Parent/Provider Contract

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This contract is made between the parent(s)/guardians:

 

 

Mother/_________________________________Home#___________________

Guardian                                                                Work#___________________

                                                                               Cell#   ___________________

 

Father/__________________________________Home#___________________

Guardian                                                                 Work#___________________

                                                                               Cell#   ___________________

 

Home Address:

_________________________________________________________________

_________________________________________________________________

 

and Heather Mohawk, owner of Little Love Bugs Family Child Care, for the care of the following child(ren):

 

_____________________________________child’s name and date of birth

_____________________________________child’s name and date of birth

_____________________________________child’s name and date of birth

 

Child(ren) Home Address:

_________________________________________________________________

 

_________________________________________________________________

 

___________________________________________________________________________________________________________

 

Hours of Care

 

 

Little Love Bugs is open according to the following schedule:

 

 

Monday:               7 AM           to     6 PM

Tuesday:              7 AM           to     6 PM

Wednesday:         7 AM           to     6 PM

Thursday:             7 AM           to     6 PM

Friday:                  7 AM           to     6 PM

Saturday:                             Closed

Sunday:                               Closed

 

Hours of Care Needed:  (Be sure to specify if AM or PM)

 

TIMES	Monday	Tuesday	Wednesday	Thursday	Friday
Drop Off
Pick Up

 

 

IMPORTANT: Arrival and pick up times must be followed as agreed. Please keep in mind that the provider may have additional children entering day care before and/or after your agreed times which may cause the day care to be over capacity by New York State Law.

 

Absences

When a child is ill, the parents are expected to make every effort to give the provider as much notice as possible. Parents are expected to pay on child sick days.

If a child does not arrive for the day and no notice has been given to the provider, parents are still expected to pay.

 

Appointments and early pick-ups

Please notify me when you drop your child off in the morning if you will be picking your child up early that day, or if your child has an appointment and will be leaving, and returning again later in the day.

 

 

*Little Love Bugs will be closed on the following holidays. Please arrange for alternative care on those days.

 

 New Year’s Day

 Memorial Day (Observed)

 Independence Day

 Labor Day (Observed)

 Thanksgiving and the Friday after it

 Christmas Eve

 Christmas Day

 

*Little Love Bugs will take 2 weeks’ vacation out of the calendar year. Parents will receive at least 30 days advance written notice of the exact dates.

___________________________________________________________________________________________________________

 

Day Care Fees and Payments

 

 

The basic rates of Little Love Bugs are:

 

$30/Day ($35 - if longer than 9 hours)

$20/Half Day

          *If you are enrolling your child for half days, the drop off and pick up times are as follows:

                                      Morning- Between the hours of 7:00AM and 12:00PM

                                      Afternoon- Between the hours of 12:00PM and 6:00PM

 

*If your child needs to be in child care more than 40 hours a week, during the open hours of the day care, you will be charged an additional $4.00/hour for any time exceeding 40 hours a week.

 

Charges for your day care services as listed above are $_______ and is to be paid to the provider at the beginning of each week.

 

* The full weekly rate is due whether or not your child is absent.

 

 

Payment during Family Vacations

 

Each family will receive 1 weeks’ vacation tuition free per calendar year. If you plan on keeping your child out of care for longer than 1 week, tuition must be paid up front for the remaining vacation period in order to hold your child’s slot. The provider must be notified at least 30 days in advance of the week that the child will be out.

 

Late Fees

 

A late fee of $10 will be assessed for each 15 minutes after your scheduled pick-up time. Payment will need to be made at the time of pick-up.

 

If your weekly rate is not paid on time, the following fee will apply: $15 each day the payment is late, including weekends and holidays.

Late fee will be charged immediately after the scheduled payment day: Monday’s at drop off time or before 12pm (unless your child is enrolled in the part time afternoon program, then the payment is due at drop off time).

*Any payment after 12pm on Monday will be charged a late fee.

*Consistent non-payment will result in immediate termination of service.

Third Party Payments: If you are enrolled in a county subsidy program that pays for day care services on behalf of the parent/guardian all payments must be sent directly to the provider. As a parent/guardian, you are responsible for your weekly parent fee of $______ to be paid directly to the provider on a _________________________ bases.                                                                                  (Weekly, Bi-weekly, Monthly)

*If at any time there is an issue with a delayed payment by any third party source, the parent/guardian will be responsible for the day care payments and when county subsidy payments are received by the provider, the parent/guardian will be reimbursed by the provider the appropriate amounts.

 

Methods of Payment

 

Parents may pay weekly rate in cash, personal check or money order.

 

A service fee of $25 will be assessed for any returned check.

*In the event that 3 or more checks are returned, you will be asked to make all future weekly payments in cash only.

Policies and Procedures

Illness and Sick Days:

 

If your child has any of the following illnesses or conditions, you must keep your child home:

* A temperature above 100 degrees Fahrenheit

* Vomiting

* Diarrhea

* A rash or nits

* Eye infection

* Sore throat

* Any Communicable-Disease

* Cold of Flu

 

A daily health check will be conducted on every child at the time of arrival. The day care provider reserves the right to not accept into care any child who exhibits the above symptoms.

