Page 379

Child Care Assistance Program Policy Manual Issued 08/2022 Legal nonlicensed providers – Annual monitoring 11.9.18 What care site is monitored if the provider is approved to provide care in the child’s home? When legal nonlicensed care is provided in the child’s home, the child’s home must be monitored. Both the parent and provider should be notified of the monitoring requirements when providers are not related to all the children they are authorized to care for. When does an initial monitoring visit need to occur? When a legal nonlicensed provider is issued a Service Authorization for an unrelated child for the first time, they must be monitored within 12 months of when care was authorized to start. Agencies are not required to conduct a monitoring visit before issuing a Service Authorization or registering the provider. Visits must be announced. The agency schedules the visit with the legal nonlicensed provider. What if a provider’s Service Authorization for all unrelated children ends before their visit is completed? If the Service Authorization for all unrelated children ends before the monitoring visit is due, no annual monitoring visit is required. If authorization with all unrelated children ends and then a new Service Authorization for an unrelated child is issued, the agency must complete an initial monitoring visit within 12 months of when care with any unrelated child was authorized to start or within 90 days from when the subsequent Service Authorization is issued, whichever is later. Examples 1. Care was authorized to start with unrelated children on 7/1/2019. Care with all unrelated children ended on 10/15/2019. Care was authorized to start again with unrelated children on 2/15/2020. The annual monitoring visit is due by 7/1/2020 because that date (12 months from the initial authorization with unrelated children) is later than 90 days from when the subsequent Service Authorization was issued. 2. Care was authorized to start with unrelated children on 9/20/2019. Care with all unrelated children end 3/9/2020. Care was authorized to start again with unrelated children on 8/30/2020. The annual monitoring visit is due by 11/30/2020 because that date (90 days from the subsequent authorization with unrelated children) is later than 12 months from when care with any unrelated children was authorized to start. How are subsequent monitoring visits handled? After a provider’s initial monitoring visit, the agency must perform a subsequent annual monitoring visit within 12 months of the initial visit if care for an unrelated child continues. If authorization with all unrelated children ends and then a new Service Authorization is issued for an unrelated child for a subsequent period, the annual monitoring visit must be completed within 12 months of the previous visit or 90 days from the day the Service Authorization is issued, whichever is later.