The Oregon DHS Child Care Provider form is a crucial document designed to streamline the process for child care providers in determining their licensing requirements with the Office of Child Care (OCC). It serves as a comprehensive guide for providers to assess whether they need to be licensed based on their specific care circumstances and outlines the steps required for license-exempt providers to comply with necessary trainings and safety regulations. By facilitating this process, the form plays an integral role in ensuring the well-being and safety of children in Oregon's diverse child care settings.
In Oregon, the journey of becoming a child care provider involves navigating through various processes as mandated by the Department of Human Services (DHS), whether you are a new entrant into the field or an existing provider. The Oregon DHS Child Care Provider form serves as a critical juncture for providers entering or operating within the childcare landscape, addressing the need to meet certain standards and requirements. This exhaustive document offers step-by-step guidance for both license-exempt and licensed providers, covering aspects from licensing exemptions to mandatory training and background checks. Importantly, it outlines the necessity for certain providers to undergo health and safety training, CPR/First Aid certification, and even water testing for lead, underlining the commitment of the state to safeguard the health and welfare of children in care. Additionally, the form details the procedural steps for submission and the subsequent processes, including a home or facility visit by the Office of Child Care (OCC). Moreover, it highlights the requirement for continuous communication with DHS, especially in reporting any significant changes that may affect the provider's status. The importance of this form is further underscored by its role in facilitating child care payments from ODHS to eligible families, streamlining the bureaucratic intricacies into a navigable pathway for aspiring and current child care providers in Oregon.
Child Care Provider Listing
Form Instructions
Parent: Please immediately give this form to your child care provider to complete.
Provider: For help completing this form contact your local Child Care Resource and Referral
(CCR&R) office. To find an office near you call: CCR&R Centralized Coordination at 1-800- 342-6712 (toll-free)
Licensing and license-exempt status
»If you are currently licensed with the Office of Child Care (OCC), go to page 4 for instructions.
»If you are not licensed with OCC and:
•You are not related to all children in care.
O You are likely providing license-exempt non-relative care. Go to page 2 of the instructions.
•You are a grandparent, great-grandparent, aunt, uncle (does not include great-aunt and great-uncle) or a sibling (siblings must not live in the same home as the child needing care). Relationships must be by blood, adoption or marriage. This includes blood relationships established before the child was adopted. Relationships by marriage continue even if a spouse dies.
O You are likely providing license-exempt relative care. Go to page 3 of the instructions.
Are you required to be licensed with the Office of Child Care?
Child care providers are legally required to be licensed with OCC unless they are exempt from licensing (license-exempt).
How to determine your license or license-exempt status
Please select all the statements below that apply to you.
If you provide care in a home, you are exempt from licensing if:
You are providing care in the home of the child but do not live with the child.
All the children you care for, not including your own children, are from the same family. You are caring for three or fewer children, not including your own children, at any one time. You are related to the children in care by blood, marriage or adoption.
If you provide care in a facility, you are exempt from licensing if:
You do not care for children more than 70 days in a year.
A school district, political subdivision of the state or a governmental agency operates the program. You are operating a pre-school recorded program.
If you meet one of the above exemptions, OCC may not require licensing of your home or facility. To see if you need to be licensed, call OCC at 503-947-1400 or 1-800-556-6616.
ODHS uses this information to help determine if you need to be licensed with OCC. This is an informational tool only.
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DHS 7494 (04/2021) recycle prior versions
Instructions for license-exempt non-relative care
Training
If OCC does not require you to have a license and you are not related to all children in care, you will need to complete the following before submitting a completed Child Care Provider Listing Form:
•Introduction to Child Care Health & Safety training (take online)
O Online training: www.oregon.gov/dhs/assistance/CHILD-CARE/Pages/training.aspx
•Recognizing and Reporting Child Abuse and Neglect training
O In-person training: Contact your local CCR&R at 1-800-342-6712 or
•Infant/Toddler CPR/First Aid training
For training locations, contact your local CCR&R at 1-800-342-6712. If you are unable to take the Infant/Toddler CPR/First Aid class before turning in this form, you may be eligible for a short-term waiver. Contact your local CCR&R for more information about the waiver process. For a list of CCR&R offices, go to www.oregonccrr.com, call 1-800-342-6712 or call 211 Info. Strictly online CPR training is not acceptable.
