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The Division of Child Development and Early Education is moving October 1, 2025! 

DCDEE is joining our Department of Health and Human Services colleagues in the new DHHS headquarters just across the street from the NC Museum of Art.

Our mailing address is unchanged: 2201 Mail Service Center | Raleigh, NC 27699-2200.

Our new physical address is 1915 Health Services Way, Raleigh, NC 27607.

Our last day in the Six Forks office will be September 26.

We’ll be in the new building beginning October 1 and the November 3rd Child Care Commission meeting will be held there.

 

Child Care Center (CCC) Documents and Forms

 

 

Translated documents and forms were made possible by Grant Number 90TP0046-01-00 from the Office of Child Care, Administration for Children and Families, U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Office of Child Care, the Administration for Children and Families, or the U.S. Department of Health and Human Services

Activity Plan - Infant - Toddlers
Activity Plan - Preschool
Activity Plan - School-Age
Activity Plan Preschool Combined with Schedule
Application - Facility Profile
Application - Facility Profile - Español
Application For Assessment for a Rated License Centers
Application for Employment - Staff
Application for Enrollment - Child
Application for Enrollment - Child- Español
Attendance Record
Attendance Record - Español
Breast Milk Storage: Guidelines for Child Care
Breastfeeding and Child Care: What Moms Can Do
Breastfeeding and Child Care: What Moms Can Do - Español
Breastfeeding: Making It Work
Breastfeeding: Making it Work - Español
Building Inspection Child Care Centers
Building Inspection Form (Center Located in a Residence 12 - 15)
Building Inspection Form (Center Located in a Residence 3 - 12)
Building Inspection Form (Change of Ownership/Continued Use)
Change of Ownership Form
Communicable Diseases and Exclusion From Child Care
Countable Technical Assistance Checklist
Daily Child Sign-In/Out Form
Discipline and Behavior Management Policy - Sample 1
Discipline and Behavior Management Policy - Sample 1 - Español
Discipline and Behavior Management Policy - Sample 2
Discipline and Behavior Management Policy - Sample 2 - Español
Emergency Drill Log
Emergency Information – Staff
Emergency Medical Care Implementation Guide
Emergency Medical Care Plan and Instructions Form – Sample 1
Emergency Medical Care Plan Form – Sample 2
Emergency Medical Care Plan Instructions for Sample 2
Emergency Numbers - English/Español
Equipment and Material Suggestions for Infants and Toddlers
Equipment and Material Suggestions for Preschool Children
Equipment and Material Suggestions for Preschool Children - Español
File Checklist - Children
File Checklist - Staff
File Checklist - Substitutes
File Checklist- Volunteers
Fire Inspection Form
Fire Inspection Form - Español
Floor Plan Diagram
Hazardous Items Storage
Head Count Tracking
Head Count Tracking - Español
Health and Safety Training Record
Health Questionnaire
Immunization Record
Incident Log
Incident Log -Español
Incident Report
Infant Feeding Plan
Infant Feeding Plan - Español
Infant Feeding: A Guide for Parents and Caregivers
Infant Feeding: A Guide for Parents and Caregivers - Español
Infant Safe Sleep Policy Sample
Infant Safe Sleep Policy Sample Español
Infant Sleep Chart
