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Camby Indiana Daycare - Miss Sandy's Family Child Care - Mooresville / Decatur township/ Planfield

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Child Care Fees & Sample Contract / Handbook

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My Family Child Care fee's are :

Hourly Child Care $ 6.- per one Child
Before and after School care is $ 50.- per week for one child
For Full time Newborn - age 3 $120.- per week
Age 4 - 5 is $95.- per week
I do have discount rates for families with more than one child!

Miss Sandra’s Family Child Care

Contract / Handbook

I the Parent, understand that before my child enters the Family Child Care Home, I must provide the following items:

A. Contract complete and signed by both Parent’s

B: Holders Fee of $25.- per week / per child until the day that Child Care starts needs to be paid in full ( this is to guarantee the opening in the Family Child Care)

Hours & Holidays

I, the Parent, am aware that the Family Child Care Home operating days are Monday thru Friday.

Services will not be available on any Federal Holidays or Religious Holiday and Weekends.

All Federal, State and Religious holidays are paid for. Also the Family Child Care Home will be closed and paid for: on the day after Thanksgiving, Christmas Eve, day after Christmas and New Years day. And the Family Child Care Home will close at 4:00 pm on New Years Eve.
Hours that are needed for my child/ren are as follows:

Monday ______ to ______, Tuesday ______to ______,

Wednesday ______ to ______, Thursday ______to ______, Friday ______ to ______.

 

These are the hours of care that I will be provided for. After these hours a late fee of $ 2.00 per minute will be charged. Hours and days can only be changed with permission from the Child Care Provider. Any additional hours other than agreed on the Contract will be charged with the hourly rate of $ 5.- per hour/ per child between 6am - 5 pm, after 5 pm, a hourly rate of $ 6.50 per hour/per child, if the Child Care Provider has agreed to the additional hours. Any change of pick up time needs to be in writing at least 48 hours before the extended child care is needed.

I have read and understand the above section __________________________

Rates

Hours can not be transferred to the next day or week! Prices are adjusted to the hours that are agreed in the Contract!

Prices for my child/ren are as follows:

Full time care $ ________ per week for each child ______________________ (Childs Name)

Part time care $ ________ per week for each child _______________________ (Childs Name)

Preschooler care while school is in session $ ___ per week for each child ______________________(Childs Name)

Preschooler care while on school break $ ___per week for each child ___________________ (Childs Name)

Before and After School during school year (Kindergarten - over) $ ___ per week for each child, and there in School vacation the fee is $ ___ per week for each child.

Snow days or Weather related School day delay’s will be charged extra, with $5.- per hour / per child.

The Parent understand that payment obligations are based on the hours they agree to use and not the actual hours of child attendance. An hourly rate of $ 5.00 per hour/per child, will be charged if more hours, than agreed and stated above, between 6 am - 5 pm, after 5 pm and before 6am, a hourly rate of $ 6.00 will be charged per hour/per child. The Child Care Provider needs to be informed in writing at least 48 hours before the change or additional hours are needed, and needs to agreed to the additional or changed hours.

I have read and understand the above section ____________________________________ Page 1 of 7

Payments

I, the Parent, understand that all fees will be made in U.S. dollars. Cash or Money order will be accepted.

All payments will be made in advance of any service rendered .

Payments will be paid every Monday at drop of time for two weeks in advance.

I have read and understand the above section _______________________________________

Overtime Fee

An overtime fee of $ 2.00 per minute will be charged starting at the agreed pick up time stated in this Contract, for every minute that the parent is late picking up their child/ren. Any late payment will be made when you pick up your child or the following morning when you drop off your child/ren, before Child Care Service will continue!

I have read and understand the above section _______________________________________

Late Payment

Late payment fee consist of $ 10.00 per day , including weekends and holidays.

Late fee will be charged immediately after the scheduled payment day, Monday’s at drop of time or before 12pm.

Any payment after 12pm on Monday will be charged a late fee.

Consistent non-payment will result in immediate termination of service.