Attach a copy of your “Infant/Toddler CPR/First Aid Card” to this form if you took this training from another agency besides the local CCR&R.
Note: The director and staff members who work with children in care and volunteers who may have unsupervised access to children are also required to take the above trainings.
Water testing requirements
License-exempt child care providers who are not related to all children in care must test their water supply for lead in any plumbing fixture used for drinking, preparing food or formula before submitting their Child Care Provider Listing Form. Submit a copy of the water sample results with your listing form.
Please note: Lead testing is not needed if you provide care in the child’s home and you live somewhere else.
OCC can reimburse you for the cost of lead testing. For a reimbursement form and information on how to test your water, visit https://www.oregon.gov/DHS/ASSISTANCE/CHILD-CARE/Pages/Providers.aspx
For information on preventing exposure to lead, contact OCC at 503-947-5908 or visit their website at https://oregonearlylearning.com/lead-poisoning-prevention/
After completing the above trainings and water testing:
•Complete and sign the attached Child Care Provider Listing Form using black or blue ink.
•Mail the form within 30 days from the date issued in the “ODHS branch use only” section. Mail to the Direct Pay Unit (DPU) at P.O. Box 14850, Salem, OR 97309-0850, fax to 503-378-5953 or email DPU.childcarebilling@dhsoha.state.or.us(PDF only)
•Contact DPU for questions at: 1-800-699-9074 (toll-free) or 503-378-5500 (Salem area).
•OCC must conduct a home/facility visit before approving you as a child care provider. This also includes care provided in the child’s home. After ODHS reviews your provider listing form and verifies you have completed trainings, an OCC staff person will contact you to schedule a visit where child care will be provided. The OCC staff person will check to make sure the home/facility meets all
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health and safety requirements as required by OCC and ODHS. The staff person can talk with you about concerns or questions you have and share resources or training material.
OBefore this visit, you may review the OCC’s Health and Safety Checklist. Find the checklist at https://www.oregon.gov/DHS/ASSISTANCE/CHILD-CARE/Documents/Regulated-Subsidy- Checklist-RS-404.pdf.
Please also see section “Additional information for both relative and non-relative license- exempt providers” below.
Instructions for license-exempt relative care
Note: A relative is a grandparent, great-grandparent, aunt, uncle (does not include great-aunt and great-uncle) or a sibling (not living in the home of the child).
If you are not required to be licensed with OCC and you are related to the child or children in care, you will need to complete the following before submitting a completed Child Care Provider Listing Form:
For more information, go to www.oregon.gov/dhs/assistance/CHILD-CARE/Pages/training.aspx.
After completing the above training:
•Mail the form within 30 days from the date issued in the “ODHS branch use only” section. Mail to the Direct Pay Unit at P.O. Box 14850, Salem, OR 97309-0850, fax to 503-378-5953 or email DPU.childcarebilling@dhsoha.state.or.us (PDF only).
•Contact DPU for questions at 1-800-699-9074 (toll-free) or 503-378-5500 (Salem area).
Additional information for both relative and non-relative license-exempt providers
Background checks
ODHS conducts FBI fingerprint background checks for license-exempt child care providers.
•DPU will submit the completed listing form to the Background Check Unit (BCU) to conduct the background checks. You will receive a letter stating who needs to submit fingerprints. Please read this letter carefully; it will have specific instructions on how to get the required fingerprints.
O Criminal and child protective service records checks are required for the provider, any member of the household who is age 16 or older, and any visitors to the home who may have unsupervised access to a child in care. A visitor is someone who may spend time at the provider’s home during the time child care is provided but does not live in the home. This is likely when the provider needs to visit another area of the home (bathroom, bedrooms, kitchen), leaving the visitor an opportunity for unsupervised access to children.
O In facilities exempt from licensing, the site director and everyone who works in the facility who will have access to the children in care need criminal and child protective service records checks. This includes employees, substitute caregivers, staff and volunteers who may have an opportunity for unsupervised access to children.