Infant Sleep Position Waiver - Health Care Professional
Infant Sleep Position Waiver - Health Care Professional Español
Infant Sleep Position Waiver - Parent
Infant Sleep Position Waiver - Parent Español
Meal Patterns - Infants
Meal Patterns Breakfast – Children
Meal Patterns Lunch/Supper - Children
Meal Patterns Snack - Children
Medical Action Plan – Allergy and Anaphylaxis (non-food)
Medical Action Plan - Asthma
Medical Action Plan - Asthma - Español
Medical Action Plan - Diabetes
Medical Action Plan - General
Medical Action Plan - General - Español
Medical Action Plan - Seizure
Medical Action Plan - Seizure - Español
Medical Action Plan- Food Allergy
Medical Action Plan- Food Allergy - Español
Medical Report-Child
Medical Report-Child - Español
Medication Administration Checklist
Medication Administration Checklist - Español
Medication Administration Error Report
Medication Administration Error Report - Español
Medication Administration Permission – Topical Ointments
Medication Administration Permission – Topical Ointments - Español
Medication Administration Permission and Log
Medication Administration Permission and Log - Español
Menu Planning Tool - Child
Menu Planning Tool - Infants
NC Pre-K Dental Screening Form
NC Pre-K Dental Screening Form - Spanish
Nutrition Opt Out Form
Nutrition Opt Out Form - Español
Off-Premise Activity
Off-Premise Attendance Roster
Off-Premise Master List and Staffing Pattern for Field Trip
On-Going Training Documentation
On-going Training Documentation - Español
On-going Training Topic Areas
On-going Training Topic Areas - Español
Operational and Personnel Policies Checklist
Orientation Documentation
Orientation Documentation (School Age Care Only)
Playground Inspection Checklist
Preservice Requirements for Administrator of a Child Care Center
Prevention of Shaken Baby Syndrome Policy
Prevention of Shaken Baby Syndrome Policy (Español)
Professional Development Plan - Center Based Early Educators
Program Records Checklist Center
Public School Off-Site Records Verification - Transportation
Public School Off-Site Records Verification for Children’s Records Form
Public School Off-Site Records Verification for Staff Records Form
Ready-to-Go File Checklist
Requirements for Preschool Children - Public School Buses
Safe Procedures for Pick Up and Delivery
Screen Time Log
Screen Time Log - Español
Staff and Training Worksheet - Instructions
Staff and Training Worksheet - PDF
Staff Child Ratio Sample
Staff Health Assessment/Medical Report
Summary of NC Child Care Law - Brochure
Summary of NC Child Care Law Brochure - Arabic
Summary of NC Child Care Law Brochure - Burmese
Summary of NC Child Care Law Brochure - Chinese
Summary of NC Child Care Law Brochure - French
Summary of NC Child Care Law Brochure - Hindi
Summary of NC Child Care Law Brochure - Hmong
Summary of NC Child Care Law Brochure - Korean
Summary of NC Child Care Law Brochure - Spanish
Summary of NC Child Care Law Brochure - Urdu
Summary of NC Child Care Law Brochure - Vietnamese
Summary of NC Child Care Law Folleto - Español
Summary of the NC Child Care Law for Child Care Centers - Español
Summary of the NC Child Care Law for Child Care Centers Poster
Transportation Permission
Transportation Roster
Tuberculosis Screening or Test Form
Tuberculosis Screening or Test Form - Español
Visitor Sign-In/Out Form
Weather Watch

