Free Oregon Dhs Child Care Provider PDF Form

Oregon Dhs Child Care Provider: Usage Guide

Filling out the Oregon DHS Child Care Provider form is an important process for child care providers in Oregon who are looking to be listed with the Department of Human Services (DHS), especially for those caring for children from families receiving child care assistance from DHS. The form is designed to collect information from child care providers about their services, ensuring they meet the necessary standards and requirements set by DHS. Below are step-by-step instructions to guide you through the form completion process.

1. Immediately upon receiving the form from the parent, carefully read the instructions provided at the beginning to understand your specific obligations and next steps.
2. If you need assistance at any point, contact your local Child Care Resource and Referral (CCR&R) office. You can find an office near you by calling CCR&R Centralized Coordination at 1-800-342-6712.
3. Determine your license or license-exempt status based on the criteria listed on the form, such as being related to the children in care or the number of children you are caring for. Call OCC at 503-947-1400 or 1-800-556-6616 if you are uncertain about your need for a license.
4. Depending on your status (licensed with OCC, license-exempt non-relative care, or license-exempt relative care), follow the specific instructions provided on page 2, 3, or 4 of the instructions.
5. Complete any required trainings before submitting the form. This may include Introduction to Child Care Health & Safety, Recognizing and Reporting Child Abuse and Neglect, and Infant/Toddler CPR/First Aid. Links to online training and contact information for local CCR&R for in-person training options are provided in the instructions.
6. If applicable, conduct and attach results of water lead testing. Note: This step is not required if you provide care in the child’s home and live elsewhere.
7. Complete and sign the Child Care Provider Listing Form using black or blue ink. Ensure all information is accurate and up-to-date.
8. Attach a copy of your Infant/Toddler CPR/First Aid Card if you received this training from an agency other than the local CCR&R.
9. Mail, fax, or email the completed and signed form along with any required attachments within 30 days from the date issued in the “ODHS branch use only” section. The mailing address is Direct Pay Unit (DPU) at P.O. Box 14850, Salem, OR 97309-0850. The fax number is 503-378-5953, and the email address (for PDFs only) is DPU.childcarebilling@dhsoha.state.or.us.
10. After submission, prepare for a home/facility visit from an OCC staff person by reviewing the OCC’s Health and Safety Checklist, available at the provided link. This visit will ensure your environment meets all health and safety requirements.

By completing and submitting the Oregon DHS Child Care Provider form accurately and on time, and following through with any required post-submission steps, you are making an essential move towards becoming a registered child care provider with DHS. This registration is necessary for receiving child care payments from families receiving assistance through DHS. Make sure to report any changes in your service or situation to DHS as soon as possible to maintain your status as a child care provider.

When filling out the Oregon DHS Child Care Provider Form, individuals can encounter several common pitfalls. Avoiding these mistakes can streamline the process, ensuring that providers meet the necessary requirements for providing child care. Below is a detailed list of mistakes to avoid:

1. Not contacting the Child Care Resource and Referral (CCR&R) office for assistance. The CCR&R provides crucial support for completing the form accurately.
2. Failing to determine the correct license or license-exempt status. It's essential to understand whether you need to be licensed according to your situation.
3. Overlooking the requirement for specific trainings such as the Introduction to Child Care Health & Safety, Recognizing and Reporting Child Abuse and Neglect, and Infant/Toddler CPR/First Aid training.
4. Submitting the form without attaching the necessary documentation, such as training certificates or lead testing results, if applicable.
5. Using colors of ink other than black or blue to complete the form, which can lead to processing delays.
6. Missing the submission deadline. The form must be mailed within 30 days from the date issued in the “ODHS branch use only” section.
7. Not completing the background check or fingerprinting process for everyone in the household over the age of 16, and any other individuals who may have unsupervised access to the children.
8. Forgetting to report any changes to DPU, such as new arrests, address changes, or any adjustments to the provider’s child care environment.
9. Ignoring the requirements for OCC home/facility visits for new child care providers, which ensure the provider's environment meets health and safety standards.
10. Not utilizing the resources available on the Oregon DHS website, including the ODHS Child Care Provider Guide and the health and safety checklist for licensed-exempt providers.

By paying careful attention to these details, child care providers can avoid delays or issues in the approval process. Ensuring the form is completed accurately and thoroughly is critical to providing safe, effective care for children.

