Notice of Confidentiality

Information entered is kept strictly confidential and used solely for the purpose of providing legal advise or other services to your business. The information is not shared with any other parties. All information provided is bound by the Client-Attorney privilege and will not be further disclosed. We consider the information captured in this form to be "client's right to refuse to disclose and to prevent any other person from disclosing confidential communications between the client and the attorney."

Name *
Name
Years in Business *
Contact Phone Number *
Contact Phone Number
1. Process in place to track compliance to State regulations *
1. Process in place to track compliance to State regulations
2. Certifications are kept up to date *
2. Certifications are kept up to date
3. Logs of incidents are maintained *
3. Logs of incidents are maintained
4. Facility plans are on file in accordance with regulations *
4. Facility plans are on file in accordance with regulations
5. Transportation policies and procedures are reviewed monthly *
5. Transportation policies and procedures are reviewed monthly
6. Procedures are in place for handling toxic materials. Procedures are audited quarterly *
6. Procedures are in place for handling toxic materials. Procedures are audited quarterly
7. All supplies are labeled *
7. All supplies are labeled
8. Indoor/Outdoor space is in accordance with State regulation and guidelines *
8. Indoor/Outdoor space is in accordance with State regulation and guidelines
9. Perimeter fencing is in place and in accordance with State policies & guidelines *
9. Perimeter fencing is in place and in accordance with State policies & guidelines
10. Emergency Policies & Procedures are documented and tested quarterly. Test results are documented. *
10. Emergency Policies & Procedures are documented and tested quarterly. Test results are documented.
Emergency Policies documented
Emergency tests are conducted and results documented quarterly
11. Staff training program is in place to ensure compliance. *
11. Staff training program is in place to ensure compliance.
Training program is in place for all staff members
Documentation is maintained on all staff training
12. Background checks have been performed on all staff. Documentation is kept on file and readily available *
12. Background checks have been performed on all staff. Documentation is kept on file and readily available
13. Food and nutrition policies are in place and reviewed quarterly *
13. Food and nutrition policies are in place and reviewed quarterly
14. Child records are on file for all children. Child records are in line with State policies and reviewed quarterly
14. Child records are on file for all children. Child records are in line with State policies and reviewed quarterly
15. Licenses are properly displayed *
15. Licenses are properly displayed
17. Have you recently been issued a Child Care Violation Action
Provide details on when the violation action was received and what type of violation was issued
Describe when the the Violation action was received, type and any other description