Persons who have lived in the state for less than five years will require additional child welfare, sex offender and criminal interstate checks.
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Instructions for OCC-licensed child care providers (registered
family, certified family, certified center)
Licensed providers with OCC are required to:
•Meet ODHS provider requirements and health and safety standards.
•Mail the form within 30 days from the date issued in the “ODHS branch use only” section. Mail to the Direct Pay Unit at P.O. Box 14850, Salem, OR 97309-0850, fax to 503-378-5953 or email DPU.childcarebilling@dhsoha.state.or.us[LJ1] (PDF only).
A Child Care Provider Listing Form is required for each site where care is provided. ODHS will
need to list and approve each site to receive subsidy child care payments.
Contact DPU for questions at 1-800-699-9074 (toll-free) or 503-378-5500 (Salem area). Child care payments from ODHS begin once the listing form has been approved and the family is eligible for child care benefits.
Important information for all child care providers
Notice
The Oregon Department of Human Services (ODHS) helps pay child care costs for families receiving child care assistance. The family may have to pay for some of the care, including the first month of service, if ODHS does not approve their provider’s listing before their child starts care.
ODHS helps pay child care costs for families receiving assistance.
Providers are required to meet all ODHS standards and provider requirements to be eligible for payment from ODHS. For full standards and requirements, see the ODHS Child Care Provider Guide (DHS 7492) or visit www.oregon.gov/dhs/assistance/CHILD-CARE/pages/index.aspx.
•This is not a billing form. You will receive a billing form in the mail if ODHS approves you to receive payment as a child care provider and the parent is eligible for child care assistance.
•The family may also be responsible to pay for some of the care, including the first month of care.
•If there is more than one provider for a child, each provider will receive a percentage of the hours for each month.
•For more information regarding child care, go to the ODHS child care information website: www.oregon.gov/dhs/assistance/CHILD-CARE/pages/index.aspx.
•By supplying your email address in #3 of the listing form, ODHS will email you important information on the child care program.[LJ2][SE3]
Important contacts
•Direct Pay Unit (DPU): P.O. Box 14850, Salem, OR 97309-0850, 1-800-699-9074 (toll-free) or 503-378-5500 (Salem area) or email customerservice.dpu@dhsoha.state.or.us
•Child Care Resource and Referral Centralized Coordination: 1-800-342-6712 (toll-free). They can help you fill out this form.
•211info: Dial 211 or text the keyword “children” to 898211 or email children@211.org
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•SEIU — Union for license-exempt providers: 1-800-452-2146
•AFSCME — Union for OCC licensed providers: 1-800-521-5954
Reporting changes
All child care providers are required to report the following changes to DPU within five days by calling 1-
800-699-9074 or 503-378-5500 or by emailing DPU.ProviderReporting@dhsoha.state.or.us:
•Any new arrests, indictments, convictions or involvement with Child Protective Services (Child Welfare) or any other agencies providing child or adult protective services by any of the following: O You
O Any person living with you age 16 and older O Visitors
O Each person supervising a child in the provider’s absence
O The site director of an exempt child care facility and anyone who works in the facility who has access to the children in care, including employees, substitute caregivers, staff and volunteers and
O Any other person required to be on the listing form.
•Any change to the provider’s name, phone number or address including any location where care is provided
•Any new person (age 16 and older) in the home or facility, including visitors to the home or facility during the hours care is provided who may have unsupervised access to the children in care
•If I am now licensed with OCC or have changed my license type with OCC
•If I am no longer licensed with OCC
•If I no longer meet ODHS provider requirements including health and safety requirements
•If I am now a home care worker for any ODHS Aging and People with Disabilities programs or personal support worker through any Intellectual and Developmental Disability (IDD) or Oregon Health Authority (OHA) Behavioral Health Services program
•If I am a home care worker or personal support worker, I will notify DPU if any changes occur with the type of care I provide or if clients have been added to my care
Failure to report changes may result in a fail status or suspension as a child care provider and you will not be able to receive child care payments.
