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Office Use OnlyCHILD CARE LICENSING PROGRAM Division of Public Assistance Child Care Program Office CHILD INJURY / ILLNESS / INCIDENT REPORT A child care facility is required by child care licensing
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How to fill out cc91 child injury illness
How to fill out cc91 child injury illness
01
Start by filling out the child's personal information, such as name, address, and date of birth.
02
Next, document the details of the injury or illness, including how it occurred and any symptoms or treatments.
03
Provide information on any medical professionals who have been involved in the child's care.
04
Include details on any medication the child is currently taking and any allergies they may have.
05
Lastly, sign and date the form to certify its accuracy and completeness.
Who needs cc91 child injury illness?
01
Parents or guardians of children who have experienced an injury or illness that requires documentation for medical or legal purposes.
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What is cc91 child injury illness?
CC91 child injury illness is a form used to report any child injuries or illnesses that occur during care or transportation provided by a child care provider.
Who is required to file cc91 child injury illness?
Child care providers are required to file cc91 child injury illnesses for any incidents that occur under their care.
How to fill out cc91 child injury illness?
CC91 child injury illness form can be filled out by providing details of the child, the injury or illness, when and where it occurred, and any actions taken.
What is the purpose of cc91 child injury illness?
The purpose of cc91 child injury illness is to document and report any injuries or illnesses that happen to children in child care settings.
What information must be reported on cc91 child injury illness?
Information such as child's name, age, details of the injury or illness, date and time it happened, and any treatment provided must be reported on cc91 child injury illness.
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