When navigating the journey of becoming a licensed or license-exempt child care provider in Oregon, several forms and documents complement the Oregon DHS Child Care Provider form. These crucial pieces of paperwork ensure compliance with regulations and support the provision of safe, high-quality child care.

• ODHS Child Care Provider Guide (DHS 7492): This comprehensive guide is a must-read for all child care providers. It details the standards and requirements set by ODHS that providers must meet to be eligible for payment under child care assistance programs. It serves as a handbook for understanding the expectations and responsibilities of being a child care provider in Oregon.
• OCC’s Health and Safety Checklist: To ensure that the environment provided by child care services meets the minimum health and safety standards, this checklist is used by providers. It covers a range of criteria from cleanliness to emergency preparedness, giving both providers and parents peace of mind that children are in a safe setting.
• Lead Testing Results: License-exempt child care providers not related to all children in care must test their water supply for lead. Along with the Child Care Provider Listing Form, a copy of the water sample results must be submitted, ensuring the well-being and safety of the children by preventing lead exposure.
• Introduction to Child Care Health & Safety Training Certificate: This document signifies the completion of mandatory training for all non-relative license-exempt providers. It covers essential elements of child care health and safety, equipping providers with the knowledge to maintain a safe care environment.
• Infant/Toddler CPR/First Aid Certification: A vital component of the requirements, this certification ensures that providers are prepared to respond to health emergencies. It is particularly crucial since it equips providers with lifesaving skills that can make a significant difference in emergency situations involving young children.

Collectively, these documents form the cornerstone of a provider’s eligibility to offer child care services within the state of Oregon, ensuring compliance with legal requirements while fostering a safe, nurturing environment for children. Always remember to keep these documents updated and within reach, as they not only represent your professionalism and dedication to quality child care but also ensure you are prepared for verification processes and unforeseen emergencies.

The Oregon Department of Human Services (ODHS) Child Care Grant Agreement form shares similarities with the Child Care Provider Listing Form in its adherence to compliance and funding procedures. Both documents require detailed provider information and a commitment to follow specific guidelines and training requirements to ensure child safety and health. They also outline the process for receiving subsidies or grants, making them crucial for providers seeking financial support from ODHS.

Child Care Application forms used by parents or guardians to apply for child care assistance closely resemble the provider listing form. While the latter collects information about providers, child care applications capture parents' or guardians' details, child information, and their need for assistance. Both forms play integral roles in the administrative process of arranging subsidized child care, facilitating a bridge between families in need and qualified providers.

Background Check Authorization forms are another type of document bearing resemblance to the Oregon DHS Child Care Provider form. They are crucial for ensuring the safety and security of children by vetting the backgrounds of providers, household members over a certain age, and others with access to children in care. These forms, like the provider listing form, include consent sections and instructions for completing the background check process, aligning with the objective to maintain a secure child care environment.

Training Verification forms, which confirm completion of required courses such as First Aid/CPR, Health & Safety, and Recognizing and Reporting Child Abuse and Neglect, parallel the provider listing form in their role of certifying providers’ competence. Both documents underscore the importance of foundational knowledge and preparedness in promoting the well-being and safety of children in care settings.

Water Testing Submission forms, necessary for license-exempt non-relative providers, share similarities with sections of the child care provider listing form that deal with health and safety compliance. Both require providers to comply with specific safety standards, including lead testing in this case, to ensure a safe environment for child care. Documenting compliance through these forms is crucial for maintaining quality standards in child care services.

License-Exempt Provider Registration forms are akin to the Oregon DHS Child Care Provider Listing Form for those who are not required to be licensed due to the nature of their relationship with the children or the limited scope of their care. These forms gather detailed provider information, confirm relationship or exemption status, and outline the necessary steps for remaining compliant with state guidelines and standards for child care.

Subsidy Payment Request forms are essential for child care providers seeking compensation for services rendered to families receiving assistance. Similar to the listing form, these documents necessitate detailed information about the child care provided, including dates and hours of service. They symbolize the financial aspect of child care provision intersecting with the administrative process documented in the provider listing form.

