Forms

After reviewing the application and deciding which level you wish to apply for, print out the necessary forms and submit to your QRS regional specialist. 

General QRS Forms
470-4901 NEW Quality Rating Application for Homes
470-4902 NEW Quality Rating Application for Centers/Preschools/School-Based Programs
470-4231 Child Development Home Professional Development Self-Assessment
470-4506 Child Development Home Improvement Plan - Environment Rating Scale
470-4233 Child Care Center Self-Assessment
470-4234 Child Care Center Staff Self-Assessment
470-4235 Child Care Center Improvement Plan
470-4236 Professional Development Plan
470-4288 Child Care Center Improvement Plan - Environment Rating Scale
470-4307 Basic Employee Orientation Checklist
 

Health and Safety Forms

HCCI-BPA2006 Child Care Business - Partnership Agreement
HCCI-CDOS2006 Child Care Center Director/Owner Survey
HCCI-HDOS2006 Home Child Care Center Director/Owner Survey
HCCI-IP2006 Injury Prevention Summary Report
HCCI-CRR2006 Child Record Review
HCCI-HSA2006  Health and Safety Assessment Report of Findings
 
 

Resources to Assist with the Health and Safety Component

National Health and Safety Standards