Form DHS-5271-ENG "Licensed Child Care Center Experienced Aide Report" - Minnesota

What Is Form DHS-5271-ENG?

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

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Minnesota Department of Human Services;
  • 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 DHS-5271-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

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Download Form DHS-5271-ENG "Licensed Child Care Center Experienced Aide Report" - Minnesota

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DHS-5271-ENG
Licensed Child Care Center
01/2018
Experienced Aide Report
Center Name:
License Number:
Licensed Hours of Operation:
Minnesota Statutes, section 245A.14, subdivision 8 – An individual employed as an aide at a child care center may work with children without being
directly supervised for an amount of time that does not exceed 25 percent of the child care center’s daily hours if:
1.
A teacher is in the facility
2.
The individual has met First Aid and CPR requirements (245A.40
Subdivisions 3 and
4)
3.
The individual is at least 20 years old
4.
The individual has at 4160 hours of child care experience as a staff member in a licensed child care center or as a license holder of a family day
care home, 120 days of which must be in the employment of the current company
b)
A child care center that uses experienced aides under this subdivision must notify parents or guardians by posting the notification in
each classroom
that uses experienced aides, identifying which staff member is the experienced aide. Records of experienced aide usage must be kept on-site and given
to the commissioner upon request.
c)
A child care center may not use the experienced aide provision for one year following two determined experience aide violations
within a one-year period
d)
A child care center may use one experienced aide per every four full-time child care classroom staff
Total hours worked as an
Name of Staff Person
experienced aide
Date(s)
Classroom
Time In
Time Out
DHS-5271-ENG
Licensed Child Care Center
01/2018
Experienced Aide Report
Center Name:
License Number:
Licensed Hours of Operation:
Minnesota Statutes, section 245A.14, subdivision 8 – An individual employed as an aide at a child care center may work with children without being
directly supervised for an amount of time that does not exceed 25 percent of the child care center’s daily hours if:
1.
A teacher is in the facility
2.
The individual has met First Aid and CPR requirements (245A.40
Subdivisions 3 and
4)
3.
The individual is at least 20 years old
4.
The individual has at 4160 hours of child care experience as a staff member in a licensed child care center or as a license holder of a family day
care home, 120 days of which must be in the employment of the current company
b)
A child care center that uses experienced aides under this subdivision must notify parents or guardians by posting the notification in
each classroom
that uses experienced aides, identifying which staff member is the experienced aide. Records of experienced aide usage must be kept on-site and given
to the commissioner upon request.
c)
A child care center may not use the experienced aide provision for one year following two determined experience aide violations
within a one-year period
d)
A child care center may use one experienced aide per every four full-time child care classroom staff
Total hours worked as an
Name of Staff Person
experienced aide
Date(s)
Classroom
Time In
Time Out
Total hours worked as an
Experienced Aide
Name of Staff Person
Dates
Classroom
Time In
Time Out
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