Frequently asked questions and full standards and requirements
See the ODHS Child Care Provider Guide (DHS 7492) or visit:
www.oregon.gov/dhs/assistance/CHILD-CARE/pages/index.aspx.
Where to submit the completed form
By mail: Direct Pay Unit, P.O. Box 14850, Salem, OR 97309-0850
By fax: 503-378-5953
By email: DPU.childcarebilling@dhsoha.state.or.us (PDF only)
Questions? Call 1-800-699-9074 (toll-free) or 503-378-5500 (Salem area)
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Child Care Provider Listing Form
All child care providers are required to complete this form.
ODHS branch use only
Case name:
Case number:
Program:
Branch:
Billing form:
CCB
JCCB
Date issued:
Date care began:
Will this be the primary provider?
Yes No
Percent of care for this provider:
1st month:
2nd month:
If ERDC, copay month:
Copay amounts:
Replaces another provider?
If yes, ended care with this provider:
Date care ended (mm/dd/yy):
DPU
DPU worker:
Provider number:
Notes:
Child care provider section — use blue or black ink
1. Name as it appears on IRS records:
2. SSN or IRS number:
3. Email:
4.
Name to be printed on the check:
5.
Address where you provide child care*:
City:
State:
ZIP:
6.
Phone number:
7.
Address where you live:
(
)
-
8.
What language do you prefer?
9.
Mailing address (if different):
*Note: If you provide child care at more than one address, attach a separate sheet of paper with the additional addresses.
10.
Check this box if you are currently licensed with the Office of Child Care (OCC).
Write your OCC license number here: _______________________________
11.
Check this box if you are a child care facility that is exempt from licensing with OCC.
12.Were you ever a child care provider in another state? If yes, list the city and state:
________________________________________________________________
13.Ethnicity: Racial heritage:
Hispanic/Latino
Not Hispanic/Latino
Asian
White
Black or African American
American Indian/Alaska Native
Native Hawaiian/Pacific Islander
You can choose not to give the above ethnicity and racial heritage information. Your provider status will not be affected.
14. Is the home where care is being provided foster care certified? (This applies if you provide care in
your own home.)
Yes
No
If yes, attach a letter from the ODHS foster care certifier approving you to do child care in that home or your listing will be failed.
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15. Do you provide (or will you provide) child care in the home where the child lives?
16. a) Are you working or approved to be a homecare worker (HCW) through any Aging and People with
Disabilities (APD) programs?
b) If yes, write your provider number here even if you do not currently have clients: _____________
c) Are you currently providing service for client(s) in APD programs?
d) Are you working or approved to be a personal support worker (PSW) through any ODHS
Intellectual and Development Disability (I/DD)?
e) If yes, write your provider number here even if you do not currently have clients: _____________
f) Are you currently providing service for client(s) in I/DD programs?
If you are a homecare or personal support worker and you are currently servicing clients, please attach a separate paper with your work schedules (days/times) for each type of care you provide (or will provide), as well as the child care schedule. The listing form is incomplete and will be returned if schedules are not attached. Additional information may be requested to determine child care provider eligibility.
Notify DPU if changes occur with the type of care you provide or if you have added clients to your care.
17.List the children of the ODHS families who will be in your care. (Attach a separate paper if necessary.)
Child’s name (first and last)
Birth date
Check the correct box if you are a relative* of the child in care:
Grandparent
Great grandparent
Sibling
Aunt or uncle (do not include great)
Not related
*Relationships must be by blood, adoption or marriage. This includes biological relatives. Relationships by marriage continue even if a spouse dies.
Please answer the following questions:
18.I am the parent, stepparent or legal guardian of the child in care.
19.I am on the same Temporary Assistance to Needy Families (TANF) case or Employment Related Day Care (ERDC) case as the child.
20.I am a sibling and live in the same household of the child who will be in care.
21.I hold a medical marijuana card or distribute, grow or use marijuana (including medical marijuana) or any controlled substance (except lawfully prescribed and over-the-counter medications).
No No
If you answered “Yes” to any of the above questions, you are not eligible to be listed as an ODHS child care provider. Do not proceed.
