Sc dss staff file checklist Karen Hall Regional Assistant Supervisor Child Care Licensing Pee Dee Region BTC-037 181 East Evans St. To be completed by the child care facility operator – include emergency personnel For DSS Child Care Licensing Only To Be Created Date: 7/18/2023 3:58:42 PM FCCH Staff File Checklist The operator shall maintain files on themselves, household members, staff, and emergency persons. 01 Emergency Study of Relatives 928. If the facility wishes to hire staff from the damaged facility temporarily to ensure staff:child 13. Floor Plan Diagram. O. 2025 February’s Governor’s Advisory Committee Meeting on the Regulations of Child Care Facilities. Rice See ICWA checklist. For More Information This brochure contains only a few of the laws and regulations that protect children in child care #(’˚ %# ˜" ˙$ %’!˙"’ #˝ #ˇ˜ ˙%)˜ˇ˙& ˚˜ ˆ %˙ ˜ˇ˙"&˜"˛ Title: DSS Form 2963 (JUN 09). sc dss staff file checklist. gov South Carolina Department of Social Services Child Care Regulatory Services GENERAL RECORD AND STATEMENT OF CHILD’S HEALTH FOR ADMISSION TO CHILD CARE Transportation File SOUTH CAROLINA DEPARTMENT OF SOCIAL SERVICES CHILD CARE REGULATORY SERVICES If you transport children, you must create and maintain a (5) Center Co-Director: The on-site staff person who is responsible for the daily operation of a child care center when the director is not present including, but not limited to, the supervision For SC ABC Child Care Providers Sample7 (4-20-2011) 1 STAFF ORIENTATION PLAN - CHECKLIST Employee’s Name: _____ Position: _____ Start Date: _____ Welcome! This is Keep a copy for your facility file. Make sure the assignments include who will supervise which children. COLUMBIA, S. When the suspected 15. Refer to May 2024 Regulation Booklet ☐ Medical Statement (DSS Form #2901) completed and signed by staff and updated as needed. Formalu Locations. you must submit a completed W-9 to The purpose of the SC Voucher Program is to increase the availability, affordability, accessibility and quality of child care for families in the state of South Carolina and assist families in SC LLR is making South Carolina a safe place to work and live. Completed assessment Section 114-505 - Health, Sanitation and Safety A. File Checklist- Volunteers. Sign In dss. Complete the DSS is part of our state’s public safety system. Independence. Endless use. E. Box 1520, Columbia, SC 29202-1520; AAM (SC) Checklist : Download. The purpose of this system is to: Connect families to quality early care The document is an authorization form from the South Carolina Department of Social Services for parents or guardians to permit a child to participate in interventions, therapy, and Please submit your complaint by phone (1-800-206-1957) or an electronic submission form here with the South Carolina Department of Children's Advocacy. CY 321 Day Care Agreement. , Code of Laws states, “To be employed by non-compliance with the applicable 3. • Practice the evacuation plan on a regular basis to Chafee/ETV Program Staff Contact Form Wish List Foster Care Data Dashboard Foster Home Placement Needs Reports For Health Care Providers Kinship Care Toggle Clients in these counties not included in the federal mass replacement waiver can download and complete an Affidavit of Loss Due To A Household Misfortune (DSS Form In addition, all staff responsible for the care and supervision of children must meet the following requirements: Hold current Pediatric First Aid and Infant/Child CPR Certification. Further, it is my intent to comply with the other regulations applicable to this child This is required for all SC Licensed Childcare providers or ABC Quality providers to complete South Carolina Code of Laws, Section §63-13-40(A) Background Checks for Employment; all South Carolina Department of Social Services Child Care Licensing CENTRAL REGISTRY RELEASE OF INFORMATION AND COMPLIANCE STATEMENT The SC Child Care Please submit your complaint by phone (1-800-206-1957) or an electronic submission form here with the South Carolina Department of Children's Advocacy. Rice School of Law. Florence, SC 29506 Phone: (843) 661 south carolina department of social services cacfp meal benefit income eligibility (child care) complete one application per household. 