Division of Adult, Children & Family Services
Professionals, families, and concerned citizens can use the contact information below to report their concerns.
The three types of regulated child care in Iowa are Licensed Centers, Child Development Homes, and Child Care Homes. Those persons providing care to children in the family home and receive child care assistance funding are also subject to background checks and must complete the below minimum health and safety training. Blog
Forms and resources to help with budget planning for your Child Care Center including fiscal management, fundraising and reports. The Child Care Business Incentive Grant Program, in conjunction with Iowa Workforce Development (IWD) and the Iowa Department of Health and Human Services (HHS), is targeted at helping employers offer or expand child care options as a benefit to their employees. 9025 (in-state) or 603-271-9025, New Jersey Office of Licensing: 877-667-9845, Toll-free 800-732-5207 or 3-1-1 (for the 5 Boroughs of NYC), Toll-free 800-859-0829 (in-state only) or 919-814-6300, No statewide phone number. As many of you know, with federal law changes, we enacted a number of regulations that are required.
CCC
Child Development Home C (2 providers): Limit of 14 preschool children with a maximum of 6 aged 24 months or younger.
This increases your infant capacity of infants by 2. Child Care Business Incentive Grant.
Effective August 1, 2019, the Iowa Medicaid Enterprise (IME) and the Managed Care Organizations (MCOs) implemented a mandatory electronic billing requirement for all Medicaid enrolled providers for both Fee-for-Service (FFS) and Managed Care claims. Please keep in mind that to accept Child Care Assistance as an unregulated provider, you must still meet health and safety requirements. To file a child care complaint or report a child care health and safety violation in Pennsylvania, contact your, No statewide number.
updates. People who provide childcare in their own homes and who care for five or fewer children are not required by Iowa Code 237A.3 to be registered but have the option to do so. Child Care and Development Block Grant.
How to File a Child Care Complaint in the Northern Mariana Islands, Adams, Centre, Clinton, Cumberland, Dauphin, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Northumberland, Perry, Snyder, Tioga, Union, and York, Berks, Bradford, Carbon, Columbia, Lackawanna, Lehigh, Luzerne, Monroe, Montour, Northampton, Pike, Schuylkill, Sullivan, Susquehanna, Wayne, and Wyoming, Bucks, Chester, Delaware, Montgomery, and Philadelphia, Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Somerset, Venango, Warren, Washington, and Westmoreland, Abbeville, Anderson, Cherokee, Counties Greenville, Greenwood, Laurens, Newberry Oconee, Pickens, and Spartanburg, Aiken, Bamberg, Barnwell, Chester, Counties Edgefield, Fairfield, Kershaw, Lancaster, Lexington, McCormick, Richland, Saluda, Union, and York, Allendale, Beaufort, Berkeley, Calhoun, Charleston Colleton, Counties, Dorchester, Hampton, Jasper, and Orangeburg, Chesterfield, Clarendon, Counties Darlington, Dillon, Florence, Georgetown, Horry, Lee, Marion, Marlboro, Sumter, and Williamsburg, How to File a Child Care Complaint in South Dakota, St. Thomas/St. Iowa Department of Health and Human Services (HHS) requires additional training during each licensing period. Category B may care for 8 children not in school. These people may apply for a Child Care Assistance Provider Agreement with DHS. Dear Child Care Provider: This letter is in regard to the 08/15/2019 Compliance visit of your Registered Child Development Home. The provider should then keep a copy of this form in the child's personal file. ISU Child Care andFamily Servicesprovides expertise and guidance as you explore your child care options. cdh
Last legislative session, Governor Reynolds signed into law, House File 260. Fire Marshal Requirements - Iowa State Fire Marshal's Office, Comm 204 - HHS Licensing Standards & Procedures, Comm 204, Section 109.6(1-5) - Requirements for Center Director and On-Site Supervisor, Comm 204 - Center Director Qualifications Point Chart, Comm 204 - On-Site Supervisor Qualifications Point Chart, Comm 204 - School-age Director Qualifications Point Chart, Comm 204 - School-age On-Site Supervisor Qualifications Point Chart, Chapter 170 - Requirements for Child Care Assistance (CCA), Child Care Assistance Forms and Information, Department of Health and Human Services (HHS) Child Care Provider Portal, Emergency Preparedness - Resources to help write plans and procedures, Fingerprints and SING - Record check guide. General questions regarding wage and hour and child labor laws should be directed to (502) 564-3534 or emailed to [email protected] Statutes and Regulations. Are you new to having a family or maybe you are new to Iowa? if(Math.abs(lastScrollTop - st) <= delta)
This allows these programs to care for children that qualify for public assistance with child care costs. DES MOINES, Iowa (KCRG) - On Thursday, the Iowa Department of Human Services (DHS) announced a $30 million recruitment and retention bonus program to help Iowa's child care.
