NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES Site Verification of Staff Records for Legally-Exempt Group Child Care Program Supplement to the OCFS-LDSS-7029, Legally-Exempt Group Child Care Program Inspection Report. Use this chart to verify compliance with training requirements for all caregivers, employees with a caregiving role, and volunteers with the potential for regular and substantial contact with children in care at a legally-exempt group child care program. Use multiple lines per individual if needed. Copies of certificates of completion for the required individuals must be maintained at the program site. For any caregivers who have not completed the pre-service training, cross check the supervision, ratio and group size section to determine if left unsupervised with children in care. PROGRAM’S LEGAL NAME ENROLLMENT ID (CCFS NO.) Enhanced Requirements Pre-service Training Annual Training Present Role at Start CPR Name of Individual or Completion Certificate Completion Certificate Program Date Valid? Absent? Date on File Date on file P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N P Y Y Y / / / / / / A N N N
NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES Site Verification of Staff Records for Legally-Exempt Group Child Care Program Supplement to the OCFS-LDSS-7029, Legally-Exempt Group Child Care Program Inspection Report. Use this chart to verify compliance with training requirements for all caregivers, employees with a caregiving role, and volunteers with the potential for regular and substantial contact with children in care at a legally-exempt group child care program. Use multiple lines per individual if needed. Copies of certificates of completion for the required individuals must be maintained at the program site. For any caregivers who have not completed the pre-service training, cross check the supervision, ratio and group size section to determine if left unsupervised with children in care. PROGRAM’S LEGAL NAME ENROLLMENT ID (CCFS NO.) Enhanced Requirements Name of Individual Role at Program Present or Absent? Start Date Pre-service Training Annual Training CPR Valid? Completion Date Certificate on File Completion Date Certificate on file P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N P A / / / / Y N / / Y N Y N
OCFS-LDSS-7029-6.docx