CCI Form 243 "Checklist for Training of New Staff Member" - Arizona

What Is CCI Form 243?

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

Form Details:

  • Released on September 1, 2011;
  • The latest edition provided by the Arizona Department of Health 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 CCI Form 243 by clicking the link below or browse more documents and templates provided by the Arizona Department of Health Services.

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Download CCI Form 243 "Checklist for Training of New Staff Member" - Arizona

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Checklist for Training of New Staff Member
Employee’s Name: __________________________________
Starting Date: _____________
In accordance with R9-5-403 for centers, and R9-3-302.A for group homes, training for new staff
members who provide child care services must be completed within 10 days of the starting date of
employment and must include all of the items listed below.
Staff training requirements:
Date Completed
Facility philosophy and goals (centers only)
Names and ages of and developmental expectations for enrolled children for
whom the staff member will provide child care services
Health needs, nutritional requirements, any know allergies and information
about adaptive devices of enrolled children for whom the staff member will
provide child care services
Lesson plans (centers only)
Child guidance and methods of discipline
Hand washing techniques
Diapering techniques and toileting, if assigned to diaper changing duties
Food preparation, service, sanitation, and storage, if assigned to food
preparation
If a staff member is assigned to feeding infants, the preparation, handling and
storage of infant formula and breast milk
Recognition of signs of illness and infestation
Child abuse or neglect detection, prevention, and reporting
Accident and emergency procedures
Staff responsibilities as required by Statutes and Rules that govern group
homes or centers
Sun safety policies and procedures
Safety in outdoor activity areas
Transportation procedures, if applicable
Field Trip procedures, if applicable
Sudden Infant Death Syndrome (SIDS) – if providing service for infants/ones
(required for child care group homes)
Employee’s Signature: ___________________________________ Date: _______________
Director’s/Provider’s Signature: ____________________________ Date: _______________
G:\Forms\Checklist for Training of New Staff Member.doc (9/11) CCl form - 243
Checklist for Training of New Staff Member
Employee’s Name: __________________________________
Starting Date: _____________
In accordance with R9-5-403 for centers, and R9-3-302.A for group homes, training for new staff
members who provide child care services must be completed within 10 days of the starting date of
employment and must include all of the items listed below.
Staff training requirements:
Date Completed
Facility philosophy and goals (centers only)
Names and ages of and developmental expectations for enrolled children for
whom the staff member will provide child care services
Health needs, nutritional requirements, any know allergies and information
about adaptive devices of enrolled children for whom the staff member will
provide child care services
Lesson plans (centers only)
Child guidance and methods of discipline
Hand washing techniques
Diapering techniques and toileting, if assigned to diaper changing duties
Food preparation, service, sanitation, and storage, if assigned to food
preparation
If a staff member is assigned to feeding infants, the preparation, handling and
storage of infant formula and breast milk
Recognition of signs of illness and infestation
Child abuse or neglect detection, prevention, and reporting
Accident and emergency procedures
Staff responsibilities as required by Statutes and Rules that govern group
homes or centers
Sun safety policies and procedures
Safety in outdoor activity areas
Transportation procedures, if applicable
Field Trip procedures, if applicable
Sudden Infant Death Syndrome (SIDS) – if providing service for infants/ones
(required for child care group homes)
Employee’s Signature: ___________________________________ Date: _______________
Director’s/Provider’s Signature: ____________________________ Date: _______________
G:\Forms\Checklist for Training of New Staff Member.doc (9/11) CCl form - 243