LR01 - New Enrollment for Legally-Exempt Care Window

Transcription

1 CCFS Legally-Exempt LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) LR01 - New Enrollment for Legally-Exempt Care Window Provider Information Mr., Mrs., Ms. Gender (Male, Female, Indeterminate) Male Female Indeterminate Enter the provider s title. Enter the provider s gender. Use Indeterminate when the gender is not precisely established, including individuals who are transgender, biologically indeterminate, or whose gender is unknown. Last Name First Name MI Suffix Birth Date Age SSN Spoken Language Writing Language Program Type Enter the provider s last name. Enter the provider s first name. Enter the provider s middle initial. Enter the provider s title, if any. Examples include: Sr., Jr., Ph.D., M.D., CPA., etc. Enter the provider s date of birth (MM/DD/YYYY) manually or by using the drop-down calendar. The Age field is automatically calculated based on the date entered in the Birth Date field. Enter the provider s Social Security Number, if available. Select the provider's spoken language from the drop-down list. The following languages are included (in alphabetical order): Chinese, English, French, German, Haitian French, Italian, Korean, Mandarin, Other, Portuguese, Russian, Spanish, TTY, and Vietnamese. Note the inclusion of Other and TTY. Select the provider's written language from the drop-down list. The following languages are included (in alphabetical order): Chinese, English, French, German, Haitian French, Italian, Korean, Mandarin, Other, Portuguese, Russian, Spanish, TTY, and Vietnamese. Note the inclusion of Other and TTY. From the drop-down list, enter the type of legally-exempt child care provided from the drop-down list: Professional Development Program 1

2 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt FCC GNUA GUA In-Home FCC: Family Child Care: Choose this value when care isprovided in a residence, for at least one child who does not live in the home where the care is given. GNUA: Group Not Operating Under Auspices: Choose this value if the program is not required to be licensed or registered by OCFS, AND the program does NOT operate under the auspices of another Federal, State, or local government, or a tribal agency. Descriptions of these types of programs are provided in regulation and on the enrollment form. GUA: Group Operating Under Auspices: Choose this value if the program is not required to be licensed or registered by OCFS, AND the program operates under the auspices of another federal, State, tribal or local government agency. Examples of other government agencies include the, New York State Department of Education, New York City Department of Education and the Department of Health. Descriptions are provided in regulation and on the enrollment form. In-Home Child Care: Choose this value when care is provided in a residence and ALL children being cared for live in the home where care is provided Site Address Case Manager Street No., Street Name, Apt. # Address Line 2, Floor # City, State, Zip Code Choose the Case Manager from the drop-down list. The Case Manager is the person designated by the Enrollment Agency as the primary person responsible for managing the provider s enrollment. The Case Manager is responsible for timely and accurate completion of tasks associated with the provider and parent. For all newly created provider records, the case manager will default to the person creating the provider record. The worker may assign another person from the agency as case manager, as appropriate. The case manager drop-down list is not enabled until the child care site county or site-affiliated county is specified. It is populated with with the names of enrollment agency staff who have permission to update legally-exempt provider records for that site (or site affiliated) county. Enter the address of the residence where the individual will be providing child care, including street number, street name, and apartment number, as appropriate. Enter an address line 2, as needed Enter a floor number, if appropriate. Enter the city where the child care site is located.. Enter the Zip Code (9-digit, if possible). 2 Professional Development Program

3 CCFS Legally-Exempt LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) County/Borough From the drop-down list, select the county or borough where the individual will be providing child care. Country Invalid Address Selections for Country include: US (United States) and CA (Canada). US is the default country. Check Invalid Address if the EA determines the provider s Site Address is no longer valid. Home Address Mailing Address Same as Site Street No., Street Name, Apt. # Address Line 2, Floor # City, State, Zip Code County/Borough Country Invalid Address Same as Site Same as Home Check Same as Site if the provider s Home Address is the same as the Site Address. The site address will populate the fields. Enter the provider s home address (if different than the site address), including street number, street name, and apartment number, as appropriate. If different than the site address, enter a second address line, if appropriate. Enter a floor number, if appropriate. If different than the site address: Enter the city. From the drop-down list, select the two-character State post office ID. Enter the Zip Code (nine-digit, if possible). Select the county or borough where the provider lives. If different than the site address, select the country in which the provider resides, Selections for Country include: US (United States) and CA (Canada). US is the default country. Check Invalid Address if the EA determines the provider s Home Address is no longer valid. Check Same as Site if the provider s mailing address is the same as the site address. The site address will populate the fields. Check Same as Home if the provider s mailing address is the same as the provider s home address. The home address will populate the fields. Professional Development Program 3

4 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt Street No., Street Name, Apt. # Enter the provider s mailing address (if different than the site and home addresses), including street number, street name, and apartment number, as appropriate. Phone/ Address Line 2, Floor # City, State, Zip Code County/Borough Country Invalid Address Phone tab: Type (Cell, Fax, Home, Pager, Phone, Site, Work) Phone # Extension Unlisted NEW If different than the site and home addresses, enter a second address line, if appropriate. For example, a second line might include a post office box. Enter a floor number, if appropriate. If different than the site and home addresses: Enter the city. From the drop-down list, select the two-character State post office ID. Enter the Zip Code (nine-digit, if possible). Select the county or borough for the mailing address. If different than the site and home addresses, select the country in which the provider resides. Selections for Country include: US (United States) and CA (Canada). US is the default country. Check Invalid Address only if if the EA determines the provider s Mailing Address is no longer valid. Enter the Site (default) phone number. Enter the Extension, if appropriate. If it is an unlisted number, check the Unlisted check box. Click the NEW button if you wish to add a new Phone Type. A new row will be added from which you can select Type: Cell, Fax, Home, Pager, Site, or Work. Enter information as per Phone tab, above. Add as many types as available. 4 Professional Development Program

5 CCFS Legally-Exempt LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) DEL tab: Type (Site ) Click the DEL (Delete) button to delete a row (Type) of phone number. Select the appropriate row and click DEL. Note: You cannot delete the required Site Phone. Enter the Site (default) . NEW Click the NEW button if you wish to add a new Site . A new row will be added in which you can enter another site address. DEL Click the DEL (Delete) button to delete a row (Type) of . Select the appropriate row and click DEL. Parent Information Last Name First Name Enter the parent s last name. Enter the parent s first name. Paying District Residence County Packet Recv Dt NEW DEL From the drop-down list, select the county that provides the parent s child care subsidy. From the drop-down list, select the county in which the parent resides. Enter the date the enrollment packet was received by the enrollment agency. Click the NEW button if you wish to add a new parent. A new row will be added in which you can enter parent information Click the DEL (Delete) button to delete a row. Select the appropriate row and click DEL. Site Affiliated County If the Site Address is not in New York State, the EA must designate the Site Affiliated County for Non-NYS Sites/County. The options for Site Affiliated County in the drop-down list are based on Professional Development Program 5

6 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) CCFS Legally-Exempt County for Non-NYS the Subsidy Paying Counties. The EA must choose a Subsidy Paying County that the EA is contracted by OCFS to serve, as this value drives jurisdictional rules for the provider s enrollment. From the Sites drop-down list, select the Subsidy Paying County of one of the associated parents (currently associated or associated at the time of the last approval). Child Welfare Database County for Non-NYS Providers County If the Provider s Home Address is not in New York State, the EA must designate the Child Welfare Database County for Non-NYS Providers. The options for the Child Welfare Database County are based on the Subsidy Paying Counties and Site county. The county selected from the drop-down list will be responsible for conducting the Child Welfare Database Check.. 6 Professional Development Program