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There must be a floor plan drawing of each level of the child care location reflecting each of the items listed on page 2 of the form. The drawing can be on a separate paper.

b. Written Plan Each section must be completed providing a clear procedure of how the caregiver will respond in the specific situation.

4. Alaska New Hire Reporting Form 04-1050 The Designee is not responsible to ensure the form is completed correctly but will ensure at least the Employer name and contact number is filled in. Upon a determination approving participation as an In-home provider the Designee will forward the Alaska New Hire Reporting Form 04-1050 to the Child Support Services Division at the address on the form. A copy is maintained in the provider’s file. 5. Alaska Employer Registration Form for Daycare Services formTREG (daycare) The Designee is not responsible to ensure the form is completed correctly but will ensure at least the Printed Name and Social Security Number are entered. Upon a determination approving participation as an In-home provider the Designee will forward the Alaska Employer Registration Form for Daycare Services form TREG to the Department of Labor at the address on page 1 of the form. A copy is maintained in the provider’s file.

6. Unexpired Government Issued Photo Identification The parent must submit a copy of their unexpired government issued photo identification as well as a copy of their selected caregiver’s unexpired government issued photo identification.

7. Pediatric First Aid and Cardiopulmonary Resuscitation Certification A copy of the caregiver’s valid pediatric first aid and CPR certifications.

8. Child Care Assistance In-home Provider Orientation Verify the provider (family) and their selected caregiver have completed the Child Care Assistance In-home Provider Orientation.

9. Debarment Searches The Designee must complete the debarment information searches before a determination can be made on the application. See section