Ccl 029 2026

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  1. Click ‘Get Form’ to open the ccl 029 in the editor.
  2. Begin by entering the child's name and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Fill out the Parent/Guardian Information section, including names, addresses, phone numbers, and email addresses. This ensures that caregivers can contact you easily.
  4. List any allergies or medical conditions your child may have. If applicable, provide additional details on the Authorization for Emergency Medical Care form CCL. 010.
  5. Complete the History of Immunizations section by recording each vaccine received along with dates. If using a Kansas Certificate of Immunizations (KCI), attach it to this form.
  6. Sign and date the form at the bottom to confirm that all information provided is accurate and complete.

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If you have questions, call 785-296-1270 or email us.
In Kansas, you must be licensed by the Kansas Department of Health and Environment (KDHE) in order to provide child care legally. There are various licensing opportunities based on your specific arrangements. Learn about them here.
No statewide number. To file a child care complaint or report a child care health and safety violation, contact your regional licensing office .States and Territories. KansasOnline InformationKansas: How to File a Child Care Complaint and Online Complaint FormStatewide Number785-296-1270
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If you wish to file a complaint by phone please call 785-296-1270. Child Care Licensing hours are Monday through Friday (except legal holidays) from 8 am to 5 pm. Once your complaint is reviewed you may be contacted by a Child Care Licensing Surveyor if more information is needed.
Orientation training Kansas law requires that homes be licensed or have a temporary permit when a provider has one or two children for more than 20 hours a week, or if they have more than two children. Licensing is not required when a family member provides care for a relative.
Orientation training Kansas law requires that homes be licensed or have a temporary permit when a provider has one or two children for more than 20 hours a week, or if they have more than two children. Licensing is not required when a family member provides care for a relative.
Yes, but you will be subject to an annual inspection including meeting required training and regulations.

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