Form 07Lc025E PDF Details

Form 07Lc025E is a form that businesses use to report their annual tax liability. The form covers all of the income and expenses that the business has incurred over the course of the year. By reporting this information, the business can ensure that they are paying the correct amount of taxes. Filing this form is important for businesses, as it helps them stay in compliance with tax laws. There are specific instructions that must be followed when completing this form, so it is important to seek help if needed.

Question	Answer
Form Name	Form 07Lc025E
Form Length	9 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 15 sec
Other names	okdhs care star online, okdhs form care center, request child star, 07lc002e

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Request for Child Care Center

Star Certification

Center name

Area code

Phone

Mailing address

City

State

Zip code

License number

County

Licensing specialist

Email address

Please check the star level for which you are applying.

One star plus - Items indicated with 1+ Two star - Items indicated with 2 or Two star – Head Start or accreditation and only meet and maintain items indicated with A and H Three star – Head Start or accreditation and meet all items indicated with 3

The star column identifies the applicable star levels for each criteria and full wording of the star criteria is available at www.okdhs.org.

Star

1+ 2 3

				Check
		Criteria		if yes

A1.	Licensing status: OAC 340:11018.4(a). The center has
a license or sixmonth permit.
A2.	Compliance:	OAC 340:11018.4(b). The	center is
compliant with licensing requirements.

B1. Administrative: OAC 340:11018.5(a). Center staff have access to licensing requirements.

B2. Administrative: OAC 340:11018.5(a). The director or supervising staff evaluates staff in writing annually using the Oklahoma Core Competencies and develops the educational professional development plan.

B3. Administrative: OAC 340:11018.5(a). The center provides an employee handbook for staff and includes information on hiring and firing, job duties and responsibilities, professional development requirements, child abuse reporting, and personnel attendance policy.

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 1 of 9

								Check
Star						Criteria		if yes

			Attach an employee handbook.

1+	2	3	B4.	Administrative:		OAC 340:11018.5(a). The center is
			registered as a direct care organization with the Oklahoma
			registered as a direct care organization with the Oklahoma
			Professional Development Registry, okregistry.org.

1+	2	3	B5.	Administrative:		OAC 340:11018.5(a). Center staff are
			members of the Oklahoma Professional Development Registry,
			members of the Oklahoma Professional Development Registry,
			okregistry.org and have current professional development
			ladder certificates. New staff must be listed on the registry
			within 12 months of employment.

	2	3	B6.	Administrative:		OAC 340:11018.5(b). A policy and
			procedure manual is maintained on site for staff and includes

			the program's mission or vision statement, information on
			organizational structure, code of professional conduct, and the
			center's discipline philosophy.
			Attach a policy and procedure manual.

	2	3	B7.	Administrative: OAC 340:11018.5(b). A minimum of two
			staff meetings are conducted annually and include time to discuss

			quality and its impact on the center.

	2	3	C1.	Master teacher qualifications: OAC 340:11018.6. There
			is a full time master teacher for every 30 children of the licensed

			capacity. During the second and subsequent years as a two or
			three star center, there must be a master teacher for every 20
			children of the licensed capacity. This number does not include
			schoolage children, if the majority of children in care are younger
			than five years of age. In centers licensed as schoolage programs
			or in programs where the majority of children are schoolage, there
			must be a master teacher for every 40 children of the licensed
			capacity. Ratio is determined by using the official floor plan and
			equipment inventory as maintained in the licensing record.
			Example:		Licensed capacity		60
					Schoolage children		– 10_
					Number of children		50

50 children ÷ 30 = 2 master teachers required for the first year of certification. 50 children ÷ 20 = 3 master teachers required in subsequent years of certification.

Total licensed capacity Less school children Number of children

Number of master teachers required	______

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 2 of 9

Star

Criteria

C2. Master teacher qualifications: OAC 340:11018.6. Master teachers are trained in Oklahoma’s Early Learning Guidelines (ELG). Master teachers meet and maintain one of the required qualifications.

Attach current certificate, credential, or college transcript for each master teacher.

Check if yes

Name(s) of master teacher(s) common look instruction (first last)

Degree/credential

Expires

ELG

Star

Criteria

Check

if yes

D1. Director professional development: OAC 340:11018.7(a).

The director has two college credits or 30 clock hours of job

related professional development within the last 12 months prior

to application. In subsequent years, director must have at least

two college credits or 30 hours of jobrelated professional

development per employment year. General education courses

such as English composition, math, science, and history do not

count toward professional development.

Director name:

Employment date:

Attach documentation of required professional development

hours for director.