CCNC's are required to complete the Iowa Training Project for Child Care Nurse Consultants (ITPCCNC) training.
Department of Human Services > Find a Document > For Providers > Child Care Forms Central Region (717) 772-7078 or (800) 222-2117 Northeast Region (570-963-4371 or (800) 222-2108 Southeast North and Southeast South Region (215) 560-2541 or (800) 346-2929 Western Region (412) 565-5183 or (800) 222-2149 Persons under the age of 18 will still require a physical but no other documentation will be required. Their work includes processing new applications, reviews, and changes reported by families receiving Child Care assistance. Ames, IA 50010, Copyright 1995-2023 Searchable document library (eDocs) Online applications for individuals and families Paper applications for individuals and families Providers Employees General public About DHS. Required information for HHS Checklist, 109.10(10).
The regulation index for child care facilities at 55 Pa. Code 3270, 3280, and 3290 has been updated and now reflects changes effective December 2020. The Department must complete an unannounced annual inspection once per year to assure compliance with health, safety, and fire standards. You may also contact your regional licensing office. All children may be served on a full-time basis.
Checklists to help you organize information and make the best decision for your child fromChild Care Aware of America. didScroll = true;
Clickprovider record checks in a child care settingsfor additional information. My insurance company says it will raise our rates if we accept children with disabilities. Q4. Massachusetts Online Complaint Form: Unlicensed Child Care, Barnstable, Bristol, Dukes, Nantucket, Norfolk, and Plymouth Counties, How to File a Child Care Complaint in Michigan. You can apply for the Child Care Assistance (CCA) program on-line at our.
For further assistance in finding a child care provider who can meet the unique needs of your family, please contact the Child Care Resource & Referral Agency (CCR&R) serving the county you live in by using either their state website at http://www.iowaccrr.org/ or call (toll free) 855-244-5301. Report complaints to your. Articles of Incorporation - Minimum code requirement - Iowa Code section 504.202, Assigning Fiscal Responsibilities - blank, Board Member Selection - Professional Resources, Business Structures - First Children's Finance, Business Structures, For-Profit vs Nonprofit - First Children's Finance, Center Business Plan Outline - First Children's Finance, Center Packet Letter - Steps to starting a Child Care Center, Child Care Aware of America - Child Care Center Provider Resource, Director Competencies - Early Childhood Iowa, Emergency Preparedness - Template and tools, First Children's Finance Center Resources - Business tools, Iowa Principles and Practices for Charitable Nonprofit Excellence, NAEYC Code of Ethical Conduct and Statement of Commitment.
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Whenever there are more than 8 children present , the business co-provider needs to be present. This is a preliminary list of items that must be submitted and reviewed by the Department of Health and Human Services (HHS) for the initial license of a preschool or Child Care Center (CCC) found in Comm 204. Required information from Department of Health and Human Services (HHS) checklist, 109.7(1).
Staff
Child Care Resource & Referral (CCR&R) provides professional development and consultation services that support the child care business's ability to achieve and maintain regulatory status in good standing and work to achieve and maintain performance at higher quality levels in Iowas Quality Rating and Improvement System, Iowa Quality for Kids (IQ4K).