 

Family Child Care Home (FCCH) Documents and Forms

 

Activity Plan
Application - Facility Profile
Application For Assessment for a Rated License Homes
Application for Enrollment - Child
Application for Enrollment - Child - Español
Attendance Record
Attendance Record - Español
Breast Milk Storage: Guidelines for Child Care
Breastfeeding and Child Care: What Moms Can Do
Breastfeeding and Child Care: What Moms Can Do - Español
Breastfeeding: Making It Work
Change of Ownership Form
Change of Ownership Form - Español
Communicable Diseases and Exclusion From Child Care
Countable Technical Assistance Checklist
Discipline and Behavior Management and Time-Out Policy - Sample 1 - Español
Discipline and Behavior Management Policy - Sample 1
Discipline and Behavior Management Policy - Sample 2
Discipline and Behavior Management Policy - Sample 2 - Español
Emergency Drill Log
Emergency Medical Care
Emergency Medical Care Implementation Guide
Emergency Medical Care Instructions
Emergency Numbers - English/Español
Equipment and Material Suggestions for Infants and Toddlers
Equipment and Material Suggestions for Preschool Children
Equipment and Material Suggestions for Preschool Children - Español
Family Child Care Home Sample Schedule Español
File Checklist: Additional Caregiver and Substitute
File Checklist: Children
File Checklist: Operator
File Checklist: Program
Fire Inspection Form (Applicable for R-4 Occupancy
Hazardous Items Storage
Head Count Tracking
Head Count Tracking - Español
Health and Safety Training Record
Health Questionnaire
Immunization Record
Incident Log
Incident Log - Español
Incident Report
Infant Feeding Plan
Infant Feeding Plan - Español
Infant feeding: A Guide for Parents and Caregivers
Infant Feeding: A Guide for Parents and Caregivers - Español
Infant Safe Sleep Policy Sample
Infant Safe Sleep Policy Sample Español
Infant Sleep Chart
Infant Sleep Position Waiver - Health Care Professional
Infant Sleep Position Waiver - Health Care Professional Español
Infant Sleep Position Waiver - Parent
Infant Sleep Position Waiver - Parent Español
Meal Patterns - Infants
Meal Patterns Breakfast – Children
Meal Patterns Lunch/Supper - Children
Meal Patterns Snack - Children
Medical Action Plan – Allergy and Anaphylaxis (non-food)
Medical Action Plan - Asthma
Medical Action Plan - Asthma - Español
Medical Action Plan - Diabetes
Medical Action Plan - General
Medical Action Plan - General - Español
Medical Action Plan - Seizure
Medical Action Plan - Seizure - Español
Medical Action Plan- Food Allergy
Medical Action Plan- Food Allergy - Español
Medical Report-Child
Medical Report-Child - Español
Medication Administration Checklist
Medication Administration Checklist - Español
Medication Administration Error Report
Medication Administration Error Report - Español
Medication Administration Permission – Topical Ointments
Medication Administration Permission – Topical Ointments - Español
Medication Administration Permission and Log
Medication Administration Permission and Log - Español
Menu Planning Tool - Child
Menu Planning Tool - Infants
Nutrition Opt Out Form
Nutrition Opt Out Form - Español
Off-Premise Activity
On-Going Training Documentation
On-going Training Documentation - Español
On-going Training Topic Areas
On-going Training Topic Areas - Español
Operational Policies for Family Child Care Homes
Orientation Documentation
Outdoor Inspection Checklist - Español
Outdoor Play Area Inspection Checklist
Pet Acknowledgment Form
Pet Acknowledgment Form Español
Prevention of Shaken Baby Syndrome Policy
Prevention of Shaken Baby Syndrome Policy (Español)
Professional Development Plan Family Child Care Homes
Program Records Checklist Homes
Ready-to-Go File Checklist
Routines: Best Practice
Routines: Best Practice Español
Schedule
Schedule - Español
Screen Time Log
Screen Time Log -Español
Summary of NC Child Care Law - Brochure
Summary of NC Child Care Law Brochure - Arabic
Summary of NC Child Care Law Brochure - Burmese
Summary of NC Child Care Law Brochure - Chinese
Summary of NC Child Care Law Brochure - French
Summary of NC Child Care Law Brochure - Hindi
Summary of NC Child Care Law Brochure - Hmong
Summary of NC Child Care Law Brochure - Korean
Summary of NC Child Care Law Brochure - Spanish
Summary of NC Child Care Law Brochure - Urdu
Summary of NC Child Care Law Folleto - Español
Summary of the North Carolina Child Care Law for Family Child Care Homes Cartel - Español
Summary of the North Carolina Child Care Law for Family Child Care Homes Poster
Transportation Permission
Tuberculosis Screening or Test Form
Tuberculosis Screening or Test Form - Español
Weather Watch
Written Plan of Care
Written Plan of Care - Español
 

 

 

2201 Mail Service Center | Raleigh, NC 27699-2200
919-814-6300 | 1-800-859-0829 (In State Only)
[email protected]

 

 

North Carolina Depertment of Health and Human Services
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