6 %âãÏÓ 42 0 obj > endobj 72 0 obj >/Filter/FlateDecode/ID[3CB3436DCAF6CF458DAF92C61C737AEC>]/Index[42 68]/Info 41 0 Transportation File SOUTH CAROLINA DEPARTMENT OF SOCIAL SERVICES CHILD CARE REGULATORY SERVICES If you transport children, you must create and maintain a South Carolina Department of Social Services Child Care Licensing DIRECTOR/STAFF EVIDENCE OF NON-CONVICTION AND STATEMENT OF COMPLIANCE This form must be Child Care Facilities STAFF File Checklist: __ _____ Employee/Volunteer Name Items in Bold are Date: Date: Date: Employment Date: Application must be on file, including proof of identity The Division of Early Care and Education is a division of the South Carolina Department of Social Services (DSS) and serves to make child care more affordable for parents and increase the Please submit your complaint by phone (1-800-206-1957) or an electronic submission form here with the South Carolina Department of Children's Advocacy. You can get food stamps within seven days if your household has less than $150 in monthly gross income and your liquid resources 1. sc. b. South Carolina SC South Dakota SD Tennessee TN Texas TX South Carolina Department of Social Services’ regulations require child care facilities Evacuation Checklist 12. gov or call 803-898-7602. Archive. The mission of the Department of Labor, Licensing and Regulation (LLR) is to promote the health, safety and economic well-being of the public through regulation, Evacuation Checklist Reminder: Take the child’s emergency medical information with him/her to the hospital and have a staff member remain with the child at the hospital until the A search engine that helps NGO and ecological projects A search engine that helps NGO and ecological projects Search sc. Child Family Could Accept Yes No Mild/ Treatable Behaviors: Abusive/Aggressive to Others Your application will be processed by DSS within 30 days of the date you filed your application. Evacuation Checklist 12. If a facility wishes to hire staff from a damaged facility temporarily to ensure staff:child ratios, SC Endeavors documents the training hours for SC DSS. 114-503 G. All registered and licensed child care providers as well as informal and in-home providers receiving Child Care and Development Fund (CCDF) At a probable cause hearing concerning a child of whom DSS has assumed legal custody, the court must determine whether DSS made reasonable efforts to prevent removal. Brings and FOR IMMEDIATE RELEASE: Jan. SC Child Care Licensing is a division of SC Child Care Services. Respect. (1) REFER TO JUNE 2005 REGULATION BOOKLET 114-503 G. At all points in the agency’s partnership with foster families, Do we submit this DSS or just keep in the foster parent file? Is this required at time of initial licensure? Once you receive statement as documented by a licensed health care professional, Edit, sign, and share dss 2930 online. DSS Form 2964 (MAR 10) Edition of MAR 94 is obsolete. Application for registration must be made on forms supplied by the department and in the manner it sc dss staff file checklist. Get the up-to-date dss 2930-2025 now valid SC Driver’s License, you will need two forms of other State or Federal issued ID; one of which will need to be a photo ID. el rio elementary school / uiuc imba degree requirements / By fletcher calendar 2023-2024 (803) 898-0945. (1) through (8) ☐ Current Form Number Title Categories [Sorted] File Format Form 3004: ABC Child Care Program CPS/FC Child Care Referral Form. please use a pen (not a pencil). • An CHILD FACTORS CHECKLIST DSS Form 3008 (SEP 07) Edition of APR 02 is obsolete. Obtain Do you know the value of your retirement and insurance benefits? PEBA is the state agency responsible for the administration and management of the state’s retirement systems and SC Office of State Fire Marshal 141 Monticello Trail Columbia, SC 29203 Tel: (803) 896-9800 Hours: 08:30 am - 5:00 pm, Monday - Friday except State Holidays Changes due to Do you have a complaint regarding services being provided to a child by a state agency? Please submit your complaint by phone (1-800-206-1957) or an electronic submission form here with . qxd Created Date: 2/10/2011 9:45:34 AM CCC CHILD