0:48. Market Rate Survey (MRS) Report: The MRS report contains information about the market rates being charged for child care services in the state as well as an estimate of the costs required to provide child care services. This report is submitted to the Federal Office of Child Care on an annual basis and is required as part of the Child Care and Development Block Grant (CCDBG) Act. Camps and programs specifically for school-age children. Consider the parents' work or treatment schedules in the development of the visit and contact plan. Consultants provide technical assistance and consultations to meet the individualized needs of each provider. Each search option provides information on: . If you have questions or need assistance regarding the information provided on this page, please contactFDHS@dhs.state.ia.us. Child Care Assistance (CCA) is available to the children of income-eligible parents who are absent for a portion of the day due to employment or participation in academic or vocational training or PROMISE JOBS activities. var navbarHeight = $('#back-to-top').outerHeight();
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As this date neared, leadership agreed that the DHS would again offer such a contract. PROMISE JOBS staff administer Child Care Assistance for child care needed to participate in PROMISE JOBS activities. $('#article_description .blogAuthorPost').prependTo('#side-blog-info'); Funding provided by the Iowa Department of Health and Human Services through the Child Care Development Fund, Child Care Home Accepting Child Care Assistance.
The Iowa Department of Health and Human Services is required to make child care program compliance and complaint reports available to the public. CDH
John Fay is an immigration attorney and technologist with a deep applied knowledge of I-9 compliance and E-Verify rules and procedures. Quality Progress Report (QPR): The QPR collects information about the States investments to improve the quality of child care available for children from birth to age 13.
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How to File a Child Care Complaint in D.C. Florida: How to File a Child Care Complaint and Online Complaint Form, How to File a Child Care Complaint in Georgia, How to File a Child Care Complaint in Hawaii, How to File a Child Care Complaint in Idaho, How to File a Child Care Complaint in Illinois, Kansas: How to File a Child Care Complaint and Online Complaint Form, Kentucky: How to File a Child Care Complaint, How to File a Child Care Complaint in Maine, How to File a Child Care Complaint in Maryland, How to File a Child Care Complaint in Minnesota: Child Care Centers, contact your local county or tribal licensing agency, Mississippi: How to File a Child Care Complaint and Online Complaint Form, How to File a Child Care Complaint in Missouri, How to File a Child Care Complaint in New York, How to File a Child Care Complaint in North Carolina, Oklahoma: How to File a Child Care Complaint and Online Complaint Form, Oregon: How to File a Child Care Complaint and Online Complaint Form, How to File a Child Care Complaint (in Spanish), How to File a Child Care Complaint in Rhode Island (See Parent Complaint Process & Hotline section), How to File a Child Care Complaint in South Carolina, How to File a Child Care Complaint in Tennessee, How to File a Child Care Complaint in Utah, How to File a Child Care Complaint in Vermont, How to File a Child Care Complaint in Virginia, How to File a Child Care Complaint in the Virgin Islands, How to File a Child Care Complaint in Washington, How to File a Child Care Complaint in Wisconsin, How to File a Child Care Complaint in Wyoming, Choosing Quality Child Care for Your Children, Other Support and Resources for Your Family, Report a Health or Safety Violation in Child Care. When a Certificate of Immunization or Immunization Exempt Form are not available, a Provisional Certificate of Immunization can be used.
Iowa CCR&R |
Click on County DHS Office Locations to find the location of the county DHS office nearest you. These people may apply for a Child Care Assistance Provider Agreement with DHS. // Hide Header on on scroll down
This report is submitted to the Federal Office of Child Care on an annual basis and is required as part of the Child Care and Development Block Grant (CCDBG) Act. CCNC's are required to complete the Iowa Training Project for Child . Information should be readily accessible for equipment checks of smoke detectors, carbon monoxide detectors, fire extinguisher and evacuation equipment. 4 may be under 24 months. The provider should then keep a copy of this form in the child's personal file.
Assistance may also be available for a limited period of time to the children of a parent looking for employment. 1. Please contact your appropriate, Toll-free 800-926-2588 or 2-1-1 (in-state), To file a child care complaint or report a child care health and safety violation, contact your, To file a child care complaint or report a child care health and safety violation, contact your r, Toll-free 800-852-3345ext. Required information for HHS checklist, 109.10(1). Child care services for a child with protective needs are provided without regard to income.
