CCFS Legally-Exempt LX06a and LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012)

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CCFS Legally-Exempt LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) LX06a LM09a- Packet Requirements Window Period Period The Period drop-down list allows you to choose an enrollment period to work within. It displays the current pre-existing enrollment periods. When the re-enrollment process has been initiated, a new period is created displays with dates equal to zero (00/00/0000-00/00/0000). The dates of the actual renewal period will populate when you make a decision to re-enroll the provider. Select Show All When checked, the Show All checkbox indicates that all parents, active or inactive, will be displayed in the Select drop-down list. When this box is unchecked only active parents will appear in the drop-down. Child Care Schedule Packet Received Date Complete Status Date Recorded By The drop-down list displays the parent s name, date of birth, case numbers, family decision. All other information on the Packet Requirements window is displayed for the selected parent. By selecting a different parent from the drop-down list, you change which parent s information you are viewing. The Packet Received Date field displays the date that the enrollment packet was received by the enrollment agency. Check the Child Care Schedule Complete checkbox, when the child care schedules on the enrollment form under review are complete. The Child Care Schedule Status Date field displays the date that the enrollment agent checked the Complete checkbox for the child care schedule. The Recorded By field displays the name of the enrollment agent who checked the Complete checkbox for the child care schedule. Professional Development Program 1

LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt Health Safety Incomplete Not Yet Determined During the Intake phase, the Health Safety Checklist records the enrollment agent s decision as to whether the Health Safety Checklist is complete or incomplete. The value is updatable until the Packet Decision of Complete is made saved. Complete: This value indicates that the enrollment agent s overall decision pertaining to Health Safety Checklist in this enrollment packet is Complete. Incomplete: This value indicates that the enrollment agent s overall decision pertaining to the Health Safety checklist in this enrollment packet is Incomplete. Date Checkmark Button The Health Safety Checklist Date is system set to the date that the enrollment agent selects saves the value of Complete from the Health Safety drop-down. The Checkmark Button, to the right of the Date, is for the recording of specific Health Safety checklist items that are Incomplete. When the Health Safety drop-down value of Incomplete is selected, the Checkmark Button enables. When the enrollment agent clicks on the Checkmark Button, a pop-up window opens with the Health Safety Checklist Items. Incomplete: Based on the contents of the enrollment form the enrollment agent is reviewing, place a check in the box to show that an item on the Health Safety Checklist is Incomplete in this enrollment packet. Health Safety Checklist items that are identified as Incomplete will display on the Notice of Incomplete when it is generated. TPR Status Disclosure No Disclosure Not Complete The TPR Status is used to indicate 1) whether the provider has completed the section of the enrollment packet pertaining to a history of termination of parental rights (TPR), 2) if the attestation section is complete, whether or not the provider disclosed a history of Termination of al Rights. Disclosure: This value indicates that the provider has completed the question pertaining to 2 Professional Development Program

CCFS Legally-Exempt LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) Termination of al Rights on the enrollment packet that the provider disclosed a Termination of al Rights. Note that this selection must ultimately lead to an enrollment decision (Provider Status) of Denied or Closed: Terminated. No Disclosure: This value indicates that the provider has completed the question pertaining to Termination of al Rights on the enrollment packet the provider indicated that he/she had not had his/her al Rights Terminated. Not Complete: This value indicates that question pertaining to Termination of al Rights was not completed on the enrollment packet. Article 10 Disclosure Narr/ Acknowledgement Incomplete/Ina dequate Status Disclosure No Disclosure Incomplete When the TPR value of Disclosure is selected, the Disclosure Narr/ Acknowledgement drop-down is enabled. Document whether the al Acknowledgement form, pertaining to Termination of al Rights has been submitted to the enrollment agency, if submitted, whether or not it is complete or incomplete. Not Received: This value indicates that the provider has disclosed a Termination of al Rights the al Acknowledgement form has not been received for the specific enrollment packet. Incomplete/Inadequate: This value indicates that the provider has disclosed a Termination of al Rights an incomplete or inadequate al Acknowledgement has been received. Complete: This value indicates that the provider has disclosed a Termination of al Rights a complete al Acknowledgement form has been received for the enrollment packet. The Article 10 Status is used to indicate 1) whether the provider has completed the section of the enrollment form pertaining to a history of having a child(ren) removed from his or her care by court order in a proceeding under Article 10 of the Family Court Act, 2) if the attestation section is complete, whether or not there is a disclosure. Disclosure: This value indicates that the provider has answered the question on the enrollment form pertaining to court ordered removal under Family Court Act Article 10 disclosed a history of a court ordered removal under Family Court Act Article 10 that the provider disclosed a court ordered removal under Family Court Act Article 10. This selection Professional Development Program 3

LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt must lead to an enrollment decision (Provider Status) of Denied or Closed: Terminated. No Disclosure: This value indicates that the provider has completed the question pertaining to the Court ordered removal under Family Court Act Article 10 on the enrollment form that the provider indicated that they had not had a child removed from his or her care under Article 10. Not Complete: This value indicates that the provider has not completed the question pertaining to the Court ordered removal under Family Court Act Article 10 on the enrollment form. Disclosure Narr/ Acknowledgement Incomplete/Ina dequate When the Article 10 value of Disclosure is selected, the Disclosure Narr/ Acknowledgement drop-down is enabled, is used to indicate whether the al Acknowledgement form has been included in the enrollment packet, if so, whether or not it is complete or incomplete. Not Received: This value indicates that the provider has disclosed a history of having a child removed from his or her care under Article 10 of the Family Court Act, the al Acknowledgement form has not been received for the enrollment packet. Day Care Enforcement Status Disclosure No Disclosure Not Complete Incomplete/Inadequate: This value indicates that the provider has disclosed a history of having a child removed from his or her care under Article 10 of the Family Court Act, an incomplete or inadequate al Acknowledgement has been received. Complete: This value indicates that the provider has disclosed a history of having a child removed from his or her care under Article 10 of the Family Court Act, a complete al Acknowledgement form has been received for the enrollment packet. The Day Care Enforcement Status is used to indicate 1) whether the provider has completed the section of the enrollment form pertaining to a history of licensed or registered provider Day Care Enforcement, 2) if the attestation section is complete, whether or not there is a disclosure of an enforcement. Day Care Enforcement includes the denial of an application for a license or registration, the revocation or suspension of a licensed or registration to operate a day care facility. Disclosure: This value indicates that the provider has completed the Day Care Enforcement attestation in the enrollment packet that the provider disclosed a history of a day care enforcement. The enrollment agent will need to follow up with a Risk Level Decision on the Day 4 Professional Development Program

CCFS Legally-Exempt LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) Care Enforcement Window, LM17. No Disclosure: This value indicates that the provider has completed the Day Care Enforcement attestation in the enrollment packet that the provider indicated that they had not been the subject of a previous Day Care Enforcement. Not Complete: This value indicates that the Day Care Enforcement questions were not completed in the enrollment packet. Child Abuse or Maltreatment Disclosure Narr/ Acknowledgement Incomplete/Ina dequate Provider Compliant Missing Non-Compliant When the Day Care Enforcement value of Disclosure is selected, the Disclosure Narr/ Acknowledgement drop-down list is enabled. Use this dropdown to indicate whether the al Acknowledgement form has been included in the enrollment packet, if so, whether or not it is complete or incomplete. Not Received: This value indicates that the provider has disclosed a history of Day Care Enforcement, the al Acknowledgement form has not been received for the enrollment packet. Incomplete/Inadequate: This value indicates that the provider has disclosed a history of Day Care Enforcement, an incomplete or inadequate al Acknowledgement has been received. Complete: This value indicates that the provider has disclosed a history of Day Care Enforcement, a complete al Acknowledgement form has been received for the enrollment packet. The Child Abuse Maltreatment Provider drop-down list is used to indicate 1) the completeness of this section of the enrollment form, 2) whether the provider indicated that he/she conveyed to the parent true accurate information regarding any indicated reports of child abuse maltreatment for the provider, employees, volunteers, for FCC, household members age 18 over. Compliant: This value indicates that the question was answered on the enrollment form indicating true accurate information was exchanged, as applicable. Missing: This value indicates that the question was not answered on the enrollment form. Non-Compliant: This value indicates that the question was answered on the enrollment form, Professional Development Program 5

LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt but that true accurate information has not been exchanged when applicable. Criminal Convictions History Compliant Missing Non-Compliant Person Criminal History Disclosure Disclosure No Disclosure Not Complete al Acknowledgement The Child Abuse Maltreatment drop-down list is used to indicate 1) the completeness of this section of the enrollment form, 2) whether the provider conveyed to the parent true accurate information regarding any indicated reports of child abuse maltreatment for the provider, employees, volunteers, for FCC, household members age 18 over. Compliant: This value indicates that the question was answered on the enrollment form that true accurate information was exchanged. Missing: This value indicates that the question was not answered on the enrollment form. Non-Compliant: This value indicates that the question was answered on the enrollment form, but that true accurate information has not been exchanged. The Person column displays the name of the provider, any other adult household members living at the day care site, any employees or volunteers at the day care site. The Criminal History Disclosure drop-down list is used to indicate whether the provider/household member/employee/volunteer has disclosed any criminal history. Disclosure: This value indicates that the criminal history attestation section of the enrollment form was completed, a criminal history has been disclosed for the person. No Disclosure: This value indicates that the criminal history attestation section on the enrollment form was completed no criminal history was disclosed for this person. Not Complete: This value indicates that criminal history attestation section on the enrollment form was not completed the appropriate value related to this person is unknown. When the Criminal History value of Disclosure is selected for a person, the al Acknowledgement drop-down list is enabled, is used to indicate whether the al Acknowledgement form has been included in the enrollment packet, 6 Professional Development Program

CCFS Legally-Exempt LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) if so, whether or not it is complete or incomplete. Incomplete/ Inadequate Complete: This value indicates that a Criminal History has been disclosed for this person, a complete al Acknowledgement form has been received for this person. Incomplete/Inadequate: This value indicates that a Criminal History has been disclosed for this person, an incomplete or inadequate al Acknowledgement was received for this person. Not Received: This value indicates that a Criminal History has been disclosed for this person, the al Acknowledgement form has not been received for this person. Packet Information Signatures/Dates on Form Provider Signatures /Dates on Form Do you have any employees or volunteers? Missing No Yes When checked, the Signatures/Dates on Form checkbox indicates that that the parental signatures are in the appropriate places in the enrollment form. When checked, the Provider Signatures/Dates on Form checkbox indicates that that the provider signatures are in the appropriate places in the enrollment form. Instructions vary by program type. Family In-home Child Care Programs must always document whether the provider has any employees or volunteers at the child care site. Group programs should only complete this field when it has employees or volunteers with a criminal history. Missing: This value indicates that the question was not answered on the enrollment packet. No: This value indicates that the provider does not have employees or volunteers at the day care site. Yes: This value indicates that the provider does have one or more employees or volunteers at the day care site. One or more site people must be recorded on either the Add Site People window or the Person Maintenance window. Once those people are added, they will appear in the list of site people for whom criminal convictions information must be entered. Professional Development Program 7

LX06a LM09a- Packet Requirements Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt Are There Any Household Members 18 or Older Residing at the Site of Care? Missing No Yes This question is applicable only to Family Child Care providers. The Are There Any Household Members 18 or Older Residing at the Site of Care? dropdown list indicates whether this question was completed in the enrollment packet, if so whether the provider has any household members 18 or older living at the day care site. Missing: This value indicates that the question was not answered on the enrollment packet. No: This value indicates that the provider does not have employees or volunteers at the day care site. Yes: This value indicates that there are one or more household members 18 years of age or older at the day care site. One or more site people should be added on either the Add Site People window or the Person Maintenance window. Once those people are added, they will appear in the list of site people for whom criminal convictions information must be entered. Agreement for LE In-Home Care Status Incomplete/ Inadequate Status Date The Agreement for LE In-Home Care Status drop-down list is used to indicate the status of the completeness of the Agreement for LE In-Home Care form. The Agreement for LE In- Home Care must be completed submitted with the enrollment packet for: Providers with In-Home program type Providers with a FCC program type In-Home subtype. Not Received: This value indicates that the Agreement for LE In-Home Care form has not been received. Incomplete/Inadequate: This value indicates that the Agreement for LE In-Home Care form has been received, but that it is incomplete or inadequate. Complete: This value indicates that the Agreement for LE In-Home Care form has been received is complete. The Agreement for LE In-Home-Care Status Date is system set to the date when the enrollment agent changes saves a value for the Agreement for LE In-Home Care Status.. 8 Professional Development Program