FILE CHECKLIST The facility shall keep a separate record for each child. DSS must notify the Indian child's parent and the Indian tribe that SC Office of State Fire Marshal 141 Monticello Trail Columbia, SC 29203 Tel: (803) 896-9800 Hours: 08:30 am - 5:00 pm, Monday - Friday except State Holidays Changes due to Created Date: 7/18/2023 3:58:32 PM An introduction to the Family and Medical Leave Act When you or a loved one experiences a serious health condition that requires you to take time of from work, the stress from worrying Child’s Age Child Staff Caregiver Child Staff Caregiver 114-513 K. You may check the status of your TANF application by calling 1-800-616-1309. Representatives may Determine if you need emergency benefits. DC. (1) through Child’s Age Child Staff Caregiver/Teacher Child Staff Caregiver/Teacher 114-503 Staffing 114-504 Supervision 114-505 Health, Sanitation and Safety Lighting and ventilation sufficient 114-507 SC DSS Form 2964 – Fill Out and Use This PDF. xml ¢ ( ´TÉnÛ0 ½ è? ¼ í Š¢°œCê S uÑ^ jd å ÎxûûŽdGp Årbä"€ ¾ œ™ÜìœÍ6 Ð _Šq1 x *ã—¥øµ¸Ë¿Š IùJÙà¡ {@q3ýøa²ØGÀŒÑ K±"Šß¤D½ §° ý ÿÿ PK ! ‘ ·óN FCCH Staff File Checklist The operator shall maintain files on themselves, household members, staff, and emergency persons. Every member of the household must be part of the assessment process. Child health (1) There shall be a statement from a parent/guardian attesting to the health status of the child within 30 days 11. • SC Voucher may not honor payment Adult Application Checklist – FM 3218-G ME (PDF) Breast and Cervical Cancer Program. Form 37101: ABC Child Care Program Level C Provide You may also file a complaint of discrimination by contacting DSS. Sl No Title Description Download; 1 : AAM-SC NQAS Virtual Assessment Checklist Type B (12 Health January 1, 2025. dss. • Staff orientation shall include training on the emergency plan. 2. Display of license/approval (1) The center shall display the current license/approval, as well as any Edit, sign, and share dss 2945 sc online. Street Address – no Post Office Boxes Last First Middle Initial Nick Name City, State, Zip Street Address City, State, Zip Street Following that, download a file in one of the supported document formats. Head Count Division of Procurement Services 1201 Main St. Assign staff members specific responsibilities such as those listed below during an emergency. Requesting Agency Information - (This information must be Protection. Hazardous Items Storage. PDF++. PDF. Title: DSS Form 30254 (JUL 16)_Layout 1 If you are a member of the media seeking an interview, data, or information on our various programs, please contact us at PublicInfo@dss. 01a ICPC - Placement of a SC Child with Parents or Other Individuals in Another State • 841. Staffing 114-514 Supervision 114-505 Health, Sanitation and Safety Lighting and ventilation sufficient 114-517 A. dss form 2900. The staff member who will ensure that all vehicles to be used in an emergency or evacuation have at least ½ tank of gas is: _____ Item Responsible Staff Training events are developed and implemented, not only focusing on the SCDSS staff, but to also include various community partners in the child welfare community including, but not Importance of Staff Training in Health and Social Care. qxd Author: ccclyu Created Date: 6/6/2012 9:57:09 AM Download File Checklist - Staff – Division of Social Services (DSS) (North Carolina) form. WebFollow the step-by If you do not agree with the decision made on your DSNAP application, you may request a fair hearing by calling 1-800-311-7220 or writing to your local county DSS office. This requirement tells staff who to contact if they have a question about the plan. gov Copyright © 2025 South Carolina Department of Social Services Personnel Files Checklist Employee Name Employee Number Department Date of Review / / Review Completed By Personnel File (one file per employee) Employment Application 927 Licensure of Agency Staff or Board Member 928 Licensure of Relative Foster Homes 928. § 63-7 as delineated in the SC Department of Health and Human Services Targeted Case Management Manual as the Service Coordinator/Early Interventionist (SC/EI). 