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22. Basic provider requirements
All child care providers, including those licensed with OCC, are required to answer this section.
Do you meet the
requirements?
A. If required by law, I will be licensed with the Office of Child Care (OCC).
See the page 1 of instructions section for more information.
B. I am age 18 years of age or older and I understand that I am legally responsible
for the accuracy of this form and to repay any payment made in error.
C. I am the actual person or facility providing care for the children.
D. I am competent and have sound judgement and self-control when working
with children.
E. I am mentally, physically and emotionally capable of performing duties related to
child care.
F. I will keep billing records and daily attendance records that show the check-in and
check-out times each day for each child in care (for no less than 12 months).
G. If requested, I will allow ODHS to review billing records and attendance records.
I understand that I will incur an overpayment when attendance records are not
submitted for verification.
H. I will treat ODHS families the same as other families receiving care
including charging ODHS families the same rate (or less) than I normally
charge non-ODHS families.
I. I agree to have or develop a policy for removal and suspension of a child from the
child care setting and communicate this policy to parents/caregivers.
J. I agree to complete the ODHS Child Care Orientation class within 90 days of
being approved with ODHS if I am not required to be licensed with OCC, am a
N/A
new provider or am relisting after a break of one year or more.
K. I will allow ODHS to inspect or visit the site of care during the hours child care
is provided.
L. I will provide proof that I meet the ODHS requirements when requested.
If you answered “No” to any of the above questions, you are not eligible to be listed as an ODHS child care provider. Do not proceed.
23. Home/facility requirements
If OCC does not require you to be licensed (exempt from licensing), there may be help in meeting the following requirements. Please contact DPU for more information. You may print a safety and quality reimbursement form at: http://triwou.org/projects/ccccrr/professionals.
Does your
home/facility meet the requirements?
A.Does each floor used by children have two usable outdoor exits? (This can include a sliding door or window that can be used to evacuate children.)
1.If there is a second floor used for child care, I have or will have a written plan for evacuating children.
Yes N/A
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23. Home/facility requirements, continued
Does your home/facility meet the requirements?
B. Does the home/facility have safe water for drinking or preparing food?
1. If you are a license-exempt provider not related to all children in care, have
you attached the lead test results to this form? See the information page 2 for
more information.
C. Does the home/facility have a working smoke detector on each floor and in each
area where children nap?
D. Will you ensure that the building, grounds, toys, equipment and furniture are
clean, sanitary and hazard-free?
E. Does the home/facility have a working telephone? (You must note phone number
in question 6.)
F. Are there barriers to protect children from fireplaces, space heaters, electric
outlets, wood stoves, stairways, pools, ponds and other hazards. All gates and
enclosures must not pose a risk or hazard to any child in care.
G. Will you ensure that items dangerous to children are kept in a secure place out of
a child’s reach? These items include firearms, ammunition, alcohol, inhalants,
tobacco and e-cigarette products, matches and lighters, any legally prescribed or
over-the-counter medicine, cleaning supplies, paint, plastic bags, and poisonous
and toxic materials.
24. Promoting safety
All child care providers, including those licensed with OCC, are
required to answer this section.
A. I will make sure that no one smokes or carries any lighted smoking instrument,
including e-cigarettes and vaporizers:
•In the home or facility or within 10 feet of any entrance, exit, window that opens, or any ventilation intake that serves an enclosed area, during child care operational hours or anytime child care children are present and
•In motor vehicles when child care children are passengers.
B. I will make sure that no one uses smokeless tobacco:
• In the home or facility during child care operational hours or anytime child care
children are present and
• In motor vehicles when child care children are passengers.
C. I will make sure that no one will be under the influence of alcohol, controlled
substances (except legally prescribed and over-the-counter medications) or
marijuana (including medical marijuana) on the premises during child care
operational hours or anytime child care children are present.
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24. Promoting safety, continued
Do you meet the requirements?
D. I will make sure that no one consumes alcohol or uses controlled
marijuana (including medical marijuana) in motor vehicles while child care
children are passengers.
