LR01 - New Enrollment for Legally-Exempt Care Window

Transcription

1 LR01 - New Enrollment for Legally-Exempt Care Window Professional Development Program 1

2 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (August 2017) CCFS Legally-Exempt Provider Information Mr., Mrs., Ms. Gender Male Female Indeterminate Enter the provider s title. Select the provider s gender from the Gender drop-down list. 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 Written Language 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., and CPA. 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. 2 Professional Development Program

3 Provider Information Program Type FCC GNUA GUA In-Home From the drop-down list, select the type of legally-exempt child care provided: FCC (Family Child Care): Choose this value when care is provided 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, local, or tribal government 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, local, or tribal 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 # The case manager is the person designated by the enrollment agency as the primary person responsible for managing the provider s enrollment. CCFS supports the case manager s timely completion of tasks through to dos and workload reports. The Case Manager drop-down list enables once the child care site county or site-affiliated county is selected. The drop-down list is populated with the names of enrollment agency staff who have permission to update legally-exempt provider records for that site (or site affiliated) county. 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. 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. City, State, Zip Code Enter/select the city and state where the child care site is located. Enter the zip code (9-digit, if possible). Professional Development Program 3

4 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (August 2017) CCFS Legally-Exempt Site Address County/Borough From the drop-down list, select the county or borough where the individual will be providing child care. If out of state, county is not enabled. Home Address Mailing Address Country Invalid 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 Street No., Street Name, Apt. # Selections for Country include: US (United States) and CA (Canada). US is the default country. Check the Invalid Address checkbox if the enrollment agent determines the provider s site address is no longer valid. Check the Same as Site checkbox if the provider s home address is the same as the site address. The site address will populate the fields. If different than the site address, enter the provider s home address, including street number, street name, and apartment number, as appropriate. If different than the site address, enter an address line 2, as needed. Enter a floor number, if appropriate. If different than the site address, enter/select the city and state where the provider lives. Enter the zip code (9-digit, if possible). If different than the site address, select the county or borough where the provider lives. If out of state, county is not enabled. 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 the Invalid Address checkbox if the enrollment agent determines the provider s Home Address is no longer valid. Check the Same as Site checkbox if the provider s mailing address is the same as the site address. The site address will populate the fields. Check the Same as Home checkbox if the provider s mailing address is the same as the home address. The home address will populate the fields. If different than the site and home addresses, enter the provider s mailing address, including street number, street name, and apartment number, as appropriate. 4 Professional Development Program

5 Mailing Address Address Line 2, Floor # If different than the site and home addresses, enter an address line 2, as needed. Enter a floor number, if appropriate. Phone/ City, State, Zip Code Country Invalid Address Phone tab: Type (Cell, Fax, Home, Pager, Site, Work) Phone # Extension Unlisted Status NEW DEL If different than the site and home addresses, enter/select the mailing address city and state. Enter the zip code (9-digit, if possible). If different than the site and home addresses, select the mailing address country. Selections for Country include: US (United States) and CA (Canada). US is the default country. Check the Invalid Address checkbox if the enrollment agent determines the provider s mailing address is no longer valid. A row with the type of Site defaults on the Phone tab. Enter the default site phone number. Enter the Extension, if appropriate. If it is an unlisted number, check the Unlisted checkbox. Use the Status drop-down list to indicate the status of the phone number: Select Invalid if you have used the number and know it to be invalid. Select Valid if you have used the number and know it to be valid. Select No Info if you do not know whether the number is valid or invalid. Click the NEW button if you wish to add a new phone number. A new row will be added from which you can select a new Type (Cell, Fax, Home, Pager, Site, or Work). Enter information in the rest of the row. Enter as many phone numbers as are available. Select a row and click the DEL (Delete) button to delete a phone number row. Note: You cannot delete the required Site phone number. Professional Development Program 5

6 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (August 2017) CCFS Legally-Exempt Phone/ tab: Type (Site ) Status A row with the type of Site defaults on the tab. Enter the default site address. Use the Status drop-down list to indicate the status of the address: Select Invalid if you have used the address and know it to be invalid. Select Valid if you have used the address and know it to be valid. Select No Info if you do not know whether the address is valid or invalid. NEW Click the NEW button if you wish to add a new address. Parent Information DEL Last Name First Name Paying District Residence County Packet Recv Dt NEW DEL Select a row and click the DEL (Delete) button to delete an row. Note: You cannot delete the required site . Enter the parent s last name. Enter the parent s first name. 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 to add a parent. A new row will be added in which you can enter parent information. Select a row and click the DEL (Delete) button to delete a parent. Site Affiliated County for Non-NYS Sites County If the site address is not in New York State, the enrollment agency must designate the Site Affiliated County. The enrollment agency must choose a county that it is contracted by OCFS to serve, as this value drives jurisdictional rules for the provider s enrollment. From the County dropdown list, select the county where the enrollment agency processing the enrollment packet is located. 6 Professional Development Program

7 Child Welfare Database County for Non-NYS Providers County If the provider s home address is not in New York State, the enrollment agency must designate the child welfare database county, usually the subsidy paying District. The county selected from the drop-down list will be responsible for conducting the Child Welfare Database Check. Do not enter the county name from another state. For example, if the provider lives in Essex Co, NJ, and you choose Essex county(ny) from the dropdown then the referral to conduct the Child Welfare Database check will be sent to Essex county NY in northern NY. Professional Development Program 7