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 3 of 9

Star				Criteria			Check
				Criteria			Check
							if yes

1+	2	3	D2.	Professional development:	OAC 340:11018.7(a).
			Director has a written educational professional development
			Director has a written educational professional development
			plan (EPDP) on file and it is reviewed annually and updated as
			needed. Attach a copy of the director's EPDP.

1+	2	3	D3. Staff Professional development: OAC 340:11018.7(b).
			Center staff employed for at least 12 months have at least two

			college credits or 20 clock hours of jobrelated professional
			development within the last 12 months or within the staff’s
			employment year. General education courses such as English
			composition, math, science, and history do not count toward
			professional development.
			Attach Form 07LC002E, Child Care Staff Summary, and
			certificates and/or transcripts documenting required staff
			professional development hours.

1+	2	3	D4.	Professional development: OAC 340:11018.7(b). Center
			staff have a written individualized EPDP and it is reviewed
			staff have a written individualized EPDP and it is reviewed
			annually and updated as needed.
			Attach a sample copy of a written individualized EPDP.

1+			D5.	Professional development:	OAC 340:11018.7(b).	One
			staff for every 20 children of the licensed capacity must actively

			work toward the educational requirements to obtain master
			teacher qualifications.
			List staff who plan to obtain master teacher qualifications:

1+	2	3	D6.	Professional development: OAC 340:11018.7(b). Center
			staff working toward or meeting master teacher qualifications

			are trained in Oklahoma’s ELG.

1+	2	3	E1.	Learning environment: OAC 340:11018.8(a). Center staff
			have and use current developmentally appropriate weekly
			have and use current developmentally appropriate weekly
			lesson plans for all age groups of children.
			Attach a sample lesson plan for each age group.

Star				Criteria	Check
				Criteria	Check

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 4 of 9

Star				Criteria			Check
							if yes

1+	2	3	E2.	Learning environment:	OAC 340:11018.8(a).	Teachers
			read to children a minimum of 15 minutes each day.
			read to children a minimum of 15 minutes each day.

1+	2	3	E3.	Learning environment: OAC 340:11018.8(a). The indoor,
			and as weather permits, outdoor environment are utilized daily for

			children to engage in physical activity.

1+	2	3	E4. Learning environment: OAC 340:11018.8(a). Television or
			other screen time is not used for children younger than two years of

			age. Attach a daily schedule for each age group.

1+			E5a. Learning environment:		OAC 340:11018.8(a).	Space for
			children two years of age and older is arranged and equipped in

			a minimum of six interest areas: art, block building, book reading,
			dramatic play, manipulative play, and music and movement.
			Attach a current official floor plan from Oklahoma Child Care
			Services (OCCS) showing the ages of the children in each
			classroom and room capacity. Include interest area photos
			and locations of each classroom. If needed a separate floor
			plan can be used.

	2	3	E5b. Learning environment:		OAC 340:11018.8(b).	Space for
			children two years of age and older is arranged and equipped in

			a minimum of eight interest areas: art, block building, book
			reading, dramatic play, manipulative play, math, music and
			movement, and science or nature. A minimum of two learning
			centers are available outdoors. Attach an OCCS approved
			floor plan showing the ages of the children and the capacity
			of each classroom. Include interest area photos and
			locations of each classroom. If needed a separate floor plan
			can be used.

	2	3	E6.	Learning environment: OAC 340:11018.8(b). The center
			has and follows a schedule that allows time for children to
			has and follows a schedule that allows time for children to
			complete tasks and reflects a balance and variety of activities
			including indoor and outdoor play, active and quiet play, rest
			periods, and meals.

	2	3	E7. Learning environment: OAC 340:11018.8(b). The program
			uses Oklahoma’s ELG as a resource for lesson and curriculum
			uses Oklahoma’s ELG as a resource for lesson and curriculum
			planning.

	2	3	E8.	Learning environment: OAC 340:11018.8(b). Center staff
			participate with children in physical activity at least once per day.

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 5 of 9

Star			Criteria		Check
			Criteria		Check
					if yes

1+	2	3	F1. Family engagement: OAC 340:11018.9(a).	The center
			has established a system and maintains it for sharing and
			has established a system and maintains it for sharing and
			communicating with families the happenings, activities, and
			related issues about their child's emotional and physical state.
			Attach a sample or describe how this is done:
			___________________________________________
			___________________________________________

1+	2	3	F2. Family engagement: OAC 340:11018.9(a). Families are
			welcome in the center at all times.
			welcome in the center at all times.

