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Providing Child Care Star Rated License Provider Forms Professional Development Provider Contacts Provider Resources

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Sample Forms
  1B - Emergency Care Plan
  2B - Facility Fire Drill Report (1)
  2B - Facility Child Care Homes Fire Drill Report (2)
  3B - Health Consultant Letter
  4B - Universal Precautions
  5B - Suggested Child Care First Aid Kit
  6B - Children's Medical Report (1)
  6B - Immunization History (2)
  7B - Staff Medical Report
  8B - Staff Health Questionnaire (1)
  8B - Tuberculin (2)
  9A - Child's Care And Emergency Information (r)
  9B - Emergency Information on Staff
  10A - Emergency Telephone Numbers (r)
  10B - Daily Health Check
  11A - Incident Report Form (r)
  11B - Handwashing
  12A - Permission to Administer Medications (r)
  12B - Hints for Handwashing
  13A - Checklist for Administering Meds (r)
  13B - Gloving
  14A - First Aid Chart (r)
  14B - Choking/CPR Chart
  15B - Be Lead Safe
  16B - Toxic Plant Information
  17B - Art Hazards Information
  18B - Posion Control Information
  19B - Poison Remedies
  20B - Incident Log
  21B - Communicable Disease Control


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