Finally, Child Care Facility Health and Safety Checklist forms, which are reviewed during site visits by regulatory officials, relate to the listing form’s sections on meeting health and safety standards. These checklists ensure that all physical and operational aspects of the care environment meet or exceed regulatory requirements, complementing the provider’s documented commitment to maintaining high standards of care and safety.

• Do contact your local Child Care Resource and Referral (CCR&R) office for help in completing the form if needed. This support can guide you through the process and ensure accuracy.
• Don't delay in completing your Child Care Provider Listing Form. It needs to be mailed within 30 days from the date issued in the “ODHS branch use only” section to avoid processing delays.
• Do use black or blue ink when filling out the form. This ensures that the form is legible and that you meet the submission requirements.
• Don't ignore training requirements. Depending on your status as a provider, certain trainings like Introduction to Child Care Health & Safety, Recognizing and Reporting Child Abuse and Neglect, and Infant/Toddler CPR/First Aid are necessary.
• Do attach all required documentation, such as your CPR/First Aid card if you're taking the training outside of the local CCR&R, and water sample test results for lead if applicable to your provider status.
• Don't opt for strictly online CPR training if it is not accepted. Confirm the acceptable methods of training to ensure compliance.
• Do review the OCC’s Health and Safety Checklist before the home or facility visit. This review can help identify areas for improvement and ensure your environment meets all necessary standards.

There are several misconceptions about the Oregon DHS Child Care Provider form that need clarification. Understanding these can help in navigating the process efficiently:

• Misconception 1: You must be licensed to be a child care provider.

  Many believe that all child care providers in Oregon must be licensed through the Office of Child Care (OCC). However, the form clarifies that certain providers are exempt from licensing. For example, if you're caring for children in their own home, are related to the children by blood, marriage, or adoption, or meet other specific criteria, you may not need a license.

• Misconception 2: Online training is not accepted for certification.

  Another common misunderstanding is that all training must be completed in person. The DHS form specifies that certain trainings, such as Introduction to Child Care Health & Safety and Recognizing and Reporting Child Abuse and Neglect, can be taken online, making it more accessible for many providers.

• Misconception 3: Only licensed providers need to undergo a background check.

  It's often thought that background checks are only for licensed child care providers. However, the form notes that even license-exempt providers must submit to FBI fingerprint background checks, ensuring all providers meet safety requirements.

• Misconception 4: You cannot submit the form digitally.

  Many assume that such forms must be submitted in hard copy. In contrast, the Oregon DHS allows the Child Care Provider Listing Form to be faxed or emailed (PDF only), in addition to traditional mailing, providing greater flexibility for submission.

When completing the Oregon DHS Child Care Provider form, it's crucial to understand both the requirements and the process to ensure compliance and eligibility for payment from the Oregon Department of Human Services (ODHS). Here are key takeaways to help guide you through filling out and utilizing the form effectively:

• Identify Your License Status: Determine whether you are a licensed provider with the Office of Child Care (OCC) or if you qualify for license-exempt status due to being a relative caregiver or meeting other specific criteria. Your status affects the necessary steps you must take.
• Complete Required Trainings: Depending on your status, you may need to complete specific trainings such as Introduction to Child Care Health & Safety, Recognizing and Reporting Child Abuse and Neglect, and Infant/Toddler CPR/First Aid. Proof of completion is necessary for non-relative license-exempt care providers and recommended for relative care providers.
• Lead Water Testing: If providing non-relative license-exempt care, you're required to test your water for lead and attach the results with your provider listing form, unless care is provided at the child’s home and you reside elsewhere. OCC may reimburse the testing costs.
• Background Checks: ODHS conducts background checks for all license-exempt providers. The process includes anyone age 16 or older living in the home, any visitors with possible unsupervised access to children, and all individuals in a childcare facility.
• Report Changes Promptly: You must report any changes such as new arrests, changes in household members, or modification of your license status to ODHS within five days. Failure to do so can affect your eligibility to receive payment for childcare services.

Submitting the Oregon DHS Child Care Provider form is the first step towards becoming an approved provider eligible for payment assistance from ODHS. Make sure to complete all the required sections using black or blue ink, sign the form, and submit it within 30 days from the date specified in the “ODHS branch use only” section. You can submit the form by mail, fax, or email as a PDF. If you have any questions or require assistance with the form, contact the Direct Pay Unit or your local Child Care Resource and Referral (CCR&R) office for support.