E. I will make sure that the following are not on the premises during child care
operational hours or anytime child care children are present: controlled substances
(except lawfully prescribed and over-the-counter medications), marijuana
(including medical marijuana, marijuana edibles and other products containing
marijuana), marijuana plants, derivatives and associated paraphernalia.
F. I will make sure that child care is not conducted in a halfway house, hotel, motel,
shelter or other temporary housing such as a tent, trailer or motor home. Licensed
(registered or certified) care approved in a hotel, motel or shelter is allowed.
G. I will make sure that child care is not conducted in a structure that is designed to
be transportable and not attached to the ground, to another structure or to any
utilities on the same premises.
H. I agree to supervise children in care at all times.
I. I will make sure that child care providers and any person supervising, transporting,
preparing meals or otherwise working in the proximity of child care children and
those completing daily attendance and billing records are not under the influence.
J. I agree to prevent people who behave in a manner that may harm children from
having access to children in care. This includes anyone under the influence.
K. I agree to report suspected child abuse of any child in care to an ODHS Child
Protective Services (CPS) Office (Child Welfare) or a law enforcement agency.
L. I agree to review the immunization schedule with parents and keep immunization
records up-to-date or exemption forms on file.
M. I will take steps to prevent the spread of infectious diseases.
N. I will allow custodial parents to have immediate access at all times to their children
in care.
O. I will comply with state and federal laws related to child safety systems and
seat belts in vehicles, bicycle safety and crib standards under 16 CFR 1219
and 1220.
P. I will place infants on their backs to sleep, as recommended by the American
Academy of Pediatrics, if I provide child care to infants.
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Filling out the Oregon DHS Child Care Provider form is a crucial step for child care providers to be officially recognized and possibly reimbursed for their services. This process involves determining your license or license-exempt status, completing necessary trainings, conducting water lead testing (if applicable), and submitting the form correctly. Follow these steps carefully to ensure your application is submitted properly.
Following these steps diligently is essential for ensuring your listing form is accepted and that you're in compliance with the requirements. This will not only formalize your role as a child care provider but also ensure you're eligible for any applicable reimbursements from the Oregon Department of Human Services.
To comply with the requirements, you'll need to complete specific trainings before submitting the Child Care Provider Listing Form. These include an Introduction to Child Care Health & Safety training, available online, a course on Recognizing and Reporting Child Abuse and Neglect, and an Infant/Toddler CPR/First Aid training. For the CPR/First Aid training, remember that strictly online versions aren't accepted. Also, it's essential to conduct a lead test in your water supply and attach the results to your form unless you're providing care in the child's home and live elsewhere. For further assistance, contacting your local Child Care Resource and Referral (CCR&R) office is a good step.
If you're a relative providing care and exempt from licensing, you are required to complete the Introduction to Child Care Health & Safety training available online. After completing this training, remember to fill out the Child Care Provider Listing Form with black or blue ink and send it to the Direct Pay Unit. It's crucial to submit this form within 30 days from the date mentioned in the "ODHS branch use only" section of the form.
Child care providers in Oregon are generally required to be licensed unless they meet specific exemptions. Exemptions include caring for children in their home if not living with them, caring for children from one family, taking care of three or fewer children (excluding your own), or operating under limited days and specific organizational exemptions for facilities. If you're unsure whether you meet these exemptions or need further clarification, contacting OCC directly is advisable.
If you're not related to all children in your care, you'll need to test your water supply for lead at any plumbing fixture used for drinking, preparing food, or formula. This test should be done before submitting your Provider Listing Form. However, this requirement doesn't apply if you're providing care in the child's home and live elsewhere. The Office of Child Care offers reimbursements for the cost of lead testing, and you should attach your water sample results to your listing form.
After you have completed all required trainings, done the necessary testing, and submitted your Child Care Provider Listing Form, the Oregon Department of Human Services (ODHS) will review your submission. An OCC staff person will then contact you to schedule a visit to the location where child care will be provided. This visit is to ensure that your home or facility meets all health and safety requirements. It's also an opportunity for you to discuss any concerns and receive additional information or training materials.
