INSTRUCTIONS: ARIZONA FAMILY CHILD CARE PROVIDER STATEMENT OF SERVICES (Form CC-221-PD)

Arizona child care providers use a form CC-221-PD to document the services their business provides. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 1: In the first blank box, enter your last name, first name and middle initial.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 2: In the second blank box, enter the date.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 3: The first section concerns your business. Indicate with check marks which days you are open on.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 4: Enter your opening time on the first blank line of this section, your closing time on the second blank line, and any comments on the third blank line. Indicate with a check mark whether or not you offer drop in service.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 5: Indicate with check marks which age groups you accept.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 6: Enter your full day and part day charges for all age groups, as well as defining what you consider "full day" and "part day."

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 7: Write in any other charges where indicated, note any absence policies and charges, and indicate whether you provide transportation or meals.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 8: Note which holidays you are closed on.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 9: At the bottom of the first page, write out your daily activities, planned schedule, material and equipment for children.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 10: On the second page, document your education by indicating the highest grade level you have completed with a check mark. Provide all written explanations requested concerning your experience in providing child care, special skills or knowledge of child care, behavior or discipline methods used, hobbies and special interests, and a description of outdoor and indoor areas where child care occurs.

Arizona Family Child Care Provider Statement Of Services CC-221-PD Step 11: Sign and date the second page.

INSTRUCTIONS: ARIZONA TO REPORT CHILD ABUSE OR NEGLECT (Form PS-020)

Form PS-020 is an instructional document concerning how to report child abuse or neglect in Arizona. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

Arizona To Report Child Abuse Or Neglect PS-020 Step 1: The top of the page contains phone numbers for hotlines to report child abuse or neglect.

Arizona To Report Child Abuse Or Neglect PS-020 Step 2: The first paragraph outlines how confidentiality operates in respect to reporting child abuse or neglect.

Arizona To Report Child Abuse Or Neglect PS-020 Step 3: Section A outlines the basic guidelines for reporting child abuse, including listing the adults who are eligible and may be required to file this report.

Arizona To Report Child Abuse Or Neglect PS-020 Step 4: Section B notes that a report is not required if injuries are observed on children ages 14, 15, 16 or 17 if there is no indication that the conduct leading to these injuries was not consensual.

Arizona To Report Child Abuse Or Neglect PS-020 Step 5: Section C outlines how physicians, psychologists or behavioral health professionals should handle statements from people other than parents, stepparents, guardians or custodians during the course of providing sex offender treatment.

Arizona To Report Child Abuse Or Neglect PS-020 Step 6: Section D explains that an oral report of abuse should be filed immediately, followed no later than 72 hours later by a written report, as well as what the written report should contain.

Arizona To Report Child Abuse Or Neglect PS-020 Step 7: Section E explains that health care professionals who believe a newborn child may be affected by alcohol or drugs are required to immediately report this information to Child Protective Services.

Arizona To Report Child Abuse Or Neglect PS-020 Step 8: Section F details how reports should be made by people who are not listed in Section A.

Arizona To Report Child Abuse Or Neglect PS-020 Step 9: Section O details the penalties for failure to report abuse or neglect.

Arizona To Report Child Abuse Or Neglect PS-020 Step 10: Section P defines "abuse," "child abuse," "neglect" and "reportable offense."

Arizona To Report Child Abuse Or Neglect PS-020 Step 11: The last section details what privileged communication means in relation to sex offenders.