It is required to be completed every three years in alignment with the Child Care Development Fund (CCDF) State Plan. To ensure accurate comprehension, providers should review the updated language and reference the complete child care regulations utilizing the links below. Are you new to having a family or maybe you are new to Iowa? Required information for HHS checklist, 109.10(15)b. Get CCR&R Blog
Contact the Centralized Child Care Assistance Eligibility Unit (CCA) at 866-448-4605 or email ccaapps@dhs.state.ia.us for questions about child care. Rock Hill, South Carolina 29730 Florence 1947 West. You can also have 4 school-agers, allowing for 12 full-time children. Your local child care regulatory office. Fire and tornado drills are practiced monthly and documentation kept on file for the current year and previous year. Sorry, you need to enable JavaScript to visit this website. Training verification may be maintained in i-PoWeR.
The Unit also processes child care payments for providers and handles all provider applications, renewals, and changes reported by providers. Quality Rating System.
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Please do not hesitate to reach out to your DHS compliance worker or Child Care Resource and Referral consultant if you have any questions. Child Care andFamily ServicesFamily Resource Center2623 Bruner Drive Each month the communication and marketing implementation workgroup will release an informational newsletter providing updates on the Child Welfare System of Care. 844-786-1296 - Please call the Iowa Child Care Complaint Hotline if you have concerns regarding a child care provider. A direct link to the Iowa Department of Health Smoke Free Air Act information including a link to print signs. regulations
2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders. Last legislative session, Governor Reynolds signed into law, House File 260. 280 . Funding provided by the Iowa Department of Health and Human Services through the Child Care Development Fund
Effective March 1, 2023 the income eligibility limit for those initially applying to the Child Care Assistance (CCA) program will increase from 145% to 155% of Federal Poverty Level (FPL).
As you can see on the record, a child must have received at least one dose of each of the required immunizations for this to be a valid option. }
Programs licensed for 29 or fewer children are subject to one unannounced inspection from DHHS each year to assess compliance with licensing. To get most of our services, you must fill out an application form. Child Development Homes must reapply for registration every two years. Prevention of shaken baby syndrome and abusive head trauma. Title 11 - ALCOHOL, HORSE RACING, LOTTERY, AND VIDEO GAMING.
Chart to help plan for safe daily outdoor time. This gives child care homes the ability to care for 5 children plus one additional school-aged child before being required to register.
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77 ILLINOIS ADMINISTRATIVE CODE 830. . Required information from Department of Health and Human Services (HHS) checklist, 109.9(2). American with Disabilities Act (ADA) - FAQ for child care programs, Area Education Agency (AEA) - Special Education Services, Birth to 21, Child and Adult Care Food Program (CACFP) - Reimbursement Program for Meals & Snacks, Child Care Nurse Consultant (CCNC) - Experts in Child Health, Care & Safety, Child Care WAGE$ IOWA - Salary Supplement Program, First Children's Finance - Business Resource Center for Child Care Centers, Iowa DCI - Launchpad for Non-Criminal Justice Forms, Iowa Source Link - Helping Iowa Business Start and Grow, T.E.A.C.H. Grace B. // This is necessary so you never see what is "behind" the navbar.
HHS Child Care Reports - Showing the history of complaints and compliance reports. An overview of the processof choosing a child care provider, published by Child Care Aware of America. The purpose of ITPCCNC is to expand thenurse's knowledge and skills to work with early childhood care and education providers.
All Child Care Providers must complete 1st Aid, CPR, and Mandatory Child Abuse Reporter Training. Category C WITH a Co-Provider: You may care for 14 children not in school.
Early Childhood Iowa Iowa Department of Management State Capitol Building, Room 13 1007 East Grand Avenue Des Moines, IA 50319 Annual Reports.
This link will take you to the Iowa Child Restraint Law document. Examples of forms and other available information on this site include: Physical forms for all ages, breastfeeding support, child illness guide, diapering procedures, electrical outlet safety, exposure plan, first aid checklist, handwashing instructions, infant daily report, injury report, mandatory reporting site poster, sleep safe policy, etc. $('#blog_posts .article-container').addClass('col-sm-6 col-md-4 mb-4');
If a participant needs to avoid specific foods for a medical reason, a prescribing licensed medial professional must document the diet modifications and sign this form. I also wanted to be sure to let you know that if you are renewing your registration any time soon, effective again on 7/1/21, you need to have full CPR certification that included your skills assessment.
Consider safety concerns for the child and others.