I have read and understand the above section _______________________________________

Trial Period

There will be a two week trial period during, which time either, the provider or parent may terminate services without any notice. Money will NOT be returned for any unused service during this time. Once the trial period is completed, a written notice is required for termination by either party.

Trail Period started : ______________________________________ Parent Initial: _______

I have read and understand the above section _______________________________________

Termination

A two week notice is required in writing. If the child should leave during a period without notice, the two weeks termination payment paid at the beginning of Child Care will be used. If a notice is given and parent terminates services immediately, any unused payments will be forfeited.

Two-week notice will not be used in conjunction with vacation or sick days.

I have read and understand the above section _______________________________________

Absences and Periods of non-service

The Child Care Provider needs to be informed before vacation time will be taken. There will be no price reduction for vacation time. This is to maintain a slot in the Family Child Care Home. Payment is to be made prior to vacation. If the payment should not be made before the vacation time, than there will be no guarantee for the opening in my Child Care home for your child.

The Parent will be notified in advance whenever possible if the provider is unable to provide service (I.e. illness of provider, vacation, doctor’s appointment, parent-teacher conference). The Parents understand that it is ultimately the parents responsibility to place their child/ren in Backup Child Care. The Parents do not have to pay the Child Care Provider if the Child Care Service is not provided due to illness, appointments or vacation time. The paid days for Child Care will be credited to the next pay period.

The provider has 30 days per year she may use as vacation time. This will be told to the parents at least 2 weeks in advance. The provider will not receive any payment during this vacation time.

I have read and understand the above section _______________________________________

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Meals

Meals will be provided and served at the following times:

Breakfast : 08:00 am

Lunch : 12:00 pm

PM Snack : 03:30pm

If the child arrives after the posted hours, the parent is responsible to feed the child before attending to the Family Child Care. The Parents will provide meals and formulas for infants until the Child can eat table food that is prepared in the Family Child Care home. Feeding will be according to the infant’s schedule.

It is the responsibility of the Parents to notify the provider of any special dietary requirement/restriction and to provide for any special foods.

I have read and understand the above section _______________________________________

Illness and Medication

The child may be denied when he/she has an illness, such as running a fever of 100 or higher, vomiting, or diarrhea, or any lost of bodily fluids, ( example: runny nose with dark yellow or green mucus, earwax due from ear infections).

Children will also be denied with the suspicious symptoms of contagious stage of a communicable illness and any suspicion of ringworm or head lice. Children with any signs of contagious diseases will need a Doctors note stating the child has no communicable illness before child care will continue in my Family Child Care Home.

Always call if your child will not be coming due to an illness.

If the child becomes sick during the day, the parent will be notified and the parent will come and pick-up their child within 30 minutes. Child will not be allowed to return until 24 hours after the symptoms have disappeared. If the illness is a contagious one, a doctor’s note will be required before the child can return to the Family Child Care Home. This is to keep the other children safe in the home. If the parent is a Doctor or Nurse, I cannot accept the note with the parents signature.

I have read and understand the above section _______________________________________

The child/ren medication will be only administered under the following conditions:

A) All medications need to be doctor’s prescription with the child’s name, dosage and date, ( date can not be older than 4 weeks)

B) Parent’s must have administered the first dosage of medication at least 24 hours prior to arrival

C) No over the counter medicine can be administered

D) Medication consent form is required to be filled out and signed, before the provider can administer medication

E) No medication will be forced or tricked into the child

F) If medication needs only be given one or two times a day it is the Parents responsibility to administer the medication

Child Care Provider has 8 days per year that are paid if she has to close the Daycare do to illness. I do promise that these days well not be taken unless absolutely necessary. As long as I can stay open and provide care I will do so.

Sample: If I should get sick but still can take of the children I will call you and let you know what is going.

I have read and understand the above section _______________________________________

Allergies /Special Needs

The Parent’s must notify the provider at the time of the interview before signing the Contract of any Allergies and/or Medical Conditions that may require special care (food, allergies, asthma, and so on). All so notifications will need to be in writing from a doctor that states the Allergies or Medical Condition. The Parent will be required to bring the necessary dietary supplements for their child if it is a food allergy. It will be a reason to terminate the Contract if this information is not given to the provider in advance.