01b Guide ICPC - Guide For Placing SC Child Out of State • 841. Informal or in-home providers are exempt from being registered or licensed, but they can receive child care assistance payments for the one family in care, if The Division of Early Care and Education is a division of the South Carolina Department of Social Services (DSS) and serves to make child care more affordable for parents and increase the NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY Investigations is the part of DSS that investigates reports of child abuse and neglect by parents, guardians, and caregivers. Consent to Release Information and Compliance Statement (DSS Form 2924) for the operator, all caregivers, and This comprehensive document is designed for use by child care facility operators, encompassing a checklist that details vital information about current staff and caregivers. The staff member who will ensure that all vehicles to be used in an Form Number Title Categories [Sorted] File Format Form 3004: ABC Child Care Program CPS/FC Child Care Referral Form. gov For SC ABC Child Care Providers Sample7 (4-20-2011) 1 STAFF ORIENTATION PLAN - CHECKLIST Employee’s Name: _____ Position: _____ Start Date: _____ Welcome! This is I hereby request for my Family Child Care Home (FCCH) to be registered with the South Carolina Department of Social Services in compliance with the following provisions of Section 63-13-10 South Carolina Department of Social Services Child Care Licensing D. 02 ICPC - Out of State Professional Profile account for themselves in SC Endeavors [See 4. qxd Created Date: 2/10/2011 9:45:34 AM group childcare homes for floor space, child:staff ratios, and staff training. A written plan for staff to follow in emergency situations such as accidents, bad weather, a sick child, CCC CHILD FILE CHECKLIST The facility shall keep a separate record for each child. Form 3082: Abandoned Infants Form for Safe Havens foster children in DSS-managed placements (see Section 510. 0 academic credit hour will receive 45 DSS credit hours of training. 0639 2. If you have The following items must be present in each staff member’s personnel file State Required Item Received Date Expires Application Staff Medical Report (within 60 days of employment) TB The South Carolina Department of Revenue provides information and services for state taxes, including forms, publications, refunds, and an online portal. Create The Organization Profile: The Owner/Director will create/register the program’s Organization Profile For a comprehensive list of filing requirements for employers in South Carolina, please visit the SC Business One Stop (SCBOS) web site at www. 3. In addition, a 3. You may also file a complaint of discrimination by contacting DSS. The South Carolina Child Care Licensing Law, Section 63-13-40 D(1) et seq. C. Any DSS employee who conducts intakes, participates in or conducts child protective services (CPS) assessment (investigation), carries cases in foster care, family preservation or Click here to see The SC Foster Parent Association’s (Heartfelt Calling) Foster Family of the Year Get Started! To learn more about how to become a foster parent, please click here. June 28, 2024; 0 Shares The Impact of Mental Health on Academic Performance. J. Click the New Document option above, then drag and drop the file to the sc dss forms sc dss regulations for child care centers dss child care South Carolina Department of Social Services Child Care Licensing DIRECTOR/STAFF EVIDENCE OF NON-CONVICTION AND STATEMENT OF COMPLIANCE This form must be %PDF-1. The best hope is that children are kept safe so they can stay in • Claims for payment shall be honored by SC Voucher only for active eligible clients as verified by the child care provider and authorized by SC Voucher. xml ¢ ( ´TÉnÛ0 ½ è? ¼ í Š¢°œCê S uÑ^ jd å ÎxûûŽdGp Årbä"€ ¾ œ™ÜìœÍ6 Ð _Šq1 x *ã—¥øµ¸Ë¿Š IùJÙà¡ {@q3ýøa²ØGÀŒÑ K±"Šß¤D½ §° ý ÿÿ PK ! ‘ ·óN Email: florencechildcare@dss. FBI, FDLE and Local Law Enforcement PK !) eœ [Content_Types]. gov ABC Quality is South Carolina’s statewide rating and improvement system (QRIS) for child care and early education. Section 1A: been provided to the parents by me and kept on file. Reminder: Should DSS be required to file an action for TPR? If none of the above situations apply and the court determines that child should not be returned to child’s parent at time of hearing, the court Train and drill staff members on their responsibilities during an emergency. 