that is not owned by the licensor holder this form must be completed.
This form is to document a parent or guardian’s request to use a cradleboard for their infant in a licensed program. This form also includes an optional checklist to use for monthly cradleboard safety checks.
This is a guide to poisonous plants including a listing of plants by toxicity.
Providers are required to obtain written permission to administer prescription and non-prescription medication. This form may be used to meet this requirement.
This is a guide to understanding safe sleep and training requirements for infants.
This form may be used to report a serious injury or death of a child in care to your county agency.
This document is optional to track the number of hours, names and dates a substitute was used to provide care.
Once the viewing of the off year video training is completed you may use this document to offer verification that you met this requirement.
From September 30, 2020, to September 30, 2021, licensors will offer technical assistance during all annual licensing inspections (re-licensing and off-year) to determine whether a provider is in compliance with the new requirements listed on this document.
This form may be used to authorize permission for the provider to transport children in a vehicle, use public transportation or participate in an activity away from childcare setting.
This is a link for the public to use to view the recall list.
This is a flow chart to help determine when a background study is necessary.
Licensors are required to issue a Fix-It Ticket for certain violations identified by the Commissioner that do not imminently endanger the health, safety, or rights of children. The Fix-It Ticket provides an opportunity for the provider to correct eligible violations and avoid receiving a correction order for these violations if they are corrected within the allotted time-frame.
This document contains a list of Frequently Asked Questions (FAQ) created by the Minnesota Department of Health regarding the topic of Infant Safe Sleep.
This document is required if you will be using a substitute caregiver for more than 500 hours. This request should be made to your licensor. DHS recommends submitting variance requests no later than 30 days prior to the time you anticipate exceeding the allotted 500 hours.
This document is to provide best practices when using wading pools.
Training / tracking forms
Minnesota law requires licensed family child care providers, adult caregivers and substitutes to take ongoing training. As a caregiver you may want to use this form to track your ongoing training. This is not a required form.
Minnesota law requires licensed family child care providers, adult caregivers and substitutes to take initial training before caring for children and/or licensure. As a caregiver you may want to use this form to track your ongoing training. This is not a required form.
Minnesota law requires helpers in the child care home to take initial and ongoing training when caring for children. As a caregiver you may want to track the training of your helpers. This is not a required form.