Department of Health and Human Services (HHS) Referrals,Iowa Quality for Kids (IQ4K) Strategies, ChildNet Certifications or training key concepts. The Iowa Department of Health and Human Services (HHS) is the agency which provides oversight to licensed and registered child care programs in the state of Iowa. Registered Child Development Homes RATIOS. 4 may be under 24 months. Families can also conduct their own child care search online 24/7. If you are seeking child care, call the Child Care COVID-19 Communications, Response and Referral Center: 1-800-446-1114. You can also get an application form from any county Department of Human Services (DHS) office. **Under Construction - please stop back, this section undergoing frequent updates, Orientation Guidebook to Child Care Licensing in Iowa, Child Care Consultant Area Map - DHS Licensing Consultant Map, Emergency Preparedness - Template and Tools, Iowa Quality for Kids (IQ4K) - Quality Rating and Improvement System, Recruitment & Retention - Recruitment for Early Childhood Professionals.
21731. To aid in CCNC role definition and development of partnerships the following resources are available.
Please be ready to provide identifying information and the whereabouts of the child.
Written policies required by 441 Iowa Administrative Code Chapter 109. If you suspect a child under the age of 18 is being abused or neglected: 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders.
Click here for most recent updates and resources regarding COVID-19 and issues related to child care and family wellness. Forms and resources for Center Directors. This requirement was implemented for Medicaid enrolled dental providers effective February 1, 2020. });
Checklist of required information to be included in each child's file. Parent Referral Specialists are available Monday through Friday, 8:00AM 4:30PM by calling (855) 244-5301. Labcorp Salem OregonGet email updates for new Clinical Laboratory Technologist jobs in Salem, OR. Tracking form from Department of Health and Human Services (HHS). Staff Search
Careers
Note: Click theStates and Territories link to return to the top of the States and Territories list.
Required information for HHS checklist, 109.9(2)b.
You can also have 2 school-agers, allowing for 8 full-time children.
Childcare Compliance and Complaint Reports: Search a listing of all licensed child care centers and homes to view their annual compliance evaluations and any complaint reports that have been filed.
2 additional school-age children can also be in care for a total maximum of 16 children in care at any one time. If you have a PRIVATE sewage disposal system, you are, The Child Care Provider Physical Exam form has been simplified. 4 may be under 24 months. As always, we thank you for your dedication and we know that things have been hard. Licensed Center. Administration of medication, consistent with standards for parental consent. . This is changed to allow 3 of those children to now be under 12 months. This form is also. 15. PART 4, TEXAS DEPARTMENT OF LICENSING AND REGULATION. Text Updates
Child Care Regulatory Program Manager
Child Care Health and Safety Violations: State and Territory Reporting Informations, How to File a Child Care Complaint in Alabama, How to File a Child Care Complaint in California, How to File a Child Care Complaint in Colorado, How to File a Child Care Complaint in Connecticut. 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Child Care Screen Time and Physical Activity, Consumer Product Safety, Food, and Drug Recalled Products, HCCI Map Child Care Nurse Consultant Local Services (PDF), HCCI/CCNC MCAH State Performance Measure #3 Overview (PDF), Healthy Child Care Iowa Annual Report FY22 (PDF). John District: 340-774-0930 ext. $('#back-to-top').removeClass('going-up').addClass('going-down');
Category C WITHOUT a Co-Provider: You remain allowed to care for 8 total children.
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If the immunizations are further behind than can be caught up in 60 days, another provisional can be issued for an additional 60 days. The provider should give this form to the parent/guardian of the attending child, to have the form completed by a physician. Q5. function hasScrolled() {
Those persons employed, residing in a Licensed Child Care center, Child Development Home, or Non-Registered Child Care Home that receives child care assistance funding must complete required background checks. This document must be accurately completed and signed by the foster parent and child care provider for reimbursement to occur to the foster parent after services have occurred and payment has been received. If the card is lost, stolen or damaged, it can be replaced by calling EBT Customer Service at 1. Looking for a list of child care programs with openings? Iowas child welfare system of care is child and family driven providing a cross-system spectrum of effective, community-based services, supports, policies, and processes for children and youth, from birth through young adulthood.
