Get MI BCAL-4590 2013-2024

KEEP ON FILE Registrant/Licensee s Signature AUTHORITY PA 116 OF 1973. COMPLETION Required. PENALTY May be cited denied or revoked. BCAL-4590 Rev. 4-13 Previous edition obsolete. Caregiver s/Assistant Caregiver s Name TRAINING RECORD FAMILY/GROUP CHILD CARE HOMES STATE OF MICHIGAN Registration/License Number Department of Human Services Bureau of Children and Adult Licensing Division of Child Day Care Licensing All caregivers must complete a total of 10 clock hours of training annually not including CPR first aid and blood-borne pathogen training. The training must be related to child development program planning and administrative management for a child care business. For family home providers verification of each training must be submitted with this form* For group home providers this form and verification of each training is to be kept on file by the provider and available for Department review. Assistant caregivers must complete a total of 5 clock hours of training annually not including CPR first aid and blood-borne pathogen training. R400. 1905. 1 clock hour 60 minutes. Training must be accrued annually during the calendar year. Training Date Title of Training Training Topic First Aid Infant Child CPR Adult CPR Blood-borne pathogen training Location of Hours Training Organization/Presenter Card Received Trainer Name/Organization Yes No N/A SIGN AND DATE WHEN TRAINING IS COMPLETED. MS Word Date because of race religion age national origin color height weight marital status sex sexual orientation gender identity or expression political beliefs or disability. If you need help with reading writing hearing etc* under the Americans with Disabilities Act you are invited to make your needs known to a DHS office in your area*. Caregiver s/Assistant Caregiver s Name TRAINING RECORD FAMILY/GROUP CHILD CARE HOMES STATE OF MICHIGAN Registration/License Number Department of Human Services Bureau of Children and Adult Licensing Division of Child Day Care Licensing All caregivers must complete a total of 10 clock hours of training annually not including CPR first aid and blood-borne pathogen training. The training must be related to child development program planning and administrative management for a child care business. The training must be related to child development program planning and administrative management for a child care business. For family home providers verification of each training must be submitted with this form* For group home providers this form and verification of each training is to be kept on file by the provider and available for Department review. For family home providers verification of each training must be submitted with this form* For group home providers this form and verification of each training is to be kept on file by the provider and available for Department review. Assistant caregivers must complete a total of 5 clock hours of training annually not including CPR first aid and blood-borne pathogen training. Assistant caregivers must complete a total of 5 clock hours of training annually not including CPR first aid and blood-borne pathogen training. R400. 1905. 1 clock hour 60 minutes. Training must be accrued annually during the calendar year. Training Date Title of Training Training Topic First Aid Infant Child CPR Adult CPR Blood-borne pathogen training Location of Hours Training Organization/Presenter Card Received Trainer Name/Organization Yes No N/A SIGN AND DATE WHEN TRAINING IS COMPLETED. .