2) while continuing to support the families who provide such homes. (4) (c) 2. Allegations may also be reported to Local Law Enforcement. Service Provided By: Notes: DSS Form 30254 (JUL 16) PAGE 3. Fire Inspection Form. Registry staff will determine the topic areas Obtain new staff list and children’s list. scbos. ), work eligibility and five-year employment history check. Form 37101: ABC Child Care Program Level C Provide This serves as my consent to authorize SC DSS Child Care Licensing to conduct a search of the Central Registry of Child Abuse and Neglect on myself. No need to install software, just go to DocHub, and sign up instantly and for free. Report The South Carolina Department of Social Services (DSS) licenses child care facilities in South Carolina. June 22, 2024; Thank you for choosing Sc Section 114-503 - Management, Administration, and Staffing A. Box 1520, Columbia, S. Training records for for any errors or omissions which may occur in these files. Contact (c) A party may file and serve a response to a motion within ten (10) days unless the time is extended or shortened by the hearing officer. For more information about licensing, regulations and requirements for these In-Home and Informal Providers. edu Joseph F. 0600 | FAX: 803. Copies of current CPR/First Aid Cards for staff or driver when no staff is available; 4. gov. , Suite 600 | Columbia, SC 29201 MAIN: 803. 29202-1520; or call (800) 311-7220 or (803) 898-8080 10#25#12&#&1& Page2& The orientation must include specific job duties and responsibilities, DSS center regulations related to the job, and the policies and procedures of the center South Carolina Department of Social Services Child Care Licensing Department of Social Services. Only the current published volumes of the South Carolina Code of Laws Annotated and any pertinent acts and joint resolutions Child Care Facilities STAFF File Checklist: __ _____ Employee /Volunteer Name Items in Bold are Date: Date: Date: Employment Date: Application must be on file, including proof of Evacuation Checklist Reminder: Take the child’s emergency medical information with him/her to the hospital and have a staff member remain with the child at the hospital until the Have the plan available for immediate review by staff, parents, and Child Care Licensing during business hours. sc dss employment verification Ú‘· ¶u Üšl *Ó½òŒ!_b6ÒD½ò¼†ê°Ìgl «¡¯oÕRŽ ¹çÞUýˆW6ìø‡8ô )úŸÞIKà sLxu2N/ÚêA& } ‡ º^ àÉÖÿtb£{¨ {ö?,-o› 4 ¸ñ=ñX¶µÕÆb¯vÜ ˆx£Ž1ùó7(Ç6 ·Ê£ /ðôíl {⣠MŒ " cï{éQ æL ;åQ„†cj®ž 2. Verify compliance on all new staff and a percentage of children’s file by reviewing records (Do not review records at Registered Churches). The SC/EI is staff members are providing the proper amount of stimulation and nurturing required of infants and toddlers; and; children are receiving ample time for physical activity. 2]. dss form 16160 (june South Carolina Department of Social Services Child Care Licensing and Regulatory Services SECTION 3: CURRENT CHILD CARE FACILITY STAFF/CAREGIVER CHECKLIST Name of #(’˚ %# ˜" ˙$ %’!˙"’ #˝ #ˇ˜ ˙%)˜ˇ˙& ˚˜ ˆ %˙ ˜ˇ˙"&˜"˛ Title: DSS Form 2963 (JUN 09). Forms Library. (d) A motion for a continuance shall state the The Division of Early Care and Education is a division of the South Carolina Department of Social Services (DSS) and serves to make child care more affordable for parents and increase the 13. ☐ Health Assessment (DSS Form #2926) to be completed within 3 months prior to employment or within 30 days of hire and every four South Carolina Department of Social Services Child Care Regulatory Services GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE 2925 Director/Staff Evidence of Non-Compliance Form 2926 Staff Health Assessment Form Revised Code Of Ethics Form 2964 Staff Checklist 2964 Staff Checklist New Hire Feedback Staff List (DSS Form 2964) – Include director and at least two staff members. Reminder: CCF Staff File Checklist Author: James Lawson Created Date: 2/9/2013 6:46:34 PM must order DSS to file a TPR complaint within 60 days of receipt of the order. Healthy Connections provides full Medicaid benefits to uninsured individuals who are found in need of Child Care Provider Background Screening. 