Form DHS-7921-ENG "Professional Development Plan Licensed Child Care Centers" - Minnesota

What Is Form DHS-7921-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 July 1, 2019;
  • 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 fillable version of Form DHS-7921-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-7921-ENG "Professional Development Plan Licensed Child Care Centers" - Minnesota

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Clear Form
*DHS-7921-ENG*
DHS-7921-ENG
7-19
Professional Development Plan
Licensed Child Care Centers
Complete all areas of this form and submit to your licensor with your
variance
request, a completed
Personnel Information Form
showing
all applicable experience including a minimum of 1040 hours of which 640 must be at the current center, and documentation of training
completed within the past fve years from the list of DHS Licensing
approved training organizations
for the staf person for whom you are
requesting the variance. Training in First Aid, CPR, Sudden Unexpected Infant Death, and Abusive Head Trauma will not be counted for a
variance request. If the staf person has a completed a Professional Development Plan for Parent Aware or Achieve, a copy of the plan may be
submitted with this form.
Name
Position Requested with Variance
Date
Center Name
License Number
Career Goals
Short-term Career Goal (in 12 months)
Long-term Career Goal (in 5 years)
Training Action Plan
Training completed while the variance is in efect should fall within the following Knowledge and Competency Framework (KCF) areas. See
page two for more detailed information about the KCF content areas and associated skills.
I. Child Development and Learning
V. Historical & Contemporary Development of Early Childhood
Education
II. Developmentally Appropriate Learning Experiences
VI. Professionalism
III. Relationships with Families
VII. Health, Safety and Nutrition
IV. Assessment, Evaluation and Individualization
VIII. Application through Clinical Experiences
Agreement
I understand I am required to have at least 1040 hours of experience, 640 of which must be at my current center before a variance can be
requested. I also understand I will be required to complete trainings from the list of DHS Licensing Approved Early Childhood and School
Age Related Training each calendar year and that failure to complete the required training hours may result in rescission of the variance. I
understand these trainings will also count toward the total number of in-service training hours I am required to complete each calendar year. I
agree to complete the training requirements associated with the position selected below.
Assistant Teacher: 10 hours of approved trainings each calendar year
Teacher: 14 hours of approved trainings each calendar year
Director: 20 hours of approved trainings each calendar year
Signature of Staf Person
Date
Signature of Supervisor
Date
For help fnding training and creating your short and long-term career goals,
contact your local Child Care Aware ofce
for support from a
Professional Development Advisor.
Page 1 of 2
Clear Form
*DHS-7921-ENG*
DHS-7921-ENG
7-19
Professional Development Plan
Licensed Child Care Centers
Complete all areas of this form and submit to your licensor with your
variance
request, a completed
Personnel Information Form
showing
all applicable experience including a minimum of 1040 hours of which 640 must be at the current center, and documentation of training
completed within the past fve years from the list of DHS Licensing
approved training organizations
for the staf person for whom you are
requesting the variance. Training in First Aid, CPR, Sudden Unexpected Infant Death, and Abusive Head Trauma will not be counted for a
variance request. If the staf person has a completed a Professional Development Plan for Parent Aware or Achieve, a copy of the plan may be
submitted with this form.
Name
Position Requested with Variance
Date
Center Name
License Number
Career Goals
Short-term Career Goal (in 12 months)
Long-term Career Goal (in 5 years)
Training Action Plan
Training completed while the variance is in efect should fall within the following Knowledge and Competency Framework (KCF) areas. See
page two for more detailed information about the KCF content areas and associated skills.
I. Child Development and Learning
V. Historical & Contemporary Development of Early Childhood
Education
II. Developmentally Appropriate Learning Experiences
VI. Professionalism
III. Relationships with Families
VII. Health, Safety and Nutrition
IV. Assessment, Evaluation and Individualization
VIII. Application through Clinical Experiences
Agreement
I understand I am required to have at least 1040 hours of experience, 640 of which must be at my current center before a variance can be
requested. I also understand I will be required to complete trainings from the list of DHS Licensing Approved Early Childhood and School
Age Related Training each calendar year and that failure to complete the required training hours may result in rescission of the variance. I
understand these trainings will also count toward the total number of in-service training hours I am required to complete each calendar year. I
agree to complete the training requirements associated with the position selected below.
Assistant Teacher: 10 hours of approved trainings each calendar year
Teacher: 14 hours of approved trainings each calendar year
Director: 20 hours of approved trainings each calendar year
Signature of Staf Person
Date
Signature of Supervisor
Date
For help fnding training and creating your short and long-term career goals,
contact your local Child Care Aware ofce
for support from a
Professional Development Advisor.
Page 1 of 2
Skills Associated with Knowledge and Competency Framework (KCF) Areas
I. Child Development and Learning
• Apply research-based, appropriate practices that encourage development in physical, social, emotional, cognitive, and
creative and language
• Apply current research to promoting children’s learning and development, including recognizing expressions of stress and
trauma and its impact
• Understand and apply how children difer in their learning and development within a range, that children are best
understood as part of family, culture and society
II. Developmentally Appropriate Learning Experiences
• Create a positive learning environment that includes predictable routines, positive relationships, inclusion, daily routines,
and learning centers for the individual, small group, and large group
• Develop appropriate learning goals for individual children that align with research-based benchmarks and assess the steps
children make toward meeting those goals
• Plan and/or carry-out learning activities that promote curiosity, build literacy and early math skills, support self-regulation
and positive peer relationships, encourage expression of emotions, positive, child-centered child guidance and classroom
management, promote physical development, encourage creative development, self-expression and dramatic play
III. Relationships with Families
• Develop supportive, encouraging communication with families
• Understand the partnership between the family and early care and education
• Provide research-based resources to families when appropriate
IV. Assessment, Evaluation and Individualization
• Observe, record, and assess development
• Apply assessment data to plan for the child’s next steps
• Assess program quality
V. Historical and Contemporary Development of Early Childhood Education
• Understand the foundations of the development of Early Childhood Education, historical practices and major development
theories in the feld
• Comply with policies of the state, federal, local agencies, including the value of qualify improvement
VI. Professionalism
• Engage with professional development through in-service, training and/or formal post-secondary coursework
• Demonstrate professional behaviors
VII. Health, Safety and Nutrition
• Establish healthy practices as part of the daily routine
• Maintain confdentiality
• Provide healthy nutrition
• Prevent hazard exposures
VIII. Application through Clinical Experiences – i.e. feld experience, practicum, or student teaching
To access the KCF areas in a variety of languages, visit
https://education.mn.gov/MDE/dse/early/know
and scroll to the bottom of the page.
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