Parent Notification of Licensing Notebook

All child care centers must maintain a licensing notebook which includes all licensing inspection
reports, special investigation reports and all related corrective action plans (CAP). The notebook
must include all reports issued and CAPs developed on and after May 27, 2010 until the license is closed.
- This center maintains a licensing notebook of all licensing inspection reports, special investigation reports and all related corrective action plans.
- The notebook will be available to parents for review during regular business hours.
- Licensing inspection and special investigation reports from at least the past two years are available on the Bureau of Community and Health Systems website at www.michigan.gov/michildcare.
I have read the above statement issued by*
Name of Child Care Center
Child(ren)’s Name(s)*
Parent Name*
Parent Signature*
Date*
Date Format: MM slash DD slash YYYY
Digital Signature Acknowledgement*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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