Iowa Quality Rating System - DHS
 
Home
How To Apply
Forms
FAQs
Environment Rating Scales
Resources
QRS Providers

DHS Logo
Iowans Working Together, Doing What Works

Forms

After reviewing the application and deciding which level you wish to apply for, print out the necessary forms and submit to your QRS regional specialist. 

General QRS Forms

470-4901

NEW Quality Rating Application for Homes

 

470-4902

NEW Quality Rating Application for Centers/Preschools/School-Based Programs

 

470-4231 Child Development Home Professional Development Self-Assessment
470-4506 Child Development Home Improvement Plan - Environment Rating Scale
470-4233 Child Care Center Self-Assessment
470-4234 Child Care Center Staff Self-Assessment
470-4235 Child Care Center Improvement Plan
470-4236 Professional Development Plan
470-4288 Child Care Center Improvement Plan - Environment Rating Scale
470-4307 Basic Employee Orientation Checklist

Health and Safety Forms

HCCI-BPA2006 Child Care Business - Partnership Agreement
HCCI-CDOS2006 Child Care Center Director/Owner Survey
HCCI-HDOS2006 Home Child Care Center Director/Owner Survey
HCCI-IP2006 Injury Prevention Summary Report
HCCI-CRR2006 Child Record Review
HCCI-HSA2006  Health and Safety Assessment Report of Findings

QRS Hazard Mitigation Plan - Enhanced Health and Safety Policies

Child Development Home Emergency Preparedness Plan

Center Emergency Preparedness Plan

Resources to Assist with the Health and Safety Component

Injury Prevention Checklist
Health and Safety Assessment
Health Policy Reference Sheet
Health and Safety assessment item analysis
National Health and Safety Standards
Consumer Product Safety Commission
| DHS Home | State of Iowa | Web Master & Policies | Adobe PDF Reader |