Requirement Descriptions

Background Information Disclosure     Consent for Release of Information     Tuberculosis Test

Landlord Permission     Regulatory Agency Approval/Acknowledgement     Class Requirements

Continuing Education     SIDS Training     Shaken Baby Syndrome Training

Background Information Disclosure Forms
A Background Information Disclosure form must be completed by everyone 10 years old or older who reside in the household where the child care will be provided. Anyone who will have regular contact with the children will also need to complete this form. This form is used to check criminal history.
 

Consent for Release of Information Form
A Consent for Release of Information form must be completed by everyone 10 years old or older. All substitutes or anyone who will have regular contact with the day care children must also complete one of these forms. This form is used to check whether or not there are any concerns regarding child abuse or neglect.
 

Tuberculosis Test
You will need to submit a copy of the results from a negative tuberculosis test. If you have had a test in the last twelve months a copy of the results will be acceptable. If you test positive for tuberculosis and after having a chest x-ray are determined to be free of tuberculosis, a statement to this effect from your doctor is required. This test may be done by your physician or your local county health department.
 

Landlord Permission to Operate a Child Care Business Form
All applicants who rent their homes must have their landlord complete and sign this form.
 

Regulatory Agency Approval/Acknowledgement to Operate Child Care Form
All applicants who are either a foster parent or a State Licensed Child Care Provider must submit this form to the regulating agency to be completed, granting their approval for certified child care to be provided in the home.
 

Class Requirements
To achieve Level I, you will need to complete the 15-hour class entitled Introduction to the Child Care Profession (Module A) and also the 8-hour class entitled Fundament in addition to all other requirements. If you provide care for families who receive county child care funding, your rate of pay will be less at Level II.

You are responsible for finding out when this class is offered and to register for it. The voucher you receive must be submitted to Western Technical College when you register for the class. You are also responsible for the cost of the required text book. For more information on when the class is offered, you may contact Western Technical College at (608) 785-9225.
 

Continuing Education Hours
Certified providers are required to complete five hours of continuing education per year. The hours can be completed by attending workshops at Family Resources, Western Technical College, or food program workshops. CPR will also be considered continuing education. If you attend a workshop, be sure to ask for a bar code or a certificate. This is required for documentation at your review.

The continuing education hours will be monitored at recertification and spot check visits. The year is based on the date listed on your certificate. For example, if your certificate expires on June 4, 2004 you would need to complete the five hours between June 3, 2002 and June 4, 2003. The other five hours would need to be completed by June 4, 2004.
 

SIDS: Sudden Infant Death Syndrome Training
All certified providers caring for children under 12 months of age MUST complete a SIDS training before becoming certified. This training is included in the 15-hour Certification Class offered at Western Wisconsin Technical College. Family Resources and Western Technical College offer the training on a regular basis.
 

Shaken Baby Syndrome Prevention Training
All certified providers caring for children under the age of 5 MUST complete a Shaken Baby Syndrome Prevention training before becoming certified. This training is included in the 15-hour Certification Class offered at Western Wisconsin Technical College. Family Resources and Western Technical College offer the training on a regular basis.

Click here for more information on Shaken Baby Syndrome Prevention.
 

For questions concerning these requirements, contact Nancy or Malinda at (608) 796-0830 or (800) 873-1768.
 

Family Resources of La Crosse
1500 Green Bay Street • La Crosse, WI 54601
Phone: (608) 784-8125 or (800) 873-1768 • Fax: (608) 796-0098

Family Resources of Sparta
201 E. Franklin St. • Sparta, WI 54656
Phone: (608) 269-3151 x 6116 • Fax: (608) 366-3475

Family Resources of Tomah
310 W. Elizabeth Street • Tomah, WI 54660
Phone: (608) 374-4190 • Fax: (608) 374-4190

Family Resources is an Equal Opportunity Employer seeking a diverse and talented workforce to serve families of all cultures, structures and abilities.
“An EEO/Affirmation Action employer, Family Resources provides equal opportunities in employment and programming, including Title IX and ADA requirements. Requests for
reasonable accommodations for disabilities or limitations should be made prior to the date of the program or activity for which it is needed. Please make such requests as early as
possible by contacting Family Resources at (608) 784-8125 or (800) 873-1768 so proper arrangements can be made.”