Mandatory for family child care centers to comply with DCF 250.07(6)(f)1.a. Failure to comply may result in issuance of a noncompliance statement. This form is voluntary for group child care centers, day camps and certified providers; however, completion of this form meets the requirements of DCF 251.07(6)(f)1.a., DCF 252.44(6)(e)1.a. and DCF 202.08(4)(f) and 202.09(5)(c)., Wis. Admin. Codes. Personal information you provide may be used for secondary purposes Privacy Law, s.15.04(1)(m), Wiscon.

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How to fill out the WI DCF-F-CFS0059 online

Filling out the WI DCF-F-CFS0059 form is essential for authorizing medication administration in child care settings. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

  1. Click ‘Get Form’ button to obtain the form and open it in the online platform.
  2. Complete Section A by entering the facility name, child's name, and birthdate. Make sure this information matches the child’s records to prevent any discrepancies.
  3. In Section B, detail the medication information. Include the name of the medication, dosage, time period for administration, and any special instructions. Ensure that the medication is in its original container and correctly labeled.
  4. Answer the question regarding over-the-counter medications. If you select 'Yes', confirm that you have consulted with your child's physician and authorize a dosage consistent with their recommendation.
  5. In Section C, provide your signature as the parent or guardian authorizing the administration of the medication. Remember to include the date of signing.
  6. If you are a certified child care provider, proceed to the Documentation section to record the administration of the medication. Log the date, time, dosage, and your signature or initials for each instance of administration.
  7. Review all entries for accuracy and completeness before saving the form. If necessary, you can download or print the completed form for record-keeping or sharing.

Complete the WI DCF-F-CFS0059 form online today to ensure your child's medication needs are met in a timely manner.

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Questions & Answers

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What is the number for child care authorization in Milwaukee?

Call us at 1.888. 947.6583. Listen to the prompts to request a child care authorization.

In Wisconsin, parents and caregivers have two options for regulated child care—licensed or certified. Licensed providers can care for four or more unrelated children under the age of 7. Certified providers are voluntarily regulated and can provide care for up to three unrelated children under the age of 7.

Telephone - You may call the FIS customer service line (1.877. 201.7601) and pay over the phone. It is important to have your card number with you before making the call.

Six Rights of Medication Administration Identify the right patient. ... Verify the right medication. ... Verify the indication for use. ... Calculate the right dose. ... Make sure it's the right time. ... Check the right route.

The Wisconsin Department of Children and Families is responsible for licensing day cares and day care staff. The one exception is for 4K teachers who are teaching at a community-based 4K program in partnership with a public school district. These teachers must hold an Early Childhood or PK teacher license.

You will provide your child care provider's name and address, your approved activity schedule, and the times that your child will need child care to your local agency worker. This information will be used to create your authorization. Call 1.888. 947.6583: Select option one (1) for Child Care.

Telephone - You may call the FIS customer service line (1.877. 201.7601) and pay over the phone. It is important to have your card number with you before making the call.

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