ODHS conducts FBI fingerprint background checks for all license-exempt child care providers. This includes checks for the provider, household members aged 16 or older, and any visitors who might have unsupervised access to children in care. If you or others have lived in the state for less than five years, additional checks for child welfare, sex offender, and criminal interstate records will be required. Details on how to submit fingerprints will be provided in a letter after submitting your Provider Listing Form.
If there are any changes to your situation, including new arrests, changes in household members, or changes in your licensing status, you must report these to the DPU within five days. You can report changes by calling the DPU directly, emailing, or in some cases, updates may be necessary by mail. Failure to report changes can affect your status as a child care provider and your ability to receive child care payments.
Not contacting the local Child Care Resource and Referral (CCR&R) office for assistance in filling out the form, which can lead to misunderstandings of the requirements and errors in completion.
Failing to correctly determine their license or license-exempt status, which is essential for understanding what sections of the form apply to them and which trainings are required.
Using ink colors other than black or blue to complete the form, which can result in the form not being processed correctly.
Not completing mandatory training before submitting the form, such as the Introduction to Child Care Health & Safety training, Recognizing and Reporting Child Abuse and Neglect training, and Infant/Toddler CPR/First Aid training.
Omitting the water sample results for lead testing from the submission, which is a requirement for license-exempt non-relative care providers.
Overlooking to attach a copy of the “Infant/Toddler CPR/First Aid Card” if the training was taken from another agency besides the local CCR&R.
Missing the deadline to mail the form within 30 days from the date issued in the “ODHS branch use only” section, which can delay the approval process.
Not including an email address or providing an incorrect email address, which means they miss important updates or information about the child care program.
Forgetting to report changes to DPU (Direct Pay Unit) within five days, such as new arrests or changes in location where care is provided, which can affect their status as a qualified provider.
Neglecting to review the OCC’s Health and Safety Checklist before the visit by OCC staff to ensure the home/facility meets all health and safety requirements.
These mistakes impact the accuracy of the application and can delay or prohibit the provider from receiving approval and subsidy child care payments from the Oregon Department of Human Services (ODHS).
When completing the Oregon DHS Child Care Provider Listing Form, it's essential to be aware of the additional documentation that may be required or beneficial to streamline the process and ensure compliance with all regulations. Here's a brief overview of other forms and documents that often accompany the Child Care Provider form.
In addition to these documents, it's important for providers to keep records organized and accessible. Staying informed about any updates to requirements or additional documentation needed for specific situations can also help ensure a smoother process. Providers should consult with their local Child Care Resource and Referral office or the Direct Pay Unit for specific questions and further guidance.
The Oregon Dhs Child Care Provider form is quite similar to a Family Child Care Home Licensing Application. Both documents require providers to supply detailed information about their services, the environment in which the care is provided, and compliance with specific health and safety standards. They ensure that care providers meet the necessary legal requirements to offer childcare services either within their home or the child's home, focusing on creating a safe and supportive environment for children.
Comparable to the Oregon Dhs Child Care Provider form, an Employee Background Check Consent Form is another document that is necessary for ensuring the safety of children in care. Both documents involve procedures to scrutinize the background of individuals who will have close contact with children, although the background check consent form is specifically focused on gaining authorization to conduct criminal and other relevant checks on potential employees or volunteers within the childcare setting.
A Child Care Enrollment Form shares similarities with the Oregon document in terms of gathering essential information about the children who will be receiving care. Both forms are initial steps in the process of establishing a care arrangement, but the enrollment form is more focused on the child's personal details, health information, and emergency contacts, aiming to ensure that the childcare provider is fully informed about the children’s needs and how to best meet them.
The Child Care Subsidy Application is another document akin to the Oregon DHS form, with both playing crucial roles in facilitating access to affordable childcare for qualifying families. They involve the collection of detailed information to assess eligibility for financial aid towards child care expenses. While the subsidy application is targeted towards parents or guardians seeking assistance, the provider form is more focused on the providers themselves, ensuring they meet state standards to receive funding.