 

If the child becomes sick during the day, the parent will be notified and the parent will come and pick-up their child immediately. Child will not be allowed to return until 24 hours after the symptoms have disappeared. If the illness is a contagious one, a doctor’s note will be required before the child can return to the Family Child Care home. This is to keep the other children safe in the home. If the parent is a Doctor or Nurse, I cannot accept the note with the parent’s signature.

 

 

Medical Statements and Emergency Blue Cards

 

Medical/Physical Statements: Upon enrollment into the day care, every child that is not school age (Last day of Pre-K AND enrolled in Kindergarten) must have a medical statement with up to date immunizations completed by the family physician before they can attend Day Care. Emergency Blue Card must be updated with the provider once a year or when emergency information changes and reviewed every 6 months.

 

Administration of Medication

 

Little Love Bugs is not registered to administer medication. Therefore, the provider cannot give any type of prescription or over-the-counter medications. If medication must be given to a child in care, it will be up to the parent to administer the medication before and after day care hours. Or parent or relative within the third consanguinity can come to the day care and administer the medication. A medication log will have to be completed at that time showing the date, type of medication, dose, how the medication is given (mouth etc.) who is giving the medication with a signature. Please discuss with provider if you have questions.

 

Emergency/Substitute Care

 

Though I will have a substitute provider, when available, during the event of my absence, it is ultimately the parents’ responsibility to arrange for substitute and/or emergency care for their child if the provider or substitute is not able to provide care. The parents do not have to pay the child care provider if the child care service is not provided due to illness, appointments or vacation time on behalf of the provider. The paid days for child care will be credited to the next pay period.

*I must inform all parents who my substitutes are and when the substitutes will be providing care for the children during day care hours. My approved substitute is Krissa Bailey.

 

 

Upon the time the child starts going to Little Love Bugs, the parents must provide the following items:

 

• One complete change of clothing

• Oversized shirt for messy activities

• Small Blanket and small pillow for naptime

• Any dietary supplements that your child needs

 

* Children must have appropriate outdoors wears. The provider will go outside during the day and the child must be dressed appropriate to the weather.

 

Meals:

Little Love Bugs participates in the Child Care Food Program and provides breakfast, lunch and snacks. Meals will be provided and served at the following times:

Breakfast : 8:30 am

Lunch : 12:30am

PM Snack : 4:00pm

*If the child arrives after the posted hours, the parent is responsible to feed the child before attending Little Love Bugs

*If your child has any food allergies, or other special’ dietary needs, please let me know.

 

*Weekly menus are posted on the bulletin board.

 

Parents of infants and toddlers must provide the child care provider with a written statement of his or her child’s feeding schedule and instructions.

 

Mandated Reporter:

 

I must inform all that as a provider I am obligated by law to report any suspected incidents of child abuse or maltreatment concerning a child receiving child care to the Statewide Central Register of Child Abuse and Maltreatment or cause such a report to be made when the provider has reasonable cause to suspect that a child coming before them in their capacity as a provider of family day care is an abused or maltreated child. (Such report must be followed by a written report within 48 hours, in the form and manor prescribed by the office, to the child protective services of the social services district in the count in which the child resides.

___________________________________________________________________________________________________________

 

Emergency Contact Information

 

In case of an emergency, please provide all emergency contact information if parents cannot be reached. This must be updated every 6 months.

 

Name:________________________________________________________

 

Relationship to child(ren):________________________________________

 

Phone Number (During Little Love Bugs hours):______________________

Name:________________________________________________________

 

Relationship to child(ren):________________________________________

 

Phone Number (During Little Love Bugs hours):______________________

 

*Attach a sheet for additional contact information

 

Authorization for Release of Children from Day Care

 

I hereby authorized the release of the following children to the person(s) below:

 

Child’s Name_____________________________________________________

 

Child’s Name_____________________________________________________

 

Child’s Name_____________________________________________________

 

Authorization Given to:____________________________________________

                                      _____________________________________________

                                      _____________________________________________

 

*The above listed child(ren) will not be released to any person other than those noted above or without prior written permission from the parent or guardian responsible for the child(ren). In the event of an extreme emergency, a phone call from the parent/guardian will be accepted with completion of the release form upon next visit to the day care. Person(s) picking up the children from the day care other than the parent/guardian must have picture ID for verification before the children can be released from Little Love Bugs.

Termination Procedures:

 

This contract may be terminated by the parent(s) or the provider. A 2- week notice prior to the last date of care is required.

 

The provider may immediately terminate this contract without any notice if payment is not made on time.

The Provider reserves the right to change the Contract at any time, the Parent will be given a four week written notice and a copy of the new Contract, before the changes take effect.

 

The signatures below indicate agreement with this contract and with the written policies of the provider (contained in a separate document).

 

__________________________ ___________________________

Parent’s name Parent’s signature/date

__________________________ ____________________________

Parent’s name Parent’s signature/date

__________________________ ____________________________

Provider’s name Provider’s signature/date

If the parent or legal guardian is under the age of 18, a co-signer must sign this agreement and act as guarantor to the contract and agree to be bound by all financial terms.