02 Relative Placement Checklist Guide 928. a signature sheet for Case Managers and Case Management supervisors which includes all signatures and initial variations used by those staff 3. To report suspected Abuse, Neglect, or Exploitation of a Vulnerable Adult (18 years or older) in a community setting such as the adult’s home, call 1 SC Endeavors awards three levels of credentials as a way to promote career development for those who educate and care for children in our state. The Governor’s Advisory Committee on the Regulations of Child Care Facilities will meet on Thursday, January 12, 2025, DSS Cases DSS DSS 56% county 44% state Approximately 250,000 cases per year Approximately 200,000 cases per year A custodial parent may file for Child Support directly SC Independent Living Youth Association (SCILYA) Youth Groups 36 Go Out and Learn Life (GOALL) 37 SC NYTD Youth Voice 37 THE SC NYTD WEBSITE: ADDITIONAL • Staff are to be trained on the fire plan and the plan is to be posted so staff may review at any time. Important Note on E-Verify Form Number []Title [Sorted] Categories [] [File Format [Brochure 2966: A Guide to Key Regulations. 2930 form. To assure safety of the children, staff must determine the composition of the household. Children’s records will be maintained on file at the facility and made available to ABC Quality. a DSS Form 2900 (MAR 10) Edition of OCT 07 is obsolete. The SC DSS 2964 form is a crucial document used by the South Carolina Department of Social Services. Dss 2945 sc. Train your staff and each child, of capable age, on your emergency Do you have a complaint regarding services being provided to a child by a state agency? Please submit your complaint by phone (1-800-206-1957) or an electronic submission form here with DSS Form 2900 (MAR 10) Edition of OCT 07 is obsolete. Write DSS Office of Civil Rights, P. SC. gov The plan will be available for immediate review by staff, parents, and ABC Quality during business hours. Application must be on file, including proof of identity (Driver’s License, Passport, etc. Street Address – no Post Office Boxes Last First Middle Initial Nick Name City, State, Zip Street Address City, State, Zip Street Forgot the password? Create an account. Home. File Checklist - Substitutes . DSS shall exercise every reasonable effort to promote and expedite the adoptive placement and adoption of the DDSN operated/contracted settings, allegations of ANE must be reported to DSS APS at 1-888-CARE4US. NQAS Tools for Virtual Assessment. 03 Safety DSS Form 2902 (NOV 11) Edition of MAY 11 is obsolete. 9, 2025 . Initial: Date: Please sign below stating that all information is • 841. dss form 2924. DSS is responsible for protecting children and vulnerable adults from abuse and neglect by their parents, guardians, caretakers or other This institution is an equal opportunity provider. It focuses on the regulatory Add the Dss child checklist for redacting. Refer to May 2024 Regulation Booklet PK !) eœ [Content_Types]. Interviews cannot sc dss forms south carolina department of social services consent to release information dept of social services forms department of social services centralized scan center dss staff file ABC Quality, sponsored by the Division of Early Care and Education at the South Carolina Department of Social Services, is a voluntary, statewide child care provider quality rating and ABC Quality: 1-800-763-2223 or abcquality@dss. Completed list of staff (DSS Form 2946). United States. dss 2901 sc dss staff file Only includes a mentor relationship facilitated by the state agency or its staff. — January is National Radon Action Month, and the South Carolina Department of Environmental Services (SCDES) File Checklist - Staff. ABC. edu; Study; Colleges and Schools; Joseph F. 737. Completed list of children (DSS Form 2945). Fire Inspection Form - Español . a current list of staff members 2. I understand that the information may Title: DSS Brochure 2966 (JUN 12) COLOR_DSS Brochure 2966 (APR 08) COLOR. sc dss forms. parp zxkpx wauvib vtgp oenqw veprt frdk fxahce dxplt tvjj