I have read and understand the above section _______________________________________

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Guidance Technique

Your child will be guided in a manner appropriate to the situation. If the child needs to be disciplined, talking and redirecting will be used. At the very last resort, time away will be used. This is 1 minute per age year. The provider will not use corporal punishment.

I have read and understand the above section _______________________________________

Emergencies

The parent will be notified all minor and major emergencies. In event of a major emergency, the child will be transported by ambulance and parents will be notified as soon as possible. The parents will pay the cost of the ambulance. The parents will be obligated to pay all cost whether the parent believes such emergency measures should have been taken or not. The remaining children will be left in the care of a substitute provider and parents will be notified to pick them up.

I have read and understand the above section _______________________________________

Tornado Watch / Winter Storm

If a Tornado Watch is issued, I will notify the parent. The parent than can decide if the parent wants to pick-up the child or leave it in the Family Child Care Home. We will be going into the Hallway closet, when the sirens sound off. However the provider is not responsible for any injures or death that accurse in that time. In case of a Winter Storm, and the parents are send home early because of a storm, the parent are required to come and pick-up the child/ren with in 30 minutes. Payment will not be refunded.

I have read and understand the above section _______________________________________

Child Abuse

As a Family Child Care Provider, I have been trained in recognition of abuse. That includes Physical, Emotional, Sexual and Child Neglect. I am required by law to report any suspicions of Abuse to the Family Advocacy. Please be aware that I have reserved the right to report any abuse without notifying the parents.

I have read and understand the above section _______________________________________

Naptime

Naptime is planed from 1:30 pm to 3:00pm. Every child that is under the age of 5 will be taking a nap. Children that are older will have quite time at that time. There will be absolutely no pickup or drop off from Children at this time.

Field Trips

The parent, will be notified in advance of any Field Trips. If we take a Field Trip, the child/ren must have a signed permission slip with his/her name on it along with the parents signature. If the child does not have permission to go, then it is the parents responsibility to find backup Child Care for their child/ren. No money will be refunded or credited at this time.

I have read and understand the above section _______________________________________

Daily Admission Policy

For the safety’s sake, children must never be left without direct transfer to the provider. The child/ren will not be left with the provider’s husband or children. Child/ren must always be brought into the providers home pre assigned location and signed in by the parent. Parent must also sign out the child/ren everyday.

The parent understands that their child will only be released to people that they have given the provider written permission for and that their child will not be released to any siblings under the age of 16 years old. If the provider hast not meet this person before, a picture ID will be required at pick-up time.

The Parents understand that their child/ren must be dressed and ready for play upon arrival to the Family Child Care Home. The child must have a dry diaper upon arriving to the Family Child Care Home.

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If the parent wants the provider to assist with toilet training, the provider will do so. The provider asks that the child be in easy clothing for the child to pull down and up their own pants.

Children must have appropriate outdoors wears. The provider will go outside during the day and the child must be dressed appropriate to the weather. The provider will not supply these items. If the child is missing one of these garments, parents will be notified as soon as possible. These garments include:

Winter : Mittens, hats, boots, winter coat and winter pants

Spring : Raincoat, Boots, light coat, (NO UMBRELLAS)

Summer : Swimming suit, towel, swim shoes, and swimmers for those who need it

Fall : Light coat or warm coat

NO FLIP FLOPS AT ANY TIME THAT INCLUDES THE ONCE WITH THE STRAPS ON THE HEEL

Upon the time the child starts going to the Family Child Care Home, the parents must provide the following items:

A) One complete change of clothing, including underclothes

B) Adult size shirt for messy activities

C) Small Blanket and small pillow for naptime

D) All kids need to provide Wipes that are used for wiping of hands and face

E) Diapers / Pull ups

F) Non-slip socks ( for safety reasons)

G) Baby Formula, Baby Juice, Baby Food

H) Any dietary supplements that your child needs ( Child will not be accepted in to Child Care if dietary supplements are not provided, money will not be refunded or credited for lost Child Care at this time )

Parents will take these items home at the end of the week for washing. Laundering will not be done in the Family Child Home.

