Provisional Child Care HOME License:

APPLICATION PACKET

A child care home refers to a facility located in a residence providing care to no more than eight children.

When applying for a Child Care Provisional Home License, the applicant should refer to the Introduction to the Provisional Child Care Licensing Process and any other additional information. 

Please read and follow the instructions carefully to help guide you to a successful application submittal.

All forms are located below.

Full Application Form:

• Full Application Form (PDF) - click to download

Individual Forms:

• Introduction to the Provisional Child Care Licensing Process
• CC01 MOA Emergency Caregiver Designation and Qualification Form
  
• CC52 Application for Provisional Child Care License
  
• CC53 Request for Nighttime Care Specialization
• CC54 Request for Specialized Program Activity
  
• CC56 Administrator Designation and Qualification Form
• CC57 Child Care Facility Administrator Reference
  
• CC60 Child Care Licensing Facility Personnel Policies Checklist
• CC61 Parent's Guide to Licensed Child Care
  
• CC67 Get Out Alive! Disaster Preparedness and Emergency Evacuation Plan
• CC71 Child Care Facility Staffing Plan
  
• CC72 Permission to Operate a Child Care Business
• CC74 Plan for Alternate Outdoor Recreation Space
  
• CC77 Child Care Facility Parent Policies Checklist
  
• CC93 Plant Safety Plan
  
• CC103 Firearm and Ammunition Storage
  
• CC105 Animal On Child Care Facility Premises​
  

Resources:

• Child Care Licensing Fees
• Things to Ponder - H
• Home Provisional Application Checklist
• Alaska Approved Health and Safety Training by Organization
• Alaska's Resource List for Professional Development

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