Form OCC1209 "Changes in Child Care Facilities" - Maryland

What Is Form OCC1209?

This is a legal form that was released by the Maryland State Department of Education - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2008;
  • The latest edition provided by the Maryland State Department of Education;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OCC1209 by clicking the link below or browse more documents and templates provided by the Maryland State Department of Education.

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Download Form OCC1209 "Changes in Child Care Facilities" - Maryland

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MARYLAND STATE DEPARTMENT OF EDUCATION
Office of Child Care
CHANGES IN CHILD CARE FACILITIES
Child Care Center regulations (COMAR 13A.16.03.07) and Letter of Compliance regulations (COMAR 13A.17.03.07) require
that any changes in operation be approved by the Office of Child care (OCC). Examples include capacity, hours of operation,
rooms used for care, and ages of children served. Obtain written approval from OCC before making the proposed change.
Attach all required documentation.
Facility:
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
OPERATIONAL CHANGES
PROPOSED
EFFECTIVE DATE
I.
FLOOR SPACE CHANGES:
New Room(s). Requires floor sketch, fire inspection, measurements, equipment list,
staffing pattern and staff information.
______________________________________________________________________________
______________________
______________________________________________________________________________
______________________________________________________________________________
Old Room(s) to be closed: _________________________________________________________
______________________
______________________________________________________________________________
II.
CAPACITY CHANGES:
Requires review of Director’s qualifications and use of space.
Current Capacity: ___________________
Proposed Capacity: __________________________
______________________
III.
HOURS/DAYS/MONTHS CHANGES:
Requires staffing pattern and personnel information.
Current schedule: _________________________________________________________ ______
______________________
______________________________________________________________________________
Proposed schedule: ______________________________________________________________
______________________________________________________________________________
IV.
OTHER: (such as food service, ages served, etc.)
Requires supporting information – menus, operational care plans, etc.
______________________________________________________________________________
______________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________
_____________________
Signature of Operator
Date
OCC 1209 (Revised 10/08) - All previous editions are obsolete.
MARYLAND STATE DEPARTMENT OF EDUCATION
Office of Child Care
CHANGES IN CHILD CARE FACILITIES
Child Care Center regulations (COMAR 13A.16.03.07) and Letter of Compliance regulations (COMAR 13A.17.03.07) require
that any changes in operation be approved by the Office of Child care (OCC). Examples include capacity, hours of operation,
rooms used for care, and ages of children served. Obtain written approval from OCC before making the proposed change.
Attach all required documentation.
Facility:
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
OPERATIONAL CHANGES
PROPOSED
EFFECTIVE DATE
I.
FLOOR SPACE CHANGES:
New Room(s). Requires floor sketch, fire inspection, measurements, equipment list,
staffing pattern and staff information.
______________________________________________________________________________
______________________
______________________________________________________________________________
______________________________________________________________________________
Old Room(s) to be closed: _________________________________________________________
______________________
______________________________________________________________________________
II.
CAPACITY CHANGES:
Requires review of Director’s qualifications and use of space.
Current Capacity: ___________________
Proposed Capacity: __________________________
______________________
III.
HOURS/DAYS/MONTHS CHANGES:
Requires staffing pattern and personnel information.
Current schedule: _________________________________________________________ ______
______________________
______________________________________________________________________________
Proposed schedule: ______________________________________________________________
______________________________________________________________________________
IV.
OTHER: (such as food service, ages served, etc.)
Requires supporting information – menus, operational care plans, etc.
______________________________________________________________________________
______________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________
_____________________
Signature of Operator
Date
OCC 1209 (Revised 10/08) - All previous editions are obsolete.