1+				F3. Family engagement: OAC 340:11018.9(a). Individual
				parent conferences are arranged for and documented at least
				parent conferences are arranged for and documented at least
				annually.
				List when annual conferences are held:


1+	2	3	F4. Family engagement: OAC 340:11018.9(a). There is a
				family resource area.
				family resource area.
				Describe the location and type(s) of resources:

1+ 2 3 F5. Family engagement: OAC 340:11018.9(a). Family meetings with guest speakers or special events are held at least twice per year.

List events:

1+	2	3	F6. Family engagement:	OAC 340:11018.9(a). The center
			uses two of these methods to inform families of center
			uses two of these methods to inform families of center
			programs:
			Bulletin board	Parent handbook
			Newsletter	Email
			Website (specific to each center location)
			Describe bulletin board location, website, and email
			address.

Attach a newsletter and/or handbook.

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 6 of 9

Star					Criteria
					Criteria

1+	2	3	F7.		Family engagement:		OAC 340:11018.9(a).	Families
			participate in program and policy development through board
			participate in program and policy development through board
			involvement, planning meetings, or questionnaires.
			Describe how this is done:


1+	2	3	F8.		Family engagement:	OAC 340:11018.9(a). The center
			makes licensing requirements available to families.
			makes licensing requirements available to families.

	2	3		F9.	Family engagement:		OAC 340:11018.9(b).	Parent
				conferences are held at least twice a year and a written report

				is provided to the parents at the conference.

List when these conferences are held or will be held:

23 F10. Family engagement: OAC 340:11018.9(b). The program maintains a current list of available community resources and assists families in locating and connecting with these services.

Attach a resource list.

G1.

Program evaluation:

OAC 340:11018.10(a).

Indoor

and outdoor space health and safety checklists are completed

annually and kept on file at the center.

Checklist completion date:

G2.

Program evaluation: OAC 340:11018.10(a).

Parents

and staff are surveyed annually.

Attach survey copies and list dates:

G3.

Program evaluation:

OAC 340:11018.10(a).

equipment inventory is conducted annually using the

appropriate OKDHS form and kept on file at the center.

Attach a completed equipment inventory copy.

G4.

Program evaluation:

OAC 340:11018.10(b).

The

director/owner agrees to utilize the listed program evaluation

methods within one year of receipt of two star status, repeating as

required.

2G5. Program evaluation: OAC 340:11018.10(b). The center is assessed within one year of two star status and then every three years using an OCCS approved assessment tool. If a center is nationally accredited this is not required.

Check if yes

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 7 of 9

Star	Criteria

23 G6. Program evaluation: OAC 340:11018.10(b). Program goals are established and updated annually based on information gathered from all program evaluation items.

23 G7. Program evaluation: OAC 340:11018.10(b). The center has a written plan for meeting established goals including professional development and educational needs of center staff as well as center policies and procedures.

23 G8. Program evaluation: OAC 340:11018.10(b). Center staff participate in program evaluation and the established goals are shared with staff.

Check if yes

Accreditation. To qualify as a three star center per OAC 340:11018.3(c)(4), a center must meet one star plus and two star criteria, have current accreditation by an OKDHS approved national accrediting agency or is a Head Start program, and be compliant with Head Start Performance Standards. A center may also meet two star criteria per OAC 340: 11018.3(c)(3) by having a compliant licensing record and current accreditation by an OKDHS approved national accrediting agency or is a Head Start program and is compliant with Head Start Performance Standards.

Star

Criteria

H.The center is accredited by an OKDHS approved accrediting agency or a Head Start program and is compliant with Head Start Performance Standards.

Accrediting agency name: Expiration date:

Attach a copy of the current accreditation certificate or Head Start documentation.

Check

if yes

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 8 of 9

I hereby certify that the information provided on this request form is true, complete, and I agree to meet the level of criteria as indicated by the marked checkboxes.

I agree to notify OCCS in writing within five working days if any portion of this information changes. I understand my star certification level may be reduced for failure to notify OCCS if the certification requirements have not been met for over 90 days.

I understand any violation of these criteria may result in the reduction of star certification level and star certification may be reduced when:

•the center developed a history of numerous, repeated, or serious non- compliance with licensing requirements;

•a serious incident occurs resulting in injury or imminent risk to a child;

•violations are not corrected within the agreedupon time frame;

•an Emergency Order, notice of proposed denial, or revocation of license is issued.

Owner signature

Date

Printed owner name

Director signature

Date

Director printed name

Send the original form, completed and signed, to your Stars Outreach Specialist (SOS). You will be notified of the decision by mail. Incomplete applications are returned to applicants.

For OCCS use only

Date received

SOS

Routing: Original		OCCS
Copy		Child Care Center

Form 07LC025E (OCC25) revised 07012012 may continue on next page, page 9 of 9

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