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