Pick up time and Location:

Pick time is the agreed time stated in this Contract.

The Location may vary do to my children’s sports. The primary location will be my home, if there should be a change in pick up location I will inform the parent in advance and let the parent know what time we will be leaving my house and what time we will be back. If the pick up time should be at the time we are attending any sports events I will take the children with me and pick up time will be at the place where the sports event takes place. Or you can choose to pick up your child after we get back for the additional cost of the extra hours.

Permission Sheet

Permission Sheet needs to be signed before Child Care Service will start!

Travel/Transportation Authorization

I, ____________Parent of _____________,give permission for my child to leave the Family Child Care Home for travel and transportation in a private owned vehicle, accompanied by Sandra Moore, for any reason.

Signature and Date of Father :_________________________________________________________

Signature and Date of Mother:_________________________________________________________

Walk and Participate Authorization

I, ____________Parent of _____________,give permission for my child to walk and participate in activities geared for my child but away for the Family Child Care Home under the supervision of Sandra Moore.

Signature and Date of Father :_________________________________________________________

Signature and Date of Mother:_________________________________________________________

 

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Picture Authorization

I, ____________Parent of _____________,give permission to Sandra Moore to take Pictures of my child for Child Care purpose only.

Signature and Date of Father :______________________________________________________

Signature and Date of Mother:________________________________________________________________

Swimming Pool Authorization

I, ____________Parent of _____________,give permission for my child to use the swimming pool at Colony North Subdivision, while my child is in the Family Child Care Home.

Signature and Date of Father :_________________________________________________________

Signature and Date of Mother:_________________________________________________________

Learning / Holiday Activities Authorization

I, ____________Parent of _____________,under stand that Sandra Moore is not a Teacher. However I give her permission to conduct learning activities and Holiday Theme Activities with my child.

Signature and Date of Father :_________________________________________________________

Signature and Date of Mother:_________________________________________________________ .

Actual date for starting Child Care Service _____________________

Holders fee paid from:

Date ________ to ________ Initial from Parent:______________

Date ________ to ________ Initial from Parent ______________

The Childcare opening will not be guarantied unless the Contract is completed and signed by both parents, and the payment for the first two weeks of Childcare is provide to the Childcare Provider.

If you have any questions or concerns please feel free to talk to me, 317-856 8794.

This is legally binding document, please make a copy of this Contract for your own files before returning it.

I HAVE READ THE CONTRACT AND FULLY UNDERSTAND IT .

The Provider reserves the right to change the Contract at any time, the Parent will be given a four week written notice and a copy of the new Contract, before the changes take effect.

Please make a copy of this Contract for your files!

Father’s Signature and Date _____________________________________________________________________

Mother’s Signature and Date_____________________________________________________________________

Provider’s Signature and Date______________________________________________________

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Child / Parent Information Sheet :

Child’s Name : _________________________________________________

Allergies : _____________________________________________________
Daily Medication: _______________________________________________

Child’s Birthday: ________________________________________________
Address : ______________________________________________________


Fathers:

Fathers Name: __________________________________________________
Home phone number:_____________________________________________
Cell phone number: ______________________________________________

Address: _______________________________________________________

Work Place: ____________________________________________________

Work phone number: _____________________________________________
Email Address: __________________________________________________

Mothers:

Mothers Name: __________________________________________________

Home phone number: _____________________________________________

Cell phone number: _______________________________________________

Address: ________________________________________________________

Work Place: _____________________________________________________

Work phone number: ______________________________________________

Email Address: ___________________________________________________

Emergency Contact No1:
Name : __________________________________________________________

Home phone number: _______________________________________________

Cell phone number : ________________________________________________

Work phone number: _______________________________________________

Signature: ________________________________________________________

Emergency Contact No2
Name : __________________________________________________________

Home phone number: _______________________________________________

Cell phone number : ________________________________________________

Work phone number: _______________________________________________

Signature: ________________________________________________________

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