• This Certified Family Child Care Contract is a sample contract that covers the DCF requirements as well as additional recommendations. This contract can be used as is, it can be altered to reflect specifics for your family childcare, or you can completely create a contract of your own.

    Note: When creating your own contract be sure to include the DCF rule 202.08(12c) contract requirements listed below.

    DCF 202.08(12c) Develop a written contract that specifies the charge for child care and the expected frequency of payment for service. The contract shall be signed by the operator and a parent or guardian.

    DCF 202.08(12i) Informing the parent in writing whether the premises and the child care business are covered by a childcare liability insurance policy.

  • CERTIFIED FAMILY CHILD CARE CONTRACT

  • Welcome! I am glad you have decided to enroll your child in my Certified Family Child Care. Should you have any concerns or wish to check the status of my Certification, please feel free to contact 4-C, my regulatory agency, at (608) 216-7019. As a certified provider, I can care for up to three unrelated children under the age of 7 years. Six children maximum may be in care at any one time.

    The following contract must be fully completed and signed before I can begin to provide care. After reading this contract and the policies thoroughly, please discuss questions or concerns with me before you sign. You will receive a copy of the signed contract.

    Seeds of Love Academy LLC (Name of Certified Family Child Care)

    210 N High Point Rd Madison, WI 53717

    (Address of Certified Family Child Care)

    Lisbet Guzman Provider'sEmail: seedsofloveacademyllc@gmail.com

    I provide care for children between the ages of:

    6 12 6:00 am - 6:00 pm My hours of operation are: Please be aware that although I specify my hours of operation, we will contract for specific hours for your child and you may be charged additional fees if you pick up or drop off your child beyond our contracted hours.

    weeks months / years (circle one) through

    weeks / months years circle one

  • Rates and Hours of Care Needed

    $350/per child/week +8.50/per hour* if child exceeds care past 40 hours at Seeds of Love Academy LLC.
  • Payments Due

    Parents have the option to pay Monthly or Bi-weekly. Monthly payments are expected by the first of each month. Bi-weekly payment are paid on the 1st and 15th of every month, with 50% of the total payment paid by the 1st.
  • Additional Fees/Late Fees
    You will be charged additional fees for early drop off or late pick up. One dollar per minute.


    Please keep in mind: Families receiving subsidy assistance from the county for child care are responsible for
    making payments as agreed. When using your My Wisconsin Child Care card, payments can be made via phone, online or using a FIS POS machine (if available Please note that once payment is made funds cannot be refunded. You may be responsible to make additional payment to cover the full balance due (co-payment

     

  • Substitute Care
    I may use a substitute. The following individuals have been approved for substitute care by 4-C.

    Substitute #1 Julio C. Guzman


    If someone in my household is ill (including me):
    My child care will be closed. You will be responsible for regular payments. My approved Substitute Care Provider(s) may provide care in my absence and you will be responsible for the regular payment.

  • Additional Policies

    Discrimination is prohibited in my child care. I will not discriminate on the basis of race, color, sex, sexual orientation, creed, disability, religion, or national origin or ancestry in accepting children or in employment of employees.

    Please be aware that I am a mandatory reporter of child abuse and neglect. This means that if I have reasonable cause to suspect that a child in my care has been abused or neglected or that the child has been threatened with abuse or neglect, I will immediately inform the county department, local law enforcement or other designated organization.

    Smoking is not permitted on the premises during certified child care hours.

    Termination

    This contract may be terminated by either the provider or parent/s by giving a 4 week written notice.

    If I terminate care:

    You are responsible for payment for all days your child is scheduled for care during this time, regardless of whether or not your child is actually present.

    If you terminate care:

    You are responsible for payment for all days your child is scheduled for care during this time, regardless of whether or not your child is actually present.

     

    Reasons for contract termination may include but are not limited to:

    Payments are not being made.

    Required forms are not filled out in a timely manner.

    Your child's needs are not met in my care.

    You do not abide by the signed contract.


    Should you have any questions or concerns, please notify me before signing this contract. By signing, you hereby acknowledge that you have entered into a legally binding contract. You also acknowledge that you have received and agree to abide by the policies and procedures outlined. I may amend the contract by giving you a copy of the 4weeks before any changes go into effect. new or changed policies at least

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