Similarly, the Child Incident Report Form is an essential document in childcare settings, closely related to the safety and health focus of the Oregon Dhs Child Care Provider form. While the Oregon form includes provisions to ensure a safe environment that meets regulatory requirements, the incident report form is used post-factum to document any accidents or incidents within the childcare setting, promoting accountability and continual improvement of safety practices.
The Child Care Program Plan is akin to the Oregon form as it outlines specifics of the childcare environment and program offerings. However, the program plan delves deeper into the curriculum, daily schedules, and educational objectives, showcasing the provider's approach to fostering development and learning. Both documents, though different in focus, aim to showcase the quality and comprehensiveness of the care provided.
The Pre-licensing Inspection Checklist for Child Care Providers mirrors the Oregon Dhs Child Care Provider form in its emphasis on compliance with health and safety standards. This checklist is a tool used by authorities to confirm that childcare facilities meet the regulatory requirements before being granted a license to operate. Both documents are pivotal in the licensing process, ensuring that childcare settings are safe, healthy, and conducive to children's well-being.
Training Verification Forms for Child Care Staff are comparable to the training sections within the Oregon document. Both sets of documents verify that childcare providers and their staff have completed mandatory training programs, such as CPR, first aid, and child abuse recognition. This ensures that everyone involved in the care of children has the knowledge and skills necessary to provide a safe and nurturing environment.
Lastly, the Water Safety Compliance Form for Child Care Providers can be paralleled to the Oregon DHS form's requirement for water testing in non-relative care situations. Both documents highlight the importance of ensuring a safe and healthy environment for children by mitigating risks associated with lead exposure from drinking water, showcasing the meticulous approach taken towards health and safety in childcare settings.
When completing the Oregon DHS Child Care Provider form, individuals find themselves maneuvering through an essential process that not only affects their professional standing but also the safety and well-being of children under their care. Ensuring the process is approached with diligence is paramount. Here is a compiled list of dos and don'ts to guide through this crucial task:
Completing and submitting the Oregon DHS Child Care Provider form is a responsibility that encompasses thorough preparation, attention to detail, and an acute awareness of the regulations governing child care provision. By adhering to these guidelines, providers not only comply with legal requirements but also contribute to a safe and nurturing environment for the children they serve.
When navigating the complex landscape of child care assistance in Oregon, understandably, there are misconceptions regarding the Oregon Department of Human Services (DHS) Child Care Provider form. Here are five common misunderstandings clarified for better comprehension.
While it's true that the form includes a section to help determine licensing requirements, it’s a comprehensive document used by ODHS to gather information on providers to assess their eligibility for subsidy payments and ensure they meet state standards. Licensing is a complex assessment that may require additional steps beyond this initial form.
Completion and submission of the form is a step in the process but does not guarantee enrollment in the subsidy program. Providers must meet all ODHS standards and requirements, including completing specific trainings and passing background checks. The form starts the review process, but ODHS approval is needed for subsidy payment eligibility.
The document specifies that strictly online CPR training is not acceptable for license-exempt non-relative care providers. This requirement aims to ensure that caregivers have practical, hands-on training to respond to emergencies, reflecting the importance of comprehensive preparedness in child care.
Both relative and non-relative license-exempt providers must undergo FBI fingerprint background checks. The requirement underscores the state’s commitment to child safety, ensuring that all individuals involved in child care, regardless of licensing status, are thoroughly vetted.
Providers are required to report any changes, including new arrests, convictions, or involvement with protective services, as well as changes in licensing status or care environment, within five days. This requirement ensures that provider information remains current, reflecting changes that might affect their eligibility or the quality of care provided.
Understanding the nuances of the Oregon DHS Child Care Provider form is essential for providers seeking to navigate the state’s child care system effectively. Clarifying these misconceptions helps streamline the process, ensuring that both providers and the families they serve can achieve the best possible outcomes.
Filling out and using the Oregon DHS Child Care Provider form requires attention to detailed instructions and compliance with various training and safety standards. The following are key takeaways to guide you through the process:
It's crucial that child care providers carefully read and follow all instructions on the form and complete required trainings and checks to ensure compliance and eligibility for ODHS child care payments. Providers should also stay informed about their responsibilities and the resources available to them.
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