Child Care

Mower County Department of Human Services

Child Care Licensing Information and Forms Page

Instructions: Download & Print forms, fill in required information and submit to Mower County Department of Human Services Office.

New Application	Re-license	Family & Group Daycare Rules
Application DHS-0250	Application DHS-0250	Rule #2 Minnesota Statute 9502
Licensing Checklist DHS-4618	Licensing Checklist DHS-4618	Human Services Licensing Act
Background Study	Background Study
Capacity Ratio Information	Training Log
Policy and Procedures	Fire Drill and Storm Log
Physician's Report DHS-1995	Crib Safety Checklist DHS-4927

Parent Packet	Training Information	Miscellaneous	Resources
Admissions and Arrangements Form DHS-1715	Eight hours of training per year is required. Of this total, two hours must be in child development.	Emergency Plan Booklet DHS-5299	Minnesota State Fire Marshall's Office (Minnesota Uniform Fire Code)
Permission to Administer Medication	Sudden Infant Death Syndrome and Shaken Baby Certificate Required (www.educarer.org)	Alcohol and Grievance Policy	Child Care Resource and Referral
Permission to Administer over the counter (OTC) products	CPR and First Aid (American Red Cross)	Request for Variance	Mower County Licensed Child Care Association (MCLCCA) JoAnn Rollie, President (507) 433-3764
Immunization Record (MN Dept. of Health)	Car Seat/Seat Belt Class	Request for Variance - Well Water	MCLCCA - Enrollment Form
Rule Summary for Parents DHS 5215	Shaken Baby Video *Note: This video must be viewed annually		MCLCCA - Training Schedule 2011-2012
Swimming pool fact sheet and permission form			MCLCCA - Class Registration Form 2009-2010
Parent Directive for Infant Sleep Position

last updated August, 2011