We provide a wide range of affordable health and support services for your entire family. Required information for HHS Checklist, 109.15 (3)a/Infant, 109.10 (1)a/Preschool, 109.10 (1)b/School-age. Required information from Department of Health and Human Services (HHS) checklist, 109.9(2)d and f. Parent consent and release form addressing child pick up, trips, transportation, swimming, photos and other.
Childcare Guidance in Response to COVID-19. hasScrolled();
Did you know there is a program called Iowa Child Care Reso CCR&R hosted an online, statewide peer-to-peer meeting on February 28th, highlighting the importance of Emergency Prepar Funding provided by the Iowa Department of Health and Human Services through the Child Care Development Fund, Child Care Home Accepting Child Care Assistance, Iowa Department of Health and Human Services (HHS) child abuse website.
One copy is to be kept in the childs file and one copy given to the parent or guardian. Iowa State University of Science and Technology 4380 Palmer Building, Ste. Families
How to File a Child Care Complaint in Nebraska, How to File a Child Care Complaint in New Hampshire, New Jersey: How to File a Child Care Complaint and Online Complaint Form. Health and Safety Resources and Forms Several resources are available to help you keep the children you care for and your staff safe. S C State Health & Human Services Medicaid Office in South Carolina. Child Care Homes serving children eligible for child care assistance must reapply every two years.
Policies and . Prevention of and response to emergencies due to food and allergic reactions. Required information from Department of Health and Human Services (HHS) checklist, 109.10(1)c. Form parents complete if they refuse to immunize their children because of religion or doctor recommendation.
Information should be readily accessible. We have lowered the age of infant children. Alabama | Alaska | American Samoa | Arizona | Arkansas | California | Colorado | Connecticut | Delaware | District of Columbia | Florida |Georgia| Guam | Hawaii |Idaho |Illinois ||Indiana | Iowa | Kansas | Kentucky | Louisiana | Maine | Maryland | Massachusetts | Michigan | Minnesota | Mississippi | Missouri | Montana | Nebraska | Nevada | New Hampshire | New Jersey | New Mexico | New York | North Carolina | North Dakota | Northern Mariana Islands | Ohio | Oklahoma | Oregon | Pennsylvania | Puerto Rico | Rhode Island | South Carolina | South Dakota | Tennessee | Texas | Utah | Vermont | Virgin Islands |Virginia | Washington | West Virginia | Wisconsin | Wyoming. // Make sure they scroll more than delta
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A to Z Learning Center & Day Care-Donald. No statewide number.
This suggested form is being utilized from Comm 143. ,
Permission for children to participate in activities away from the program, While DHS will require a visual assessment for lead hazards in paint in homes built prior to 1978 in alignment with public health rules, you are. If you have concerns regarding a specific child care provider or child care business that is not meeting Iowa regulations, please contact the Iowa Child Care Complaint Hotline at 844-786-1296. We are also actively working to improve the Child Development Home Guidelines (Comm 143) to be much smaller and more user-friendly.
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Category A may care for 6 children not in school.
A parent may submit a complaint about a child care provider in New Mexico by calling the Early Childhood Education and Care (ECECD) Intake Center at 888-351-0037. Linn.
Regulation guidelines from the Department of Health and Human Services (HHS) and the Fire Marshal, which explains the minimum requirements for centers in Iowa. Required information from HHS checklist, 109.9(2)a. Packet of required information to be kept in the childrens file for each child enrolled.
Emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event.
The CCCAU determines initial and ongoing eligibility for Child Care Assistance.
This state law provides employees significantly more protection and benefits than the federal FMLA (Family Medical Leave Act). 4181, Ashland, Bayfield, Florence, Forest, Iron, Langlade, Lincoln, Marathon, Oneida, Portage, Price, Sawyer, Taylor, Vilas, and Wood, Brown, Calumet, Door, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Oconto, Outagamie, Ozaukee,Shawano, Sheboygan, Washington, Waupaca, Waushara, and Winnebago, Adams, Columbia, Crawford, Dane, Dodge, Grant, Green, Iowa, Jefferson, Juneau, Lafayette, Richland, Rock, Sauk, and Walworth, Barron, Buffalo, Burnett, Chippewa, Clark, Douglas, Dunn, Eau Claire, Jackson, Lacrosse, Monroe, Pepin, Pierce, Polk, Rusk, St. Croix, Trempealeau, Vernon, and Washburn.