child care licensing program banner

STEPS TO BECOMING A LICENSED FAMILY DAY CARE HOME PROVIDER

Thank you for your interest in becoming a licensed Family Day Care Home provider. The following items are required prior to receiving an application:

Step 1: Prospective Provider Training

You must first attend prospective provider training to become a licensed home child care provider.

To register for a class, call 727-507-4857. The class costs $25 to attend.

The forms provided in this class are also listed at the bottom of this webpage.

Step 2: Background Screening

Social Security Numbers

The Child Care Licensing Program collects the Social Security numbers of providers and their household members, employees, and substitutes for the purpose of conducting state-mandated level II background screenings (Chapter 435, Florida Statutes), a requirement of child care licensure. Social Security numbers are used as a unique numeric identifier for search purposes.

Once you have completed the provider training, you may request a controlling agency identifier (OCA) number from the homes child care supervisor.  You will then follow the instructions provided in the provider training to register in the Clearinghouse. Once you have registered and have the necessary paperwork, you may then go to a livescan vendor to be fingerprinted.

You will need to check the Clearinghouse for your results and then forward them to our office along with the following completed forms.

Step 3: Additional Training

Applicant and Substitute Training

You and your substitute are required to complete the following trainings. Keep at least two copies of all training documentation in your child care business file. To register for a course, call the Pinellas County Schools’ Training Office at 727-588-6343 or visit the Florida Department of Children and Families’ website.

After you have completed all the requirements and we have reviewed your packet, we will send you an application. Once you return your application and fee, and a specialist has inspected and approved your home, we will issue you a temporary permit. If all requirements continue to be met, you will receive your license, which must be renewed annually.

Forms from Prospective Provider Training

The following forms are in Adobe Acrobat, and some of them can be completed online and printed. Many of the lines on the forms are set to auto font, which means the font will adjust to the number of characters you type on each line. If the tab does not work, simply point and click on the next line to move your cursor.

Spanish forms are listed below the English versions.

If you have any questions, please call 727-507-4857.

Forms
FormsNumber
Accident/Incident RecordF-0041
Addendum to Emergency Evacuation PlanF-0004B
Registro de Incidentes y AccidentesF-0041-S
Formulario de Reconocimiento de Requisitos de Informes Sobre el Abuso y Descuido de NiñosFC-0071-S
Attestation of Good Moral CharacterCF-1649
Attendance RecordF-0022
Breast Milk Storage
Capacity Chart 
Caregiver’s Policy F-0031
Politica Del CuidadorF-0031S
Central Abuse Hotline Records Search FormFC-1651
Child ID Record / Emergency Medical FormF-0030A
Registro de Identificación del Niño (Child’s Identification Form) – SpanishF-0030-S
Cleaning Schedule Sample
Clearinghouse Renewals FAQ
Daily Indoor/Outdoor ChecklistF-307
Diapering PracticesFC-2021
Discipline/Expulsion Policy
Discipline Policy
POLÍTICA DE DISCIPLINA
Expulsion Policy
F-0071A
F-0071
F-0071S
F-0071B
Distracted Driver 
Adulto Distraído
Distracted Adult/Distracted Driver Sign-Off
Autorización para Cuidados de EmergenciaFC-0003
Emergency Regulations 
Emergency Telephone NumbersF-0016
Employment History FormF-0020A
Employer Verification FormF-0020B
Exposure Control Refresher Training
Exposure Control Refresh Training Sign-Off
F-0072
F-0072A
Family Child Care Associations
Family Child Care Home Checklist with formF-0057B
Field Trip PermissionF-0021
Fire Drill Emergency Preparedness RecordFC-0075
Fire Extinguisher TrainingF-0076
Fire Extinguisher Vendors
First Aid/CPR Training Vendors
Flu Brochure 
Flu Brochure (CFPI175-70 June 2009) – Spanish 
Flu Brochure Sign Off
Hand-washing – When and How
Know Your Family Child Care Home BrochureF-0040
Folleto: Conozca a Su Guardería en el HogarF-0040-S
Large Home Plan of Operation FormF-0055
Large Home Requirements for Temporary PermitF-0058
Medication Record and Parent AuthorizationF-0010
Modified DietF-0014
Moving a Large Child Care Home to a New ResidenceF-0025A
Moving to a New ResidenceF-0025
Parent ReminderC-0101
Physical Examination for DriverC-0078
Plan for Evacuation-HomesF-0004A
Plan for Reporting and Managing IncidentsF-0005
Planned Days Closed
Plan of OperationF-0004
Pool Letter for ParentsF-0302
Prevention of Shaken Baby Syndrome and Abusive Head Trauma Plan
RecordkeepingF-0100
Request for Change of LicenseF-0006
Requirements for EmployeesF-0002B
Requirements for SubstitutesF-0002A
Rilya Wilson Act 
Shaken Baby Syndrome and Abusive Head Trauma
Steps to Registering in the ClearinghouseF-0101
Thank You for Your InterestF-0057
Tips for Fire DrillsT-001
Training Dates and Hours – Large HomesF-0077(L)
Training Dates and Hours – Regular HomesF-0077
Transportation LogF-0092
Vehicle Inspection ReportF-0094
Volunteer AffidavitF-0303
Walking Field Trip LogF-0093
WHO Guidelines for Powdered Formula 
Zoning AttestationF-0053C