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Title 13: Social Service Resources Page 81 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Identifiying the Provider Revised June 14, 2024 Provider Requirements ▪ A request for the provider to submit completed Federal Fingerprint Cards, form FD-258, for each person over age 17 who lives in the household or who has access to the children in care. ▪ A return envelope. NOTE: Providers may also apply on-line from the KinderTrack website: https://ccmis.dhs.state.ia.us/ProviderPortal/. 3. HHS staff finish the provider approval process by: ▪ Obtaining the results of the background, sex offender, and abuse checks. ▪ Approving or denying the Child Care Assistance Provider Agreement. NOTE: If the KT system indicates that the provider is active and already has a current Child Care Assistance Provider Agreement on file, it is not necessary to fill out new forms or to complete new background and abuse checks. Nonregistered child care home providers and in-home providers must sign and return forms: ▪ 470-2890 ▪ 470-3871 ▪ 595-1489 or 595-1489(S) ▪ DCI-45, and ▪ FD-258 to the child care unit and pass the criminal, sex offender, and child abuse record checks before payment will be made. Signature on form 470-2890, Payment Application for Nonregistered Providers, certifies the provider’s understanding of and compliance with the conditions and requirements for nonregistered providers. These include: ▪ Minimum health and safety requirements. ▪ Limits on the number of children for whom care may be provided. ▪ Unlimited parental access to the child during hours when care is provided. ▪ Conditions that warrant nonpayment. ▪ Prohibitions on persons who have been convicted of a crime or have a founded and registered child abuse providing child care. The provider shall complete form 470-2890: ▪ When applying for payment for the first time (new), ▪ Every 24 months for renewal, and ▪ When there is a change in the information provided on the form (name, address, household composition).