Form CCL401 "Orientation Checklist for Child Care Center/Preschool" - Kansas

What Is Form CCL401?

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

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Kansas Department of Health & Environment;
  • 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 CCL401 by clicking the link below or browse more documents and templates provided by the Kansas Department of Health & Environment.

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Download Form CCL401 "Orientation Checklist for Child Care Center/Preschool" - Kansas

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Kansas Department of Health and Environment
CCL 401
6/2017
Bureau of Family Health
1000 SW Jackson, Suite 200
Topeka, KS 66612-1274
Child Care Program:
(785) 296 -1270 Fax: (785) 559-4244
Website:
www.kdheks.gov/kidsnet
This PS/CCC Orientation Review form is recommended but not required.
Facility Name: ____________________
License number: ____________________
Name of Person conducting the orientation: ___________________________ Date of Orientation: ___________
Name of Person receiving orientation: ________________________________
First Day of Employment or Volunteering: ___________
K.A.R. 28-4-428a(a) Orientation. (3) Each licensee shall ensure that orientation is completed by each staff
member who will be counted in the staff-child ratio and by each volunteer who will be counted in the staff-child
ratio. Each staff member and each volunteer shall complete the orientation within seven calendar days after the
date of employment or volunteering. Each staff member shall complete the orientation before being given sole
responsibility for the care and supervision of children.
The following have been reviewed:
Licensing Regulations
Policies and practices of the preschool or child care center, including emergency procedures,
behavior management, and discipline
Schedule of daily activities
Care and supervision of children in care, including any special needs and known allergies
Health and safety practices
Confidentiality
_________________________________
___________
Signature of person receiving orientation
Date
_______________________________________
______________
Signature of person giving orientation
Date
Kansas Department of Health and Environment
CCL 401
6/2017
Bureau of Family Health
1000 SW Jackson, Suite 200
Topeka, KS 66612-1274
Child Care Program:
(785) 296 -1270 Fax: (785) 559-4244
Website:
www.kdheks.gov/kidsnet
This PS/CCC Orientation Review form is recommended but not required.
Facility Name: ____________________
License number: ____________________
Name of Person conducting the orientation: ___________________________ Date of Orientation: ___________
Name of Person receiving orientation: ________________________________
First Day of Employment or Volunteering: ___________
K.A.R. 28-4-428a(a) Orientation. (3) Each licensee shall ensure that orientation is completed by each staff
member who will be counted in the staff-child ratio and by each volunteer who will be counted in the staff-child
ratio. Each staff member and each volunteer shall complete the orientation within seven calendar days after the
date of employment or volunteering. Each staff member shall complete the orientation before being given sole
responsibility for the care and supervision of children.
The following have been reviewed:
Licensing Regulations
Policies and practices of the preschool or child care center, including emergency procedures,
behavior management, and discipline
Schedule of daily activities
Care and supervision of children in care, including any special needs and known allergies
Health and safety practices
Confidentiality
_________________________________
___________
Signature of person receiving orientation
Date
_______________________________________
______________
Signature of person giving orientation
Date