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STAFFING PLAN: CHILD CARE CENTERS PART 1: ALL STAFF …

BCAL-5001 (Rev. 3-19) Previous editions obsolete. MS Word STAFFING PLAN: CHILD CARE CENTERSPART 1: ALL STAFFAND VOLUNTEERSM ichigan Department of Licensing and Regulatory Affairs Bureau of Community and Health Systems List information for all STAFF and volunteers in the program*.Facility Name: License Number: Signature: Title: Date: (Licensee or Authorized Designee) Name Position**And Age Group/ Assigned Room Date of HireWork ScheduleDate ofDate of CompletionChild Care Background Check+Date ofDate of Days Times TB Test CPR infant CPR CHILD CPR Adult First Aid Blood- Borne Pathogen Consent and Dis-closure form date Date printed Eligibility date Signed Abuse/ Neglect StatementAnnual EvaluationYou may copy this form if you need additional sheets.*All volunteers must have a signed abuse/neglect statement.

CPR Infant CPR Child CPR Adult First Aid Blood- Borne Pathogen Consent and Dis-closure form date Date printed Eligibility date Signed Abuse/ Neglect Statement Annual Evaluation You may copy this form if you need additional sheets. *All volunteers must have a signed abuse/neglect statement. All volunteers that have contact with children at least ...

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  Infant, Child, Cpr infant cpr child cpr

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